Atrial Fibrillation in Congenital Heart Disease

The increasing prevalence of AF in a growing population of adults with congenital heart disease (CHD) poses new challenges to clinicians involved in the management of these patients. Distinctive underlying anatomies, unique physiological aspects, a high diversity of corrective surgeries and associat...

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Autores principales:	Irene Martín de Miguel, Pablo Ávila
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2021
Materias:	Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/0e90095e35ac40eea745cd52dc137249
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spelling	oai:doaj.org-article:0e90095e35ac40eea745cd52dc1372492021-12-04T16:04:02ZAtrial Fibrillation in Congenital Heart Disease10.15420/ecr.2020.411758-37641758-3756https://doaj.org/article/0e90095e35ac40eea745cd52dc1372492021-03-01T00:00:00Zhttps://www.ecrjournal.com/articleindex/ecr.2020.41https://doaj.org/toc/1758-3756https://doaj.org/toc/1758-3764The increasing prevalence of AF in a growing population of adults with congenital heart disease (CHD) poses new challenges to clinicians involved in the management of these patients. Distinctive underlying anatomies, unique physiological aspects, a high diversity of corrective surgeries and associated comorbidities can complicate clinical decision-making. In this review, the authors provide an overview of the current knowledge on epidemiology and pathophysiology, with a special focus on the differences to the non-CHD population and the clinical impact of AF in adults with CHD. Acute and long-term management strategies are summarised, including the use of antiarrhythmic drugs, catheter or surgical ablation and prophylaxis of thromboembolism. Finally, gaps of knowledge and potential areas of future research are highlighted.Irene Martín de MiguelPablo ÁvilaRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENEuropean Cardiology Review , Vol 16, Iss , Pp - (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Diseases of the circulatory (Cardiovascular) system RC666-701 Irene Martín de Miguel Pablo Ávila Atrial Fibrillation in Congenital Heart Disease
description	The increasing prevalence of AF in a growing population of adults with congenital heart disease (CHD) poses new challenges to clinicians involved in the management of these patients. Distinctive underlying anatomies, unique physiological aspects, a high diversity of corrective surgeries and associated comorbidities can complicate clinical decision-making. In this review, the authors provide an overview of the current knowledge on epidemiology and pathophysiology, with a special focus on the differences to the non-CHD population and the clinical impact of AF in adults with CHD. Acute and long-term management strategies are summarised, including the use of antiarrhythmic drugs, catheter or surgical ablation and prophylaxis of thromboembolism. Finally, gaps of knowledge and potential areas of future research are highlighted.
format	article
author	Irene Martín de Miguel Pablo Ávila
author_facet	Irene Martín de Miguel Pablo Ávila
author_sort	Irene Martín de Miguel
title	Atrial Fibrillation in Congenital Heart Disease
title_short	Atrial Fibrillation in Congenital Heart Disease
title_full	Atrial Fibrillation in Congenital Heart Disease
title_fullStr	Atrial Fibrillation in Congenital Heart Disease
title_full_unstemmed	Atrial Fibrillation in Congenital Heart Disease
title_sort	atrial fibrillation in congenital heart disease
publisher	Radcliffe Medical Media
publishDate	2021
url	https://doaj.org/article/0e90095e35ac40eea745cd52dc137249
work_keys_str_mv	AT irenemartindemiguel atrialfibrillationincongenitalheartdisease AT pabloavila atrialfibrillationincongenitalheartdisease
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Atrial Fibrillation in Congenital Heart Disease

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