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Arrhythmias in Structural Heart Disease

  • Invasive Electrophysiology and Pacing (EK Heist, Section Editor)
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Abstract

The presence of structural heart disease is often associated with the development of electrical abnormalities of the heart, manifesting as atrial and ventricular arrhythmias. These can occur in those with ischemic and nonischemic cardiomyopathies, congenital heart disease, and various acquired and intrinsic structural abnormalities of the myocardium. Treatment of these arrhythmias generally involves treatment of the underlying disorder first, if possible, such as with surgical or catheter-based intervention. Other therapies, including medical therapy with beta-blockers and anti-arrhythmic agents, pacemakers and implantable cardioverter-defibrillators (ICDs), and ablation may be offered both as prophylactic therapy or if arrhythmias have developed. In some instances, therapy is undertaken regardless of whether there are symptoms. ICDs provide support for those patients at risk for malignant, life-threatening arrhythmias, but appropriate patient and device selection are vital to improve mortality and to limit adverse events.

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Conflict of Interest

H. Sawyer Gillespie and Charles C.H. Lin declare that they have no conflict of interest.

Jordan M. Prutkin has received fellowship support to his institution from Boston Scientific, Medtronic, St. Jude.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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  1. Division of Cardiology, University of Washington, 1959 NE Pacific Street, Box 356422, Seattle, WA, 98195, USA

    H. Sawyer Gillespie, Charles C. H. Lin & Jordan M. Prutkin

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  1. H. Sawyer Gillespie
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This article is part of the Topical Collection on Invasive Electrophysiology and Pacing

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Gillespie, H.S., Lin, C.C.H. & Prutkin, J.M. Arrhythmias in Structural Heart Disease. Curr Cardiol Rep 16, 510 (2014). https://doi.org/10.1007/s11886-014-0510-7

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