Essential ECG clues in patients with congenital heart disease and arrhythmias.
The prevalence of adults with congenital heart disease has dramatically increased during the last decades due to significant advances in the surgical correction of these conditions. As a result, patient's survival has been prolonged and arrhythmias have become one of the principal causes of morbidity and mortality for these patients. The surface 12-lead ECG may play a critical role in the identification of the underlying heart disease of the patient, the recognition of the arrhythmia mechanism and may also help in the planification of the ablation procedure in this setting. Finally, important prognostic information can be also obtained from the ECG in these patients. The present review will offer an overview of the principal utilities of the surface ECG in the diagnosis and management of patients with CHD and arrhythmias.
Electrophysiology Section and Adult Congenital Heart Disease Unit, Cardiology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain. Electronic address: cano_osc@gva.es.
Óscar
Ó
Cano
Electrophysiology Section and Adult Congenital Heart Disease Unit, Cardiology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Ana
A
Andrés
Electrophysiology Section and Adult Congenital Heart Disease Unit, Cardiology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Pau
P
Alonso
Electrophysiology Section and Adult Congenital Heart Disease Unit, Cardiology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Joaquín
J
Osca
Electrophysiology Section and Adult Congenital Heart Disease Unit, Cardiology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
María-José
MJ
Sancho-Tello
Electrophysiology Section and Adult Congenital Heart Disease Unit, Cardiology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Joaquín
J
Rueda
Electrophysiology Section and Adult Congenital Heart Disease Unit, Cardiology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Ana
A
Osa
Electrophysiology Section and Adult Congenital Heart Disease Unit, Cardiology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Luis
L
Martínez-Dolz
D003937:Diagnosis, Differential; D004562:Electrocardiography / Q000379:methods*; D006327:Heart Block / Q000150:complications* / Q000175:diagnosis*; D006330:Heart Defects, Congenital / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D008875:Middle Aged; D012804:Sick Sinus Syndrome / Q000150:complications* / Q000175:diagnosis*
Arrhythmia; Catheter ablation; Congenital heart disease