Dextro-transposition of the great arteries electrophysiology testing

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [2]; Cafer Zorkun, M.D., Ph.D. [3]; Keri Shafer, M.D. [4]; Assistant Editor(s)-In-Chief: Kristin Feeney, B.S. [5]

Overview

ACC/AHA recommends electrophysiology testing in some groups of patients with dextro-transposition of the great arteries

(ACC/AHA) recommendations for Electrophysiology Testing Issues in Dextro-Transposition of the Great Arteries [1](DONOT EDIT)

(ACC/AHA) recommendations for Electrophysiology Testing Issues in Dextro-Transposition of the Great Arteries ^[1](DONOT EDIT)

Class I
“1.Clinicians should be mindful of the risk of sudden arrhythmic death among adults after atrial baffle repair of d-TGA. These events usually relate to ventricular tachycardia (VT) but may be caused in some cases by rapidly conducted intra-atrial reentrant tachycardia (IART) or progressive atrioventricular (AV) block. (Level of Evidence: B)
“2.Consultation with an electrophysiologist who is experienced with CHD is recommended to assist with treatment decisions. (Level of Evidence: B) ”
“3.Pacemaker implantation is recommended for patients with d-TGA with either symptomatic sinus bradycardia or sick sinus syndrome. (Level of Evidence: B) ”

Class IIa
“1. Routine surveillance with history, electrocardiogram (ECG), assessment of RV function, and periodic Holter monitoring can be beneficial as part of routine follow-up.(Level of Evidence: B)

For ACC/AHA Level of evidences and Classes click :ACC AHA Guidelines Classification Scheme

References