Implantable Defibrillators and Cardiac Resynchronization Therapy in Heart Transplant Recipients: Results of a National Survey

Arrhythmias After Heart Transplantation: Mechanisms and Management

“…Notwithstanding the current guidelines that recommend pacemaker for syncope after HT, such patients may be at risk of serious ventricular arrhythmia (see below). If detailed evaluation identifies no reversible cause, ICD implantation may be considered because of the possibility of SCD, although this is not clearly supported by evidence …”

“…Heart transplantation (HT) has significantly altered the treatment paradigm for end‐stage heart disease. With current surgical techniques and postoperative immunosuppression, 1‐year survival after HT is ≈90%, 5‐year survival is ≈70%, and median survival exceeds 10 years …”

Cardiac resynchronization therapy after atrioventricular node ablation for rapid atrial fibrillation in a heart transplant recipient with late allograft dysfunction

“…It also adds to the existing literature of CRT in OHTx patients. 3,4 In the HTx population, LV systolic dysfunction and heart failure often relates to severe CAV, which portends a poor prognosis and confers a high risk of sudden death. 7,8 The use of angiotensin-converting enzyme inhibitors, ␤-blockers, and implantable defibrillators remains largely empiric in these patients, and consideration for repeat HTx has historically been the only viable option.…”

“…2 By comparison, experience with CRT in OHTx recipients is marked by a paucity of published experience. Available data suggest that CRT is used infrequently in these patients, 3 and only one previously published brief report 4 has detailed successful CRT use in an OHTx recipient. Indications for CRT in transplant recipients therefore remain poorly defined.…”

Tricuspid Valve Insufficiency in Recipients With Transplanted Heart

“…Ряд авторов, сравнивая две методики трансплантации сердца, также получили результаты, согласно которым при бикавальной методике зна-чительно реже наблюдаются различные виды арит-мий [33,34]. Была также выявлена положительная связь между частотой возникновения нарушений ритма и выявлением недостаточности обоих атрио-вентрикулярных клапанов [35].…”