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In adults with congenitalheartdisease (ACHD patients), atrial arrhythmias (AA) and heart failure (HF) are common. 1 Factors related to congenitalheartdisease, such as underlying anatomy, surgical repair technique and scars, can all be considered as AA substrates.
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.
The prevalence of congenitalheartdisease (CHD) in adult patients has risen with advances in diagnostic and surgical techniques. Patients with CHD commonly experience both supraventricular and ventricular arrhythmias, with each CHD type associated with different arrhythmia patterns.
Methods We included adult patients who had undergone Fontan surgery for congenitalheartdisease 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.
Atrial arrhythmias are an important source of morbidity in adults with congenitalheartdisease (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.
Transcatheter pulmonary valve replacement (TPVR) has become a safe and effective alternative to surgical PVR in tetralogy of Fallot (TOF), isolated pulmonary stenosis (PS), and other congenitalheartdisease (CHD) variants.
In this weeks View, Dr. Eagle looks at what adult cardiologists should know about congenitalheartdisease patients. He then discusses sudden cardiac arrest and death in competitive and recreational athletes.
IntroductionVentricular septal defect (VSD) is a common congenitalheartdisease (CHD), accounting for 2030% of all CHD cases. Minor complications included transient arrhythmias (6.2%), femoral hematoma (8.6%), and mild allergic reactions to contrast agents (9.9%). Data were analyzed using SPSS 20.0.ResultsThe
Congenitalheartdisease is a daunting diagnosis for any parent. We’ll cover common types of medications used to treat congenitalheartdisease, what parents should know about their use, and potential side effects to watch out for. Be sure to talk to your doctor if you have any questions or concerns.
Objectives Patients with congenitalheartdisease (CHD) are increasingly pursuing pregnancy, highlighting the need for data on late cardiovascular events (more than 6 months after delivery).
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.
Despite improved childhood survival in congenitalheartdisease (CHD) due to advances in management, late-onset sudden cardiac death (SCD) from malignant ventricular arrhythmias remains a leading cause of mortality in adults with CHD (ACHD).
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. Methods Retrospective observational single-center study. with paroxysmal AF, 43.6%
Mutations in RyR2 and its dysfunction are implicated in various congenitalheartdiseases (CHDs). ABSTRACT Ryanodine receptor 2 (RyR2) protein, a calcium ion release channel in the sarcoplasmic reticulum (SR) of myocardial cells, plays a crucial role in regulating cardiac systolic and diastolic functions.
All these features together in a cyanotic congenitalheartdisease is characteristic of tricuspid atresia. Fragmented QRS is a marker of myocardial scar and consequent arrhythmias in ischemic and nonischemic cardiomyopathy.
Introduction Heart transplantation (HT) is the only treatment option in children with heart failure secondary to cardiomyopathies and non-reparable congenitalheartdiseases. 111.87), arrhythmias were detected in 9 (33%) patients. We did not identify significant risk factors for arrhythmias post-HT.
Abstract Introduction Management of transvenous leads in patients with congenitalheartdisease (CHD) can be complicated by venous obstructions and residual shunts. Complications included blood transfusion ( n = 2), arrhythmia ( n = 3), pleural effusion ( n = 1), and pressure ulcer ( n = 1). h (range 5.4−12.8 h).
Methods Patients from the Swiss Adult CongenitalHEartdisease Registry were included. Predictors of a composite adverse event (arrhythmias, hospitalisation for heart failure and death) were identified by multivariate Cox regression analysis. Their median values were used to create a risk score.
Patients with dextro-transposition of the great arteries (d-TGA) are at risk for recurrent atrial arrhythmias late after atrial switch operations. Advanced anatomic knowledge including prior surgical incisions are integral in planning the ablation procedure.
A 37-year-old woman with biventricular repair for pulmonary atresia and an intact ventricular septum was referred for an electrophysiological study in the context of recurrent atrial arrhythmias with multiple electrical cardioversions. Her clinical tachycardia was easily inducible and had a cycle length (TCL) of 340 ms.
This institute is dedicated to pioneering research, innovation, and the development of clinically effective techniques for addressing various heart conditions. Additionally, it offers comprehensive cardiac screening and preventive care.
Atrial conduction abnormalities are common among patients with congenitalheartdisease, predisposing them to arrhythmias. In clinical practice, substrates are usually identified during electrophysiological mapping procedures using bipolar electrograms (EGM).
Tetralogy of Fallot (TOF) is the most prevalent form of cyanotic congenitalheartdisease and has become the poster child for the evolution and success of neonatal cardiac surgery.
In the setting of arrhythmias, specific SDoHs can increase the incidence of atrial fibrillation and adversely affect major outcomes in these patients. In congenitalheartdiseases, SDoHs can affect major outcomes, as well.
In preparation for the ABIM Cardiovascular Disease exam, check out the BoardVitals Cardiology Board Review Question Bank and we’ll make sure you’re well versed in the following 13 areas covered on the exam: Multiple-Choice Component Arrhythmias 15% Coronary Artery Disease 23% Heart Failure and Cardiomyopathy 17% Valvular Disease 15% Pericardial (..)
Transcript of the video: Ebstein’s Anomaly is one of the cyanotic congenitalheartdisease in which survival to adult life is common. This can be a source of cardiac arrhythmia as well. A huge right atrium can also predispose to supraventricular arrhythmias in Ebstein’s anomaly.
Objective Ebstein’s anomaly is a rare congenital cardiac condition and data regarding pregnancy outcomes in this patient group are scarce. Methods The Registry of Pregnancy and Cardiac disease is a prospective global registry of pregnancies in women with structural cardiac disease. Neonatal mortality was 2.5%
Circulation: Arrhythmia and Electrophysiology, Ahead of Print. BACKGROUND:A growing number of patients with tetralogy of Fallot develop left ventricular systolic dysfunction and heart failure, in addition to right ventricular dysfunction.
Transcript of video: Tetralogy of Fallot is one of the commonest cyanotic congenitalheartdiseases. And right ventricular hypertrophy and the abnormal architecture of the right ventricle, can predispose to late arrhythmias and sudden cardiac death in repaired tetralogy of Fallot.
Instead — my thoughts were as follows: The rhythm is sinus , with marked bradycardia and a component of sinus arrhythmia. WPW Cardiac arrhythmias ( especially AFib ). Smith's — in that despite the alarming ST-T wave changes, I did not think ECG #1 was the result of an acute event. Abnormal ST-T wave abnormalities.
ECG Blog #210 Reviews the Every-Other-Beat ( or Every-Third-Beat ) Method for estimation of fast heart rates and discusses another case of a regular WCT rhythm. ECG Blog #422 and Blog #425 Cases with CongenitalHeartDisease in Adults. ECG Blog #196 Another Case with a regular WCT.
Cardiology Board Exam The ABIM Cardiology Board Exam lasts 2 days and is broken down into the Multiple-Choice Component and the ECG and Imaging Studies Component. According to the ABIM Blueprint , the following topics are covered.
References Law YM, Lal AK, Chen S, Čiháková D, Cooper LT Jr, Deshpande S, Godown J, Grosse-Wortmann L, Robinson JD, Towbin JA; American Heart Association Pediatric Heart Failure and Transplantation Committee of the Council on Lifelong CongenitalHeartDisease and Heart Health in the Young and Stroke Council.
Atrioventricular nodal reentrant tachycardia (AVNRT) is a common supraventricular tachycardia in children and congenitalheartdisease (CHD) patients. As regards AVNRT in CHD patients, it represents the third most common form of arrhythmia in children with CHD.
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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