{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T01:54:15Z","timestamp":1791856455796,"version":"4.3.4"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Arrhythmia"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Arrhythmia is one of the most common complications after cardiac surgery. The objectives of this study were to determine the prevalence and analyze the risk factors of postoperative arrhythmia in pediatric patients after cardiac surgery for congenital heart defects (CHD) at a single center in Bali, Indonesia over 2\u2009years period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional study, among 120 pediatric patients with CHD who underwent cardiac surgery, 92 patients met inclusion criteria in this study. The data were taken from medical records included demographic data, anthropometry, electrocardiography, surgical procedures, perioperative parameters, electrolyte levels, and management of postoperative arrhythmias.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 92 patients, 14 (15.2%) developed postoperative arrhythmias. Complete heart block (CHB) the most common arrhythmia, observed in five patients (35.7%), followed by supraventricular tachycardia three patients (21.4%). There were statistically significant differences between arrhythmia and nonarrhythmia groups for cardiopulmonary bypass (CPB) duration (171.23 vs. 108.01\u2009min), aortic cross\u2010clamp duration (115.58 vs. 73.59\u2009min), ischemia duration (106.33 vs. 65.43\u2009min), and potassium level (3.33 vs. 3.88\u2009mmol\/L) with <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.05. Based on multivariate linear regression analysis, CPB time and potassium level were found to be independent risk factor.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Early postoperative arrhythmia observed 15.2% in this study, dominated by CHB. CPB duration, aortic cross\u2010clamping, ischemia time, and potassium level were statistically significantly different between arrhythmia and nonarrhythmia groups.<\/jats:p><\/jats:sec>","DOI":"10.1002\/joa3.13011","type":"journal-article","created":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T10:10:15Z","timestamp":1709287815000},"page":"356-362","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Prevalence and risk factors analysis of early postoperative arrhythmia after congenital heart surgery in pediatric patients"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3186-0073","authenticated-orcid":false,"given":"Ketut Putu","family":"Yasa","sequence":"first","affiliation":[{"name":"Cardiothoracic and Vascular Surgery Division, Department of Surgery Udayana University\/Prof Dr I.G.N.G Ngoerah General Hospital  Denpasar Bali Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arinda Agung","family":"Katritama","sequence":"additional","affiliation":[{"name":"Cardiothoracic and Vascular Surgery Division, Department of Surgery Udayana University\/Prof Dr I.G.N.G Ngoerah General Hospital  Denpasar Bali Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I. Komang Adhi Parama","family":"Harta","sequence":"additional","affiliation":[{"name":"Cardiothoracic and Vascular Surgery Division, Department of Surgery Udayana University\/Prof Dr I.G.N.G Ngoerah General Hospital  Denpasar Bali Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I. Wayan","family":"Sudarma","sequence":"additional","affiliation":[{"name":"Cardiothoracic and Vascular Surgery Division, Department of Surgery Udayana University\/Prof Dr I.G.N.G Ngoerah General Hospital  Denpasar Bali Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccep.2010.10.012"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.4266\/acc.2020.00990"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.15537\/smj.2022.43.10.20220275"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.3889\/oamjms.2017.177"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/615987"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540\u20108167.2012.02385.x"},{"key":"e_1_2_10_8_1","first-page":"103","article-title":"Early postoperative arrhythmias after paediatric cardiac surgery","volume":"5","author":"Shalby MM","year":"2020","journal-title":"Benha J Appl Sci"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccep.2018.02.008"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2006.02.010"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/HEARTVIEWS.HEARTVIEWS_88_18"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/2150135117737687"},{"key":"e_1_2_10_13_1","first-page":"549","article-title":"The incidence and risk factors of arrhythmias in the early period after cardiac surgery in pediatric patients","volume":"50","author":"Yildirim SV","year":"2008","journal-title":"Turk J Pediatr"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0218492315585457"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003\u20104975(02)04014\u20106"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/1749\u20108090\u20105\u201085"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2018.09.142"},{"key":"e_1_2_10_18_1","first-page":"109","article-title":"Permanent complete heart block following surgical correction of congenital heart disease","volume":"44","author":"Edwin F","year":"2010","journal-title":"Ghana Med J"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12881\u2010017\u20100475\u20107"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2005.09.003"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.5606\/tgkdc.dergisi.2021.20366"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1067\/mtc.2002.119701"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2003.12.003"},{"key":"e_1_2_10_24_1","volume-title":"Cardioplegia","author":"Carvajal C","year":"2023"}],"container-title":["Journal of Arrhythmia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/joa3.13011","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T07:21:39Z","timestamp":1712301699000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/joa3.13011"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1002\/joa3.13011"],"URL":"https:\/\/doi.org\/10.1002\/joa3.13011","archive":["Portico"],"relation":{},"ISSN":["1880-4276","1883-2148"],"issn-type":[{"value":"1880-4276","type":"print"},{"value":"1883-2148","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3]]},"assertion":[{"value":"2023-09-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}