Bradycardia in the early postoperative period of liver transplantation in children.
Transplant Proc
; 42(5): 1774-6, 2010 Jun.
Article
em En
| MEDLINE
| ID: mdl-20620521
ABSTRACT
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 >or=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.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Bradicardia
/
Transplante de Fígado
Idioma:
En
Ano de publicação:
2010
Tipo de documento:
Article