Nine reasons for performing an electrophysiology study in patients with apparently idiopathic ventricular fibrillation

Belhassen, Bernard; Shauer, Ayelet

doi:10.1016/j.hrthm.2022.03.010

Cited by 4 publications

(1 citation statement)

References 13 publications

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“…Nevertheless, EPS is still justified on an individual basis depending on the pretest probability. [ 80 ] Further, EPS may reveal bundle branch re-entrant VT, without evidence of structural heart disease, as a cause for resuscitated cardiac arrest. [ 27 ] In case of suspicion for these conditions, EPS is indicated, given the possibility of a curative treatment for these conditions thereby preventing ICD implantation and its associated long-term complications.…”

Section: Recommendations For Comprehensive Evaluationmentioning

confidence: 99%

Explaining the Unexplained: A Practical Approach to Investigating the Cardiac Arrest Survivor

Suna,

Mellor

2023

Arrhythm Electrophysiol Rev

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Sudden cardiac arrest (SCA) is a common cause of death. The majority of SCA is caused by ventricular arrhythmia due to underlying CHD. Aborted SCA with no apparent diagnosis after initial assessment with ECG, echocardiography and coronary assessment is referred to as unexplained cardiac arrest (UCA). Systematic evaluation of such patients may reveal a specific diagnosis in up to half of patients before a diagnosis of idiopathic VF is assigned. Specific diagnoses include inherited cardiac conditions, such as latent cardiomyopathies or inherited primary electrical disease. Identifying the cause of UCA is therefore not only critical for appropriate management of the SCA survivors to prevent recurrence, but also for their family members who may be at risk of the same condition. This review provides a tiered, systematic approach for the investigation of UCA.

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Section: Recommendations For Comprehensive Evaluationmentioning

confidence: 99%