Sudden cardiac death other diagnostic studies: Difference between revisions

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(/* 2022 ESC Guidelines for the management of patients with ventricular arrythymias and the prevention of sudden cardiac death {{cite journal| author=Zeppenfeld K, Tfelt-Hansen J, de Riva M, Winkel BG, Behr ER, Blom NA | display-authors=etal| title=2022 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death. | journal=Eur Heart J | year= 2022 | volume= 43 | issue= 40 | pages= 3997-4126 | pmid=36017572 | doi=10.1093/eurheartj/ehac26...)
(/* 2022 ESC Guidelines for the management of patients with ventricular arrythymias and the prevention of sudden cardiac death {{cite journal| author=Zeppenfeld K, Tfelt-Hansen J, de Riva M, Winkel BG, Behr ER, Blom NA | display-authors=etal| title=2022 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death. | journal=Eur Heart J | year= 2022 | volume= 43 | issue= 40 | pages= 3997-4126 | pmid=36017572 | doi=10.1093/eurheartj/ehac26...)
 
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| colspan="1" style="text-align:center; background: Silver"|Recommendations for genetic testing''
| colspan="1" style="text-align:center; background: Silver"|'''Recommendations for genetic testing'''''
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| colspan="1" style="text-align:center; background:LightGreen"|[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class I]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: B]])''
| colspan="1" style="text-align:center; background:LightGreen"|'''[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class I]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: B]])'''''
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* [[Genetic testing]] is recommended when a condition is [[diagnosed]] in a living or deceased individual with a likely [[genetic]] basis and a risk of [[ventricular arrhythmia]] ([[VA]]), and [[sudden cardiac death]] ([[SCD]]).  
* [[Genetic testing]] is recommended when a condition is [[diagnosed]] in a living or deceased individual with a likely [[genetic]] basis and a risk of [[ventricular arrhythmia]] ([[VA]]), and [[sudden cardiac death]] ([[SCD]]).  
|-
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| colspan="1" style="text-align:center; background:LightGreen"|[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class I]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: C]])''
| colspan="1" style="text-align:center; background:LightGreen"|'''[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class I]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: C]])'''''
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* When a putative causative variant is first identified evaluation for [[pathogenicity]] is recommended using an internationally accepted framework.  
* When a putative causative variant is first identified evaluation for [[pathogenicity]] is recommended using an internationally accepted framework.  
|-
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| colspan="1" style="text-align:center; background:LightGreen"|[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class I]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: C]])''
| colspan="1" style="text-align:center; background:LightGreen"|'''[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class I]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: C]])'''''
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* When a Class IV or Class V variant has been identified in a living or deceased individual with a condition that carries a risk of [[ventricular arrhythmia]] ([[VA]]) and [[sudden cardiac death]] ([[SCD]]), [[genetic testing]] of first-degree and [[symptomatic]] relatives and [[obligate carriers]] is recommended.  
* When a Class IV or Class V variant has been identified in a living or deceased individual with a condition that carries a risk of [[ventricular arrhythmia]] ([[VA]]) and [[sudden cardiac death]] ([[SCD]]), [[genetic testing]] of first-degree and [[symptomatic]] relatives and [[obligate carriers]] is recommended.  
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| colspan="1" style="text-align:center; background:LightGreen"|[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class I]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: C]])''
| colspan="1" style="text-align:center; background:LightGreen"|'''[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class I]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: C]])'''''
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*It is recommended that [[genetic testing]] and counseling on its potential consequences should be undertaken by an expert [[multidisciplinary team]].  
*It is recommended that [[genetic testing]] and counseling on its potential consequences should be undertaken by an expert [[multidisciplinary team]].  
|-
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| colspan="1" style="text-align:center; background:LightGreen"|[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class I]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: C]])''
| colspan="1" style="text-align:center; background:LightGreen"|'''[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class I]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: C]])'''''
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*It is recommended that class III (variants of uncertain significance) and Class IV [[variant]]s should be evaluated for segregation in [[families]] where possible, and the [[variant]] re-evaluated periodically.
*It is recommended that class III (variants of uncertain significance) and Class IV [[variant]]s should be evaluated for segregation in [[families]] where possible, and the [[variant]] re-evaluated periodically.
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| colspan="1" style="text-align:center; background:Pink"|[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class III]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: C]])''
| colspan="1" style="text-align:center; background:Pink"|'''[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class III]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: C]])'''''
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| colspan="1" style="text-align:center; background: Silver"|Recommendations for evaluation of sudden cardiac arrest survivors''
| colspan="1" style="text-align:center; background: Silver"|'''Recommendations for public basic life support and access to automated external defibrillators'''''
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| colspan="1" style="text-align:center; background:LightGreen"|[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class I]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: B]])''
| colspan="1" style="text-align:center; background:LightGreen"|'''[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class I]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: B]])'''''
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* In [[SCA]] survivors, collection of [[blood]] [[samples]] at presentation is recommended for potential [[toxicology]] and [[genetic testing]].  
* It is recommended that public access [[defibrillation]] be available at sites where [[cardiac arrest]] is more likely to occur.
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| colspan="1" style="text-align:center; background:LightGreen"|'''[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class I]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: B]])'''''
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*Prompt [[CPR]] by bystanders is recommended at out-of-hospital cardiac arrest.
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| colspan="1" style="text-align:center; background:LightGreen"|'''[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class I]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: B]])'''''
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* It is recommended to promote [[community]] training in [[basic life support]] to increase bystander [[CPR]] rate and [[AED]] use.
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| colspan="1" style="text-align:center; background:LemonChiffon"|'''[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class IIa]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: B]])'''''
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* Mobile phone-based alerting of [[basic life support]]-trained bystander volunteers to assist nearby out-of-hospital cardiac arrest victims should be considered.
|}
 
{|class="wikitable"
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| colspan="1" style="text-align:center; background:LightGreen"|[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class I]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: B]])''
| colspan="1" style="text-align:center; background: Silver"|'''Recommendations for diagnostic evaluation and general recommendations for ventricular arrhythmia in dilated cardiomyopathy/ hypo kinetic non-dilated cardiomyopathy'''''
|-
| colspan="1" style="text-align:center; background:LightGreen"|'''[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class I]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: B]])'''''
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* Retrieval of recordings from [[cardiac insertable electronic devices]] ([[CIEDs]]) and wearable monitors is recommended for pr all [[SCA]] survivors.
* [[Genetic testing]] (including at least LMNA, PLN, RBM20, and FLNC [[genes]]) is recommended in [[patients]] with [[dilated cardiomyopathy]] ([[DCM]])/ [[hyopkinetic non-dilated cardiomyopathy]] ([[HNDCM]]) and [[atrioventricular]] ([[AV]]) conduction delay at <50 years or who have a [[family history]] of [[DCM]]/[[HNDCM]] or [[sudden cardiac death]] ([[SCD]]) in a [[first-degree relative]] (at [[age]] < 50 years.
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| colspan="1" style="text-align:center; background:LemonChiffon"|'''[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class IIa]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: C]])'''''
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* [[Genetic testing]] (including at least LMNA, PLN, RBM20, and FLNC [[genes]]) should be considered for [[risk stratification]] in [[patients]] with apparently [[sporadic]] [[DCM]]/[[HNDCM]], who present at [[young age]], or with [[signs]] suspicious for an [[inherited]] [[etiology]].
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| colspan="1" style="text-align:center; background:Pink"|'''[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class III]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: C]])'''''
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* Participation in [[high-intensity exercise]] including competitive sports is not recommended for individuals with [[DCM]]/[[HNDCM]] and a [[LMNA]] [[mutation]].
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{|class="wikitable"
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| colspan="1" style="text-align:center; background: Silver"|'''Recommendations for diagnosis of ventricular arrhythmias in arrhythmogenic right ventricular cardiomyopathy'''''
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| colspan="1" style="text-align:center; background:LightGreen"|'''[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class I]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: B]])'''''
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* In [[patients]] with a suspected or [[definite diagnosis]] of [[arrhythmogenic right ventricular cardiomyopathy]] ([[ARVC]]), [[genetic counselling and testing]] are recommended.
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| colspan="1" style="text-align:center; background:LightGreen"|'''[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class I]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: B]])'''''
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* Avoidance of [[high-intensity exercise]] is recommended in [[patients]] with a [[definite diagnosis]] of [[ARVC]].
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| colspan="1" style="text-align:center; background:Orange"|'''[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class IIb]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: C]])'''''
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* Avoidance of [[high-intensity exercise]] may be considered in [[carriers]] of [[ARVC]]-related [[pathogenic]] [[mutations]] and no [[phenotype]].
|}
 
{|class="wikitable"
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| colspan="1" style="text-align:center; background: Silver"|'''Recommendations for diagnosis of ventricular arrhythmias in hypertrophic cardiomyopathy'''''
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| colspan="1" style="text-align:center; background:LightGreen"|[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class I]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: B]])''
| colspan="1" style="text-align:center; background:LightGreen"|'''[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class I]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: B]])'''''
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* [[Sodium channel blocker test]] and [[exercise testing]] is recommended in [[SCA]] survivors without a clear underlying cause.
* [[Genetic counseling and testing]] are recommended in [[HCM]] [[patients]].
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| colspan="1" style="text-align:center; background:Orange"|[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class IIb]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: B]])''
| colspan="1" style="text-align:center; background:Orange"|'''[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class IIb]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: C]])'''''
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* In [[SCA]] survivors, [[ergonovine]], [[acetylcholine]], or [[hyperventilation]] testing may be considered for the [[diagnosis]] of [[coronary vasospasm]].
* Participation in [[high-intensity exercise]] may be considered for [[asymptomatic]] [[adult]] [[HCM]] [[patients]] without [[risk markers]].
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| colspan="1" style="text-align:center; background: Pink"|[[AHA guidelines classification scheme#Classification of Recommendations|Class I, Level of evidence:B]]
| colspan="1" style="text-align:center; background: Pink"|[[AHA guidelines classification scheme#Classification of Recommendations|'''Class I, Level of evidence: B''']]
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|bgcolor="Pink"|In patients who recovered from [[SCA]] due to [[ventricular arrhythmia]] suspected [[ischemic heart disease]], [[coronary angiography]] and probabley revascularization is recommmended
|bgcolor="Pink"|In patients who recovered from [[SCA]] due to [[ventricular arrhythmia]] suspected [[ischemic heart disease]], [[coronary angiography]] and probabley revascularization is recommmended
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| colspan="1" style="text-align:center; background:Pink"|[[AHA guidelines classification scheme#Classification of Recommendations|Class I, Level of evidence:C]]
| colspan="1" style="text-align:center; background:Pink"|[[AHA guidelines classification scheme#Classification of Recommendations|'''Class I, Level of evidence:C''']]
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|bgcolor="Pink"|In patients with anomalous origin of a [[coronary artery]] leading [[ventricular arrhythmia]] or [[SCA]], repair or revascularization is recommended
|bgcolor="Pink"|In patients with anomalous origin of a [[coronary artery]] leading [[ventricular arrhythmia]] or [[SCA]], repair or revascularization is recommended
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| colspan="1" style="text-align:center; background:LemonChiffon"|[[AHA guidelines classification scheme#Classification of Recommendations|Class IIa, Level of evidence:B]]
| colspan="1" style="text-align:center; background:LemonChiffon"|[[AHA guidelines classification scheme#Classification of Recommendations|'''Class IIa, Level of evidence: B''']]
|-
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|bgcolor="LemonChiffon"|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]]
|bgcolor="LemonChiffon"|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]]
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| colspan="1" style="text-align:center; background:LemonChiffon"|[[AHA guidelines classification scheme#Classification of Recommendations|Class III, Level of evidence:B]]
| colspan="1" style="text-align:center; background:LemonChiffon"|[[AHA guidelines classification scheme#Classification of Recommendations|'''Class III, Level of evidence: B''']]
|-
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|bgcolor="LemonChiffon"|In patients who meet criteria for [[ICD]] implantation, an [[electrophysiological study]] is not recommended for only inducing [[ventricular arrhythmia]]
|bgcolor="LemonChiffon"|In patients who meet criteria for [[ICD]] implantation, an [[electrophysiological study]] is not recommended for only inducing [[ventricular arrhythmia]]
|-
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| colspan="1" style="text-align:center; background:LemonChiffon"|[[AHA guidelines classification scheme#Classification of Recommendations|Class III, Level of evidence:B]]
| colspan="1" style="text-align:center; background:LemonChiffon"|[[AHA guidelines classification scheme#Classification of Recommendations|'''Class III, Level of evidence: B''']]
|-
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|bgcolor="LemonChiffon"| 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]]
|bgcolor="LemonChiffon"| 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]]
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| colspan="1" style="text-align:center; background:PapayaWhip"|[[ACC AHA Guidelines Classification Scheme#Classification of Recommendations|Class I]] ''([[ACC AHA Guidelines Classification Scheme#Level of Evidence|Level of Evidence: C]])''
| colspan="1" style="text-align:center; background:PapayaWhip"|'''[[ACC AHA Guidelines Classification Scheme#Classification of Recommendations|Class I]] ''([[ACC AHA Guidelines Classification Scheme#Level of Evidence|Level of Evidence: C]])'''''


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Latest revision as of 18:16, 22 July 2023

Sudden cardiac death Microchapters

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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] Edzel Lorraine Co, DMD, MD[3]

Overview

There are several other diagnostic tests being done for sudden cardiac death. These include the signal-averaged electrocardiogram (SaECG), exercise testing, provocative diagnostic tests such as the sodium channel blocker testing, adenosine test, and epinephrine test, electrophysiology study, and genetic testing.

Other Diagnostic Studies

There are several other diagnostic tests being done for sudden cardiac death. These include the signal-averaged electrocardiogram (SaECG), exercise testing, provocative diagnostic tests such as the sodium channel blocker testing, adenosine test, and epinephrine test, electrophysiology study, and genetic testing [1] [2] [3] [4] [5] [6] [7] [8] [9] [10] [11] [12] [13] [14] [6] [15] [16] [17].

Signal-averaged Electrocardiogram

Exercise Testing

Provocative Diagnostic Tests

Electrophysiology Study

Genetic testing


2022 ESC Guidelines for the management of patients with ventricular arrythymias and the prevention of sudden cardiac death [24]

Recommendations for genetic testing
Class I (Level of Evidence: B)
Class I (Level of Evidence: C)
  • When a putative causative variant is first identified evaluation for pathogenicity is recommended using an internationally accepted framework.
Class I (Level of Evidence: C)
Class I (Level of Evidence: C)
Class I (Level of Evidence: C)
  • It is recommended that class III (variants of uncertain significance) and Class IV variants should be evaluated for segregation in families where possible, and the variant re-evaluated periodically.
Class III (Level of Evidence: C)
Recommendations for public basic life support and access to automated external defibrillators
Class I (Level of Evidence: B)
Class I (Level of Evidence: B)
  • Prompt CPR by bystanders is recommended at out-of-hospital cardiac arrest.
Class I (Level of Evidence: B)
Class IIa (Level of Evidence: B)
  • Mobile phone-based alerting of basic life support-trained bystander volunteers to assist nearby out-of-hospital cardiac arrest victims should be considered.
Recommendations for diagnostic evaluation and general recommendations for ventricular arrhythmia in dilated cardiomyopathy/ hypo kinetic non-dilated cardiomyopathy
Class I (Level of Evidence: B)
Class IIa (Level of Evidence: C)
Class III (Level of Evidence: C)
Recommendations for diagnosis of ventricular arrhythmias in arrhythmogenic right ventricular cardiomyopathy
Class I (Level of Evidence: B)
Class I (Level of Evidence: B)
Class IIb (Level of Evidence: C)
Recommendations for diagnosis of ventricular arrhythmias in hypertrophic cardiomyopathy
Class I (Level of Evidence: B)
Class IIb (Level of Evidence: C)

2017AHA/ACC/HRS Guideline for management of sudden cardiac arrest and ventricular arrhythmia

[25]

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)
  • In patients with SCA or SCD in their family member, genetic tests and genetic counselling is recommended

References

  1. Goldberger JJ, Cain ME, Hohnloser SH, Kadish AH, Knight BP, Lauer MS; et al. (2008). "American Heart Association/American College of Cardiology Foundation/Heart Rhythm Society scientific statement on noninvasive risk stratification techniques for identifying patients at risk for sudden cardiac death: a scientific statement from the American Heart Association Council on Clinical Cardiology Committee on Electrocardiography and Arrhythmias and Council on Epidemiology and Prevention". Circulation. 118 (14): 1497–1518. PMID 18833586.
  2. 2.0 2.1 Gatzoulis KA, Arsenos P, Trachanas K, Dilaveris P, Antoniou C, Tsiachris D; et al. (2018). "Signal-averaged electrocardiography: Past, present, and future". J Arrhythm. 34 (3): 222–229. doi:10.1002/joa3.12062. PMC 6010001. PMID 29951136.
  3. 3.0 3.1 Marcus FI, McKenna WJ, Sherrill D, Basso C, Bauce B, Bluemke DA; et al. (2010). "Diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia: proposed modification of the Task Force Criteria". Eur Heart J. 31 (7): 806–14. doi:10.1093/eurheartj/ehq025. PMC 2848326. PMID 20172912.
  4. 4.0 4.1 Giudicessi JR, Ackerman MJ (2019). "Exercise testing oversights underlie missed and delayed diagnosis of catecholaminergic polymorphic ventricular tachycardia in young sudden cardiac arrest survivors". Heart Rhythm. 16 (8): 1232–1239. doi:10.1016/j.hrthm.2019.02.012. PMID 30763784.
  5. 5.0 5.1 Roston TM, Kallas D, Davies B, Franciosi S, De Souza AM, Laksman ZW; et al. (2021). "Burst Exercise Testing Can Unmask Arrhythmias in Patients With Incompletely Penetrant Catecholaminergic Polymorphic Ventricular Tachycardia". JACC Clin Electrophysiol. 7 (4): 437–441. doi:10.1016/j.jacep.2021.02.013. PMID 33888264 Check |pmid= value (help).
  6. 6.0 6.1 6.2 Priori SG, Wilde AA, Horie M, Cho Y, Behr ER, Berul C; et al. (2013). "Executive summary: HRS/EHRA/APHRS expert consensus statement on the diagnosis and management of patients with inherited primary arrhythmia syndromes". Europace. 15 (10): 1389–406. doi:10.1093/europace/eut272. PMID 23994779.
  7. 7.0 7.1 Govindan M, Batchvarov VN, Raju H, Shanmugam N, Bizrah M, Bastiaenen R; et al. (2010). "Utility of high and standard right precordial leads during ajmaline testing for the diagnosis of Brugada syndrome". Heart. 96 (23): 1904–8. doi:10.1136/hrt.2010.201244. PMID 20962343.
  8. Churet M, Luttoo K, Hocini M, Haïssaguerre M, Sacher F, Duchateau J (2019). "Diagnostic reproducibility of epinephrine drug challenge interpretation in suspected long QT syndrome". J Cardiovasc Electrophysiol. 30 (6): 896–901. doi:10.1111/jce.13926. PMID 30907461.
  9. 9.0 9.1 Bourke JP, Richards DA, Ross DL, Wallace EM, McGuire MA, Uther JB (1991). "Routine programmed electrical stimulation in survivors of acute myocardial infarction for prediction of spontaneous ventricular tachyarrhythmias during follow-up: results, optimal stimulation protocol and cost-effective screening". J Am Coll Cardiol. 18 (3): 780–8. doi:10.1016/0735-1097(91)90802-g. PMID 1907984.
  10. 10.0 10.1 Gatzoulis KA, Tsiachris D, Arsenos P, Archontakis S, Dilaveris P, Vouliotis A; et al. (2014). "Prognostic value of programmed ventricular stimulation for sudden death in selected high risk patients with structural heart disease and preserved systolic function". Int J Cardiol. 176 (3): 1449–51. doi:10.1016/j.ijcard.2014.08.068. PMID 25150471.
  11. 11.0 11.1 Gatzoulis KA, Vouliotis AI, Tsiachris D, Salourou M, Archontakis S, Dilaveris P; et al. (2013). "Primary prevention of sudden cardiac death in a nonischemic dilated cardiomyopathy population: reappraisal of the role of programmed ventricular stimulation". Circ Arrhythm Electrophysiol. 6 (3): 504–12. doi:10.1161/CIRCEP.113.000216. PMID 23588627.
  12. 12.0 12.1 Brilakis ES, Shen WK, Hammill SC, Hodge DO, Rea RF, Lexvold NY; et al. (2001). "Role of programmed ventricular stimulation and implantable cardioverter defibrillators in patients with idiopathic dilated cardiomyopathy and syncope". Pacing Clin Electrophysiol. 24 (11): 1623–30. doi:10.1046/j.1460-9592.2001.01623.x. PMID 11816631.
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