Fontan-related morbidity and paced QRS duration: A case series

John F. Keaney; M. Abigail Simmons; Robert W. Elder; Cheyenne M. Beach

doi:10.1016/j.ppedcard.2023.101641

Fontan-related morbidity and paced QRS duration: A case series

John F. Keaney
, M. Abigail Simmons
, Robert W. Elder
, Cheyenne M. Beach

Research output: Contribution to journal › Article › peer-review

Abstract

Permanent pacemakers have been associated with Fontan-related morbidity and mortality. Longer QRS duration and QRS prolongation over time may be associated with poorer outcomes in Fontans patients. We present a series of eleven Fontan patients with ventricular pacing on serial electrocardiograms (ECGs), including seven with Fontan-related morbidity. Paced QRS duration increased over time in nearly all patients, with several having extremely long QRS durations at the end of the follow-up period. We explore the role that paced QRS duration may play in Fontan-related morbidity and mortality and its potential as a therapeutic target for patient management.

Original language	English (US)
Article number	101641
Journal	Progress in Pediatric cardiology
Volume	69
DOIs	https://doi.org/10.1016/j.ppedcard.2023.101641
State	Published - Jun 2023
Externally published	Yes

Bibliographical note

Publisher Copyright:
© 2023 Elsevier B.V.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Congenital heart disease
Fontan-related morbidity
Pacemaker
QRS duration
Single ventricle

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10.1016/j.ppedcard.2023.101641

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title = "Fontan-related morbidity and paced QRS duration: A case series",

abstract = "Permanent pacemakers have been associated with Fontan-related morbidity and mortality. Longer QRS duration and QRS prolongation over time may be associated with poorer outcomes in Fontans patients. We present a series of eleven Fontan patients with ventricular pacing on serial electrocardiograms (ECGs), including seven with Fontan-related morbidity. Paced QRS duration increased over time in nearly all patients, with several having extremely long QRS durations at the end of the follow-up period. We explore the role that paced QRS duration may play in Fontan-related morbidity and mortality and its potential as a therapeutic target for patient management.",

keywords = "Congenital heart disease, Fontan-related morbidity, Pacemaker, QRS duration, Single ventricle",

author = "Keaney, \{John F.\} and Simmons, \{M. Abigail\} and Elder, \{Robert W.\} and Beach, \{Cheyenne M.\}",

note = "Publisher Copyright: {\textcopyright} 2023 Elsevier B.V.",

year = "2023",

month = jun,

doi = "10.1016/j.ppedcard.2023.101641",

language = "English (US)",

volume = "69",

journal = "Progress in Pediatric cardiology",

issn = "1058-9813",

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}

TY - JOUR

T1 - Fontan-related morbidity and paced QRS duration

T2 - A case series

AU - Keaney, John F.

AU - Simmons, M. Abigail

AU - Elder, Robert W.

AU - Beach, Cheyenne M.

PY - 2023/6

Y1 - 2023/6

N2 - Permanent pacemakers have been associated with Fontan-related morbidity and mortality. Longer QRS duration and QRS prolongation over time may be associated with poorer outcomes in Fontans patients. We present a series of eleven Fontan patients with ventricular pacing on serial electrocardiograms (ECGs), including seven with Fontan-related morbidity. Paced QRS duration increased over time in nearly all patients, with several having extremely long QRS durations at the end of the follow-up period. We explore the role that paced QRS duration may play in Fontan-related morbidity and mortality and its potential as a therapeutic target for patient management.

AB - Permanent pacemakers have been associated with Fontan-related morbidity and mortality. Longer QRS duration and QRS prolongation over time may be associated with poorer outcomes in Fontans patients. We present a series of eleven Fontan patients with ventricular pacing on serial electrocardiograms (ECGs), including seven with Fontan-related morbidity. Paced QRS duration increased over time in nearly all patients, with several having extremely long QRS durations at the end of the follow-up period. We explore the role that paced QRS duration may play in Fontan-related morbidity and mortality and its potential as a therapeutic target for patient management.

KW - Congenital heart disease

KW - Fontan-related morbidity

KW - Pacemaker

KW - QRS duration

KW - Single ventricle

UR - https://www.scopus.com/pages/publications/85152294971

UR - https://www.scopus.com/pages/publications/85152294971#tab=citedBy

U2 - 10.1016/j.ppedcard.2023.101641

DO - 10.1016/j.ppedcard.2023.101641

M3 - Article

AN - SCOPUS:85152294971

SN - 1058-9813

VL - 69

JO - Progress in Pediatric cardiology

JF - Progress in Pediatric cardiology

M1 - 101641

ER -

Fontan-related morbidity and paced QRS duration: A case series

Abstract

Bibliographical note

UN SDGs

Keywords

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