The aim of the present study was to investigate outcomes of implantable cardioverter-defibrillator (ICD) treatment in patients with arrhythmogenic right ventricular cardiomyopathy (ARVC). We reviewed baseline/follow-up data of 15 consecutive ARVC patients (mean age 55 +/- 15 years) and 30 randomly drawn patients with coronary artery disease (CAD) (mean age 60 +/- 10 years) with matching durations of follow-up (all implanted with ICDs for primary/secondary prevention of sudden death). At implant, appropriate placement of the RV lead was more difficult in ARVC patients. During follow-up (median 41 months), appropriate interventions for any ventricular tachyarrhythmias occurred in 8 (53%) ARVC patients and 17 (57%) CAD patients, but the occurrence of high rate (>240 beats/min) ventricular tachyarrhythmias was higher in ARVC patients. Inappropriate ICD interventions occurred in 5 (33%) ARVC patients and 10 (33%) CAD patients. Lead-related adverse events requiring surgical revision occurred in 7 (47%) ARVC patients as compared with 4 (13%) CAD patients (P = 0.0004). While ICD implantation is highly effective for prevention of sudden death in ARVC, it does carry elevated burdens of long-term lead-related adverse events. These findings underline the need of careful follow-up in ARVC aimed at early recognition of complications that can impair ICD function.
Outcome of cardioverter-defibrillator implant in patients with arrhythmogenic right ventricular cardiomyopathy / Boriani, Giuseppe; P., Artale; M., Biffi; C., Martignani; L., Frabetti; C., Valzania; I., Diemberger; M., Ziacchi; M., Bertini; C., Rapezzi; M., Parlapiano; A., Branzi. - In: HEART AND VESSELS. - ISSN 0910-8327. - 22 (3)(2007), pp. 184-192.
Data di pubblicazione: | 2007 |
Titolo: | Outcome of cardioverter-defibrillator implant in patients with arrhythmogenic right ventricular cardiomyopathy. |
Autore/i: | Boriani, Giuseppe; P., Artale; M., Biffi; C., Martignani; L., Frabetti; C., Valzania; I., Diemberger; M., Ziacchi; M., Bertini; C., Rapezzi; M., Parlapiano; A., Branzi |
Autore/i UNIMORE: | |
Digital Object Identifier (DOI): | http://dx.doi.org/10.1007/s00380-006-0963-8 |
Rivista: | |
Volume: | 22 (3) |
Pagina iniziale: | 184 |
Pagina finale: | 192 |
Codice identificativo ISI: | WOS:000247071300008 |
Codice identificativo Scopus: | 2-s2.0-34249903117 |
Codice identificativo Pubmed: | 17533523 |
Citazione: | Outcome of cardioverter-defibrillator implant in patients with arrhythmogenic right ventricular cardiomyopathy / Boriani, Giuseppe; P., Artale; M., Biffi; C., Martignani; L., Frabetti; C., Valzania; I., Diemberger; M., Ziacchi; M., Bertini; C., Rapezzi; M., Parlapiano; A., Branzi. - In: HEART AND VESSELS. - ISSN 0910-8327. - 22 (3)(2007), pp. 184-192. |
Tipologia | Articolo su rivista |
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