Eagle's Eye View: Your Weekly CV Update From ACC.org

What Cardiologists Should Know About Congenital Heart Disease, Cardiac Arrest and Death in Athletes, Arrhythmia After Stroke

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Dec 18, 2024
Delve into the critical risks associated with congenital heart disease for adult patients. Discover the chilling statistics around sudden cardiac arrest in both competitive and recreational athletes, along with the importance of recognizing inherited conditions. Learn about the necessity of thorough arrhythmia monitoring following a stroke, emphasizing effective strategies for prompt intervention and patient safety.
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ADVICE

Managing Adult Congenital Heart Disease

  • Understand the anatomical diagnosis and previous procedures of adult congenital heart disease patients.
  • Anticipate long-term issues associated with each lesion, such as pulmonary valve regurgitation.
INSIGHT

Sudden Cardiac Death in Athletes

  • Sudden cardiac death (SCD) risk is low in athletes, but higher in men and black athletes.
  • Most SCD in young athletes is due to inherited problems, while in masters athletes, it's often due to advanced coronary disease.
ADVICE

Arrhythmia Monitoring After Stroke

  • When evaluating stroke patients, prioritize finding atrial fibrillation (AFib) using long-term monitoring (at least two weeks).
  • Medical-grade monitors are more accurate than consumer-grade wearables for detecting AFib.
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