Ventricular tachycardia natural history, complications and prognosis: Difference between revisions
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==Overview== | ==Overview== | ||
Ventricular tachycardia can cause life-threatening or fatal [[hemodynamic compromise]] or it can degenerate into a life-threatening rhythm called [[ventricular fibrillation]]. In general, [[supraventricular tachycardia]] with aberrancy is generally better tolerated and is not necessarily a medical emergency. Common complications of ventricular tachycardia include sudden cardiac death, cardiomyopathy, | Ventricular tachycardia can cause life-threatening or fatal [[hemodynamic compromise]] or it can degenerate into a life-threatening rhythm called [[ventricular fibrillation]]. In general, [[supraventricular tachycardia]] with aberrancy is generally better tolerated and is not necessarily a medical emergency. Common complications of ventricular tachycardia include [[sudden cardiac death]], [[cardiomyopathy]], [[ventricular fibrillation]], and infection related to [[ICD]]. Prognosis of ventricular tachycardia in patients largely depends upon the presence and severity of underlying cardiac disease. | ||
==Natural History== | ==Natural History== | ||
Ventricular tachycardia can cause life-threatening or fatal [[hemodynamic compromise]] or it can degenerate into a life-threatening rhythm called [[ventricular fibrillation]]. In general, [[supraventricular tachycardia]] with aberrancy is generally better tolerated and is not necessarily a medical emergency. An exception is if the the wide complex tachycardia is due to [[atrial fibrillation]] conducting down a [[bypass track]] such as is seen in [[Wolff-Parkinson-White syndrome]] ([[WPW]]) in which case the rhythm can degenerate into life-threatening [[ventricular fibrillation]]. | Ventricular tachycardia can cause life-threatening or fatal [[hemodynamic compromise]] or it can degenerate into a life-threatening rhythm called [[ventricular fibrillation]]. In general, [[supraventricular tachycardia]] with aberrancy is generally better tolerated and is not necessarily a medical emergency. An exception is if the the [[Wide complex tachycardias|wide complex tachycardia]] is due to [[atrial fibrillation]] conducting down a [[bypass track]] such as is seen in [[Wolff-Parkinson-White syndrome]] ([[WPW]]) in which case the rhythm can degenerate into life-threatening [[ventricular fibrillation]]. | ||
==Complications== | ==Complications== | ||
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*[[Cardiomyopathy]] | *[[Cardiomyopathy]] | ||
*Infection related to [[implantable cardioverter defibrillator]] | *Infection related to [[implantable cardioverter defibrillator]] | ||
*[[Ventricular fibrillation | *[[Ventricular fibrillation]] | ||
==Prognosis== | ==Prognosis== | ||
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* Prognosis of ventricular tachycardia in patients largely depends upon the presence and severity of underlying cardiac disease.<ref name="TrappeBrugada1988">{{cite journal|last1=Trappe|first1=Hans-Joachim|last2=Brugada|first2=Pedro|last3=Talajic|first3=Mario|last4=Bella|first4=Paolo Della|last5=Lezaun|first5=Roman|last6=Mulleneers|first6=Rob|last7=Wellens|first7=Hein J.J.|title=Prognosis of patients with ventricular tachycardia and ventricular fibrillation: Role of the underlying etiology|journal=Journal of the American College of Cardiology|volume=12|issue=1|year=1988|pages=166–174|issn=07351097|doi=10.1016/0735-1097(88)90370-1}}</ref><ref name="pmid3379202">{{cite journal |vauthors=Trappe HJ, Brugada P, Talajic M, Della Bella P, Lezaun R, Mulleneers R, Wellens HJ |title=Prognosis of patients with ventricular tachycardia and ventricular fibrillation: role of the underlying etiology |journal=J. Am. Coll. Cardiol. |volume=12 |issue=1 |pages=166–74 |date=July 1988 |pmid=3379202 |doi=10.1016/0735-1097(88)90370-1 |url=}}</ref> | * Prognosis of ventricular tachycardia in patients largely depends upon the presence and severity of underlying cardiac disease.<ref name="TrappeBrugada1988">{{cite journal|last1=Trappe|first1=Hans-Joachim|last2=Brugada|first2=Pedro|last3=Talajic|first3=Mario|last4=Bella|first4=Paolo Della|last5=Lezaun|first5=Roman|last6=Mulleneers|first6=Rob|last7=Wellens|first7=Hein J.J.|title=Prognosis of patients with ventricular tachycardia and ventricular fibrillation: Role of the underlying etiology|journal=Journal of the American College of Cardiology|volume=12|issue=1|year=1988|pages=166–174|issn=07351097|doi=10.1016/0735-1097(88)90370-1}}</ref><ref name="pmid3379202">{{cite journal |vauthors=Trappe HJ, Brugada P, Talajic M, Della Bella P, Lezaun R, Mulleneers R, Wellens HJ |title=Prognosis of patients with ventricular tachycardia and ventricular fibrillation: role of the underlying etiology |journal=J. Am. Coll. Cardiol. |volume=12 |issue=1 |pages=166–74 |date=July 1988 |pmid=3379202 |doi=10.1016/0735-1097(88)90370-1 |url=}}</ref> | ||
* In patients without evidence of ischemia or structural heart disease, prognosis is generally good. | * In patients without evidence of ischemia or structural heart disease, prognosis is generally good. | ||
* Meanwhile, patients with underlying cardiac pathology may require lifelong medical therapy with medications, catheter ablation, and/or implantable cardioverter defibrillator (ICD) placement. | * Meanwhile, patients with underlying cardiac pathology may require lifelong medical therapy with medications, [[catheter ablation]], and/or [[Implantable cardioverter defibrillator|implantable cardioverter defibrillator (ICD)]] placement. | ||
==References== | ==References== | ||
Revision as of 23:59, 10 January 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
Ventricular tachycardia can cause life-threatening or fatal hemodynamic compromise or it can degenerate into a life-threatening rhythm called ventricular fibrillation. In general, supraventricular tachycardia with aberrancy is generally better tolerated and is not necessarily a medical emergency. Common complications of ventricular tachycardia include sudden cardiac death, cardiomyopathy, ventricular fibrillation, and infection related to ICD. Prognosis of ventricular tachycardia in patients largely depends upon the presence and severity of underlying cardiac disease.
Natural History
Ventricular tachycardia can cause life-threatening or fatal hemodynamic compromise or it can degenerate into a life-threatening rhythm called ventricular fibrillation. In general, supraventricular tachycardia with aberrancy is generally better tolerated and is not necessarily a medical emergency. An exception is if the the wide complex tachycardia is due to atrial fibrillation conducting down a bypass track such as is seen in Wolff-Parkinson-White syndrome (WPW) in which case the rhythm can degenerate into life-threatening ventricular fibrillation.
Complications
Common complications of ventricular tachycardia include:[1]
- Sudden cardiac death
- Cardiomyopathy
- Infection related to implantable cardioverter defibrillator
- Ventricular fibrillation
Prognosis
- Prognosis of ventricular tachycardia in patients largely depends upon the presence and severity of underlying cardiac disease.[2][3]
- In patients without evidence of ischemia or structural heart disease, prognosis is generally good.
- Meanwhile, patients with underlying cardiac pathology may require lifelong medical therapy with medications, catheter ablation, and/or implantable cardioverter defibrillator (ICD) placement.
References
- ↑ Peichl P, Wichterle D, Pavlu L, Cihak R, Aldhoon B, Kautzner J (August 2014). "Complications of catheter ablation of ventricular tachycardia: a single-center experience". Circ Arrhythm Electrophysiol. 7 (4): 684–90. doi:10.1161/CIRCEP.114.001530. PMID 24958396.
- ↑ Trappe, Hans-Joachim; Brugada, Pedro; Talajic, Mario; Bella, Paolo Della; Lezaun, Roman; Mulleneers, Rob; Wellens, Hein J.J. (1988). "Prognosis of patients with ventricular tachycardia and ventricular fibrillation: Role of the underlying etiology". Journal of the American College of Cardiology. 12 (1): 166–174. doi:10.1016/0735-1097(88)90370-1. ISSN 0735-1097.
- ↑ Trappe HJ, Brugada P, Talajic M, Della Bella P, Lezaun R, Mulleneers R, Wellens HJ (July 1988). "Prognosis of patients with ventricular tachycardia and ventricular fibrillation: role of the underlying etiology". J. Am. Coll. Cardiol. 12 (1): 166–74. doi:10.1016/0735-1097(88)90370-1. PMID 3379202.