Bradycardia in the Early Postoperative Period of Liver Transplantation in Children


Autoria(s): COSTA, G. A.; TANNURI, U.; DELGADO, A. F.
Contribuinte(s)

UNIVERSIDADE DE SÃO PAULO

Data(s)

19/10/2012

19/10/2012

2010

Resumo

The aim of this investigation was to describe the occurrence of bradycardia during the early postoperative period of liver transplantation in children. We retrospectively analyzed a cohort of 79 children with end-stage liver diseases who underwent liver transplantation. All children experienced >= 1 episode of a cardiac rate below the 2nd percentile of a 1-hour minimum duration, which was considered to be bradycardia. Patients <24 months were compared with older ones. The overall incidence of bradycardia was 37% (n = 31), including 25 patients who displayed bradycardia until postoperative day 3. In all cases, the electrocardiogram was normal, showing sinus rhythm. A comparison of the groups demonstrated an increased incidence of bradycardia among patients <24 months of age (P = .03). In all patients, there were no hemodynamic consequences; the cardiac rate returned to normal uneventfully. The explanations for bradycardia could not be applied to these patients because none of them had any volume change or electrolyte disturbances; liver function tests were not seriously altered. The mechanisms of this postoperative complications are unclear.

Identificador

TRANSPLANTATION PROCEEDINGS, v.42, n.5, p.1774-1776, 2010

0041-1345

http://producao.usp.br/handle/BDPI/21145

10.1016/j.transproceed.2010.01.064

http://dx.doi.org/10.1016/j.transproceed.2010.01.064

Idioma(s)

eng

Publicador

ELSEVIER SCIENCE INC

Relação

Transplantation Proceedings

Direitos

restrictedAccess

Copyright ELSEVIER SCIENCE INC

Palavras-Chave #Immunology #Surgery #Transplantation
Tipo

article

original article

publishedVersion