Benjamin Zielonka1, Yuli Y. Kim2,3, Gregory E. Supple2, Sara L. Partington2,3, Emily S. Ruckdeschel2,3, Francis E. Marchlinski2, David S. Frankel2
Congenital Heart Disease, Vol.14, No.6, pp. 931-938, 2019, DOI:10.1111/chd.12833
Abstract Objective: Atrial arrhythmias and atrioventricular valve regurgitation (AVVR) are
common causes of morbidity among adults with congenital heart disease (ACHD).
The impact of rhythm control on AVVR in this population is unknown. We sought
to determine whether a rhythm control strategy is associated with greater freedom
from AV valve surgery than a rate control strategy.
Design: Patients evaluated by both ACHD and electrophysiology specialists at a single
academic center were screened for atrial arrhythmias and at least moderate‐severe
AVVR. Clinical and electrographic data were abstracted. All echocardiograms were in‐
terpreted by a single echocardiographer blinded to treatment strategy. Patients were… More >
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