Ventricular Cardiomyopathy: Rare Late Occurrence of Rapid Ventricular Tachycardia/Fibrillation
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概要
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<B>Background:</B> Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a major cause of sudden cardiac death (SCD), usually due to tachyarrhythmias, for which implantable cardioverter-defibrillator (ICD) shock may be effective. <B>Objective:</B> To investigate the long-term prognosis in patients with ARVC. <B>Methods:</B> Thirty ARVC patients (19 male, mean age 48 years) fulfilling modified Task Force criteria 2010 were included. Of them, 13 patients had a history of SCD, unexplained syncope with VT/VF and received ICD implantation. <B>Results:</B> With a mean follow-up of 68±10 months, 6 patients with ICD had recurrent rapid VT/VF. One of them died of cardiac disease, and 5 had multiple ICD therapies due to VT/VF and electrical storm. The interval between diagnosis of ARVC and recurrent rapid VT/VF was 13.4±4.9 months. Most rapid VT/VF occurred within 2 years, except one occurred 30 months later. Ablated patients not qualifying for ICD implant were free of any rapid VT/VF, although recurrence of VT were still noted. <B>Conclusions:</B> For patients with ARVC, long-term prognosis is favorable. During a very long-term follow-up, patients with ICD have a higher rate of rapid and potentially life-threatening arrhythmias. Early recurrence of rapid VT/VF in patients with ICD is common, however, late recurrence of rapid VT/VF very rare.
著者
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Li Cheng-hung
Division Of Cardiology Taipei Veterans General Hospital
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Lin Yenn-jiang
Division Of Cardiology Department Of Medicine National Yang-ming University School Of Medicine Taipe
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Chen Shih-Ann
Division of Cardiology and Cardiovascular Research Center, National Yang-Ming University, School of Medicine, and Taipei Veterans General Hospital, Taipei Municipal Gan-Dau Hospital
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Chen Shih-Ann
Division of Cardiology, Taipei Veterans General Hospital
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Lin Yenn-Jiang
Division of Cardiology and Cardiovascular Research Center, National Yang-Ming University, School of Medicine, and Taipei Veterans General Hospital, Taipei Municipal Gan-Dau Hospital
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