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Atrial arrhythmia and heart failure in congenital heart disease: a pas de deux with consequences

Heart BMJ

In adults with congenital heart disease (ACHD patients), atrial arrhythmias (AA) and heart failure (HF) are common. 1 Factors related to congenital heart disease, such as underlying anatomy, surgical repair technique and scars, can all be considered as AA substrates. In the current issue, Lauwers and coworkers 3 set out.

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Atrial arrhythmia and heart failure in adult patients with congenital heart disease: a retrospective cohort study

Heart BMJ

Background Atrial arrhythmias (AA) and heart failure (HF) are major causes of hospitalisation in adult congenital heart disease (ACHD). Methods In this single-centre retrospective cohort study, data from 3995 patients with ACHD were analysed.

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Tachyarrhythmias in congenital heart disease

Frontiers in Cardiovascular Medicine

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.

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Pregnancy and cardiovascular outcomes among patients post Fontan surgery: a 25-year single-centre retrospective cohort study

Open Heart

Methods We included adult patients who had undergone Fontan surgery for congenital heart disease and were pregnant between 1994 and 2021. We aimed to evaluate the immediate and long-term outcomes among these patients who were followed at our centre. We examined maternal and obstetric outcomes.

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Vigorous Exercise in Congenital Long-QT Syndrome

American College of Cardiology

Is engagement in vigorous exercise, including competitive sports, associated with increased risk for life-threatening ventricular arrhythmias in individuals with known and treated congenital long-QT syndrome (LQTS)?

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Arrhythmia Burden in Congenitally Corrected Transposition of the Great Arteries (cc-TGA): Does Treatment Pathway Matter?

HeartRhythm

There is limited data comparing arrhythmia burden amongst patients with congenitally corrected transposition of the great arteries (cc-TGA) undergoing anatomic repair (AR), physiologic repair (PR), and non-surgical management (NS).

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Detecting and managing atrial arrhythmias in adults with congenital heart disease

HeartRhythm

Atrial arrhythmias are an important source of morbidity in adults with congenital heart disease (CHD) and have been linked to sudden death in certain subgroups. Whereas intra-atrial reentrant tachycardia (IART) is the most common arrhythmia, the prevalence of atrial fibrillation (AF) is increasing.