Detecting and diagnosing arrhythmias in adults with congenital heart disease.
Arrhythmias are a major cause of morbidity and mortality in adults with congenital heart disease; they can range from occult asymptomatic sinus node disease to sudden death. Detecting and diagnosing these arrhythmias presents a challenge when caring for these patients. A high index of suspicion is necessary, as well as a thorough understanding of the underlying heart defect and subsequent surgical interventions. A careful history, noninvasive evaluation, and in some cases invasive testing are all necessary to determine arrhythmias in this population.
Collins
Kathryn K
KK
Division of Pediatric Cardiology, University of California, 521 Parnassus, C-346, San Francisco, CA 94143, USA. kcollins@pedcard.ucsf.edu
Dubin
Anne M
AM
D000328:Adult; D001145:Arrhythmias, Cardiac / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D006330:Heart Defects, Congenital / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D006801:Humans