Risk stratification for sudden cardiac death in ischemic heart disease. Programmed ventricular stimulation

Herzschrittmachertherapie & Elektrophysiologie
Jürgen Potratz

Abstract

Programmed ventricular stimulation was used extensively in the 1970s and has markedly improved our knowledge about the electrophysiological mechanisms of reentrant ventricular arrhythmias. In numerous observational but also randomized studies, it was shown that the induction of a monomorphic ventricular tachycardia by programmed ventricular stimulation was associated with an increased risk of spontaneous ventricular tachycardia or even sudden cardiac death in the future. Despite these results and the guidelines of ACC and ESC recommending the use of programmed ventricular stimulation in patients with recent and remote myocardial infarction, reduced ejection fraction, and complex ventricular arrhythmias or syncope, programmed ventricular stimulation is only seldom used and does not play a relevant role in clinical practice today. The purpose of this overview is to reevaluate the importance of programmed ventricular stimulation for the risk evaluation of patients with ischemic heart disease in consideration of the current literature.

References

Jan 7, 1988·The New England Journal of Medicine·D J WilberJ N Ruskin
Dec 1, 1980·The American Journal of Cardiology·M E JosephsonA M Greenspan
May 1, 1993·Pacing and Clinical Electrophysiology : PACE·A KadishF Morady
Apr 13, 2004·American Heart Journal·Osnat GurevitzPaul A Friedman
Dec 28, 2007·The New England Journal of Medicine·Vivek Y ReddyMark E Josephson
Jan 22, 2009·European Heart Journal·Heikki V HuikuriUNKNOWN Cardiac Arrhythmias and Risk Stratification after Acute Myocardial Infarction study group

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.