Factor Information
Data ID 2744
Factor permanent postoperative complete heart block (CHB)
Description The risk of complete heart block (CHB) from congenital heart repairs in Ghana is unknown. This information is important for referring physicians and in pre-operative counselling of patients and facilitates the process of obtaining informed consent for such repairs.
Biomarker NA
Classification A3 (clinical factor - disease & symptom)
Association
Application prognosis and risk assessment
Objective This study was undertaken to determine the incidence of permanent post-operative CHB requiring pacemaker implantation; and the post-operative problems related to the pacemaker.
Conclusion Permanent post-operative complete heart block occurred in 1.3% of patients undergoing VSD repair and 5.5% of those undergoing repair of conotruncal anomalies (Fallot's tetralogy). The dominant anatomic risk factor was a large perimembranous VSD as an isolated defect or as part of a conotruncal anomaly. Permanent pacemaker implantation in this setting is attended by a low morbidity.
Risk Factor unknown
CHD Type
ID 619
CHD Type isolated CHD/non-isolated CHD
CHD Subtype VSD, ASD/VSD, PDA/VSD, RVOTO/TOF/DORV/AVSD/SAS/other
Reference
PMID 21327015
Year 2010
Title Permanent complete heart block following surgical correction of congenital heart disease
Sample
Population patients with CHD
Source Retrospective study design.
Region Accra,Ghana
Method Review
Race West Africa
Disease History N/A
Treatment History N/A
Group patients with CHD(Treatment) N/A(Control)
Number 242 N/A
Age ages ranged from 10 months to 70 years (mean 11.9 years, median 8.0 years) N/A
Gender (Male: Female) 127:115 N/A
Marker Level 0.025 N/A