Chapter 15 - A crisscross heart with brady-tachy issues: Case submitted by Vivienne Ezzat, MBChB

Seshadri Balaji; Ravi Mandapati; Gary D. Webb

doi:10.1016/B978-0-323-48568-5.00015-9

Chapter 15 - 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 proceeding › Chapter

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 language	American English
Title of host publication	Arrhythmias in Adult Congenital Heart Disease
Subtitle of host publication	A Case-Based Approach
Publisher	Elsevier
Chapter	15
Pages	135-148
Number of pages	14
ISBN (Electronic)	9780323485685
ISBN (Print)	9780323496094
DOIs	https://doi.org/10.1016/B978-0-323-48568-5.00015-9
State	Published - Jan 1 2019

ASJC Scopus Subject Areas

General Medicine

Keywords

Bradyarrhythmia
Cyanotic heart disease
Epicardial pacemaker
Syncope

Disciplines

Cardiology
Internal Medicine
Medicine and Health Sciences

Access to Document

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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.",

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AB - 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.

KW - Bradyarrhythmia

KW - Cyanotic heart disease

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KW - Syncope

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ER -

Chapter 15 - A crisscross heart with brady-tachy issues: Case submitted by Vivienne Ezzat, MBChB

Abstract

ASJC Scopus Subject Areas

Keywords

Disciplines

Access to Document

OpenUrl availability

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