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[Risk factors for accelerated junctional escape rhythm in children early after percutaneous ventricular septal defect

Li Wei1, Li-Na Qiao, Yong-Yi Lu

  • 1Department of Pediatrics, West China Second Hospital of Sichuan University, Chengdu 610041, China. yeqianghua949@sohu.com.

Zhongguo Dang Dai Er Ke Za Zhi = Chinese Journal of Contemporary Pediatrics
|October 18, 2013
PubMed

Insights

Accelerated junctional escape rhythm (AJER) after percutaneous ventricular septal defect (VSD) closure in children is linked to VSD diameter and occluder size. The distance from the VSD to the aortic valve ring and the occluder size are primary risk factors.

Area of Science:

  • Pediatric Cardiology
  • Cardiac Electrophysiology
  • Interventional Cardiology

Context:

  • Percutaneous closure is a common treatment for ventricular septal defects (VSDs).
  • Accelerated junctional escape rhythm (AJER) is a potential complication following VSD closure.
  • Identifying risk factors for AJER is crucial for improving patient outcomes.

Purpose:

  • To determine the risk factors associated with accelerated junctional escape rhythm (AJER) in pediatric patients following percutaneous VSD closure.
  • To analyze the relationship between VSD characteristics, device parameters, and the occurrence of AJER.

Summary:

  • A retrospective study analyzed 42 children with AJER post-percutaneous VSD closure.
  • Risk factors identified include VSD diameter, occluder size, and distance from the VSD to the aortic valve ring.
  • Logistic regression revealed that the distance between the VSD and aortic valve ring (OR=1.813) and occluder size (OR=1.671) are primary risk factors for AJER.

Impact:

  • Findings help clinicians anticipate and potentially mitigate AJER risk in pediatric VSD closure.
  • This research contributes to safer interventional procedures for congenital heart disease.
  • Understanding these risk factors can guide device selection and procedural planning.
Abstract

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