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

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

Seshadri Balaji, Ravi Mandapati, Gary D. Webb

Pediatrics

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	English (US)
Title of host publication	Arrhythmias in Adult Congenital Heart Disease
Subtitle of host publication	A Case-Based Approach
Publisher	Elsevier
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 2018

Keywords

Bradyarrhythmia
Cyanotic heart disease
Epicardial pacemaker
Syncope

ASJC Scopus subject areas

General Medicine

Access to Document

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

Cite this

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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.

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KW - Cyanotic heart disease

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KW - Syncope

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

Abstract

Keywords

ASJC Scopus subject areas

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