{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T17:37:19Z","timestamp":1771263439496,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T00:00:00Z","timestamp":1667174400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Atrial arrhythmia's (AA) following lung transplant in adults are a well\u2010described clinical finding. In pediatrics, however, there are limited data with some reports suggesting that arrhythmias are rare.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a single\u2010center retrospective review of lung transplant recipients from January 2013 to June 2020. A detailed evaluation of clinical characteristics, presence of arrhythmias, and outcomes was completed. Arrhythmias were documented based on inpatient telemetry or remote Holter monitoring. Analyses assessing risk factors for arrhythmias and associations with clinical outcomes were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ninety\u2010one lung transplants were performed in 90 patients. Post\u2010operative AA occurred following 19% transplants. Ectopic atrial tachycardia was seen in 14%, atrial flutter in 2%, and a combination in 2%. The majority of these arrhythmias occurred within the first 45\u2009days post\u2010operatively. Antiarrhythmic treatment was required in 59%, but none required ablation or electrical cardioversion. In patients followed for a year or more, 88% had resolution of their arrhythmia. Arrhythmias were not associated with mortality. In further analysis, however, the presence of arrhythmia was associated with an increased length of ICU stay (median of 12\u2009days (IQR 6, 23) versus 5\u2009days (IQR 4, 9); <jats:italic>p<\/jats:italic>\u00a0=\u00a0.019) and overall length of hospital stay (median of 26\u2009days (IQR 19, 36) versus 17\u2009days (IQR 19, 36); <jats:italic>p<\/jats:italic>\u00a0=\u00a0.043).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Atrial tachyarrhythmias after lung transplantation are common in the pediatric population and usually occur early. Although they frequently require medical therapy and are associated with longer stays, there is no associated increased mortality. In addition, the arrhythmias typically self\u2010resolve.<\/jats:p><\/jats:sec>","DOI":"10.1111\/petr.14410","type":"journal-article","created":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T09:49:32Z","timestamp":1667209772000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Atrial tachyarrhythmias after lung transplantation in children: A\u00a0common occurrence"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4436-7106","authenticated-orcid":false,"given":"Laura E.","family":"Wattenbarger","sequence":"first","affiliation":[{"name":"Department of Pediatrics Baylor College of Medicine  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey J.","family":"Kim","sequence":"additional","affiliation":[{"name":"Section of Pediatric Cardiology, Department of Pediatrics, Baylor College of Medicine Texas Children's Hospital  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5696-7112","authenticated-orcid":false,"given":"Ernestina","family":"Melicoff","sequence":"additional","affiliation":[{"name":"Section of Pediatric Pulmonology, Department of Pediatrics, Baylor College of Medicine Texas Children's Hospital  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina\u00a0Y.","family":"Miyake","sequence":"additional","affiliation":[{"name":"Section of Pediatric Cardiology, Department of Pediatrics, Baylor College of Medicine Texas Children's Hospital  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Santiago O.","family":"Valdes","sequence":"additional","affiliation":[{"name":"Section of Pediatric Cardiology, Department of Pediatrics, Baylor College of Medicine Texas Children's Hospital  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tam Dan N.","family":"Pham","sequence":"additional","affiliation":[{"name":"Section of Pediatric Cardiology, Department of Pediatrics, Baylor College of Medicine Texas Children's Hospital  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iki","family":"Adachi","sequence":"additional","affiliation":[{"name":"Section of Pediatric Cardiovascular Surgery, Department of Surgery, Baylor College of Medicine Texas Children's Hospital  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey\u00a0S.","family":"Heinle","sequence":"additional","affiliation":[{"name":"Section of Pediatric Cardiovascular Surgery, Department of Surgery, Baylor College of Medicine Texas Children's Hospital  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3221-2000","authenticated-orcid":false,"given":"Taylor S.","family":"Howard","sequence":"additional","affiliation":[{"name":"Section of 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