Tachyarrhythmias in congenital heart disease

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 cau...

Descripción completa

Detalles Bibliográficos
Autores: Francisco Pascual, Jaume|||0000-0002-8841-2581, Mallofré Vila, Núria, Santos-Ortega, Alba|||0000-0003-1435-4283, Rivas-Gándara, Nuria|||0000-0002-2101-8678
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:303159
Acceso en línea:https://ddd.uab.cat/record/303159
https://dx.doi.org/urn:doi:10.3389/fcvm.2024.1395210
Access Level:acceso abierto
Palabra clave:Congenital heart disease
Arrhythmias
Rhythm disorders
Tachycardia
Sudden cardiac death
id ES_9e3921273d5cd344394e074e6283f392
oai_identifier_str oai:ddd.uab.cat:303159
network_acronym_str ES
network_name_str España
repository_id_str
spelling Tachyarrhythmias in congenital heart diseaseFrancisco Pascual, Jaume|||0000-0002-8841-2581Mallofré Vila, NúriaSantos-Ortega, Alba|||0000-0003-1435-4283Rivas-Gándara, Nuria|||0000-0002-2101-8678Congenital heart diseaseArrhythmiasRhythm disordersTachycardiaSudden cardiac deathThe 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. 22024-01-0120242024-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/303159https://dx.doi.org/urn:doi:10.3389/fcvm.2024.1395210reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest 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.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3031592026-06-06T12:50:31Z
dc.title.none.fl_str_mv Tachyarrhythmias in congenital heart disease
title Tachyarrhythmias in congenital heart disease
spellingShingle Tachyarrhythmias in congenital heart disease
Francisco Pascual, Jaume|||0000-0002-8841-2581
Congenital heart disease
Arrhythmias
Rhythm disorders
Tachycardia
Sudden cardiac death
title_short Tachyarrhythmias in congenital heart disease
title_full Tachyarrhythmias in congenital heart disease
title_fullStr Tachyarrhythmias in congenital heart disease
title_full_unstemmed Tachyarrhythmias in congenital heart disease
title_sort Tachyarrhythmias in congenital heart disease
dc.creator.none.fl_str_mv Francisco Pascual, Jaume|||0000-0002-8841-2581
Mallofré Vila, Núria
Santos-Ortega, Alba|||0000-0003-1435-4283
Rivas-Gándara, Nuria|||0000-0002-2101-8678
author Francisco Pascual, Jaume|||0000-0002-8841-2581
author_facet Francisco Pascual, Jaume|||0000-0002-8841-2581
Mallofré Vila, Núria
Santos-Ortega, Alba|||0000-0003-1435-4283
Rivas-Gándara, Nuria|||0000-0002-2101-8678
author_role author
author2 Mallofré Vila, Núria
Santos-Ortega, Alba|||0000-0003-1435-4283
Rivas-Gándara, Nuria|||0000-0002-2101-8678
author2_role author
author
author
dc.subject.none.fl_str_mv Congenital heart disease
Arrhythmias
Rhythm disorders
Tachycardia
Sudden cardiac death
topic Congenital heart disease
Arrhythmias
Rhythm disorders
Tachycardia
Sudden cardiac death
description 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.
publishDate 2024
dc.date.none.fl_str_mv 2
2024-01-01
2024
2024-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/303159
https://dx.doi.org/urn:doi:10.3389/fcvm.2024.1395210
url https://ddd.uab.cat/record/303159
https://dx.doi.org/urn:doi:10.3389/fcvm.2024.1395210
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869414808445517824
score 15,811543

Similares en LA Referencia