{"id":"https://openalex.org/W7204094536","doi":"https://doi.org/10.33545/26649020.2026.v8.i2a.168","title":"Dysrhythmias in patients with complete atrioventricular septal defect: From surgery to early adulthood","display_name":"Dysrhythmias in patients with complete atrioventricular septal defect: From surgery to early adulthood","publication_year":2026,"publication_date":"2026-07-01","ids":{"openalex":"https://openalex.org/W7204094536","doi":"https://doi.org/10.33545/26649020.2026.v8.i2a.168"},"language":"en","primary_location":{"id":"doi:10.33545/26649020.2026.v8.i2a.168","doi":"https://doi.org/10.33545/26649020.2026.v8.i2a.168","is_oa":true,"landing_page_url":"https://doi.org/10.33545/26649020.2026.v8.i2a.168","pdf_url":"https://www.cardiologyjournals.net/archives/2026/vol8issue2/PartA/8-2-6-733.pdf","source":{"id":"https://openalex.org/S4387286946","display_name":"International Journal of Cardiology Sciences","issn_l":"2664-9020","issn":["2664-9020","2664-9039"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Cardiology Sciences","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://www.cardiologyjournals.net/archives/2026/vol8issue2/PartA/8-2-6-733.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5066189968","display_name":"Ahmed M Heikal","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ahmed M Heikal","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057861822","display_name":"Khalid Elrabbat","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Khalid E Elrabbat","raw_affiliation_strings":["Elrabbat Cardiology Department ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Elrabbat Cardiology Department ,","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109646361","display_name":"Amr El Nagar","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Amr E El Nagar","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044377885","display_name":"Amr Abd Elmordy Elsayed","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Amr A Elsayed","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021111752","display_name":"Osama Abdelaziz","orcid":"https://orcid.org/0000-0002-5935-4781","observed_orcids":["https://orcid.org/0000-0002-5935-4781"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Osama M AbdelAziz","raw_affiliation_strings":["Elrabbat Cardiology Department ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Elrabbat Cardiology Department ,","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5103622288","display_name":"Azza Ali Katta","orcid":"https://orcid.org/0000-0001-9679-4500","observed_orcids":["https://orcid.org/0000-0001-9679-4500"]},"institutions":[{"id":"https://openalex.org/I145487455","display_name":"Cairo University","ror":"https://ror.org/03q21mh05","country_code":"EG","type":"education","lineage":["https://openalex.org/I145487455"]},{"id":"https://openalex.org/I4210151270","display_name":"National Heart Institute","ror":"https://ror.org/055273664","country_code":"EG","type":"healthcare","lineage":["https://openalex.org/I4210151270"]},{"id":"https://openalex.org/I4210164576","display_name":"Cairo University hospitals","ror":"https://ror.org/058djb788","country_code":"EG","type":"healthcare","lineage":["https://openalex.org/I4210164576"]},{"id":"https://openalex.org/I4405262962","display_name":"Al Nas Hospital","ror":"https://ror.org/00p7m6v63","country_code":"EG","type":"healthcare","lineage":["https://openalex.org/I4405262962"]}],"countries":["EG"],"is_corresponding":false,"raw_author_name":"Azza A Katta","raw_affiliation_strings":["Cardiac Electrophysiology Department , National Heart Institute , Cairo , Egypt","Osama M AbdelAziz Al Nas Hospital , Cairo University Children Hospital , Cairo , Egypt"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiac Electrophysiology Department , National Heart Institute , Cairo , Egypt","institution_ids":["https://openalex.org/I4210151270"]},{"raw_affiliation_string":"Osama M AbdelAziz Al Nas Hospital , Cairo University Children Hospital , Cairo , Egypt","institution_ids":["https://openalex.org/I145487455","https://openalex.org/I4210164576","https://openalex.org/I4405262962"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"8","issue":"2","first_page":"18","last_page":"27"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10300","display_name":"Congenital Heart Disease Studies","score":0.986299991607666,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10300","display_name":"Congenital Heart Disease Studies","score":0.986299991607666,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11217","display_name":"Cardiac Arrhythmias and Treatments","score":0.0052999998442828655,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11677","display_name":"Congenital heart defects research","score":0.0020000000949949026,"subfield":{"id":"https://openalex.org/subfields/1312","display_name":"Molecular Biology"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/complete-atrioventricular-canal-defect","display_name":"complete atrioventricular canal defect","score":0.9340000152587891},{"id":"https://openalex.org/keywords/atrioventricular-septal-defect","display_name":"atrioventricular septal defect","score":0.8100000023841858},{"id":"https://openalex.org/keywords/cardiac-arrhythmia","display_name":"cardiac arrhythmias","score":0.8190000057220459},{"id":"https://openalex.org/keywords/electrical-remodeling","display_name":"electrical remodeling","score":0.609000027179718},{"id":"https://openalex.org/keywords/down-syndrome","display_name":"Down syndrome","score":0.6019999980926514},{"id":"https://openalex.org/keywords/double-patch-repair","display_name":"double-patch repair","score":0.7099999785423279},{"id":"https://openalex.org/keywords/complete-heart-block","display_name":"complete heart block","score":0.9039999842643738},{"id":"https://openalex.org/keywords/permanent-pacing","display_name":"permanent cardiac pacing","score":0.6679999828338623},{"id":"https://openalex.org/keywords/junctional-ectopic-tachycardia","display_name":"junctional ectopic tachycardia","score":0.9929999709129333},{"id":"https://openalex.org/keywords/atrial-fibrillation","display_name":"atrial fibrillation","score":0.9879999756813049},{"id":"https://openalex.org/keywords/sinus-rhythm","display_name":"sinus rhythm","score":0.609000027179718},{"id":"https://openalex.org/keywords/conduction-system-abnormalities","display_name":"conduction system abnormalities","score":0.5429999828338623},{"id":"https://openalex.org/keywords/holter-monitoring","display_name":"Holter monitoring","score":0.5889999866485596}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9280999898910522},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6064000129699707},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.5067999958992004},{"id":"https://openalex.org/C111773187","wikidata":"https://www.wikidata.org/wiki/Q1969239","display_name":"QRS complex","level":2,"score":0.4927000105381012},{"id":"https://openalex.org/C2778557577","wikidata":"https://www.wikidata.org/wiki/Q300121","display_name":"Atrioventricular block","level":2,"score":0.4796000123023987},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.4771000146865845},{"id":"https://openalex.org/C2776331378","wikidata":"https://www.wikidata.org/wiki/Q56002","display_name":"Ventricular tachycardia","level":2,"score":0.47209998965263367},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.44940000772476196},{"id":"https://openalex.org/C50965678","wikidata":"https://www.wikidata.org/wiki/Q2724302","display_name":"Abnormality","level":2,"score":0.4341999888420105},{"id":"https://openalex.org/C2780074459","wikidata":"https://www.wikidata.org/wiki/Q389735","display_name":"Heart disease","level":2,"score":0.42660000920295715},{"id":"https://openalex.org/C2780040984","wikidata":"https://www.wikidata.org/wiki/Q79785","display_name":"Electrocardiography","level":2,"score":0.42590001225471497},{"id":"https://openalex.org/C104397207","wikidata":"https://www.wikidata.org/wiki/Q72711","display_name":"Electrical conduction system of the heart","level":3,"score":0.41769999265670776},{"id":"https://openalex.org/C2779161974","wikidata":"https://www.wikidata.org/wiki/Q815819","display_name":"Atrial fibrillation","level":2,"score":0.4081999957561493},{"id":"https://openalex.org/C2776661526","wikidata":"https://www.wikidata.org/wiki/Q1361515","display_name":"Heart block","level":3,"score":0.40700000524520874},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.397599995136261},{"id":"https://openalex.org/C2780283014","wikidata":"https://www.wikidata.org/wiki/Q209583","display_name":"Tachycardia","level":2,"score":0.39309999346733093},{"id":"https://openalex.org/C2779210884","wikidata":"https://www.wikidata.org/wiki/Q6311817","display_name":"Junctional rhythm","level":2,"score":0.3880000114440918},{"id":"https://openalex.org/C2775914520","wikidata":"https://www.wikidata.org/wiki/Q12335414","display_name":"Sinus rhythm","level":3,"score":0.38199999928474426},{"id":"https://openalex.org/C2909456097","wikidata":"https://www.wikidata.org/wiki/Q189331","display_name":"Conduction abnormalities","level":2,"score":0.3294000029563904},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.31690001487731934},{"id":"https://openalex.org/C2776024998","wikidata":"https://www.wikidata.org/wiki/Q509053","display_name":"Atrioventricular node","level":3,"score":0.31029999256134033},{"id":"https://openalex.org/C2777356233","wikidata":"https://www.wikidata.org/wiki/Q1001150","display_name":"Fibrillation","level":3,"score":0.30880001187324524},{"id":"https://openalex.org/C2780144208","wikidata":"https://www.wikidata.org/wiki/Q522229","display_name":"Sinus tachycardia","level":2,"score":0.29600000381469727},{"id":"https://openalex.org/C2781301203","wikidata":"https://www.wikidata.org/wiki/Q4817568","display_name":"Atrioventricular canal","level":3,"score":0.2870999872684479},{"id":"https://openalex.org/C2776407911","wikidata":"https://www.wikidata.org/wiki/Q7525187","display_name":"Sinus (botany)","level":3,"score":0.2651999890804291},{"id":"https://openalex.org/C163276114","wikidata":"https://www.wikidata.org/wiki/Q484591","display_name":"Natural history","level":2,"score":0.2615000009536743},{"id":"https://openalex.org/C2781005686","wikidata":"https://www.wikidata.org/wiki/Q848662","display_name":"Ventricular fibrillation","level":2,"score":0.258899986743927}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.33545/26649020.2026.v8.i2a.168","doi":"https://doi.org/10.33545/26649020.2026.v8.i2a.168","is_oa":true,"landing_page_url":"https://doi.org/10.33545/26649020.2026.v8.i2a.168","pdf_url":"https://www.cardiologyjournals.net/archives/2026/vol8issue2/PartA/8-2-6-733.pdf","source":{"id":"https://openalex.org/S4387286946","display_name":"International Journal of Cardiology Sciences","issn_l":"2664-9020","issn":["2664-9020","2664-9039"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Cardiology Sciences","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.33545/26649020.2026.v8.i2a.168","doi":"https://doi.org/10.33545/26649020.2026.v8.i2a.168","is_oa":true,"landing_page_url":"https://doi.org/10.33545/26649020.2026.v8.i2a.168","pdf_url":"https://www.cardiologyjournals.net/archives/2026/vol8issue2/PartA/8-2-6-733.pdf","source":{"id":"https://openalex.org/S4387286946","display_name":"International Journal of Cardiology Sciences","issn_l":"2664-9020","issn":["2664-9020","2664-9039"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Cardiology Sciences","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204094536.pdf","grobid_xml":"https://content.openalex.org/works/W7204094536.grobid-xml"},"referenced_works_count":15,"referenced_works":["https://openalex.org/W1520548938","https://openalex.org/W1543280043","https://openalex.org/W2040885479","https://openalex.org/W2054841982","https://openalex.org/W2106214356","https://openalex.org/W2317977634","https://openalex.org/W2784319898","https://openalex.org/W2793623466","https://openalex.org/W2902664572","https://openalex.org/W4316668673","https://openalex.org/W4386500402","https://openalex.org/W4401374564","https://openalex.org/W4415019780","https://openalex.org/W4417356561","https://openalex.org/W7140199804"],"related_works":["https://openalex.org/W2902664572","https://openalex.org/W2761391950","https://openalex.org/W2808205946","https://openalex.org/W2772817749","https://openalex.org/W2775684993","https://openalex.org/W2040586271","https://openalex.org/W4285608436","https://openalex.org/W2054841982","https://openalex.org/W3210134766","https://openalex.org/W2994307489"],"abstract_inverted_index":{"Background:":[0],"Atrioventricular":[1],"canal":[2,91],"defect":[3,92],"(AVCD)":[4],"carries":[5],"a":[6,87,220],"wide":[7],"range":[8],"of":[9,15,26,39,55,66,86,223,235],"myocardial":[10],"electrical":[11,61,231,238],"abnormality":[12],"as":[13],"part":[14],"its":[16],"natural":[17],"history,":[18],"with":[19],"total":[20,84],"surgical":[21,67],"correction":[22],"the":[23,37,53,64,94,144,154,236],"only":[24],"means":[25],"achieving":[27],"long-term":[28],"survival,":[29],"particularly":[30],"in":[31,149,156,171,179,188,195,245],"complete":[32,89,182],"AVCD.":[33],"Objective:":[34],"To":[35],"study":[36,78],"behavior":[38],"this":[40],"abnormal":[41,210],"conduction":[42,211],"system":[43],"from":[44],"infancy,":[45],"when":[46,116],"repair":[47,85,138,218],"is":[48],"performed,":[49],"into":[50,225],"early":[51,175,215,226],"adulthood":[52],"incidence":[54,222],"clinically":[56],"significant":[57],"tachy-":[58],"and":[59,63,69,99,113,130,153,191,240],"brady-arrhythmias,":[60],"remodeling,":[62],"influence":[65],"technique":[68,146],"syndromatic":[70],"status":[71],"(Down":[72],"vs":[73],"non-Down).":[74],"Methods:":[75],"This":[76],"retrospective":[77],"included":[79],"100":[80],"patients":[81,151,173,213],"who":[82],"underwent":[83,103],"balanced":[88],"AV":[90],"at":[93,137,203],"National":[95],"Heart":[96],"Institute":[97],"Giza":[98],"El-NAS":[100],"Hospital.":[101],"All":[102],"history":[104],"taking,":[105],"12-lead":[106],"surface":[107,122],"ECG,":[108],"comprehensive":[109],"transthoracic":[110],"2D":[111],"echocardiography,":[112],"Holter":[114],"monitoring":[115],"symptomatic":[117],"without":[118],"documented":[119],"arrhythmia":[120],"on":[121],"ECG.":[123],"Results:":[124],"The":[125],"cohort":[126],"was":[127,139,147,161,169],"female-predominant":[128],"(63.0%)":[129],"66.0%":[131],"had":[132],"Down":[133],"syndrome.":[134],"Median":[135,159],"age":[136],"9.0":[140],"months":[141,163],"(range":[142,164],"5.0\u201342.0);":[143],"double-patch":[145],"used":[148],"65":[150],"(65.0%)":[152],"single-patch":[155],"35":[157],"(35.0%).":[158],"follow-up":[160],"30.0":[162],"6.0\u2013384.0).":[165],"Stable":[166],"sinus":[167],"rhythm":[168],"maintained":[170],"92":[172],"(92.0%);":[174],"post-operative":[176],"arrhythmias":[177],"occurred":[178],"8.0%,":[180],"comprising":[181],"heart":[183],"block":[184],"requiring":[185],"permanent":[186],"pacing":[187],"4":[189],"(4.0%)":[190],"junctional":[192],"ectopic":[193],"tachycardia":[194],"3":[196],"(3.0%).":[197],"One":[198],"patient":[199],"developed":[200],"atrial":[201],"fibrillation":[202],"32":[204],"years.":[205],"Conclusion:":[206],"Despite":[207],"an":[208],"anatomically":[209],"system,":[212],"undergoing":[214],"successful":[216],"biventricular":[217],"showed":[219],"low":[221],"arrhythmogenesis":[224],"adulthood;":[227],"many":[228],"demonstrated":[229],"positive":[230],"remodeling":[232],"clockwise":[233],"rotation":[234],"superior":[237],"axis":[239],"PR":[241],"shortening":[242],"though":[243],"not":[244],"QRS":[246],"duration":[247],"or":[248],"QTc.":[249]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-08-25T00:00:00"}
