Melola Discovery

← Melola Discovery

Akses terbuka Jurnal SINTA 1

A follow-up approach to manage tachyarrhythmia and bradyarrhythmia in Ebstein’s anomaly patient

Heart Science Journal · Vol. 6 No. 1 (2025) · hlm. 104–108

DOI
10.21776/ub.hsj.2025.006.01.17
ISSN
2721-9984, 2721-9976
Terbit
2025-01-31
Penerbit
Universitas Brawijaya
Bahasa
en
Lisensi
creativecommons.org/licenses/by/4.0

Abstrak

Background: Ebstein’s Anomaly (EA) is a rare heart defect that can cause a number of problems, including arrhythmias. They exhibit a greater rate of recurrence compared to those with normal hearts. High-definition (HD) mapping and three-dimensional (3D) ablation are new techniques that may be suboptimal, attributed to anatomical characteristics. The management tactics employed may necessitate modification in accordance with personal traits. Case Report: A 37-year-old male presented with intermittent palpitations over years. The electrocardiogram (ECG) is changing overtime such as supraventricular tachycardia (SVT), ventricular tachycardia (VT) and atrial fibrillation (AF). Echocardiography shown typical features of EA. During ablation, multiple atrial tachycardias were induced. Throughout the observation period, the patient exhibited complications related to several arrhythmia recurrence. In the end he suffered from total atrioventricular block (TAVB), leading to the decision to undergo a permanent pacemaker procedure. We postulated that specific characteristics of the right atrioventricular groove structure observed in pathological samples of EA could explain less than ideal results in ablation procedures. Conclusion: Managing arrhythmia in EA could be challenging. A prominent ridge alongside the lower atrioventricular groove is a typical characteristic in EA, and is associated with the clinical background of accessory pathways (AP). Understanding this anatomical aspect is important for electrophysiologists who work with this group of patients, since their management approaches may need to be adjusted.

Kata kunci

Jaringan kolaborasi para penulis

40 penulis · 259 tautan kepenulisan bersama · 5 lintas organisasi · menampilkan 40 yang paling banyak terhubung

Arahkan kursor atau ketuk sebuah nama untuk menyorot rekan penulisnya. Klik dua kali untuk membuka halaman penulis.

  • University of Brawijaya
  • RSUD Prof. Dr. Saiful Anwar Malang
  • Afiliasi tidak diketahui
  • Organisasi berbeda
  • Organisasi sama
  • Afiliasi tidak diketahui
  • Garis lebih tebal = lebih banyak artikel bersama · lingkaran lebih besar = lebih banyak artikel
Tampilkan sebagai tabel
Rekan penulisOrganisasiArtikel bersama
Mohammad Saifur RohmanUniversity of Brawijaya19
Anna Fuji RahimahUniversity of Brawijaya12
Indra PrasetyaUniversity of Brawijaya12
Sasmojo WiditoUniversity of Brawijaya9
Novi KurnianingsihUniversity of Brawijaya9
Setyasih AnjarwaniUniversity of Brawijaya9
Heny MartiniUniversity of Brawijaya9
Cholid Tri TjahjonoUniversity of Brawijaya5
Djanggan SargowoUniversity of Brawijaya4
Adhika Prastya WikanandaUniversity of Brawijaya4
Wella KarolinaUniversity of Brawijaya4
Yoga WaranugrahaUniversity of Brawijaya3
Budi SatrijoUniversity of Brawijaya3
Icmi Dian RochmawatiUniversity of Brawijaya3
Valerinna YogibuanaAfiliasi tidak diketahui3
Puspa LestariUniversity of Brawijaya2
Olivia HandayaniUniversity of Brawijaya2
Fahmy RusnantaUniversity of Brawijaya2
Anita Surya SantosoAfiliasi tidak diketahui2
Fitranti Suciati LaitupaUniversity of Brawijaya2
Muhammad Saifur RohmanAfiliasi tidak diketahui2
Tri AstiawatiUniversity of Brawijaya2
Valerinna Yogibuana Swastika PutriUniversity of Brawijaya2
N KaputrinUniversity of Brawijaya2
Nikhen NoverikeUniversity of Brawijaya2
Gebryel Dennis SaerangUniversity of Brawijaya2
Vemmy Lian SaputriUniversity of Brawijaya2
Cik KahadiUniversity of Brawijaya2
Putri Annisa KamilaUniversity of Brawijaya1
Djanggan SargowoAfiliasi tidak diketahui1
Jonny Karunia FajarUniversity of Brawijaya1
Aditha Satria MaulanaUniversity of Brawijaya1
Aris Munandar Zulkifli IsmailUniversity of Brawijaya1
Anna Fuji RahimahAfiliasi tidak diketahui1
Aris Munandar ZIAfiliasi tidak diketahui1
Tonny AdriyantoUniversity of Brawijaya1
Seprian WidasmaraUniversity of Brawijaya1
Faris Wahyu NugrohoUniversity of Brawijaya1

Afiliasi berasal dari OpenAlex; metadata OAI-PMH jurnal tidak memuatnya. Penulis tanpa ID OpenAlex dicocokkan berdasarkan nama, sehingga dua orang bisa tergabung atau satu orang bisa terpisah.

Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">A follow-up approach to manage tachyarrhythmia and bradyarrhythmia in Ebstein’s anomaly patient</dc:title>
	<dc:creator xml:lang="en">Setyowati, Danti Utami</dc:creator>
	<dc:creator xml:lang="en">Ardian Rizal</dc:creator>
	<dc:subject xml:lang="en">Ebstein’s Anomaly</dc:subject>
	<dc:subject xml:lang="en">Arrhythmia</dc:subject>
	<dc:subject xml:lang="en">Accessory Pathway</dc:subject>
	<dc:subject xml:lang="en">Catheter Ablation</dc:subject>
	<dc:subject xml:lang="en">Personalized Management</dc:subject>
	<dc:description xml:lang="en">Background: Ebstein’s Anomaly (EA) is a rare heart defect that can cause a number of problems, including arrhythmias. They exhibit a greater rate of recurrence compared to those with normal hearts. High-definition (HD) mapping and three-dimensional (3D) ablation are new techniques that may be suboptimal, attributed to anatomical characteristics. The management tactics employed may necessitate modification in accordance with personal traits.
Case Report: A 37-year-old male presented with intermittent palpitations over years. The electrocardiogram (ECG) is changing overtime such as supraventricular tachycardia (SVT), ventricular tachycardia (VT) and atrial fibrillation (AF). Echocardiography shown typical features of EA. During ablation, multiple atrial tachycardias were induced. Throughout the observation period, the patient exhibited complications related to several arrhythmia recurrence. In the end he suffered from total atrioventricular block (TAVB), leading to the decision to undergo a permanent pacemaker procedure. We postulated that specific characteristics of the right atrioventricular groove structure observed in pathological samples of EA could explain less than ideal results in ablation procedures.
Conclusion: Managing arrhythmia in EA could be challenging. A prominent ridge alongside the lower atrioventricular groove is a typical characteristic in EA, and is associated with the clinical background of accessory pathways (AP). Understanding this anatomical aspect is important for electrophysiologists who work with this group of patients, since their management approaches may need to be adjusted.</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2025-01-31</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/15831</dc:identifier>
	<dc:identifier>10.21776/ub.hsj.2025.006.01.17</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 6 No. 1 (2025): Challenges in Managing Acute Heart Failure; 104-108</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2025.006.01</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/15831/477</dc:relation>
	<dc:relation>10.21776/</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2025 Danti Utami Setyowati</dc:rights>
	<dc:rights xml:lang="en">http://creativecommons.org/licenses/by/4.0</dc:rights>
</oai_dc:dc>