Tachyarrhythmias in congenital heart disease
Francisco Pascual, Jaume (Universitat de Barcelona. Departament de Medicina)
Mallofré Vila, Núria (Universitat de Barcelona. Departament de Medicina)
Santos-Ortega, Alba (Universitat de Barcelona. Departament de Medicina)
Rivas-Gándara, Nuria (Universitat de Barcelona. Departament de Medicina)

Date:	2024
Abstract:	The prevalence of congenital heart disease (CHD) in adult patients has risen with advances in diagnostic and surgical techniques. Surgical modifications and hemodynamic changes increase the susceptibility to arrhythmias, impacting morbidity and mortality rates, with arrhythmias being the leading cause of hospitalizations and sudden deaths. Patients with CHD commonly experience both supraventricular and ventricular arrhythmias, with each CHD type associated with different arrhythmia patterns. Macroreentrant atrial tachycardias, particularly cavotricuspid isthmus-dependent flutter, are frequently reported. Ventricular arrhythmias, including monomorphic ventricular tachycardia, are prevalent, especially in patients with surgical scars. Pharmacological therapy involves antiarrhythmic and anticoagulant drugs, though data are limited with potential adverse effects. Catheter ablation is preferred, demanding meticulous procedural planning due to anatomical complexity and vascular access challenges. Combining imaging techniques with electroanatomic navigation enhances outcomes. However, risk stratification for sudden death remains challenging due to anatomical variability. This article practically reviews the most common tachyarrhythmias, treatment options, and clinical management strategies for these patients.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Congenital heart disease ; Arrhythmias ; Rhythm disorders ; Tachycardia ; Sudden cardiac death
Published in:	Frontiers in Cardiovascular Medicine, Vol. 11 (june 2024) , ISSN 2297-055X

DOI: 10.3389/fcvm.2024.1395210
PMID: 38887448

17 p, 21.8 MB

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