A crisscross heart with brady-tachy issues: Case submitted by Vivienne Ezzat, MBChB

Seshadri Balaji, Ravi Mandapati, Gary D. Webb

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

1. Brady- and tachyarrhythmias frequently coexist in complex ACHD patients. Management of one can complicate management of the other. 2. All ACHD patients with intracardiac shunts and/or sluggish blood flow (e.g., Fontan operation) should be anticoagulated even if asymptomatic. If, in addition, they have tachyarrhythmias, anticoagulation should be started regardless of symptoms. 3. In ACHD patients with intracardiac shunts, endocardial pacing (including the leadless pacemaker) should be avoided. The default method for pacing should be the epicardial approach. 4. Long-term amiodarone should be considered the last option for drug therapy.

Original languageEnglish (US)
Title of host publicationArrhythmias in Adult Congenital Heart Disease
Subtitle of host publicationA Case-Based Approach
PublisherElsevier
Pages135-148
Number of pages14
ISBN (Electronic)9780323485685
ISBN (Print)9780323496094
DOIs
StatePublished - Jan 1 2018

Keywords

  • Bradyarrhythmia
  • Cyanotic heart disease
  • Epicardial pacemaker
  • Syncope

ASJC Scopus subject areas

  • Medicine(all)

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