scholarly journals 530Atrial tachyarrhythmias in adult congenital heart disease: predictors and rates of recurrence after catheter ablation

EP Europace ◽  
2018 ◽  
Vol 20 (suppl_1) ◽  
pp. i102-i102
Author(s):  
C S Grubb ◽  
M Lewis ◽  
M Rosenbaum ◽  
A Biviano ◽  
H Garan
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Catheter Ablation ◽  
Congenital Heart ◽  
Adult Congenital Heart Disease ◽  
Adult Congenital

Tachyarrhythmias and catheter ablation in adult congenital heart disease

2014 ◽  
Vol 12 (6) ◽  
pp. 751-770 ◽  
Author(s):  
Henry Chubb ◽  
Steven E Williams ◽  
Matthew Wright ◽  
Eric Rosenthal ◽  
Mark O’Neill
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Catheter Ablation ◽  
Congenital Heart ◽  
Adult Congenital Heart Disease ◽  
Adult Congenital

Atrial fibrillation associated with adult congenital heart disease

ESC CardioMed ◽  
2018 ◽  
pp. 2244-2247
Author(s):  
Sunil Kapur ◽  
Saurabh Kumar
Keyword(s):  
Atrial Fibrillation ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Catheter Ablation ◽  
Congenital Heart ◽  
Adult Congenital Heart Disease ◽  
Clinical Care ◽  
Progressive Increase ◽  
Prior History ◽  
Adult Congenital

Advances in surgery and clinical care have resulted in a progressive increase in life expectancy of patients with congenital heart disease (CHD). Cardiac arrhythmias are a common and onerous complication in CHD, of which atrial fibrillation (AF) is rapidly increasing in prevalence. AF frequents coexists with intra-atrial reentrant tachycardias. AF onset and prevalence may vary as a function of the congenital lesion as well as the operative repair. AF progression to a persistent or permanent form may be rapid. Cardioembolic risks in this population are higher compared to those without CHD. Common cardioembolic risk predictors lack validation in this population. Rhythm control with antiarrhythmic drugs can be challenging due to low efficacy and toxicity. Rate control is critical as AF with rapid ventricular rates may be poorly tolerated in patients with complex CHD and may be associated with an increased risk of sudden cardiac death. There is limited evidence for the role of percutaneous catheter ablation for AF. Concurrent atrial arrhythmia surgery should be considered in patients with a prior history of AF scheduled to undergo open cardiac surgery primarily to address an underlying cardiac lesion. Much further work is needed to expand our understanding of the mechanism of AF in CHD and improve efficacy of catheter ablation in this population.

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