Adult cardiac procedures and surgeries In India

Adult cardiac procedures and surgeries


Accelerated idioventricular rhythm (AIVR) was first described by Thomas Lewis in 1910. [1AIVR is currently defined as an enhanced ectopic ventricular rhythm with at least 3 consecutive ventricular beats, which is faster than normal intrinsic ventricular escape rhythm (≤40 bpm), but slower than ventricular tachycardia (at least 100-120 bpm). [1Importantly, there is potential rate overlap between AIVR and some slow ventricular tachycardia. AIVR should not be diagnosed solely based on ventricular rate; context is important. Other characteristics of AIVR are helpful for its correct diagnosis (see Differentials).

AIVR is generally a transient rhythm, rarely causing hemodynamic instability and rarely requiring treatment. However, misdiagnosis of AIVR as slow ventricular tachycardia or complete heart block can lead to inappropriate therapies with potential complications. AIVR is often a clue to certain underlying conditions, like myocardial ischemia-reperfusion, digoxin toxicity, and cardiomyopathies. [2,34]

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Cardiac defects are the most frequent congenital defects and are present in one out of every 250 child births. When a defect is severe, an operation is needed during the first weeks of life. Neonatal cardiac surgery has progressed very rapidly in the past 20 years, and is now performed routinely with very low mortality at centers like the Pediatric Heart Center at the Children's Hospital at Montefiore. Today, neonatal surgical repair in patients with two ventricles is carried out with a mortality between 0 and 3 percent, depending on the type of cardiopathy. In single-ventricle cases, the mortality remains more elevated.

Parents are welcome to stay with their child throughout the course of care. Comprehensive caring information will be provided by the medical team over the course of the hospitalization.

The neonatal cardiac surgery program collaborates with our nationally known Department of Obstetrics & Gynecology and Women's Health obstetrics department, as well as the Departments of Neonatology and Perinatology, which are all located in the East Campus of Montefiore Medical Center.