Testo completo - Associazione Italiana di Aritmologia e ...
Testo completo - Associazione Italiana di Aritmologia e ...
Testo completo - Associazione Italiana di Aritmologia e ...
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In<strong>di</strong>cazioni all’impianto <strong>di</strong> ICD nella car<strong>di</strong>omiopatia/<strong>di</strong>splasia aritmogena del ventricolo destro e nella sindrome <strong>di</strong> Brugada<br />
Raccomandazioni per l’impianto<br />
<strong>di</strong> ICD nei pazienti con sindrome<br />
<strong>di</strong> Brugada<br />
Classe I<br />
1. Arresto car<strong>di</strong>aco resuscitato da fibrillazione ventricolare<br />
o tachicar<strong>di</strong>a ventricolare (livello <strong>di</strong> evidenza<br />
B).<br />
2. Tachicar<strong>di</strong>a ventricolare polimorfa rapida con compromissione<br />
emo<strong>di</strong>namica (presincope, sincope, respiro<br />
agonico notturno) (livello <strong>di</strong> evidenza B).<br />
3. Sincope <strong>di</strong> natura indeterminata dopo esclusione <strong>di</strong><br />
natura extracar<strong>di</strong>aca e/o neurome<strong>di</strong>ata (livello <strong>di</strong> evidenza<br />
B).<br />
Classe II<br />
1. Paziente asintomatico, con o senza storia familiare<br />
<strong>di</strong> morte improvvisa, con inducibilità <strong>di</strong> fibrillazione<br />
ventricolare o tachicar<strong>di</strong>a ventricolare polimorfa<br />
sintomatica alla stimolazione ventricolare programmata<br />
(livello <strong>di</strong> evidenza B).<br />
Bibliografia<br />
1) Corrado D, Leoni L, Link MS, Della Bella P, Gaita F, Curnis<br />
A, Salerno JU, Igidbashian D, Raviele A, Disertori M, Zanotto<br />
G, Verlato R, Vergara G, Delise P, Turrini P, Basso C, Naccarella<br />
47<br />
F, Maddalena F, Estes NA 3rd, Buja G, Thiene G: Implantable<br />
car<strong>di</strong>overter-defibrillator therapy for prevention of sudden death<br />
in patients with arrhythmogenic right ventricular car<strong>di</strong>omyopathy/dysplasia.<br />
Circulation 2003;108:3084-91<br />
2) Corrado D, Basso C, Thiene G, et al.: Spectrum of clinicopathologic<br />
manifestations of arrhythmogenic right ventricular car<strong>di</strong>omyopathy/dysplasia:<br />
a multicenter study. J Am Coll Car<strong>di</strong>ol 1997;<br />
30:1512-20<br />
3) Corrado D, Basso C, Thiene G: Arrhythmogenic right ventricular<br />
car<strong>di</strong>omyopathy: <strong>di</strong>agnosis, prognosis, and treatment. Heart<br />
2000; 83:588-595<br />
4) Wichter T, Paul M, Wollmann C, Acil T, Gerdes P, Ashraf O,<br />
Tjan TD, Soeparwata R, Block M, Borggrefe M, Scheld HH,<br />
Breithardt G, Bocker D: Implantable car<strong>di</strong>overter/defibrillator<br />
therapy in arrhythmogenic right ventricular car<strong>di</strong>omyopathy: single-center<br />
experience of long-term follow-up and complications<br />
in 60 patients. Circulation 2004; 109:1503-8.<br />
5) Brugada P, Brugada J: Right bundle branch block, persistent<br />
ST segment elevation and sudden car<strong>di</strong>ac death: a <strong>di</strong>stinct clinical<br />
and electrocar<strong>di</strong>ographic syndrome: a multicenter report.<br />
J Am Coll Car<strong>di</strong>ol 1992;20:1391-1396<br />
6) Brugada J, Brugada R, Antzelevitch C, et al.: Long-term follow-up<br />
of in<strong>di</strong>viduals with the electrocar<strong>di</strong>ographic pattern of<br />
right bundle-branch block and ST-segment elevation in precor<strong>di</strong>al<br />
leads V1 to V3. Circulation 2002;105:73-8<br />
7) Wilde AA, Antzelevitch C, Borggrefe M, Brugada J, Brugada R,<br />
Brugada P, Corrado D, Hauer RN, Kass RS, Nademanee K, Priori<br />
SG, Towbin JA: Proposed <strong>di</strong>agnostic criteria for the Brugada syndrome:<br />
consensus report. Circulation 2002;106:2514-9<br />
8) Antzelevitch C, Brugada P, Borggrefe M, Brugada J, Brugada<br />
R, Corrado D, Gussak I, LeMarec H, Nademanee K, Perez Riera<br />
AR, Shimizu W, Schulze-Bahr E, Tan H, Wilde A: Brugada syndrome:<br />
report of the second consensus conference: Circulation<br />
2005;111:659-70.