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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.

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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. Macroreentrant atrial tachycardias, particularly cavotricuspid isthmus-dependent flutter, are frequently reported.

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Ventricular Tachycardia Management

All About Cardiovascular System and Disorders

Ventricular tachycardia is a potentially life threatening cardiac arrhythmia. On the ECG, ventricular tachycardia can be defined as three or more ventricular ectopic beats occurring in a sequence at a rate more than 100 per minute. Another rare form of ventricular tachycardia is bidirectional ventricular tachycardia.

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Torsade in a patient with left bundle branch block: is there a long QT? (And: Left Bundle Pacing).

Dr. Smith's ECG Blog

It should be kept in mind that on occasions, beta-one agonist can result in increased ventricular ectopy e.g., in severe myocardial ischemia (by increasing myocardial demand), or sometimes with congenital long-QT syndrome. Even with tachycardia and a paced QRS duration of ~0.16 J Am Coll Cardiol.

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Early Experience with Ivabradine for Focal Atrial Tachycardia in Pediatric Patients with Congenital Heart Disease

HeartRhythm

It has been used to treat both inappropriate sinus tachycardia and sinus tachycardia related to heart failure in children and adults. Ivabradine’s high selectivity and minimal side effects make it an attractive candidate for wider applications such as focal atrial tachycardia (FAT).

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ECG Blog #460 — A Wide Tachycardia.

Ken Grauer, MD

ECG Blog #422 and Blog #425 Cases with Congenital Heart Disease in Adults. 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 #220 Review of the approach to the regular WCT ( = W ide- C omplex T achycardia ).

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Types of Ventricular Tachycardia

All About Cardiovascular System and Disorders

Three or more ventricular beats in a row at a rate above 100 per minute is termed ventricular tachycardia. Ventricular tachycardia lasting more 30 seconds or requiring termination earlier due to hemodynamic compromise is called sustained ventricular tachycardia. Either case, the treatment is ablation of the right bundle.