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

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

Risultato della ricerca: Contributo in rivistaArticolo in rivista

5 Citazioni (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 SCD in patients with myocarditis.
Lingua originaleEnglish
pagine (da-a)1121-1121
Numero di pagine1
RivistaJournal of Atrial Fibrillation
Volume7
DOI
Stato di pubblicazionePubblicato - 2014

Keywords

  • Atrial fibrillation
  • Myocarditis

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