Report
Catching Congenital Heart Disease in Adulthood with Mirror-like Arrhythmias
Issue:
Volume 14, Issue 3, June 2025
Pages:
44-48
Received:
4 April 2025
Accepted:
18 April 2025
Published:
19 May 2025
DOI:
10.11648/j.cmr.20251403.11
Downloads:
Views:
Abstract: This present casework concerns CHD with mirror like arrhythmias in a 64-year-old male which is accompanied by a large thrombus in right atrial chamber as seen through echocardiography. It isn’t a common presentation and since the patient came with signs that are not characteristic of CHD, several tests were done to arrive at the diagnosis of CHD through various images and examinations. The arrhythmogenic substrate for any adult CHD is versatile and encompasses all the variations of arrhythmias seen in normal adults, and however specific to congenital malformations such as WPW and Ebstein’s anomaly. The management of these arrhythmias depends on the severity; a walker may require an occasionally follow-up while one with symptoms like syncope will require invasive tests like cardiac catheterization and programmed electrical stimulation. Chronic VFIB/PVFIB is treated by antiarrhythmic medications and AICDs, while IART is treated by catheter ablation. This case shows that there is a need to improve public aw.reness regarding CHD in adults particularly when complicated by atypical arrhythmias. International and local approaches should be tailored to increase survival rates of patients and improve the diagnostic processes.
Abstract: This present casework concerns CHD with mirror like arrhythmias in a 64-year-old male which is accompanied by a large thrombus in right atrial chamber as seen through echocardiography. It isn’t a common presentation and since the patient came with signs that are not characteristic of CHD, several tests were done to arrive at the diagnosis of CHD th...
Show More
,
Alattabi Mustafa Allawi Ismael
