Catecholaminergic polymorphic ventricular tachycardia, an update. Issue 4 (19th October 2017)

• Record Type: Journal Article
• Authors: Pérez‐Riera, Andrés R.; Barbosa‐Barros, Raimundo; de Rezende Barbosa, Marianne P. C.; Daminello‐Raimundo, Rodrigo; de Lucca, Augusto A.; de Abreu, Luiz C.
• Is Part Of: Annals of noninvasive electrocardiology. Volume 23:Issue 4(2018:Jul.)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2017-10-19
• Subjects: catecholaminergic polymorphic ventricular tachycardia -- channelopathies -- normal structural heart -- sudden cardiac death/arrest; Electrocardiography -- Periodicals; Arrhythmia -- Periodicals; 616.1207547
• DOI: 10.1111/anec.12512
• Languages: English
• ISSNs: 1082-720X

Abstract

Abstract : Catecholaminergic polymorphic ventricular tachycardia is a rare devastating lethal inherited disorder or sporadic cardiac ion channelopathy characterized by unexplained syncopal episodes, and/or sudden cardiac death (SCD), aborted SCD (ASCD), or sudden cardiac arrest (SCA) observed in children, adolescents, and young adults without structural heart disease, consequence of adrenergically mediated arrhythmias: exercise‐induced, by acute emotional stress, atrial pacing, or β‐stimulant infusion, even when the electrocardiogram is normal. The entity is difficult to diagnose in the emergency department, given the range of presentations; thus, a familiarity with and high index of suspicion for this pathology are crucial. Furthermore, recognition of the characteristic findings and knowledge of the management of symptomatic patients are necessary, given the risk of arrhythmia recurrence and SCA. In this review, we will discuss the concept, epidemiology, genetic background, genetic subtypes, clinical presentation, electrocardiographic features, diagnosis criteria, differential diagnosis, and management.