Why the study?
Do Fontan patients with total cavopulmonary connection and a prior history of atrial arrhythmias have a higher risk of recurrent arrhythmias and thromboembolism compared to other TCPC patients?
Do Fontan patients with total cavopulmonary connection and a prior history of atrial arrhythmias have a higher risk of recurrent arrhythmias and thromboembolism compared to other TCPC patients?
TCPC patients with a prior history of atrial arrhythmias have a significant risk of recurrence and may require more intensive arrhythmia surveillance.
May support intensified arrhythmia surveillance in TCPC patients with prior atrial arrhythmias; leaves open optimal management to reduce thromboembolism.
Although TCPC provides superior flow dynamics and lower risk of incident atrial arrhythmias, there is a significant risk of recurrent arrhythmias among TCPC patients with a prior history of atrial arrhythmias. These patients may require more intensive arrhythmia surveillance as compared to other TCPC patients.
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Egbe et al. (2021) studied this question.
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