EP Fellows Curriculum: Congenital Heart Disease for the Adult Electrophysiologist-EP Fellows Curriculum: Congenital Heart Disease for the Adult Electrophysiologist

EP Fellows Curriculum: Congenital Heart Disease for the Adult Electrophysiologist

Video Transcription

Video Summary

In this lecture, the speaker discusses the management of arrhythmias in adults with congenital heart disease (ACHD). He outlines the increasing prevalence of ACHD and the need for specialized care in this population. The speaker focuses on atrial arrhythmias, specifically atrial flutter and atrial fibrillation, which are common in ACHD patients. He discusses the mechanisms for these arrhythmias, including reentrant circuits, as well as the unique anatomical substrates present in ACHD patients. The speaker presents several case studies to illustrate the types of arrhythmias and the approaches to their management. He emphasizes the importance of understanding the anatomy and the arrhythmia substrate when planning ablation procedures. While the success rate for ablation in ACHD patients can be low, the speaker notes that even when arrhythmias recur, patients may experience improved symptoms. The lecture concludes with a discussion of the challenges and limitations in managing arrhythmias in ACHD patients, particularly when it comes to atrial fibrillation. The speaker notes that collaboration between adult electrophysiologists and pediatric cardiologists can be beneficial in providing optimal care for these patients.

Keywords

arrhythmias

adults

congenital heart disease

ACHD

atrial arrhythmias

atrial flutter

atrial fibrillation

ablation procedures

challenges

collaboration