Arrhythmic Risk and Treatment after Transcatheter Atrial Septal Defect Closure

被引：1
作者：
Deaconu, Silvia [1 ]
Deaconu, Alexandru [2 ,3 ]
Marascu, Gabriela [2 ]
Stanculescu, Mihaela Octavia [2 ]
Cozma, Dragos [4 ]
Cinteza, Eliza [5 ,6 ]
Vatasescu, Radu [2 ,3 ]
机构：
[1] ARES Ctr, Bucharest 021967, Romania
[2] Clin Emergency Hosp, Cardiol Dept, Bucharest 014461, Romania
[3] Carol Davila Univ Med & Pharm, Cardiothorac Dept, Bucharest 050474, Romania
[4] Victor Babes Univ Med & Pharm, Dept Cardiol, 2 Eftimie Murgu Sq, Timisoara 300041, Romania
[5] Carol Davila Univ Med & Pharm, Dept Pediat, Bucharest 050474, Romania
[6] Marie Skolodowska Curie Emergency Childrens Hosp, Bucharest 041451, Romania
来源：
DIAGNOSTICS | 2024年 / 14卷 / 01期
关键词：
atrial septal defect; atrial arrhythmias; sudden cardiac death; SUDDEN CARDIAC DEATH; CONGENITAL HEART-DISEASE; TRANSSEPTAL PUNCTURE; DEVICE CLOSURE; FIBRILLATION ABLATION; CATHETER ABLATION; ADULT PATIENTS; FOLLOW-UP; TERM; OCCLUDER;
D O I：
10.3390/diagnostics14010033
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Atrial septal defect (ASD) represents the most common congenital heart defect identified in adulthood. Atrial and ventricular geometric remodeling due to intracardiac shunt increase the risk of arrhythmias, especially atrial fibrillation (AF). Clinical, echocardiography, electrocardiogram, and device-related predictors may be used to assess the risk of atrial arrhythmias after ASD closure. The underlying mechanisms in these patients are complex and at least in part independent of the structural remodeling secondary to hemodynamic overload. Device closure of the ASD itself and its timing impact future arrhythmia risk, as well as posing a challenge for when transseptal puncture is required. Sudden cardiac death (SCD) risk is higher than in the general population and an implantable cardioverter-defibrillator (ICD) may be indicated in selected cases.
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页数：14
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