HRS Board Review 2025 New Courses (Reviewers Copy)-Arrhythmias in Patients with Congenital Heart Disease

Video Transcription

Video Summary

In this comprehensive overview, Chris McLeod, a cardiac electrophysiologist at the Mayo Clinic, discusses the complexities of treating congenital heart disease patients experiencing arrhythmias. The presentation is tailored for those preparing for the heart rhythm board exam and offers insights into best practices when dealing with these unique cases. Such patients, though not encountered daily, often present arrhythmia-related issues, ranging from atrial arrhythmias to bradycardia and tachyarrhythmias. <br /><br />McLeod narrates the historical journey of managing congenital heart disease, highlighting advancements like the cardiopulmonary bypass, which significantly improved survival rates since the 1950s. He discusses the common occurrence of atrial arrhythmias, particularly intra-atrial reentrant tachycardia, in these patients due to the scarring from surgeries. The talk also covers the importance of imaging for understanding heart anatomy, the role of anticoagulation therapy, and the management of ventricular arrhythmias using ablation techniques.<br /><br />The presentation underscores the need for tailored treatment plans that include imaging, potential interventions for shunts, and the use of antiarrhythmic drugs or ablation, emphasizing the higher risk of stroke and sudden cardiac death in this patient population.

Keywords

congenital heart disease

arrhythmias

cardiac electrophysiology

atrial arrhythmias

ablation techniques

anticoagulation therapy

heart rhythm board exam