1995
DOI: 10.1093/eurheartj/16.1.77
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Risk factors of cardiac arrest in arrhythmogenic right ventricular dysplasia

Abstract: Arrhythmogenic right ventricular dysplasia is an important cause of ventricular arrhythmia with a potential risk of sudden cardiac death in a young population. In order to define risk factors of cardiac arrest, angiographic and electrophysiological data from 60 patients with angiographically documented arrhythmogenic right ventricular dysplasia (of whom 20 also had spontaneous non-sustained ventricular arrhythmias, 27 sustained ventricular tachycardia and 13 suffered cardiac arrest with documented ventricular … Show more

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Cited by 55 publications
(21 citation statements)
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“…The positive predictive value for recurrent VT was only 55%. Sustained VT could not be induced in 20 patients presenting with NSVT (736). In this study, inducibility was 88% in 24 of 27 patients presenting with sustained VT. EP testing, in general, is used to reproduce clinical VT and to guide ablation (740,741).…”
Section: Electrophysiological Testingmentioning
confidence: 46%
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“…The positive predictive value for recurrent VT was only 55%. Sustained VT could not be induced in 20 patients presenting with NSVT (736). In this study, inducibility was 88% in 24 of 27 patients presenting with sustained VT. EP testing, in general, is used to reproduce clinical VT and to guide ablation (740,741).…”
Section: Electrophysiological Testingmentioning
confidence: 46%
“…Although SCD usually occurs in individuals with grossly visible RV abnormalities, it can occur in those with only microscopic abnormalities and no obvious RV enlargement (734). RV dilation, precordial repolarization abnormalities, and LV involvement have been associated with risk of sudden death (730,735,736). Certain genetic types may be associated with higher risk of SCD (737).…”
Section: Risk Stratificationmentioning
confidence: 99%
“…All patients fulfilled previously described diagnostic criteria [7] of arrhythmogenic right ventricular dysplasia with either two major or one major and two minor criteria. In comparison to my own previous studies [8,9] 5 patients developing typical features of idiopathic dilated cardiomyopathy no longer fulfilled diagnostic criteria of arrhythmogenic right ventricular dysplasia with a moderate or severe biventricular (LV > RV) impairment and had to be excluded. Fur thermore, septal left ventricular impairment due to severely compro mised right ventricular function was ruled out in 6 cases because of probable ventricular interdependence.…”
Section: Methodsmentioning
confidence: 74%
“…Definite risk factors of sudden death are sport activi ties, strenuous physical exercise without treatment [13] and worsening of right ventricular function [8]. Other concomitant diseases requiring drug therapy, drug abusus, minor abnormalities of coronary vessels [14], initia tion or changes in antiarrhythmic therapy without electrophysiologic guidance [12] and a hypoplastic right coro nary artery [15] probably increase the risk of sudden death.…”
Section: Discussionmentioning
confidence: 99%
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