Progression of late postoperative atrial fibrillation in patients with tetralogy of Fallot

Ramdjan, Tanwier T T K; Mouws, Elisabeth M.J.P.; Teuwen, Christophe P.; Sitorus, Gustaf D.S.; Houck, Charlotte A.; Bogers, Ad J.J.C.; Groot, Natasja M.S. de

doi:10.1111/jce.13369

Cited by 13 publications

(11 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…About 20% of adults with repaired ToF will develop atrial arrhythmia [2][3][4]. Intraatrial reentrant tachycardia (IART) is second (after ventricular tachycardia) most common single arrhythmia subtype followed by AF in this population.…”

Section: Discussionmentioning

confidence: 99%

Arrhythmias And Long-Term Hemodynamic Consequences In Patient With Repaired Tetralogy Of Fallot – A Case Study

Rutkowski

Kołodzińska

Koźluk

et al. 2023

J Educ Health Sport

View full text Add to dashboard Cite

The number of patients who underwent total correction of Tetralogy of Fallot (ToF) in early life or infancy is still rising. According to CDC ToF is the most prevalent cyanotic congenital heart disease with incidences of 1 in 2500 births. Rhythm disturbances and haemodynamic disturbances including valves disorders, heart failure, residual defects and more are new challenges for clinicians taking care of adult patients with repaired ToF. Our goal was to describe such a patient and highlight further complications which may be encountered among those patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Arrhythmias And Long-Term Hemodynamic Consequences In Patient With Repaired Tetralogy Of Fallot – A Case Study

Rutkowski

Kołodzińska

Koźluk

et al. 2023

J Educ Health Sport

View full text Add to dashboard Cite

show abstract

“…Limited data suggest that AF may be difficult to rhythm-control with antiarrhythmic drugs in patients with TOF. 6,10 There is little evidence to guide which patients with TOF and AF require antithrombotic therapy. The European Society of Cardiology guidelines identified the lack of a dedicated scoring system to assess the need for anticoagulation in patients with moderate and complex CHD as an important gap in knowledge.…”

Section: Treatment Of Atrial Tachyarrhythmias: Medical and Catheter-b...mentioning

confidence: 99%

“…3 The type of surgical repair, including ventriculotomy, transannular patch, or previous palliative shunt, does not appear to affect AF prevalence. 9,10 Multiple arrhythmia types in a single patient with TOF are common. In 1 study, ≈38% of patients had >1 type of arrhythmia 11 (Figure 1).…”

Section: Atrial Tachyarrhythmias and Sinus Node Dysfunctionmentioning

confidence: 99%

See 1 more Smart Citation

Arrhythmias in Repaired Tetralogy of Fallot: A Scientific Statement From the American Heart Association

Krieger¹,

Zeppenfeld²,

DeWitt³

et al. 2022

Circ: Arrhythmia and Electrophysiology

View full text Add to dashboard Cite

Arrhythmia and sudden cardiac death remain common in repaired tetralogy of Fallot and affect even those with excellent anatomic repairs. Atrial arrhythmia often has mechanisms different from those in acquired heart disease. Ventricular arrhythmia remains a major source of mortality in repaired tetralogy of Fallot. Noninvasive risk stratification is important to identify patients who may benefit from ablation or primary prevention implantable cardioverter defibrillators. Multiple noninvasive risk factors are associated with ventricular arrhythmia, but no universally accepted risk stratification algorithm exists. The mechanism of ventricular arrhythmia is usually attributable to a consistent and discrete set of slowly conducting anatomic isthmuses related to both the native anatomy and the consequences of the surgical repair, which interact with ventricular remodeling to provide arrhythmic substrate. This substrate can be identified during electroanatomic mapping and prophylactically ablated in appropriate patients. This scientific statement discusses the mechanisms and treatment of arrhythmia in repaired tetralogy of Fallot.

show abstract

“…One publication may mention more than one subcomponent, but each subcomponent is composed of different publications. The time frame for this table spans from 1995-2020 [19][20][21][23][24][25][27][28][29][30][31][32][33][34]36,[38][39][40][41][42][43][45][46][47][48][49][50][51][54][55][56]60,[62][63][64]66,66,67,[70][71][72][73][74][75][76][77][78][79][80][81][82][83][84][85]…”

Section: Part II -Guideline Recommendations For Poaf Patient Managementmentioning

confidence: 99%

Improving future postoperative atrial fibrillation care: a 30,000-foot viewpoint

Pardo¹,

Grover²,

Rove³

et al. 2022

Vessel Plus

View full text Add to dashboard Cite

Aim: In the United States (US), post-operative atrial fibrillation (POAF) is the most common complication following cardiac surgery. In order to understand the opportunities to improve POAF patients’ care, this “30,000 foot” review evaluated the professional society POAF database/registry definitions and guideline recommendations. Methods: All US-based professional society organizations with an interventional cardiac database/registry and/or cardiac care guidelines were identified; from these, the POAF database definitions and guideline recommendations were evaluated using a content analysis approach. Results: The Society of Thoracic Surgeons (STS) POAF definition was the most frequently referenced definition (21% of key references). Only 50% (n = 5/10) US cardiac surgery databases/registries included any POAF definition; compared to STS, the other five definitions required substantially more detailed documentation. Across eight guidelines, three different types of POAF recommendations were found: risk assessment (n = 3); prevention (n = 7); and management (n = 8). As a common feature, the risk assessment strategies tended to focus on advanced age (n = 6). Beta-blockers (n = 5) and amiodarone (n = 6) were common prevention approaches. Uniformly, anti-coagulation was the only management strategy (n = 8) recommended, barring any contraindications. Conclusion: Across ten professional societies, 50% had no POAF definition; of the remaining five, no POAF definitional consistency was found. Across the eight US-based professional society POAF-related guidelines, only anticoagulation was uniformly recommended. Given these “big picture” findings, professional societies are urged to work collaboratively to harmonize these divergent POAF definitions and consolidate their evidence-based guideline recommendations to improve future POAF patients’ quality of care.

show abstract

Progression of late postoperative atrial fibrillation in patients with tetralogy of Fallot

Cited by 13 publications

References 34 publications

Arrhythmias And Long-Term Hemodynamic Consequences In Patient With Repaired Tetralogy Of Fallot – A Case Study

Arrhythmias And Long-Term Hemodynamic Consequences In Patient With Repaired Tetralogy Of Fallot – A Case Study

Arrhythmias in Repaired Tetralogy of Fallot: A Scientific Statement From the American Heart Association

Improving future postoperative atrial fibrillation care: a 30,000-foot viewpoint

Contact Info

Product

Resources

About