Abstract
In a patient with systemic ventricular dysfunction who has undergone atrial switch (Mustard/Senning operation) 1. Consider persistent or recurrent tachyarrhythmia as a potential cause of the ventricular dysfunction; 2. If the QRS duration is prolonged then consider biventricular pacing using a hybrid approach; 3. If the QRS duration is narrow, there is no benefit to CRT and, as long as there is no indication to pace, a S-ICD is the best option; 4. Antiarrhythmic agents other than β-blockers have little benefit in the treatment of nonsustained VT.
Original language | English (US) |
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Title of host publication | Arrhythmias in Adult Congenital Heart Disease |
Subtitle of host publication | A Case-Based Approach |
Publisher | Elsevier |
Pages | 47-51 |
Number of pages | 5 |
ISBN (Electronic) | 9780323485685 |
ISBN (Print) | 9780323496094 |
DOIs | |
State | Published - Jan 1 2018 |
Keywords
- AV node reentry tachycardia
- Cardiac resynchronization therapy
- Senning operation
- Subcutaneous defibrillator
- Sudden cardiac death
- Transposition of the great arteries
ASJC Scopus subject areas
- Medicine(all)