Dextro-transposition of the great arteries Microchapters |
Differentiating dextro-transposition of the great arteries from other Diseases |
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Dextro-transposition of the great arteries electrophysiology testing On the Web |
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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]
ACC/AHA recommends electrophysiology testing in some groups of patients with dextro-transposition of the great arteries
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