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Background Atrial arrhythmias (AA) and heart failure (HF) are major causes of hospitalisation in adult congenitalheartdisease (ACHD). Methods In this single-centre retrospective cohort study, data from 3995 patients with ACHD were analysed.
Journal of the American Heart Association, Ahead of Print. The increasing prevalence of atrial fibrillation (AF) in adults with congenitalheartdisease raises significant questions regarding its management. Emerging imaging modalities and ablation techniques might have a role to play.
ABSTRACT Introduction Data regarding safety and long-term outcome of very high-power-short duration (vHPSD) ablation in adult congenitalheartdisease (ACHD) patients with paroxysmal or persistent atrial fibrillation (AF) are lacking. Regardless of CHD complexity, no vHPSD ablation modality related complications occurred.
Outcomes data of catheter ablation (CA) for atrial tachyarrhythmias (AT) in the congenitalheartdisease (CHD) population are largely drawn from single center studies.
Patients with adult congenitalheartdisease (ACHD) such as Tetralogy of Fallot (ToF) are at high risk for ventricular arrhythmias requiring ablation. Less common syndromes such as double outlet right ventricle (DORV) and Williams Syndrome provide additional complications.
All these features together in a cyanotic congenitalheartdisease is characteristic of tricuspid atresia. Multiple accessory pathways can occur and radiofrequency catheter ablation is effective. Himalayan P waves are also described in tricuspid atresia.
Advanced anatomic knowledge including prior surgical incisions are integral in planning the ablation procedure. Patients with dextro-transposition of the great arteries (d-TGA) are at risk for recurrent atrial arrhythmias late after atrial switch operations.
A 4-mm irrigated-tip ablation catheter was placed adjacent to a lateral right atrial scar identified by three-dimensional electroanatomic mapping (Figure 1A). Her clinical tachycardia was easily inducible and had a cycle length (TCL) of 340 ms. From there, entrainment was performed at a cycle length of 320 ms (Figure 1B).
Atrial fibrillation (AF) is the next major challenge in management of patients with congenitalheartdisease (CHD). This tachyarrhythmia arises at a relatively young age and rapidly progresses from paroxysmal to long-standing persistent AF in <5 years, which justifies aggressive therapy.
Abstract Introduction Acquired Wolff–Parkinson–White (WPW) syndrome can occur after congenitalheartdisease (CHD) surgery. Methods and Results A 27-year-old male with Ebstein's anomaly and manifest WPW syndrome received catheter ablation twice.
Abstract Introduction Patients with congenitalheartdisease are at increased risk for requiring cardiac pacing during their lifetime. Due to atrial and ventricular pacing dependence, a comprehensive congenital care team concluded the need for lead extraction and replacement of pacemaker via leadless peacemaking device.
Transcript of the video: Ebstein’s Anomaly is one of the cyanotic congenitalheartdisease in which survival to adult life is common. Electrophysiological study will show that, and this pathway can be ablated. This is one important cause of supraventricular tachycardia in Ebstein’s anomaly.
My understanding is that the decision was made for today's patient to be formally evaluated by EP cardiology with consideration given to ablation and/or insertion of an ICD ( I mplantable C ardioverter D efibrillator ). ECG Blog #422 and Blog #425 Cases with CongenitalHeartDisease in Adults.
The prevalence of congenitalheartdisease (CHD) in adult patients has risen with advances in diagnostic and surgical techniques. Catheter ablation is preferred, demanding meticulous procedural planning due to anatomical complexity and vascular access challenges.
Background:Patients with adult congenitalheartdisease (ACHD) form a unique subset of patients with complex ventricular tachycardia (VT).Objective:To After adjusting for age, sex and comorbidities, ACHD was not a predictor of having VT recurrence or repeat ablation (aHR =1.1 (0.7-1.9),
Scott Rankin Associations Between Surgical Ablation and Operative Mortality After Mitral Valve Procedures The Annals of Thoracic Surgery June 2018 A. Chris Malaisrie Burden of preoperative atrial fibrillation in patients undergoing coronary artery bypass grafting The Journal of Thoracic and Cardiovascular Surgery June 2018 J.
Scott Rankin 1 Associations Between Surgical Ablation and Operative Mortality After Mitral Valve Procedures The Annals of Thoracic Surgery June 2018 A. Chris Malaisrie Burden of preoperative atrial fibrillation in patients undergoing coronary artery bypass grafting The Journal of Thoracic and Cardiovascular Surgery June 2018 J.
Atrioventricular nodal reentrant tachycardia (AVNRT) is a common supraventricular tachycardia in children and congenitalheartdisease (CHD) patients. Nowadays, in large enough children, chronic treatment for symptomatic and recurrent AVNRT episodes relies on transcatheter ablation.
It would probably tell us whether the abnormal QRS morphology that we see in Figure-1 is the result of VT vs SVT ( ie, with the abnormal QRS morphology being the result of the patients underlying CongenitalHeartDisease ). ECG Blog #422 and Blog #425 — Cases with CongenitalHeartDisease in Adults.
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