Ventricular tachycardia after repair of congenital heart disease

Management of ventricular arrhythmias in adults with congenital heart disease

The management of ventricular arrhythmias in adults with congenital heart disease is becoming increasingly more important. Ventricular arrhythmias are associated with a number of congenital heart defects (particularly tetralogy of Fallot), and sudden death. A number of invasive and noninvasive methods have been applied to identify those patients at risk, although indications and the prognostic value of these tests are unclear. Treatment of ventricular arrhythmias in this population include antiarrhythmic medications, catheter ablation, surgery, and implantable cardiac defibrillators.