Cargando…
Cardiac Arrhythmias In Congenital Heart Diseases
Arrhythmias figure prominently among the complications encountered in the varied and diverse population of patients with congenital heart disease, and are the leading cause of morbidity and mortality. The incidence generally increases as the patient ages, with multifactorial predisposing features th...
Autores principales: | , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
Indian Heart Rhythm Society
2009
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2766579/ https://www.ncbi.nlm.nih.gov/pubmed/19898654 |
_version_ | 1782173228776554496 |
---|---|
author | Khairy, Paul Balaji, Seshadri |
author_facet | Khairy, Paul Balaji, Seshadri |
author_sort | Khairy, Paul |
collection | PubMed |
description | Arrhythmias figure prominently among the complications encountered in the varied and diverse population of patients with congenital heart disease, and are the leading cause of morbidity and mortality. The incidence generally increases as the patient ages, with multifactorial predisposing features that may include congenitally malformed or displaced conduction systems, altered hemodynamics, mechanical or hypoxic stress, and residual or postoperative sequelae. The safe and effective management of arrhythmias in congenital heart disease requires a thorough appreciation for conduction system variants, arrhythmia mechanisms, underlying anatomy, and associated physiology. We, therefore, begin this review by presenting the scope of the problem, outlining therapeutic options, and summarizing congenital heart disease-related conduction system anomalies associated with disorders of the sinus node and AV conduction system. Arrhythmias encountered in common forms of congenital heart disease are subsequently discussed. In so doing, we touch upon issues related to risk stratification for sudden death, implantable cardiac devices, catheter ablation, and adjuvant surgical therapy. |
format | Text |
id | pubmed-2766579 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | Indian Heart Rhythm Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-27665792009-11-07 Cardiac Arrhythmias In Congenital Heart Diseases Khairy, Paul Balaji, Seshadri Indian Pacing Electrophysiol J Review Article Arrhythmias figure prominently among the complications encountered in the varied and diverse population of patients with congenital heart disease, and are the leading cause of morbidity and mortality. The incidence generally increases as the patient ages, with multifactorial predisposing features that may include congenitally malformed or displaced conduction systems, altered hemodynamics, mechanical or hypoxic stress, and residual or postoperative sequelae. The safe and effective management of arrhythmias in congenital heart disease requires a thorough appreciation for conduction system variants, arrhythmia mechanisms, underlying anatomy, and associated physiology. We, therefore, begin this review by presenting the scope of the problem, outlining therapeutic options, and summarizing congenital heart disease-related conduction system anomalies associated with disorders of the sinus node and AV conduction system. Arrhythmias encountered in common forms of congenital heart disease are subsequently discussed. In so doing, we touch upon issues related to risk stratification for sudden death, implantable cardiac devices, catheter ablation, and adjuvant surgical therapy. Indian Heart Rhythm Society 2009-11-01 /pmc/articles/PMC2766579/ /pubmed/19898654 Text en Copyright: © 2009 Khairy et al. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Khairy, Paul Balaji, Seshadri Cardiac Arrhythmias In Congenital Heart Diseases |
title | Cardiac Arrhythmias In Congenital Heart Diseases |
title_full | Cardiac Arrhythmias In Congenital Heart Diseases |
title_fullStr | Cardiac Arrhythmias In Congenital Heart Diseases |
title_full_unstemmed | Cardiac Arrhythmias In Congenital Heart Diseases |
title_short | Cardiac Arrhythmias In Congenital Heart Diseases |
title_sort | cardiac arrhythmias in congenital heart diseases |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2766579/ https://www.ncbi.nlm.nih.gov/pubmed/19898654 |
work_keys_str_mv | AT khairypaul cardiacarrhythmiasincongenitalheartdiseases AT balajiseshadri cardiacarrhythmiasincongenitalheartdiseases |