دورية أكاديمية

Multimodality imaging predictors of sudden cardiac death.

التفاصيل البيبلوغرافية
العنوان: Multimodality imaging predictors of sudden cardiac death.
المؤلفون: Bandera, Fancesco, Baghdasaryan, Lilit, Mandoli, Giulia Elena, Cameli, Matteo
المصدر: Heart Failure Reviews; May2020, Vol. 25 Issue 3, p427-446, 20p
مصطلحات موضوعية: CARDIAC arrest, CARDIAC radionuclide imaging, PATHOLOGY, PATIENT selection, CARDIOMYOPATHIES, ARRHYTHMOGENIC right ventricular dysplasia, BRUGADA syndrome
مستخلص: Sudden cardiac death (SCD) is the worst clinical event occurring in the clinical context of cardiomyopathies. Current guidelines recommend using LV ejection fraction as the only imaging-derived parameter to identify patients who may benefit from ICD implantation in cardiomyopathies with reduced ejection fraction; however, a relevant proportion of high-risk population is left with unmet therapeutic goal. In case of dilated, hypertrophic, or arrhythmogenic cardiomyopathies, there is still a room for more sensitive and specific risk markers for identifying a cluster at higher risk of SCD. In this paper, we reviewed the evidence supporting the use of advanced echocardiography, CMR, and nuclear cardiology for SCD stratification in patients with the most common cardiomyopathies. The added value of these modalities may be explained on the basis of tissue characterization, especially scar detection, a central player in the pathogenesis of arrhythmias. Therefore, integration of these modalities to our everyday clinical practice may help in dealing with the gray zones where current guidelines are still ineffective for patient selection. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:13824147
DOI:10.1007/s10741-019-09893-z