Practical stepwise approach to rhythm disturbances in congenital heart diseases
Patients with congenital heart diseases (CHD) are confronted with early- and late-onset complications, such as conduction disorders, arrhythmias, myocardial dysfunction, altered coronary flow, and ischemia, throughout their lifetime despite successful hemodynamic and/or anatomical correction. Rhythm...
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| Format: | Article |
| Language: | English |
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Korean Pediatric Society
2010-06-01
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| Series: | Korean Journal of Pediatrics |
| Subjects: | |
| Online Access: | http://kjp.or.kr/upload/pdf/kjped-53-680.pdf |
| _version_ | 1811310358870097920 |
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| author | June Huh |
| author_facet | June Huh |
| author_sort | June Huh |
| collection | DOAJ |
| description | Patients with congenital heart diseases (CHD) are confronted with early- and late-onset complications, such as conduction disorders, arrhythmias, myocardial dysfunction, altered coronary flow, and ischemia, throughout their lifetime despite successful hemodynamic and/or anatomical correction. Rhythm disturbance is a well-known and increasingly frequent cause of morbidity and mortality in patients with CHD. Predisposing factors to rhythm disturbances include underlying cardiac defects, hemodynamic changes as part of the natural history, surgical repair and related scarring, and residual hemodynamic abnormalities. Acquired factors such as aging, hypertension, diabetes, obesity, and others may also contribute to arrhythmogenesis in CHD. The first step in evaluating arrhythmias in CHD is to understand the complex anatomy and to find predisposing factors and hemodynamic abnormalities. A practical stepwise approach can lead to diagnosis and prompt appropriate interventions. Electrophysiological assessment and management should be done with integrated care of the underlying heart defects and hemodynamic abnormalities. Catheter ablation and arrhythmia surgery have been increasingly applied, showing increasing success rates with technological advancement despite complicated arrhythmia circuits in complex anatomy and the difficulty of access. Correction of residual hemodynamic abnormalities may be critical in the treatment of arrhythmia in patients with CHD. |
| first_indexed | 2024-04-13T09:57:35Z |
| format | Article |
| id | doaj.art-6dfa7913ed7e4072aa7afa7a598fc5e7 |
| institution | Directory Open Access Journal |
| issn | 1738-1061 2092-7258 |
| language | English |
| last_indexed | 2024-04-13T09:57:35Z |
| publishDate | 2010-06-01 |
| publisher | Korean Pediatric Society |
| record_format | Article |
| series | Korean Journal of Pediatrics |
| spelling | doaj.art-6dfa7913ed7e4072aa7afa7a598fc5e72022-12-22T02:51:20ZengKorean Pediatric SocietyKorean Journal of Pediatrics1738-10612092-72582010-06-0153668068710.3345/kjp.2010.53.6.6802010530602Practical stepwise approach to rhythm disturbances in congenital heart diseasesJune Huh0Department of Pediatrics, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.Patients with congenital heart diseases (CHD) are confronted with early- and late-onset complications, such as conduction disorders, arrhythmias, myocardial dysfunction, altered coronary flow, and ischemia, throughout their lifetime despite successful hemodynamic and/or anatomical correction. Rhythm disturbance is a well-known and increasingly frequent cause of morbidity and mortality in patients with CHD. Predisposing factors to rhythm disturbances include underlying cardiac defects, hemodynamic changes as part of the natural history, surgical repair and related scarring, and residual hemodynamic abnormalities. Acquired factors such as aging, hypertension, diabetes, obesity, and others may also contribute to arrhythmogenesis in CHD. The first step in evaluating arrhythmias in CHD is to understand the complex anatomy and to find predisposing factors and hemodynamic abnormalities. A practical stepwise approach can lead to diagnosis and prompt appropriate interventions. Electrophysiological assessment and management should be done with integrated care of the underlying heart defects and hemodynamic abnormalities. Catheter ablation and arrhythmia surgery have been increasingly applied, showing increasing success rates with technological advancement despite complicated arrhythmia circuits in complex anatomy and the difficulty of access. Correction of residual hemodynamic abnormalities may be critical in the treatment of arrhythmia in patients with CHD.http://kjp.or.kr/upload/pdf/kjped-53-680.pdfCongenital heart defectsCardiac arrhythmiaDiagnosisRisk factor |
| spellingShingle | June Huh Practical stepwise approach to rhythm disturbances in congenital heart diseases Korean Journal of Pediatrics Congenital heart defects Cardiac arrhythmia Diagnosis Risk factor |
| title | Practical stepwise approach to rhythm disturbances in congenital heart diseases |
| title_full | Practical stepwise approach to rhythm disturbances in congenital heart diseases |
| title_fullStr | Practical stepwise approach to rhythm disturbances in congenital heart diseases |
| title_full_unstemmed | Practical stepwise approach to rhythm disturbances in congenital heart diseases |
| title_short | Practical stepwise approach to rhythm disturbances in congenital heart diseases |
| title_sort | practical stepwise approach to rhythm disturbances in congenital heart diseases |
| topic | Congenital heart defects Cardiac arrhythmia Diagnosis Risk factor |
| url | http://kjp.or.kr/upload/pdf/kjped-53-680.pdf |
| work_keys_str_mv | AT junehuh practicalstepwiseapproachtorhythmdisturbancesincongenitalheartdiseases |