000			02979cam a2200313 a 4500
003			EG-GiCUC
008			201031s2020 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.28.M.Sc.2020.As.I
100	0		_aAsmaa Hassanein Gad Elkarim
245	1	0	_aIncidence and risk factors for early postoperative complete heart block in pediatrics / _cAsmaa Hassanein Gad Elkarim ; Supervised Amira Esmat Eltantawy , Mohammed Mosaad Mahmoud
246	1	5	_aمعدل وعوامل خطورة الانقطاع الكامل لضفيرة القلب الكهربية ما بعد عمليات القلب للاطفال
260			_aCairo : _bAsmaa Hassanein Gad Elkarim , _c2020
300			_a133 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520			_aBackground: Despite advancement in pediatric cardiac surgery, yet post-operative CHB patients still present obviously, with patients referred for permanent pacing and starting long term morbidity necessitate lifelong follow up although the original cardiac anomaly itself mostly repaired totally. Objective: The aim of the study is to determine the incidence of early permanent postoperative CHB requiring pacemaker implantation following open surgical repair of congenital heart disease. Study design: Prospective descriptive study. Setting: Large two centers for congenital cardiac surgery in Egypt: Abo-Elreesh Cairo university hospital and Atfal {u2013}Misr hospital cardiothoracic center.Method: All Patients who developed CHB following cardiac surgery in period from February 2018 to February 2019 were included, detailed preoperative and operative and post-operative data were collected and statistically analyzed.Results: Post-operative early permanent CHB was diagnosed in 50/1668 (3%) post cardiac surgery. CHB patients were confined mainly to TOF (50%), VSD (28%), AVC (12%) and ASD (6%). Characteristic data of post-operative blocked patients showed:mechanical ventilation hours >6 hrs, pre and post-operative heart rate changes (P value <0.001), pre and post-operative cardiac function change (P value <0.001), IVC distensiblility index 16-18, ICU stay >3 days and hospital stay >7days.Conclusion: Permanent complete heart block incidence in two major congenital open cardiac surgery centers in Egypt is 3%. CHB usually follows repair of certain cardiac defects; TOF, VSD, AVC, ASD. CHB has a significant impact on morbidity involving Affection of cardiac function, ventilation hour, ICU stay and hospital stay
530			_aIssued also as CD
653		4	_aPacing
653		4	_aPost {u2013}Operative CHB
653		4	_aVentilation
700	0		_aAmira Esmat Eltantawy , _eSupervisor
700	0		_aMohammed Mosaad Mahmoud , _eSupervisor
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c78486 _d78486