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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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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). Dates of first AA and HF presentations were documented, and outcomes of RFA, including acute and long-term success, were assessed.

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Genetic syndromes associated with congenital heart disease

Heart BMJ

Congenital heart defects are the most common type of birth defect, affecting 1% of live births. The underlying cause of congenital heart disease is frequently unknown. However, advances in human genetics and genome technologies have helped expand congenital heart disease pathogenesis knowledge during the last few decades.

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MADIT II trial: A 2002 breakthrough in primary prevention of mortality with implantable cardioverter-defibrillator

HeartRhythm

The study enrolled 196 patients randomized 1:1 to ICD vs no ICD and reported a 56% improvement in survival with an ICD in patients with coronary heart disease, reduced ventricular function, nonsustained ventricular tachycardia (VT), and inducible VT.

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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. Conclusions Over one-third of women with Fontan physiology in our cohort had a documented pregnancy. We examined maternal and obstetric outcomes.

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Case Report: Complete AV block in two patients with a congenital absence of the right coronary artery: an unusual correlation

Frontiers in Cardiovascular Medicine

No previous reports have documented the coexistence of congenital absence of the RCA and complete AV block in the same patient.Case summariesCase 1 was a 52-year-old man with no significant past medical history who experienced syncope. The prevalence of complete atrioventricular (AV) block also appears to be low.

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New in Clinical Documents | ACC, AHA Release First-Ever Performance and Quality Measures For VHD and SHD

American College of Cardiology

A new comprehensive set of clinical performance and quality measures released by the ACC and American Heart Association (AHA) aim to help measure, compare and ultimately improve care and outcomes in adults with valvular (VHD) and structural heart disease (SHD).