Adults with Congenital Heart Disease and Arrhythmia Management

Abstract

Arrhythmia management in adult congenital heart disease (ACHD) encompasses a wide range of problems from bradyarrhythmia to tachyarrhythmia, sudden death, and heart failure-related electrical dyssynchrony. Major advances in the understanding of the pathophysiology and treatments of these problems over the past decade have resulted in improved therapeutic strategies and outcomes. This article attempts to define these problems and review contemporary management for the patient with ACHD presenting with cardiac arrhythmia.

Keywords: Adult congenital heart disease; Catheter ablation; Implantable cardioverter-defibrillator; Intra-atrial reentrant tachycardia; Pacemaker; Sinus node dysfunction; Sudden cardiac death; Ventricular tachycardia.