,
Alattabi Mustafa Allawi Ismael,
Mohammed Imad Mohammed Mohammed,
Al Mohsen Abbas Jawad Abdulaaima*
This present casework concerns CHD with mirror like arrhythmias in a 64-year-old male which is accompanied by a large thrombus in right atrial chamber as seen through echocardiography. It isn’t a common presentation and since the patient came with signs that are not characteristic of CHD, several tests were done to arrive at the diagnosis of CHD through various images and examinations. The arrhythmogenic substrate for any adult CHD is versatile and encompasses all the variations of arrhythmias seen in normal adults, and however specific to congenital malformations such as WPW and Ebstein’s anomaly. The management of these arrhythmias depends on the severity; a walker may require an occasionally follow-up while one with symptoms like syncope will require invasive tests like cardiac catheterization and programmed electrical stimulation. Chronic VFIB/PVFIB is treated by antiarrhythmic medications and AICDs, while IART is treated by catheter ablation. This case shows that there is a need to improve public aw.reness regarding CHD in adults particularly when complicated by atypical arrhythmias. International and local approaches should be tailored to increase survival rates of patients and improve the diagnostic processes.
| Published in | Clinical Medicine Research (Volume 14, Issue 3) |
| DOI | 10.11648/j.cmr.20251403.11 |
| Page(s) | 44-48 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2025. Published by Science Publishing Group |
Adult Congenital Heart Disease, Arrhythmias, Right Atrial Thrombus, Diagnostic Challenges and Management Strategies
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APA Style
Azzawi, M. A. K. H., Ismael, A. M. A., Mohammed, M. I. M., Abdulaaima, A. M. A. J. (2025). Catching Congenital Heart Disease in Adulthood with Mirror-like Arrhythmias. Clinical Medicine Research, 14(3), 44-48. https://doi.org/10.11648/j.cmr.20251403.11
ACS Style
Azzawi, M. A. K. H.; Ismael, A. M. A.; Mohammed, M. I. M.; Abdulaaima, A. M. A. J. Catching Congenital Heart Disease in Adulthood with Mirror-like Arrhythmias. Clin. Med. Res. 2025, 14(3), 44-48. doi: 10.11648/j.cmr.20251403.11
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Download@article{10.11648/j.cmr.20251403.11,
author = {Mohammed Ali Khudhair Hashim Azzawi and Alattabi Mustafa Allawi Ismael and Mohammed Imad Mohammed Mohammed and Al Mohsen Abbas Jawad Abdulaaima},
title = {Catching Congenital Heart Disease in Adulthood with Mirror-like Arrhythmias
},
journal = {Clinical Medicine Research},
volume = {14},
number = {3},
pages = {44-48},
doi = {10.11648/j.cmr.20251403.11},
url = {https://doi.org/10.11648/j.cmr.20251403.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20251403.11},
abstract = {This present casework concerns CHD with mirror like arrhythmias in a 64-year-old male which is accompanied by a large thrombus in right atrial chamber as seen through echocardiography. It isn’t a common presentation and since the patient came with signs that are not characteristic of CHD, several tests were done to arrive at the diagnosis of CHD through various images and examinations. The arrhythmogenic substrate for any adult CHD is versatile and encompasses all the variations of arrhythmias seen in normal adults, and however specific to congenital malformations such as WPW and Ebstein’s anomaly. The management of these arrhythmias depends on the severity; a walker may require an occasionally follow-up while one with symptoms like syncope will require invasive tests like cardiac catheterization and programmed electrical stimulation. Chronic VFIB/PVFIB is treated by antiarrhythmic medications and AICDs, while IART is treated by catheter ablation. This case shows that there is a need to improve public aw.reness regarding CHD in adults particularly when complicated by atypical arrhythmias. International and local approaches should be tailored to increase survival rates of patients and improve the diagnostic processes.
},
year = {2025}
}
TY - JOUR T1 - Catching Congenital Heart Disease in Adulthood with Mirror-like Arrhythmias AU - Mohammed Ali Khudhair Hashim Azzawi AU - Alattabi Mustafa Allawi Ismael AU - Mohammed Imad Mohammed Mohammed AU - Al Mohsen Abbas Jawad Abdulaaima Y1 - 2025/05/19 PY - 2025 N1 - https://doi.org/10.11648/j.cmr.20251403.11 DO - 10.11648/j.cmr.20251403.11 T2 - Clinical Medicine Research JF - Clinical Medicine Research JO - Clinical Medicine Research SP - 44 EP - 48 PB - Science Publishing Group SN - 2326-9057 UR - https://doi.org/10.11648/j.cmr.20251403.11 AB - This present casework concerns CHD with mirror like arrhythmias in a 64-year-old male which is accompanied by a large thrombus in right atrial chamber as seen through echocardiography. It isn’t a common presentation and since the patient came with signs that are not characteristic of CHD, several tests were done to arrive at the diagnosis of CHD through various images and examinations. The arrhythmogenic substrate for any adult CHD is versatile and encompasses all the variations of arrhythmias seen in normal adults, and however specific to congenital malformations such as WPW and Ebstein’s anomaly. The management of these arrhythmias depends on the severity; a walker may require an occasionally follow-up while one with symptoms like syncope will require invasive tests like cardiac catheterization and programmed electrical stimulation. Chronic VFIB/PVFIB is treated by antiarrhythmic medications and AICDs, while IART is treated by catheter ablation. This case shows that there is a need to improve public aw.reness regarding CHD in adults particularly when complicated by atypical arrhythmias. International and local approaches should be tailored to increase survival rates of patients and improve the diagnostic processes. VL - 14 IS - 3 ER -
School of Medicine, Xi’an Jiaotong University, Xi’an, China
School of Medicine, Xi’an Jiaotong University, Xi’an, China
School of Medicine, Xi’an Jiaotong University, Xi’an, China
School of Medicine, Xi’an Jiaotong University, Xi’an, China
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