Online ISSN: 2187-2988 Print ISSN: 0911-1794
特定非営利活動法人日本小児循環器学会 Japanese Society of Pediatric Cardiology and Cardiac Surgery
Pediatric Cardiology and Cardiac Surgery 33(5): 385-394 (2017)


成人先天性心疾患の不整脈Arrhythmia in Adults with Congenital Heart Disease

筑波大学医学医療系小児科Department of Child Health, Faculty of Medicine, University of Tsukuba ◇ Ibaraki, Japan

発行日:2017年9月1日Published: September 1, 2017


Arrhythmias are common complications in adults with congenital heart disease that might cause sudden cardiac death. Arrhythmias vary according to factors such as underlying heart disease and the methods of surgical repair, and they increase in prevalence with age. Therapeutic strategies differ with the complexity of underlying heart disease and hemodynamic status. Pacemaker implantation is indicated for patients with symptomatic bradyarrhythmias caused by either sinus node dysfunction or atrioventricular block. In patients with atrial flutter and fibrillation, anticoagulation therapy is important for preventing cardiogenic embolism. Various antiarrhythmic agents are used, and catheter ablation may be effective. In ventricular tachycardia, both pharmacologic and non-pharmacologic therapies are needed. Implantable cardioverter defibrillators represent the primary modality for preventing sudden cardiac death, and antiarrhythmic agents and catheter ablation are indicated as adjunctive therapies.

Key words: adult congenital heart disease; arrhythmia; catheter ablation; direct oral anticoagulants; implantable cardioverter defibrillator

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