Hernandez-Madrid, Antonio, Paul, Thomas, Abrams, Dominic ORCID: 0000-0001-5266-2805, Aziz, Peter F., Blom, Nico A., Chen, Jian, Chessa, Massimo, Combes, Nicolas, Dagres, Nikolaos, Diller, Gerhard, Ernst, Sabine, Giamberti, Alessandro, Hebe, Joachim, Janousek, Jan, Kriebel, Thomas, Moltedo, Jose, Moreno, Javier, Peinado, Rafael, Pison, Laurent, Rosenthal, Eric ORCID: 0000-0003-3030-9749, Skinner, Jonathan R., Zeppenfeld, Katja, Sticherling, Christian ORCID: 0000-0001-8428-7050, Kautzner, Joseph, Wissner, Erik, Sommer, Philipp, Gupta, Dhiraj ORCID: 0000-0002-3490-090X, Szili-Torok, Tamas, Tateno, Shigeru, Alfaro, Armando, Budts, Werner, Gallego, Pastora, Schwerzmann, Markus, Milanesi, Ornella, Sarquella-Brugada, Georgia, Kornyei, Laszlo, Sreeram, Narayanswami, Drago, Fabrizio ORCID: 0000-0003-1888-373X and Dubin, Anne (2018). Arrhythmias in congenital heart disease: a position paper of the European Heart Rhythm Association (EHRA), Association for European Paediatric and Congenital Cardiology (AEPC), and the European Society of Cardiology (ESC) Working Group on Grown-up Congenital Heart Disease, endorsed by HRS, PACES, APHRS, and SOLAECE. Europace, 20 (11). S. 1719 - 1754. OXFORD: OXFORD UNIV PRESS. ISSN 1532-2092

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Abstract

The population of patients with congenital heart disease (CHD) is continuously increasing with more and more patients reaching adulthood. A significant portion of these young adults will suffer from arrhythmias due to the underlying congenital heart defect itself or as a sequela of interventional or surgical treatment. The medical community will encounter an increasing challenge as even most of the individuals with complex congenital heart defects nowadays become young adults. Within the past 20 years, management of patients with arrhythmias has gained remarkable progress including pharmacological treatment, catheter ablation, and device therapy. Catheter ablation in patients with CHD has paralleled the advances of this technology in pediatric and adult patients with structurally normal hearts. Growing experience and introduction of new techniques like the 3D mapping systems into clinical practice have been particularly beneficial for this growing population of patients with abnormal cardiac anatomy and physiology. Finally, device therapies allowing maintanence of chronotropic competence and AV conduction, improving haemodynamics by cardiac resynchronization, and preventing sudden death are increasingly used. For pharmacological therapy, ablation procedures, and device therapy decision making requires a deep understanding of the individual pathological anatomy and physiology as well as detailed knowledge on natural history and long-term prognosis of our patients. Composing expert opinions from cardiology and paediatric cardiology as well as from non-invasive and invasive electrophysiology this position paper was designed to state the art in management of young individuals with congenital heart defects and arrhythmias.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Hernandez-Madrid, AntonioUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Paul, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Abrams, DominicUNSPECIFIEDorcid.org/0000-0001-5266-2805UNSPECIFIED
Aziz, Peter F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Blom, Nico A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chen, JianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chessa, MassimoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Combes, NicolasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dagres, NikolaosUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Diller, GerhardUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ernst, SabineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Giamberti, AlessandroUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hebe, JoachimUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Janousek, JanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kriebel, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Moltedo, JoseUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Moreno, JavierUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Peinado, RafaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pison, LaurentUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rosenthal, EricUNSPECIFIEDorcid.org/0000-0003-3030-9749UNSPECIFIED
Skinner, Jonathan R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zeppenfeld, KatjaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sticherling, ChristianUNSPECIFIEDorcid.org/0000-0001-8428-7050UNSPECIFIED
Kautzner, JosephUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wissner, ErikUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sommer, PhilippUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gupta, DhirajUNSPECIFIEDorcid.org/0000-0002-3490-090XUNSPECIFIED
Szili-Torok, TamasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tateno, ShigeruUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Alfaro, ArmandoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Budts, WernerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gallego, PastoraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schwerzmann, MarkusUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Milanesi, OrnellaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sarquella-Brugada, GeorgiaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kornyei, LaszloUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sreeram, NarayanswamiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Drago, FabrizioUNSPECIFIEDorcid.org/0000-0003-1888-373XUNSPECIFIED
Dubin, AnneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-166290
DOI: 10.1093/europace/eux380
Journal or Publication Title: Europace
Volume: 20
Number: 11
Page Range: S. 1719 - 1754
Date: 2018
Publisher: OXFORD UNIV PRESS
Place of Publication: OXFORD
ISSN: 1532-2092
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
CARDIAC-RESYNCHRONIZATION THERAPY; IMPLANTABLE CARDIOVERTER-DEFIBRILLATORS; RADIOFREQUENCY CATHETER ABLATION; SINUS NODE DYSFUNCTION; ATRIAL-SEPTAL-DEFECT; INTRAATRIAL REENTRANT TACHYCARDIA; LONG-TERM OUTCOMES; ATRIOVENTRICULAR RECIPROCATING TACHYCARDIA; LEFT-VENTRICULAR DYSFUNCTION; ANTIARRHYTHMIC-DRUG-THERAPYMultiple languages
Cardiac & Cardiovascular SystemsMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/16629

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