Arrhythmias in Adult Congenital Heart Disease: Diagnosis and Management

Abstract

Cardiac arrhythmias are a major source of morbidity and mortality in adults with CHD. A multidisciplinary approach in a center specializing in the care of ACHD is most likely to have the expertise needed provide this care. Knowledge of the underlying anatomy, mechanism of arrhythmia, and potential management strategies is critical, as well as access and expertise in the use of advanced imaging and ablative technologies. Future challenges in management include refining the underlying mechanism and putative ablation targets for catheter ablation of AF, an arrhythmia rapidly rising in prevalence in this population.

Keywords: Adult congenital heart disease; Arrhythmia; Atrial fibrillation; Atrial flutter; Catheter ablation; Intra-atrial reentrant tachycardia; Ventricular tachycardia.