Role of Mapping in Arrhythmogenic Right Ventricular Cardiomyopathy

Molly Sachdev, Hugh Calkins

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Arrhythmogenic right ventricular dysplasia/cardiomyopathy (ARVD) is a genetic cardiomyopathy characterized by progressive replacement of right ventricular myocardium with fatty and fibrous tissue [1, 2]. The prevalence of ARVD has been estimated to be 1 in 5000 in the United States. Ventricular tachycardia (VT) is the most feared complication in patients with ARVD. The main objective of ARVD management is to prevent sudden cardiac death and symptomatic ventricular arrhythmias. Implantable cardioverter defibrillators remain the cornerstone of strategies to prevent sudden cardiac death in this patient population. Antiarrhythmic drugs and catheter ablation are used primarily as adjunctive procedures in patients with ARVD who are experiencing frequent symptomatic episodes of nonsustained or sustained ventricular arrhythmias The purpose of this chapter is twofold. Firstly, we seek to provide a concise review of the approaches to diagnosis and management of patients with ARVD. Secondly, we seek to review the role of electrical and electroanatomic mapping in both diagnosis and management of patients with ARVD.

Original languageEnglish (US)
Title of host publicationCardiac Mapping, Third Edition
PublisherWiley-Blackwell
Pages337-345
Number of pages9
ISBN (Print)9781405175722
DOIs
StatePublished - Feb 26 2009

Keywords

  • Electroanatomic mapping and histologic correlation in ARVD
  • Electrophysiology and electroanatomic mapping in ARVD
  • ICD implantation
  • Myocardial biopsy
  • Role of mapping in ARVD
  • Role of mapping in catheter ablation of VT in patients with ARVD
  • Ventricular tachycardia in ARVD

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Sachdev, M., & Calkins, H. (2009). Role of Mapping in Arrhythmogenic Right Ventricular Cardiomyopathy. In Cardiac Mapping, Third Edition (pp. 337-345). Wiley-Blackwell. https://doi.org/10.1002/9781444303438.ch26