| Autor: |
Favilli S; S.O.C. Cardiologia Pediatrica e della Transizione, IRCSS Azienda Ospedaliero-Universitaria Meyer, Firenze., Assanta N; Ospedale del Cuore, Fondazione Toscana Gabriele Monasterio, Massa., Carluccio M; U.O. Cardiologia 2, SSN Azienda Ospedaliero-Universitaria Pisana, Pisa., Ricciardi G; S.O.C. Elettrofisiologia, Azienda Ospedaliero-Universitaria Careggi, Firenze., Segreti L; U.O. Cardiologia 2, SSN Azienda Ospedaliero-Universitaria Pisana, Pisa., Canale ML; Cardiologia, Ospedale Versilia, Azienda USL Toscana Nord Ovest, Lido di Camaiore (LU)., Grippo G; U.O.C. Cardiologia, Ospedale Santo Stefano, Prato., Selvaggia Magnaghi GC; U.O. Cardiologia, Ospedale SS. Cosma e Damiano, Pescia (PT)., Misuraca L; U.O.S.D. Cardiologia Interventistica, Ospedale della Misericordia, Grosseto., Orso F; S.O.D.c. Geriatria-UTIG, Azienda Ospedaliero-Universitaria Careggi, Firenze., Sorini Dini C; Cardiologia Clinica-Chirurgia/UTIC, Azienda Ospedaliero-Universitaria Senese, Siena., Talini E; U.O.C. Cardiologia, Ospedale di Livorno., Mirizzi G; Ospedale del Cuore, Fondazione Toscana Gabriele Monasterio, Massa., Spaziani G; S.O.C. Cardiologia Pediatrica e della Transizione, IRCSS Azienda Ospedaliero-Universitaria Meyer, Firenze., Garibaldi S; Ospedale del Cuore, Fondazione Toscana Gabriele Monasterio, Massa., Viacava C; Ospedale del Cuore, Fondazione Toscana Gabriele Monasterio, Massa., Porcedda G; S.O.C. Cardiologia Pediatrica e della Transizione, IRCSS Azienda Ospedaliero-Universitaria Meyer, Firenze., Casolo G; U.O.C. Cardiologia, Ospedale Santo Stefano, Prato. |
| Abstrakt: |
Arrhythmias are a common complication in the adult population with congenital heart disease (ACHD). Arrhythmias often lead to hemodynamic instability and, on the other hand, may be a marker of hemodynamic impairment in ACHD patients, both in natural history and after cardiac surgery. Treatment requires knowledge of basic anatomy and any previous cardiac surgery; the availability of patient's health records, if possible, is therefore crucial for therapeutic choices. In the emergency setting, the first target is represented by the patient's hemodynamic stabilization; mainly in moderate or high complexity ACHD, the connection with the referral center is recommended, to which patients should be entrusted for follow-up. A regional epidemiological observatory, aiming to assess the number, type and outcomes of emergency admissions of ACHD patients could be a useful tool for analyzing the effectiveness of the collaboration network between the different structures involved and for implementing organizational pathways. |
