Cited by 476Congenital Heart Disease StudiesCardiovascular and Diving-Related ComplicationsCardiac Arrhythmias and Treatments

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Atrial Arrhythmias in Adults With Congenital Heart Disease

Bouchardy, Judith, Therrien, Judith, Pilote, Louise, Ionescu-Ittu, Raluca, Martucci, Giuseppe, Bottega, Natalie, Marelli, Ariane J.·2009·Circulation

DOI 10.1161/circulationaha.109.866319

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Abstract

Background Atrial arrhythmias increase disease burden in the general adult population. Adults with congenital heart lesions constitute a rapidly growing group of patients with cardiovascular disease. We hypothesized that atrial arrhythmias increase with age and impair health outcomes in this population. Methods and results We conducted a population-based analysis of prevalence, lifetime risk, mortality, and morbidity associated with atrial arrhythmias in adults with congenital heart disease from l983 to 2005. In 38 428 adults with congenital heart disease in 2005, 5812 had atrial arrhythmias. Overall, the 20-year risk of developing atrial arrhythmia was 7% in a 20-year-old subject and 38% in a 50-year-old subject. More than 50% of patients with severe congenital heart disease reaching age 18 years developed atrial arrhythmias by age 65 years. In patients with congenital heart disease, the hazard ratio of any adverse event in those with atrial arrhythmias compared with those without was 2.50 (95% confidence interval, 2.38 to 2.62; P Conclusions Atrial arrhythmias occurred in 15% of adults with congenital heart disease. The lifetime incidence increased steadily with age and was associated with a doubling of the risk of adverse events. An increase in resource allocation should be anticipated to deal with this increasing burden.

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Tachykarde Rhythmusstörungen bei EMAH – Aspekte der katheterinterventionellen Therapie
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“Neben Sinusknotendysfunktion und AV-Blockierungen stellen tachykarde Arrhythmien typische Spätfolgen nach Korrektur eines AHF [2, 3, 4] dar und sind seltener durch kongenitale Substrate verursacht.”
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Herzrhythmusstörungen und Langzeitprognose erwachsener Patienten mit angeborenem Herzfehler
Schneider, H., Müller, M., Krause, U., Dellas, C., Tirilomis, T., Attmann, T., & Paul, T. (2021) · Zeitschrift für Herz- Thorax- und Gefäßchirurgie · doi:10.1007/s00398-021-00434-1
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“This clinical case shows the possible evolution of supra valvular aortic stenosis and the related complications that may arise from high pressure regime due to the obstruction: aortic valve deterioration(7), root aortic dilatation [3], premature calcification of coronary ostias [7] and left ventricular hypertrophy [8].”
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Self-citation
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Triedman, J. K., & Walsh, E. P. (2017) · Elsevier eBooks · doi:10.1016/b978-0-7020-6929-1.00017-4 · Cited by 2
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Background
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Moodie, D., & Broberg, C. (2012) · Progress in Pediatric Cardiology · doi:10.1016/j.ppedcard.2012.05.010
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Yetman, A., & Webb, G. D. (2012) · doi:10.1002/9781444398786.ch53
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“…transposition of the great arteries, single ventricle, tetralogy of Fallot and Marfan syndrome (Attenhofer Jost et al., 2005; Berger et al., 2005; Bouchardy et al., 2009; Chatzis et al., 2008; Chauvaud et al 2001; Collins, 2009; Hallioglu et al., 2004; Hayashi et al, 2006; Kammeraad et al.,…”
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The Ideal Intensive Care Unit for Adults with Congenital Heart Disease
Briston, D., & Daniels, C. J. (2019) · Intensive Care of the Adult with Congenital Heart Disease · doi:10.1007/978-3-319-94171-4_1
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Montgomery, J. A., & Michaud, G. F. (2019) · Elsevier eBooks · doi:10.1016/b978-0-323-52992-1.00019-3
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Pacemaker and Implantable Cardioverter-Defibrillator Management in Children and Congenital Heart Disease
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“Prevalence of ATs is 3 times higher than what is observed in general population, and it is reported that 20-year-old patients with CHD have an equivalent risk of a 55-year-old women without CHD: patients with CHD are young with aged hearts [ 9 ]; atrial fi brillation (AF) is less common than atrial fl utter accounting…”
Background
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“[5] reported that atrial arrhythmias occurred in 15 % of adults with congenital heart disease.”
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Atrial Tachyarrhythmias in Adults With Congenital Heart Disease
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Authors: Bouchardy, J., Therrien, J., Pilote, L., Ionescu-Ittu, R., Martucci, G., Bottega, N., & Marelli, A. J.
Affiliations: McGill University Health Centre (CA)
From the McGill Adult Unit for Congenital Heart Disease Excellence, McGill University Health Center and the Jewish General Hospital (J.B., J.T., R.I.-I., G.M., N.B., A.J.M.) and Division of Internal Medicine, McGill University Health Centre Research Institute (L.P., R.I.-I.), Montreal, Quebec, Canada.
ORCID: Bouchardy, Judith
Therrien, Judith
Pilote, Louise
Martucci, Giuseppe
Marelli, Ariane J.
Venue: Circulation
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2009-10-27
Volume: 120
Issue: 17
Pages: 1679-1686
ISSN: 0009-7322 (ISSN-L)
1524-4539
DOI: 10.1161/circulationaha.109.866319
OpenAlex: W2075290555
Cited by: 476
References: 0
Citations by year: 2026: 23 · 2025: 26 · 2024: 33 · 2023: 36 · 2022: 22 · 2021: 30 · 2020: 32 · 2019: 34 · 2018: 44 · 2017: 47 · 2016: 25 · 2015: 34 · 2014: 18 · 2013: 24 · 2012: 20
FWCI: 10.52
Type: journal article
Language: en
Open access: closed
Locations: Circulation (publishedVersion)
PubMed (publishedVersion)
IRIS (submittedVersion)
SERVAL (Université de Lausanne) (submittedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Congenital Heart Disease Studies
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cardiovascular and Diving-Related Complications
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
Keywords: atrial arrhythmias, adult congenital heart disease, atrial fibrillation, lifetime risk, prevalence, mortality, stroke, heart failure, cardiac interventions, health burden, aging
MeSH terms: Adult, Age Factors, Aged, Atrial Fibrillation, Female, Follow-Up Studies, Heart Defects, Congenital, Humans, Male, Middle Aged, Population Surveillance, Retrospective Studies, Cohort Studies, Young Adult

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Atrial Arrhythmias in Adults With Congenital Heart Disease

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