A Challenging Case Of Ventricular Arrhythmia In A Patient With Myocarditis: ICD Yes/No After Ablation

Biagio Merlino, Riccardo Marano, Gemma Pelargonio, Filippo Crea, Maria Lucia Narducci, Teresa Rio, Francesco Perna, Domenico D'Amario, Gianluigi Bencardino, Frediano Inzani

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

In patients with myocarditis, early diagnosis and appropriate therapy are mandatory, as well as close clinical follow-up with particular regard to progression of disease and ventricular arrhythmia recurrences. The management of ventricular arrhythmias should follow current guidelines for ICD implantation, but new therapeutic options could be evaluated in these patients, such as combined epicardial/endocardial ablation and external wearable defibrillator. Particularly, depressed left ventricular ejection fraction (LVEF) represents the only risk marker for sudden cardiac death currently used in myocarditis, although the use of a single risk factor has limited utility. On this regard, combined analysis of myocardial tissue structure by cardiac magnetic resonance (CMR) and endomyocardial biopsy, in association with resting cardiac systolic function, could improve predictive accuracy for Sudden Cardiac Death (SCD) in patients with myocarditis.
Original languageEnglish
Pages (from-to)1121-1121
Number of pages1
JournalJournal of Atrial Fibrillation
Volume7
DOIs
Publication statusPublished - 2014

Keywords

  • amiodarone
  • ventricular arrhythmia

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