Diagnostic and Therapeutic Approach to Arrhythmias in Adult Congenital Heart Disease

Overview

Journal Curr Treat Options Cardiovasc Med

Specialty Cardiology & Vascular Diseases

Date 2019 Jul 26

PMID 31342289

Citations 2

Authors

Karine Guerrier

Benjamin Hendrickson

B Rush Waller

Glenn T Wetzel

Affiliations

Soon will be listed here.

Abstract

Purpose Of Review: Adult survivors of congenital heart disease (CHD) are at increased risk of arrhythmia. The goal of this review is to outline diagnostic and therapeutic approaches to arrhythmia in adult CHD patients.

Recent Findings: Macro-reentrant atrial tachyarrhythmia is the most common arrhythmia encountered in adults with CHD. Approximately 25% of hospitalizations associated with arrhythmia. The risk of ventricular arrhythmia is estimated as high as 25-100 times that for the general population and increased after two decades. Routine ambulatory monitoring is important for arrhythmia risk assessment in adults with CHD. There are limitations, potential adverse effects, and risk of recurrence with antiarrhythmic drugs, catheter ablation, and surgical approaches. Adults with CHD suffer various forms of arrhythmia, are at increased risk of sudden death, and require special consideration for medical and interventional therapy.

Citing Articles

Progress of Pathogenesis in Pediatric Multifocal Atrial Tachycardia.

Chen H, Ma Y, Wang Y, Luo H, Xiao Z, Chen Z Front Pediatr. 2022; 10:922464.

PMID: 35813391 PMC: 9256911. DOI: 10.3389/fped.2022.922464.

Eligibility for subcutaneous implantable cardioverter-defibrillator in congenital heart disease.

Wang L, Javadekar N, Rajagopalan A, Rogovoy N, Haq K, Broberg C Heart Rhythm. 2020; 17(5 Pt B):860-869.

PMID: 32354451 PMC: 7197388. DOI: 10.1016/j.hrthm.2020.01.016.

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