Management of Late Arrhythmias in Adults with Repaired Congenital Heart Disease

Overview

Journal Curr Treat Options Cardiovasc Med

Specialty Cardiology & Vascular Diseases

Date 2013 Jun 19

PMID 23775510

Authors

Jennifer H Huang

Seshadri Balaji

Affiliations

Soon will be listed here.

Abstract

As survival of patients with congenital heart disease improves with surgery and the population of patients with repaired adult congenital heart disease (ACHD) age, understanding complications such as arrhythmias has become more important. Arrhythmias account for significant morbidity and mortality in the ACHD population. Atrial arrhythmias occur in 15 % of patients with ACHD and, in patients with severe congenital heart disease (CHD), more than 50 % develop atrial arrhythmias by the age of 65 years [1]. This article aims to give an overview of arrhythmias seen in the ACHD population and the treatment modalities available now.

References

Czosek R, Anderson J, Khoury P, Knilans T, Spar D, Marino B . Utility of ambulatory monitoring in patients with congenital heart disease. Am J Cardiol. 2012; 111(5):723-30. DOI: 10.1016/j.amjcard.2012.11.021. View

Khairy P, Landzberg M, Gatzoulis M, Mercier L, Fernandes S, Cote J . Transvenous pacing leads and systemic thromboemboli in patients with intracardiac shunts: a multicenter study. Circulation. 2006; 113(20):2391-7. DOI: 10.1161/CIRCULATIONAHA.106.622076. View

Verheugt C, Uiterwaal C, van der Velde E, Meijboom F, Pieper P, Sieswerda G . The emerging burden of hospital admissions of adults with congenital heart disease. Heart. 2010; 96(11):872-8. DOI: 10.1136/hrt.2009.185595. View

Hess E, Russell J, Liu P, White R . A high peak current 150-J fixed-energy defibrillation protocol treats recurrent ventricular fibrillation (VF) as effectively as initial VF. Resuscitation. 2008; 79(1):28-33. DOI: 10.1016/j.resuscitation.2008.04.028. View

Daliento L, Corrado D, Buja G, John N, Nava A, Thiene G . Rhythm and conduction disturbances in isolated, congenitally corrected transposition of the great arteries. Am J Cardiol. 1986; 58(3):314-8. DOI: 10.1016/0002-9149(86)90069-x. View

Ernst S, Babu-Narayan S, Keegan J, Horduna I, Lyne J, Till J . Remote-controlled magnetic navigation and ablation with 3D image integration as an alternative approach in patients with intra-atrial baffle anatomy. Circ Arrhythm Electrophysiol. 2011; 5(1):131-9. DOI: 10.1161/CIRCEP.111.962993. View

Hoyer A, Balaji S . The safety and efficacy of ibutilide in children and in patients with congenital heart disease. Pacing Clin Electrophysiol. 2007; 30(8):1003-8. DOI: 10.1111/j.1540-8159.2007.00799.x. View

Abraham W, Fisher W, Smith A, DeLurgio D, Leon A, Loh E . Cardiac resynchronization in chronic heart failure. N Engl J Med. 2002; 346(24):1845-53. DOI: 10.1056/NEJMoa013168. View

Peichl P, Kautzner J . Advances in irrigated tip catheter technology for treatment of cardiac arrhythmias. Recent Pat Cardiovasc Drug Discov. 2013; 8(1):10-6. DOI: 10.2174/1574890111308010003. View

10.

Piccini J, Hasselblad V, Peterson E, Washam J, Califf R, Kong D . Comparative efficacy of dronedarone and amiodarone for the maintenance of sinus rhythm in patients with atrial fibrillation. J Am Coll Cardiol. 2009; 54(12):1089-95. DOI: 10.1016/j.jacc.2009.04.085. View

11.

Bradfield J, Tung R, Mandapati R, Boyle N, Shivkumar K . Catheter ablation utilizing remote magnetic navigation: a review of applications and outcomes. Pacing Clin Electrophysiol. 2012; 35(8):1021-34. DOI: 10.1111/j.1540-8159.2012.03382.x. View

12.

Rhodes L, Walsh E, GAMBLE W, Triedman J, Saul J . Benefits and potential risks of atrial antitachycardia pacing after repair of congenital heart disease. Pacing Clin Electrophysiol. 1995; 18(5 Pt 1):1005-16. DOI: 10.1111/j.1540-8159.1995.tb04741.x. View

13.

Akca F, Onsesveren I, Jordaens L, Szili-Torok T . Safety and efficacy of the remote magnetic navigation for ablation of ventricular tachycardias--a systematic review. J Interv Card Electrophysiol. 2011; 34(1):65-71. PMC: 3342497. DOI: 10.1007/s10840-011-9645-2. View

14.

Rao S, Boramanand N, Burton D, Perry J . Atrial tachycardias in young adults and adolescents with congenital heart disease: conversion using single dose oral sotalol. Int J Cardiol. 2008; 136(3):253-7. DOI: 10.1016/j.ijcard.2008.04.060. View

15.

Patsilinakos S, Christou A, Kafkas N, Nikolaou N, Antonatos D, Katsanos S . Effect of high doses of magnesium on converting ibutilide to a safe and more effective agent. Am J Cardiol. 2010; 106(5):673-6. DOI: 10.1016/j.amjcard.2010.04.020. View

16.

Khanna A, Warnes C, Phillips S, Lin G, Brady P . Single-center experience with implantable cardioverter-defibrillators in adults with complex congenital heart disease. Am J Cardiol. 2011; 108(5):729-34. DOI: 10.1016/j.amjcard.2011.04.020. View

17.

Cordina R, Celermajer D, McGuire M . Systemic venous anatomy in congenital heart disease: implications for electrophysiologic testing and catheter ablation. J Interv Card Electrophysiol. 2011; 33(2):143-9. DOI: 10.1007/s10840-011-9624-7. View

18.

Kober L, Torp-Pedersen C, McMurray J, Gotzsche O, Levy S, Crijns H . Increased mortality after dronedarone therapy for severe heart failure. N Engl J Med. 2008; 358(25):2678-87. DOI: 10.1056/NEJMoa0800456. View

19.

Akca F, Bauernfeind T, Witsenburg M, Dabiri Abkenari L, Cuypers J, Roos-Hesselink J . Acute and long-term outcomes of catheter ablation using remote magnetic navigation in patients with congenital heart disease. Am J Cardiol. 2012; 110(3):409-14. DOI: 10.1016/j.amjcard.2012.03.040. View

20.

Li W, Somerville J . Atrial flutter in grown-up congenital heart (GUCH) patients. Clinical characteristics of affected population. Int J Cardiol. 2000; 75(2-3):129-37; discussion 138-9. DOI: 10.1016/s0167-5273(00)00308-9. View