Current Cardiology Reports

, 16:510 | Cite as

Arrhythmias in Structural Heart Disease

  • H. Sawyer Gillespie
  • Charles C. H. Lin
  • Jordan M. PrutkinEmail author
Invasive Electrophysiology and Pacing (EK Heist, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Invasive Electrophysiology and Pacing


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.


Atrial fibrillation Ventricular fibrillation Ventricular tachycardia Cardiomyopathy Congenital heart disease Arrhythmias Structural heart disease 


Compliance with Ethics Guidelines

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.

Human and Animal Rights and Informed Consent

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


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • H. Sawyer Gillespie
    • 1
  • Charles C. H. Lin
    • 1
  • Jordan M. Prutkin
    • 1
    Email author
  1. 1.Division of CardiologyUniversity of WashingtonSeattleUSA

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