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Arrhythmias in Patients with Congenital Heart Disease: An Ongoing Morbidity
With the aging of congenital heart disease (CHD) patients, the burden of arrhythmias is expanding. Atrial arrhythmias, especially intra-atrial reentrant tachycardia and atrial fibrillation, are the most prevalent forms of arrhythmia. Managing comorbidities, such as obesity, using pharmacotherapy, in...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10672721/ https://www.ncbi.nlm.nih.gov/pubmed/38002634 http://dx.doi.org/10.3390/jcm12227020 |
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author | Ntiloudi, Despoina Rammos, Spyridon Karakosta, Maria Kalesi, Alkistis Kasinos, Nearchos Giannakoulas, George |
author_facet | Ntiloudi, Despoina Rammos, Spyridon Karakosta, Maria Kalesi, Alkistis Kasinos, Nearchos Giannakoulas, George |
author_sort | Ntiloudi, Despoina |
collection | PubMed |
description | With the aging of congenital heart disease (CHD) patients, the burden of arrhythmias is expanding. Atrial arrhythmias, especially intra-atrial reentrant tachycardia and atrial fibrillation, are the most prevalent forms of arrhythmia. Managing comorbidities, such as obesity, using pharmacotherapy, including antiarrhythmics and anticoagulants, and ablation therapy has become the cornerstone of arrhythmia management. Ventricular tachycardias are also not rare; however, except for tetralogy of Fallot patients, recommendations for the use of implantable cardioverter defibrillators for primary prevention in other CHD patients are still not well established. Patients with CHD might also present with atrioventricular blockages because of their anatomy or following a surgical procedure. The scope of this article is to review the current knowledge and discuss the future directions regarding arrhythmia management in CHD patients. |
format | Online Article Text |
id | pubmed-10672721 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-106727212023-11-10 Arrhythmias in Patients with Congenital Heart Disease: An Ongoing Morbidity Ntiloudi, Despoina Rammos, Spyridon Karakosta, Maria Kalesi, Alkistis Kasinos, Nearchos Giannakoulas, George J Clin Med Review With the aging of congenital heart disease (CHD) patients, the burden of arrhythmias is expanding. Atrial arrhythmias, especially intra-atrial reentrant tachycardia and atrial fibrillation, are the most prevalent forms of arrhythmia. Managing comorbidities, such as obesity, using pharmacotherapy, including antiarrhythmics and anticoagulants, and ablation therapy has become the cornerstone of arrhythmia management. Ventricular tachycardias are also not rare; however, except for tetralogy of Fallot patients, recommendations for the use of implantable cardioverter defibrillators for primary prevention in other CHD patients are still not well established. Patients with CHD might also present with atrioventricular blockages because of their anatomy or following a surgical procedure. The scope of this article is to review the current knowledge and discuss the future directions regarding arrhythmia management in CHD patients. MDPI 2023-11-10 /pmc/articles/PMC10672721/ /pubmed/38002634 http://dx.doi.org/10.3390/jcm12227020 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Ntiloudi, Despoina Rammos, Spyridon Karakosta, Maria Kalesi, Alkistis Kasinos, Nearchos Giannakoulas, George Arrhythmias in Patients with Congenital Heart Disease: An Ongoing Morbidity |
title | Arrhythmias in Patients with Congenital Heart Disease: An Ongoing Morbidity |
title_full | Arrhythmias in Patients with Congenital Heart Disease: An Ongoing Morbidity |
title_fullStr | Arrhythmias in Patients with Congenital Heart Disease: An Ongoing Morbidity |
title_full_unstemmed | Arrhythmias in Patients with Congenital Heart Disease: An Ongoing Morbidity |
title_short | Arrhythmias in Patients with Congenital Heart Disease: An Ongoing Morbidity |
title_sort | arrhythmias in patients with congenital heart disease: an ongoing morbidity |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10672721/ https://www.ncbi.nlm.nih.gov/pubmed/38002634 http://dx.doi.org/10.3390/jcm12227020 |
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