Incidence and risk factors of arrhythmic events in catecholaminergic polymorphic ventricular tachycardia. - Archive ouverte HAL Access content directly
Journal Articles Circulation Year : 2009

Incidence and risk factors of arrhythmic events in catecholaminergic polymorphic ventricular tachycardia.

(1, 2) , (1, 2) , (1, 2) , (3) , (4) , (5) , (6) , (1, 2) , (1, 2) , (3) , (7) , (1, 2) , (8) , (4) , (1, 2)
1
2
3
4
5
6
7
8

Abstract

BACKGROUND: The pathophysiological background of catecholaminergic polymorphic ventricular tachycardia is well understood, but the clinical features of this stress-induced arrhythmic disorder, especially the incidence and risk factors of arrhythmic events, have not been fully ascertained. METHODS AND RESULTS: The outcome in 101 catecholaminergic polymorphic ventricular tachycardia patients, including 50 probands, was analyzed. During a mean follow-up of 7.9 years, cardiac events defined as syncope, aborted cardiac arrest, including appropriate discharges from implantable defibrillators, or sudden cardiac death occurred in 27 patients, including 2 mutation carriers with normal exercise tests. The estimated 8-year event rate was 32% in the total population and 27% and 58% in the patients with and without beta-blockers, respectively. Absence of beta-blockers (hazard ratio [HR], 5.48; 95% CI, 1.80 to 16.68) and younger age at diagnosis (HR, 0.54 per decade; 95% CI, 0.33 to 0.89) were independent predictors. Fatal or near-fatal events defined as aborted cardiac arrest or sudden cardiac death occurred in 13 patients, resulting in an estimated 8-year event rate of 13%. Absence of beta-blockers (HR, 5.54; 95% CI, 1.17 to 26.15) and history of aborted cardiac arrest (HR, 13.01; 95% CI, 2.48 to 68.21) were independent predictors. No difference was observed in cardiac and fatal or near-fatal event rates between probands and family members. CONCLUSIONS: Cardiac and fatal or near-fatal events were not rare in both catecholaminergic polymorphic ventricular tachycardia probands and affected family members during the long-term follow-up, even while taking beta-blockers, which was associated with a lower event rate. Further studies evaluating concomitant therapies are necessary to improve outcome in these patients.
Fichier principal
Vignette du fichier
Hayashi_2009.pdf (325.72 Ko) Télécharger le fichier
Origin : Publisher files allowed on an open archive
Loading...

Dates and versions

inserm-00410301 , version 1 (13-07-2011)

Identifiers

Cite

Meiso Hayashi, Isabelle Denjoy, Fabrice Extramiana, Alice Maltret, Nathalie Roux Buisson, et al.. Incidence and risk factors of arrhythmic events in catecholaminergic polymorphic ventricular tachycardia.. Circulation, 2009, 119 (18), pp.2426-34. ⟨10.1161/CIRCULATIONAHA.108.829267⟩. ⟨inserm-00410301⟩
202 View
833 Download

Altmetric

Share

Gmail Facebook Twitter LinkedIn More