Incidence and Risk Factors for Early Postoperative Arrhythmias in Congenital Heart Disease – Systematic Review

No.	Author & year	Country	Type of study	Study period	Population size
1	Pfammater et al.¹³, 2002	Switzerland	Prospective	July 1996 – unspecified	172
2	Valsangiacomo et al.⁷, 2002	Switzerland	Prospective	November 1998 – January 2000	100
3	Delaney et al.²⁴, 2006	USA	Prospective	September 2000 – May 2003	189
4	Rekawek et al.¹², 2007	Poland	Prospective	January – December 2005	402
5	Chaiyarak et al.²², 2008	China	Prospective	January – December 2006	191
6	Yildirim et al.¹⁹, 2008	Turkey	Retrospective	May 2001 – December 2002	580
7	Kamel et Sewielam²⁷, 2009	Egypt	Retrospective	September 2007 – January 2009	95
8	Massin et al.²⁶, 2010	Belgium	Prospective	January 2007 – June 30	141
9	Talwar et al.¹⁷, 2015	India	Prospective	September 2013 – July 2014	200
10	Nelson et al.²⁵, 2018	USA	Retrospective	January 2012 – December 2014	196
11	Sahu et al.²³, 2018	India	Prospective	November 2015 – December 2016	369
12	Jain et al.⁵, 2019	India	Retrospective	April – July 2016	536
13	Öztürk et al.¹¹, 2021	Turkey	Retrospective	December 2018 – November 2019	670
14	Alotaibi et al.²¹, 2022	Saudi Arabia	Retrospective	January 2015 – December 2020	821
15	Ishaque et al.²⁰, 2022	Pakistan	Retrospective	January 2014 – December 2018	812
16	Yasa et al.⁸, 2024	Indonesia	Retrospective	January 2020 – December 202	92

TABLE 2.

Quality assessment using the Newcastle–Ottawa scale

No.	Author & year	Selection	Comparability	Outcome	Total
1	Pfammater et al.¹³, 2002	4	1	3	8
2	Valsangiacomo et al.⁷, 2002	4	1	3	8
3	Delaney et al.²⁴, 2006	4	1	3	8
4	Rekawek et al.¹², 2007	4	1	3	8
5	Chaiyarak et al.²², 2008	4	1	3	8
6	Yildirim et al.¹⁹, 2008	3	1	3	7
7	Kamel et Sewielam²⁷, 2009	3	1	3	7
8	Massin et al.²⁶, 2010	3	1	3	7
9	Talwar et al.¹⁷, 2015	4	1	3	8
10	Nelson et al.²⁵, 2018	4	1	3	8
11	Sahu et al.²³, 2018	4	1	3	8
12	Jain et al.⁵, 2019	4	2	3	9
13	Öztürk et al.¹¹, 2021	4	1	3	8
14	Alotaibi et al.²¹, 2022	4	2	3	9
15	Ishaque et al.²⁰, 2022	4	1	3	8
16	Yasa et al.⁸, 2024	4	2	3	9

TABLE 1.

Summary of included studies

No.	Author & year	Sample size	Arrhythmia cases (n)	Arrhythmia cases (%)	Groups	No. of patients	Age (months)	CBP time (min)	ACC time (min)
1	Pfammater et al.¹³, 2002	172	59	34.30%	Arrhythmia	59	16.62 ± 4.79	–	–
					Non-arrhythmia	113	33 ± 11.25
2	Valsangiacomo et al.⁷, 2002	100	48	48.00%	Arrhythmia	48	25.26 ± 53.25	–	–
					Non-arrhythmia	52
3	Delaney et al.²⁴, 2006	189	28	14.81%	Arrhythmia	28	22 ± 39.7	189 ± 106	105 ± 73.6
					Non-arrhythmia	161		109 ± 29.6	44 ± 22.2
4	Rekawek et al.¹², 2007	402	57	14.18%	Arrhythmia	57	18.74 ± 39.04	169 ± 69.2	82.6 ± 37.1
					Non-arrhythmia	345	31.23 ± 47.7	128.7 ± 134.9	53.6 ± 34.2
5	Chaiyarak et al.²², 2008	580	45	7.76%	Arrhythmia	45	48.03 ± 45.26	96 (30–251)	48 (0–147)
					Non-arrhythmia	146	38.33 ± 47.47	65 (20–240)	36 (0–147)
6	Yildirim et al.¹⁹, 2008	191	51	26.70%	Arrhythmia	51	20.4 ± 27.6	105 .4 ± 54.1	56.7 ± 27.2
					Non-arrhythmia	529	–	–	–
7	Kamel et Sewielam²⁷, 2009	95	30	31.58%	Arrhythmia	30	11 ± 2	105.4 ± 53.1	50 ± 22.5
					Non-arrhythmia	65	16 ±3	80.8 ± 36.3	50 ± 22.5
8	Massin et al.²⁶, 2010	141	25	17.73%	Arrhythmia	25	2.56 ± 3.28	139.64 ± 51.15	76.20 ± 32.99
					Non-arrhythmia	116	2.39 ± 3.40	113.55 ± 37.47	56.26 ± 24.72
9	Talwar et al.¹⁷, 2015	200	15	7.50%	Arrhythmia	15	41.9 ± 65.4	108.5 ± 46.7	62.2 ± 21.42
					Non-arrhythmia	185	50.7 ± 62.2	79.99 ± 36.5	50.6 ± 22.43
10	Nelson et al.²⁵, 2018	196	18	9.18%	Arrhythmia	18	5.9 ± 1.8	123 (112–187)	74 (56–128)
					Non-arrhythmia	178	28.8 ± 24.3	97 (70–144)	45 (16–80)
11	Sahu et al.²³, 2018	369	25	6.78%	Arrhythmia	25	39.36 ± 42.6	103.6 ± 57.4	60.04 ± 32.8
					Non-arrhythmia	344	37.2 ± 42	90.04 ± 44/7	55.1 ± 26.5
12	Jain et al.⁵, 2019	536	77	14.37%	Arrhythmia	77	16	–	–
					Non-arrhythmia	459
13	Öztürk et al.¹¹, 2021	670	84	12.54%	Arrhythmia	84	4 ± 53.99	–	–
					Non-arrhythmia	586
14	Alotaibi et al.²¹, 2022	821	140	17.05%	Arrhythmia	140	–	77 (57–99.5)	54 (38–70)
					Non-arrhythmia	681		60 (45–81)	45 (32–62)
15	Ishaque et al.²⁰, 2022	812	185	22.78%	Arrhythmia	185	–	140.4 ± 70.2	55.6 ± 27.4
					Non-arrhythmia	627
16	Yasa et al.⁸, 2024	92	14	15.22%	Arrhythmia	14	69.71 ± 65.71	171.23 ± 52.64	115.58 ± 34.38
					Non-arrhythmia	75	88.78 ± 65.28	108.1 ± 48.44	73.59 ± 37.28

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DOI: https://doi.org/10.2478/jce-2025-0005 | Journal eISSN: 2457-5518 | Journal ISSN: 2457-550X

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Language: English

Page range: 43 - 53

Submitted on: Mar 8, 2025

Accepted on: Apr 17, 2025

Published on: Jul 1, 2025

Published by: Asociatia Transilvana de Terapie Transvasculara si Transplant KARDIOMED

In partnership with: Paradigm Publishing Services

Publication frequency: 4 issues per year

Keywords:

early postoperative arrhythmias,

congenital heart disease,

Related subjects:

Emergency medicine and intensive-care medicine,

Radiology

© 2025 Petra-Caroline Mayaya, Grigore Tinică, Raluca Ozana Chistol, Liviu Moraru, Simona Irina Damian, Otilia Elena Frăsinariu, Cristina Furnica, published by Asociatia Transilvana de Terapie Transvasculara si Transplant KARDIOMED
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Volume 11 (2025): Issue 2 (June 2025)