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The Fontan operation has sustained life for patients with the most complex group of congenital heart lesions. Arrhythmias remain a major contributor to late morbidity and mortality and require new, improved solutions. Meanwhile, the increasing lifespan of patients with a single ventricle is bringing new arrhythmia topics to light.
Short QT syndrome (SQTS) is an inherited arrhythmia syndrome characterized by a markedly shortened QT interval on the surface electrocardiogram (ECG) and a high risk of sudden cardiac death.1 Its history illustrates how an initially underestimated ECG abnormality proved to be the marker of a highly malignant condition.
Early identification of atrial fibrillation (AF) allows for timely interventions to reduce cardiovascular complications. Risk scores including C2HEST and CHA2DS2-VASc have limitations in capturing cardiovascular remodeling. Given the association between hypertension, cardiovascular remodeling, and AF, integrating echocardiographic and demographic parameters may improve AF risk assessment in hypertension.
Early identification of atrial fibrillation (AF) allows for timely interventions to reduce cardiovascular complications. Risk scores including C2HEST and CHA2DS2-VASc have limitations in capturing cardiovascular remodeling. Given the association between hypertension, cardiovascular remodeling, and AF, integrating echocardiographic and demographic parameters may improve AF risk assessment in hypertension.
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