Essential ECG clues in patients with congenital heart disease and arrhythmias.

The prevalence of adults with congenital heart disease has dramatically increased during the last decades due to significant advances in the surgical correction of these conditions. As a result, patient's survival has been prolonged and arrhythmias have become one of the principal causes of morbidity and mortality for these patients. The surface 12-lead ECG may play a critical role in the identification of the underlying heart disease of the patient, the recognition of the arrhythmia mechanism and may also help in the planification of the ablation procedure in this setting. Finally, important prognostic information can be also obtained from the ECG in these patients. The present review will offer an overview of the principal utilities of the surface ECG in the diagnosis and management of patients with CHD and arrhythmias.

[1]  N. Sreeram,et al.  The pathophysiologic aspects and clinical implications of electrocardiographic parameters of ventricular conduction delay in repaired tetralogy of Fallot. , 2014, Journal of electrocardiology.

[2]  J. Kalman,et al.  P-wave morphology in focal atrial tachycardia: development of an algorithm to predict the anatomic site of origin. , 2006, Journal of the American College of Cardiology.

[3]  Paul Khairy,et al.  Clinical Use of Electrocardiography in Adults With Congenital Heart Disease , 2007, Circulation.

[4]  Dionne A. Graham,et al.  QRS duration and QRS fractionation on surface electrocardiogram are markers of right ventricular dysfunction and atrialization in patients with Ebstein anomaly. , 2013, European heart journal.

[5]  Y. Cheung,et al.  Cardiac rhythm and symptomatic arrhythmia in right atrial isomerism. , 2002, American heart journal.

[6]  M. Abrahamowicz,et al.  Changing mortality in congenital heart disease. , 2010, Journal of the American College of Cardiology.

[7]  C. V. van Deurzen,et al.  Predictors of sudden cardiac death after Mustard or Senning repair for transposition of the great arteries. , 2004, Journal of the American College of Cardiology.

[8]  M. Márquez,et al.  Electrocardiographic Characteristics of Patients with Ebstein's Anomaly Before and After Ablation of an Accessory Atrioventricular Pathway , 2006, Journal of cardiovascular electrophysiology.

[9]  M. Gatzoulis,et al.  Mechanoelectrical interaction in tetralogy of Fallot. QRS prolongation relates to right ventricular size and predicts malignant ventricular arrhythmias and sudden death. , 1995, Circulation.

[10]  A. Bogers,et al.  Atrial tachyarrhythmias after atrial switch operation for transposition of the great arteries: Treating old surgery with new catheters. , 2016, Heart rhythm.

[11]  Josep Brugada,et al.  A New Approach to the Differential Diagnosis of a Regular Tachycardia With a Wide QRS Complex , 1991, Circulation.

[12]  Seung‐Jung Park,et al.  Fragmented QRS Complex in Adult Patients With Ebstein Anomaly and Its Association With Arrhythmic Risk and the Severity of the Anomaly , 2013, Circulation: Arrhythmia and Electrophysiology.

[13]  Nandini Dendukuri,et al.  Lifetime Prevalence of Congenital Heart Disease in the General Population From 2000 to 2010 , 2014, Circulation.

[14]  A. Marelli,et al.  Congenital Heart Disease in the General Population: Changing Prevalence and Age Distribution , 2006, Circulation.

[15]  W. Brady,et al.  The pediatric electrocardiogram part III: Congenital heart disease and other cardiac syndromes. , 2008, The American journal of emergency medicine.

[16]  John M. Miller,et al.  New algorithm using only lead aVR for differential diagnosis of wide QRS complex tachycardia. , 2008, Heart rhythm.

[17]  C. Morillo,et al.  R-wave peak time at DII: a new criterion for differentiating between wide complex QRS tachycardias. , 2010, Heart rhythm.

[18]  C A Warnes,et al.  Challenges posed by adults with repaired congenital heart disease. , 2001, Circulation.