Non-invasive electrocardiographic predictors of atrial arrhythmias in patients with the Fontan palliation

Daniel Cortez, Nandita Sharma, Jason R. Imundo, Mark Cohen

Research output: Contribution to journalArticle

Abstract

Background Fontan palliation patients are at risk for atrial arrhythmias post-operatively. This study aimed to evaluate whether differences in depolarization vector magnitude or spatial P-R angle can reliably predict atrial arrhythmias in patients who had undergone Fontan palliation. Methods A total of 115 patients who had Fontan palliation and post-Fontan catheterization were included. Atrial arrhythmias were identified in 14 patients. Measurements of ECG parameters including QRS vector magnitude, P-R duration, spatial QRS-T angle and spatial P-R angle were performed, and compared between those with and without atrial arrhythmias. Results Only the QRSvm independently differentiated those with and without atrial arrhythmias with multivariate HR of 0.743 (95% CI 0.581 to 0.951). Conclusion In Fontan patients, the QRSvm was the only significant independent predictor of atrial arrhythmias.

Original languageEnglish (US)
Pages (from-to)576-583
Number of pages8
JournalJournal of Electrocardiology
Volume50
Issue number5
DOIs
StatePublished - Sep 2017

Keywords

  • Atrial arrhythmias
  • Fontan
  • Vectorcardiography

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