ACC/AHA/ESC 2006 guidelines for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: A report of the American College of Cardiology/American Heart Association Task Force and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop Guidelines for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death) Developed in collaboration with the European Heart Rhythm Association and the Heart

Zipes, Douglas P.; Borggrefe, Martin; Buxton, Alfred E.; Chaitman, Bernard; Fromer, Martin; Gregoratos, Gabriel; Klein, George J.; Moss, Arthur J.; Myerburg, Robert J.; Quiñones, Miguel Á.; Roden, Dan M.; Silka, Michael J.; Tracy, Cynthia M.; Priori, Silvia G.; Blanc, Jean Jacques; Budaj, Andrzej; Camm, A. John; Dean, Veronica; Deckers, Jaap W.; Despres, Catherine; Dickstein, Kenneth; Lekakis, John; McGregor, Keith; Metra, Marco; Morais, João; Osterspey, A.; Tamargo, Juan; Zamorano, José Luís; Smith, Sidney C.; Jacobs, Alice K.; Adams, Cynthia D.; Antman, Elliott M.; Anderson, J. Lawford; Hunt, Sharon A.; Halperin, Jonathan L.; Nishimura, Rick A.; Ornato, Joseph P.; Page, Richard L.; Riegel, Bárbara

doi:10.1093/europace/eul108

Cited by 795 publications

(671 citation statements)

References 1,009 publications

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“…Determining the causal relationship between LV dysfunction and the effect of PVCs may be difficult in certain groups of patients 5. Moreover, the PVC burden or the presence of nonsustained VT provides prognostic information on some NICMs, such as ARVC and HCM 18, 19…”

Section: Classification and Evaluation Of Nicmmentioning

confidence: 99%

“…The conflicting reports could result from a heterogeneous population, different programmed stimulation protocols, and nonuniform endpoints. Therefore, the decision to implant ICD based on a positive inducibility of VT/VF during an EP study is not recommended in the current guidelines 5, 19. Given the limited information, an EP study is also not recommended for risk stratification in patients with LQTS, SQTS, CPVT, and ERS 20…”

Section: Classification and Evaluation Of Nicmmentioning

confidence: 99%

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Ventricular arrhythmias in nonischemic cardiomyopathy

Chung

Lin

et al. 2018

Journal of Arrhythmia

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Nonischemic cardiomyopathies (NICMs) are composed of variable disease entities, including primary and secondary cardiomyopathies. Determining the etiology of NICM provides pivotal roles of not only the understanding of the individual pathogenesis, but also the clinical management, such as risk stratification, pharmacological treatment, and intervention therapies. Despite the diverse causes of NICM, these cases mostly require clinical attention owing to progressive myocardial injury, resulting in ventricular dysfunction and heart failure. The interaction between the diseased ventricular substrates and systemic/neurophysiological factors contributes to the cornerstones responsible for ventricular arrhythmogenesis and sudden cardiac death (SCD). Prevention of SCD and diminishing ventricular tachyarrhythmias are the important mainstays for the management of NICM patients. Given the understanding of the abnormal ventricular substrates and advancement of navigation systems, radiofrequency catheter ablation (RFCA) has become an adjunctive or alternative strategy for NICM patients who experience drug‐refractory ventricular tachycardias (VTs). Successful ablation can frequently be achieved at the expense of an epicardial intervention. A recent study has proven the survival benefits for NICM patients who are free from recurrent VTs after a successful RFCA, regardless of the New York Heart Association (NYHA) functional class status or left ventricular ejection fraction. Additionally, recent evidence has highlighted the better delineation of a diseased myocardium through the incorporation of cardiovascular magnetic resonance imaging (CMRI) and 3D mapping systems, which can facilitate the identification of critical ventricular arrhythmogenic substrates in NICM patients.

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Section: Classification and Evaluation Of Nicmmentioning

confidence: 99%

Section: Classification and Evaluation Of Nicmmentioning

confidence: 99%

Ventricular arrhythmias in nonischemic cardiomyopathy

Chung

Lin

et al. 2018

Journal of Arrhythmia

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“…Генетические детерминанты этих от-клонений не определены в достаточной мере. По всей вероятности, генетическая предопре-деленность синдрома имеет полигенный харак-тер [13]. Убедительных данных о наследовании синдрома членами семей пациентов с синдро-мом не получено.…”

Section: особенности диагностики наследственных первичных аритмическиunclassified

Examination of the Patient With Tachycardia in General Practice

Dubikaytis

Дубикайтис²

2016

Rossiĭskiĭ semeĭnyĭ vrach

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В статье изложены современные представления о подходах к обследованию пациентов с тахикарди-ей в амбулаторной практике; представлены схемы сбора анамнеза и осмотра пациентов с тахиаритмия-ми; обсуждается план обследования при обмороках; описаны редкие наследственные и врожденные варианты тахиаритмий; представлены возможности инструментальной диагностики нарушений ритма сердца.Ключевые слова: тахикардия, тахиаритмии, диагностика, общая врачебная практика.Current approaches for examination of the patients presented with tachycardia in GP practice are considered. The detailed plan for disease history and physical examination of tachycardia patients are presented. The scheme of diagnostic approaches for syncope management is discussed. The genetic and inherited arrhythmogenic diseases are described. The capabilities of different instrumental methods for tachyarrhythmia detection are considered.Keywords: tachycardia, tachyarrhythmia, diagnosis, general practice. ВведениеТахикардия -состояние, при котором ча-стота сердечных сокращений (ЧСС) превышает 100 импульсов в 1 минуту. Данное определение справедливо для взрослых, так как у детей первых лет жизни ЧСС находится в диапазоне от 110 до 150 импульсов в 1 мин [1]. Учащение ритма сердца может быть физиологическим от-ветом на какие-либо изменения в организме или проявлением развития нарушений ритма сердца. В статье представлены подходы к диа-гностике при ведении пациента с тахикардией, в основе которой лежат нарушения ритма.Тахиаритмия может приводить к неблагопри-ятным исходам по следующим причинам: вне-запный обморок, ведущий к травме, а если про-фессия пациента связана с управлением слож-ными техническими средствами -к более серьезным последствиям. Некоторые виды тахи-аритмий (мономорфные и полиморфные желу-дочковые тахикардии, включая тахикардии с удлиненным и нормальным интервалом QT, а также двунаправленные желудочковые тахи-кардии, фибрилляция предсердий на фоне син-дрома Вольфа -Паркинсона -Уайта) могут трансформироваться в фибрилляцию желудоч-ков и привести к внезапной остановке сердца.В ряде случаев тахикардия приводит к неста-бильному состоянию, что при отсутствии лече-ния способствует развитию инфаркта миокарда или шока. Многие антиаритмические препараты имеют серьезные побочные эффекты; со време-нем даже при бессимптомном течении тахиарит-мия может привести к формированию кардио-миопатии и тяжелой хронической сердечной не-достаточности. Аритмии влияют на качество жизни пациентов: вызывают чувство беспокой-ства как в момент возникновения аритмии, так и в момент ожидания очередного приступа, тре-буют оказания скорой помощи, а нередко и ста-ционарного лечения. ЭпидемиологияРаспространенность фибрилляции предсер-дий составляет 0,4-1 % в общей популяции и 9 % среди людей 80 лет и старше.Частота новых случаев развития трепетания предсердий -88 на 100 тыс. человек в год [1].

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“…Our results support the current guidelines stating that ICD implantation is not recommended in patients with CHD and spontaneous VT, when the VT can be successfully treated with surgery or RFCA, provided, however, that cardiac function is preserved. 10 Patients discharged without ICD should undergo regular assessment of cardiac function according to the guidelines. …”

Section: Icd Therapymentioning

confidence: 99%

“…[5][6][7] An important option to prevent MVT is radiofrequency catheter ablation (RFCA), 8,9 which may be considered as alternative to ICDs in patients with an otherwise low risk for sudden cardiac death. 10 In scar-related VTs, noninducibility has often been used as procedure end point, and has not been a reliable predictor of freedom from ventricular tachycardia (VT) during follow-up. 11 MVT in adults with rCHD often depends on well-defined anatomic isthmuses.…”

mentioning

confidence: 99%

Re-Entry Using Anatomically Determined Isthmuses

Kapel

Reichlin

Wijnmaalen

et al. 2015

Circ: Arrhythmia and Electrophysiology

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Background-Ventricular tachycardia (VT) is an important cause of late morbidity and mortality in repaired congenital heart disease. The substrate often includes anatomic isthmuses that can be transected by radiofrequency catheter ablation similar to isthmus block for atrial flutter. This study evaluates the long-term efficacy of isthmus block for treatment of re-entry VT in adults with repaired congenital heart disease. Methods and Results-Thirty-four patients (49±13 years; 74% male) with repaired congenital heart disease who underwent radiofrequency catheter ablation of VT in 2 centers were included. Twenty-two (65%) had a preserved left and right ventricular function. Patients were inducible for 1 (interquartile range, 1-2) VT, median cycle length: 295 ms (interquartile range, 242-346). Ablation aimed to transect anatomic isthmuses containing VT re-entry circuit isthmuses. Procedural success was defined as noninducibility of any VT and transection of the anatomic isthmus and was achieved in 25 (74%) patients. During long-term follow-up (46±29 months), all patients with procedural success (18/25 with internal cardiac defibrillators) were free of VT recurrence but 7 of 18 experienced internal cardiac defibrillator-related complications. One patient with procedural success and depressed cardiac function received an internal cardiac defibrillator shock for ventricular fibrillation. None of the 18 patients (12/18 with internal cardiac defibrillators) with complete success and preserved cardiac function experienced any ventricular arrhythmia. In contrast, VT recurred in 4 of 9 patients without procedural success. Four patients died from nonarrhythmic causes. Conclusions-In patients with repaired congenital heart disease with preserved ventricular function and isthmus-dependent re-entry, VT isthmus ablation can be curative. (Circ Arrhythm Electrophysiol. 2015;8:102-109.

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Cited by 795 publications

References 1,009 publications

Ventricular arrhythmias in nonischemic cardiomyopathy

Ventricular arrhythmias in nonischemic cardiomyopathy

Examination of the Patient With Tachycardia in General Practice

Re-Entry Using Anatomically Determined Isthmuses

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