Ventricular tachycardia echocardiography

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Sara Zand, M.D.[2] Aditya Ganti M.B.B.S. [3]

Overview

Echocardiography is an available and helpful modality for diagnosis and predicting the underlying causes of ventricular tachycardia and sudden cardiac arrest. Findings on an echocardiography include assessment of myocardial function, valvular structural and functional disease, congenital heart disease, cardiomyopathy, heart failure, prior MI.

Echocardiography

Echocardiography is an available and helpful modality for diagnosis and predicting the underlying causes of ventricular tachycardia and sudden cardiac arrest. Findings on an echocardiography include:

Global and regional myocardial function
Assessment of valvular structural and functional disease
Evaluation of congenital heart disease
Determination of Cardiomyopathy, heart failure, prior MI^[1]

LVEF evaluation as the strong predictor of SCD and mortality

There is no difference between modalities (echocardiography, radionuclide angiography, contrast angiograms) for evaluation of LVEF and determining the ICD implantation.^[2]

2017 ACC/AHA/HRS Guideline for management of ventricular tachycardia

^[3]

Class I
“1. Echocardiography is recommended in patients with ventricular arrhythmias who are suspected of having structural heart disease. (Level of Evidence B)”

References

↑ Solomon, Scott D.; Zelenkofske, Steve; McMurray, John J.V.; Finn, Peter V.; Velazquez, Eric; Ertl, George; Harsanyi, Adam; Rouleau, Jean L.; Maggioni, Aldo; Kober, Lars; White, Harvey; Van de Werf, Frans; Pieper, Karen; Califf, Robert M.; Pfeffer, Marc A. (2005). “Sudden Death in Patients with Myocardial Infarction and Left Ventricular Dysfunction, Heart Failure, or Both”. New England Journal of Medicine. 352 (25): 2581–2588. doi:10.1056/NEJMoa043938. ISSN 0028-4793.
↑ Gula, Lorne J.; Klein, George J.; Hellkamp, Anne S.; Massel, David; Krahn, Andrew D.; Skanes, Allan C.; Yee, Raymond; Anderson, Jill; Johnson, George W.; Poole, Jeanne E.; Mark, Daniel B.; Lee, Kerry L.; Bardy, Gust H. (2008). “Ejection fraction assessment and survival: An analysis of the Sudden Cardiac Death in Heart Failure Trial (SCD-HeFT)”. American Heart Journal. 156 (6): 1196–1200. doi:10.1016/j.ahj.2008.08.007. ISSN 0002-8703.
↑ Al-Khatib, Sana M.; Stevenson, William G.; Ackerman, Michael J.; Bryant, William J.; Callans, David J.; Curtis, Anne B.; Deal, Barbara J.; Dickfeld, Timm; Field, Michael E.; Fonarow, Gregg C.; Gillis, Anne M.; Granger, Christopher B.; Hammill, Stephen C.; Hlatky, Mark A.; Joglar, José A.; Kay, G. Neal; Matlock, Daniel D.; Myerburg, Robert J.; Page, Richard L. (2018). “2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death”. Circulation. 138 (13). doi:10.1161/CIR.0000000000000549. ISSN 0009-7322.

[SolomonZelenkofske2005-1] Solomon, Scott D.; Zelenkofske, Steve; McMurray, John J.V.; Finn, Peter V.; Velazquez, Eric; Ertl, George; Harsanyi, Adam; Rouleau, Jean L.; Maggioni, Aldo; Kober, Lars; White, Harvey; Van de Werf, Frans; Pieper, Karen; Califf, Robert M.; Pfeffer, Marc A. (2005). “Sudden Death in Patients with Myocardial Infarction and Left Ventricular Dysfunction, Heart Failure, or Both”. New England Journal of Medicine. 352 (25): 2581–2588. doi:10.1056/NEJMoa043938. ISSN 0028-4793.

[GulaKlein2008-2] Gula, Lorne J.; Klein, George J.; Hellkamp, Anne S.; Massel, David; Krahn, Andrew D.; Skanes, Allan C.; Yee, Raymond; Anderson, Jill; Johnson, George W.; Poole, Jeanne E.; Mark, Daniel B.; Lee, Kerry L.; Bardy, Gust H. (2008). “Ejection fraction assessment and survival: An analysis of the Sudden Cardiac Death in Heart Failure Trial (SCD-HeFT)”. American Heart Journal. 156 (6): 1196–1200. doi:10.1016/j.ahj.2008.08.007. ISSN 0002-8703.

[Al-KhatibStevenson2018-3] Al-Khatib, Sana M.; Stevenson, William G.; Ackerman, Michael J.; Bryant, William J.; Callans, David J.; Curtis, Anne B.; Deal, Barbara J.; Dickfeld, Timm; Field, Michael E.; Fonarow, Gregg C.; Gillis, Anne M.; Granger, Christopher B.; Hammill, Stephen C.; Hlatky, Mark A.; Joglar, José A.; Kay, G. Neal; Matlock, Daniel D.; Myerburg, Robert J.; Page, Richard L. (2018). “2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death”. Circulation. 138 (13). doi:10.1161/CIR.0000000000000549. ISSN 0009-7322.

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