Open AccessCatecholaminergic polymorphic ventricular tachycardia, an update
Author(s) -
PérezRiera Andrés R.,
BarbosaBarros Raimundo,
de Rezende Barbosa Marianne P. C.,
DaminelloRaimundo Rodrigo,
de Lucca Augusto A.,
de Abreu Luiz C.
Publication year - 2018
Publication title -
annals of noninvasive electrocardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.494
H-Index - 48
eISSN - 1542-474X
pISSN - 1082-720X
DOI - 10.1111/anec.12512
Subject(s) - catecholaminergic polymorphic ventricular tachycardia , medicine , channelopathy , sudden cardiac death , cardiology , short qt syndrome , ventricular tachycardia , sudden death , sudden cardiac arrest , catecholaminergic , differential diagnosis , emergency department , heart disease , qt interval , ryanodine receptor 2 , long qt syndrome , pathology , psychiatry , ryanodine receptor , calcium , catecholamine
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.