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71/Prevalence of ECG changes and arrhythmias during childhood in Ebstein’s Anomaly: 30-year review in South Wales

Published Online: October 3rd 2021 European Journal of Arrhythmia & Electrophysiology. 2021;7(Suppl. 1):abstr71
Authors: L James (Presenting Author) – Cardiff University, Cardiff; O Uzun – University Hospital of Wales, Cardiff
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Objective: To assess the ECG changes and arrhythmias seen in Ebstein’s patients.

Design: Retrospective longitudinal cohort.

Setting: University Hospital of Wales (UHW).

Population/Participants: 74 patients managed at UHW between 1990 and 2020.

Results: 53 cases eligible for the study were included. Right bundle branch block was seen in 65.2%, and delta wave in 18.8%. Wolff Parkinson White syndrome occurred in 17% of patients, and other types of supraventricular tachycardia in 17% of patients. 13.2% of patients experienced atrial fibrillation, 9.4% experienced atrial flutter and 1.9% had broad complex tachycardia. Postoperative heart block was seen in 44.4% of tricuspid valve repair patients, and 50% of tricuspid valve replacement patients.

Conclusions: Coexisting arrhythmias are common amongst Ebstein’s patients, with Wolff Parkinson White syndrome being most prevalent. Right bundle branch block was the most common ECG finding, followed by delta wave.

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