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Adults with Congenital Heart Disease and Arrhythmia Management

Jeremy P Moore1, Paul Khairy2

  • 1Ahmanson-UCLA/Adult Congenital Heart Disease Center, Los Angeles, CA, USA; Department of Pediatrics, UCLA Medical Center, Los Angeles, CA, USA.

Cardiology Clinics
|July 6, 2020
PubMed

Insights

Managing arrhythmias in adult congenital heart disease (ACHD) has improved significantly. Recent advances offer better strategies for conditions like bradyarrhythmia and tachyarrhythmia, enhancing patient outcomes.

Area of Science:

  • Cardiology
  • Electrophysiology
  • Congenital Heart Disease

Background:

  • Adult congenital heart disease (ACHD) patients face diverse arrhythmia challenges, including bradyarrhythmia, tachyarrhythmia, sudden death risk, and electrical dyssynchrony.
  • Significant progress in understanding ACHD pathophysiology and treatment has occurred over the last decade.

Purpose of the Study:

  • To define the spectrum of arrhythmia problems in ACHD.
  • To review current management strategies for ACHD patients with cardiac arrhythmias.

Main Methods:

  • Literature review of recent advances in arrhythmia management for ACHD.
  • Synthesis of contemporary therapeutic approaches.

Main Results:

  • Improved understanding of arrhythmia pathophysiology in ACHD.
  • Enhanced therapeutic strategies leading to better outcomes.

Conclusions:

  • Contemporary management of arrhythmias in ACHD has evolved significantly.
  • Advances in pathophysiology and treatment offer improved outcomes for ACHD patients with arrhythmias.

Keywords:
Adult congenital heart diseaseCatheter ablationImplantable cardioverter-defibrillatorIntra-atrial reentrant tachycardiaPacemakerSinus node dysfunctionSudden cardiac deathVentricular tachycardia

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