title: Diagnostic tools for arrhythmia detection in adults with congenital heart disease and heart failure.
abstract: As patients with congenital heart disease age with increasingly complex lesions, heart failure and arrhythmias have emerged as leading sources of morbidity and mortality. The two are intertwined, as one may herald, beget, or aggravate the other. Moreover, arrhythmias in adults with congenital heart disease and heart failure can be poorly tolerated or life threatening. There is, therefore, much interest in promptly and accurately diagnosing arrhythmias and identifying risk factors for sudden death. This article appraises current knowledge regarding diagnostic tools for arrhythmias in adults with congenital heart disease and heart failure and comments on their prognostic value where relevant.
authors.affiliation: Adult Congenital Center, Montreal Heart Institute, Université de Montréal, 5000 Bélanger Street East, Montreal, Québec H1T 1C8, Canada.
authors.forename: Blandine
authors.initials: B
authors.lastname: Mondésert
authors.forename: Anne M
authors.initials: AM
authors.lastname: Dubin
authors.forename: Paul
authors.initials: P
authors.lastname: Khairy
mesh_terms: D000328:Adult; D001145:Arrhythmias, Cardiac / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control; D016757:Death, Sudden, Cardiac / Q000209:etiology / Q000517:prevention & control; D017147:Defibrillators, Implantable; D004562:Electrocardiography / Q000295:instrumentation / Q000379:methods; D022062:Electrophysiologic Techniques, Cardiac / Q000295:instrumentation / Q000379:methods; D006330:Heart Defects, Congenital / Q000150:complications / Q000503:physiopathology; D006333:Heart Failure / Q000150:complications / Q000503:physiopathology; D006339:Heart Rate; D006801:Humans; D008991:Monitoring, Physiologic / Q000379:methods; D009200:Myocardial Contraction; D010138:Pacemaker, Artificial; D011237:Predictive Value of Tests; D011379:Prognosis
keywords: Adult congenital heart disease; Arrhythmias; Diagnostic testing; Electrophysiology; Heart failure