@article{bff6e97d24454766be0811c60af38bc3,
title = "Detection of cardiac dysrhythmias by continuous electrocardiographic recording in children undergoing cardiac surgery",
abstract = "The incidence of dysrhythmias was studied using 24-hour ambulatory electrocardiographic monitoring in 65 consecutive cases of children undergoing cardiac surgery. Recordings were made prior to surgery and in the early (1-10 days) and late (3-12 months) post operative periods. Prior to surgery, 25% of the patients displayed supraventricular dysrhythmias (SVD) and 39% ventricular dysrhythmias (VD). Immediately following surgery a dramatic increase in incidence occurred in both SVD and VD. On late follow-up the frequency of ectopy decreased but not to pre-operative levels. Standard 12-lead ECG was much less sensitive than Holter monitoring, detecting less than 25% of all dysrhythmias. Assessment of preoperative rhythm status is necessary to properly interpret postoperative dysrhythmias. Twenty-four hour ambulatory ECG recording is essential for the detection and evaluation of dysrhythmias in children undergoing cardiac surgery.",
author = "Ringel, {Richard E.} and Kennedy, {Harold L.} and Brenner, {Joel I.} and Roberts, {Glenda S.} and Berman, {Michael A.}",
note = "Funding Information: Ambulatory (Holter) electrocardiographic recording is an established technique for the evaluation of rhythm disturbances in adults. It provides a much more comprehensive and meaningful record of an individual's cardiac rhythm status than random, resting ECGs. 1 The occurrence of dysrhythmia following car- *Instructor, Division of Pediatric Cardiology, University of Maryland. tAssociate Professor, Chief of Cardiology, University of St. Louis Medical Center. **Associate Professor, Division of Pediatric Cardiology, University of Maryland. ~tNurse Clinician, Division of Pediatric Cardiology, University of Maryland. ***Professor, Chief of Pediatric Cardiology, Division of Pediatric Cardiology, University of Maryland. From the University of Maryland Medical Center, Division of Pediatric Cardiology, Baltimore, Maryland. Presented in part at the Southeastern Pediatric Cardiology Society Meeting, Williamsburg, Virginia; September, 1981 and at the Annual Meeting of the American Academy of Pediatrics, Section on Pediatric Cardiology, New Orleans, Louisiana; November, 1981. Supported in part by the Thomas Wilson Foundation. Reprint requests to: Richard E. Ringel, M.D., Division of Pediatric Cardiology, University of hiD Hospital, #N5W70, 22 S. Greene Street, Baltimore, Maryland 21201. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked {"}advertisement{"} in accordance with 18 U.S.C. w 1734 solely to indicate this fact.",
year = "1984",
doi = "10.1016/S0022-0736(84)80018-7",
language = "English (US)",
volume = "17",
pages = "1--6",
journal = "Journal of Electrocardiology",
issn = "0022-0736",
publisher = "Churchill Livingstone",
number = "1",
}