Management of Heart Failure With Arrhythmia in Adults With Congenital Heart Disease: JACC State-of-the-Art Review

Jeremy P. Moore, Ariane Marelli, Luke J. Burchill, Henry Chubb, S. Lucy Roche, Ari M. Cedars, Paul Khairy, Ali N. Zaidi, Jan Janousek, David S. Crossland, Robert H. Pass, Jeffrey P. Jacobs, Jonathan N. Menachem, David S. Frankel, Sabine Ernst, Jim T. Vehmeijer, Mitchell I. Cohen

Research output: Contribution to journalReview articleAcademicpeer-review

11 Citations (Scopus)

Abstract

Together, heart failure and arrhythmia represent the most important cardiovascular sources of morbidity and mortality among adults with congenital heart disease (ACHDs). Although traditionally conceptualized as operating within 2 distinct clinical silos, these scenarios frequently coexist within the same individual; consequently the mechanistic, therapeutic, and prognostic overlap between them demands increased recognition. In fact, given the near ubiquity of heart failure and arrhythmia among ACHDs, there is perhaps no other arena within cardiology where this critical intersection is more frequently observed. Optimal care for ACHDs therefore requires a heightened awareness of the relevant interactions as well as the pharmacologic and interventional resources that are increasingly available to the treating cardiologist. This review explores and highlights the overlap between these 2 fields to recommend a parallel, yet interactive, multidisciplinary approach to clinical management. Congenital heart disease categories are broken down into their archetypal subtypes to highlight subtleties of the pathophysiology, evaluation, and therapeutic approach.
Original languageEnglish
Pages (from-to)2224-2238
Number of pages15
JournalJournal of the American College of Cardiology
Volume80
Issue number23
DOIs
Publication statusPublished - 6 Dec 2022
Externally publishedYes

Keywords

  • adults with congenital heart disease
  • arrhythmia
  • heart failure

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