Sudden cardiac death other diagnostic studies
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sara Zand, M.D.[2]
Overview
For survivors of sudden cardiac death due to lethal arrhythmia from ischemic heart disease, coronary angiography and probable revascularization is recommended. Electrophysiology study is recommended for induction of bradyarrhythmia ,ventricular tachyarrhythmia, determination the indication for ICD implantation in dilated cardiomyopathy,ARVC, HCM. Electrophysiology study is not recommended in long QT syndrome (LQTS), cathecolaminergic polymorphic ventricular tachycardia (CPVT), short QT syndrome (SQTS).
Other Diagnostic Studies
- For survivors of sudden cardiac death due to lethal arrhythmia from ischemic heart disease, coronary angiography and probable revascularization is recommended.[1]
- Electrophysiology study is recommended for induction of bradyarrhythmia ,ventricular tachyarrhythmia, determination the indication for ICD implantation in dilated cardiomyopathy,ARVC, HCM.
- Electrophysiology study is not recommended in long QT syndrome (LQTS), cathecolaminergic polymorphic ventricular tachycardia (CPVT), short QTsyndrome (SQTS)..[2]
2017AHA/ACC/HRS Guideline for management of sudden cardiac arrest and ventricular arrhythmia
| Class I, Level of evidence:B |
| In patients who recovered from SCA due to ventricular arrhythmia suspected ischemic heart disease, coronary angiography and probabley revascularization is recommmended |
| Class I, Level of evidence:C |
| In patients with anomalous origin of a coronary artery leading ventricular arrhythmia or SCA, repair or revascularization is recommended |
| Class IIa, Level of evidence:B |
| In patients with ischemic or nonischemic cardiomyopathy or congenital heart disease presented with syncope arrhythmia and do not meet criteria for primary prevention ICD, an electrophysiological study is recommended for assessing the risk of sustained VT |
| Class III, Level of evidence:B |
| In patients who meet criteria for ICD implantation, an electrophysiological study is not recommended for only inducing ventricular arrhythmia |
| Class III, Level of evidence:B |
| An electrophysiological study is not recommended for risk stratification for ventricular arrhythmia in patients with Long QT syndrome, short QT syndrome, cathecolaminergic polymorphic ventricular arrhythmia |
| Class I (Level of Evidence: C) |
References
- ↑ Lemkes, Jorrit S.; Janssens, Gladys N.; van der Hoeven, Nina W.; Jewbali, Lucia S. D.; Dubois, Eric A.; Meuwissen, Martijn M.; Rijpstra, Topm A.; Bosker, Hans A.; Blans, Michiel J.; Bleeker, Gabe B.; Baak, Remon R.; Vlachojannis, George J.; Eikemans, Bob J. W.; van der Harst, Pim; van der Horst, Iwan C. C.; Voskuil, Michiel; van der Heijden, Joris J.; Beishuizen, Albertus; Stoel, Martin; Camaro, Cyril; van der Hoeven, Hans; Henriques, Jose P.; Vlaar, Alexander P. J.; Vink, Maarten A.; van den Bogaard, Bas; Heestermans, Ton A. C. M.; de Ruijter, Wouter; Delnoij, Thijs S. R.; Crijns, Harry J. G. M.; Jessurun, Gillian A. J.; Oemrawsingh, Pranobe V.; Gosselink, Marcel T. M.; Plomp, Koos; Magro, Michael; Elbers, Paul W. G.; Spoormans, Eva M.; van de Ven, Peter M.; Oudemans-van Straaten, Heleen M.; van Royen, Niels (2020). "Coronary Angiography After Cardiac Arrest Without ST Segment Elevation". JAMA Cardiology. 5 (12): 1358. doi:10.1001/jamacardio.2020.3670. ISSN 2380-6583.
- ↑ Al-Khatib, Sana M.; Stevenson, William G.; Ackerman, Michael J.; Bryant, William J.; Callans, David J.; Curtis, Anne B.; Deal, Barbara J.; Dickfeld, Timm; Field, Michael E.; Fonarow, Gregg C.; Gillis, Anne M.; Granger, Christopher B.; Hammill, Stephen C.; Hlatky, Mark A.; Joglar, José A.; Kay, G. Neal; Matlock, Daniel D.; Myerburg, Robert J.; Page, Richard L. (2018). "2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death". Circulation. 138 (13). doi:10.1161/CIR.0000000000000549. ISSN 0009-7322.