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Etiology, Epidemiology, Patho Physiology, Diagnosis, Differential Diagnosis, Treatment, Prognosis, Complications and Health Care Team Outcomes of Ventricular Tachy Cardia

Srinivas G., Ramanjaneyulu D. V., Satyanarayana Murthy S., Muralinath E., Guruprasad M., Hari Kiran M., Shaik Mahabooob Basha, Kundara Giridhar Reddy, Kasireddy Gauthami, Mopoori Kalyan, Sai Charan B., Sainath Reddy T., Ramesh U., Rahul P., Rajitha V.

Abstract


A wide complex arrhythmia of ventricular origin, ventricular tachycardia (VT) is characterized by three or more consecutive beats occurring at a pace above 100 beats per minute. Tachycardia that lasts longer than 30 seconds or causes hemodynamic compromise within 30 seconds and necessitates intervention is referred to as sustained ventricular tachycardia. Non-sustained ventricular tachycardia, on the other hand, does not cause hemodynamic instability and lasts for less than 30 seconds. Ventricular tachycardia (VT) can appear with palpitations, chest pain, shortness of breath, syncope, and cardiac arrest, and its most prevalent cause is ischemic heart disease. The evaluation and treatment of ventricular tachycardia are explained in this exercise, which also emphasizes the value of an interdisciplinary team in the care of patients with ventricular tachycardia.


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Nikolic, G. (1982). Definition of ventricular tachycardia. The American Journal of Cardiology, 50(5), 1197–1198.

Tang, P. T., Shenasa, M., & Boyle, N. G. (2017). Ventricular arrhythmias and sudden cardiac death. Cardiac Electrophysiology Clinics, 9(4), 693–708.

Al Khatib, S. M., Stevenson, W. G., Ackerman, M. J., Bryant, W. J., Callans, D. J., Curtis, A. B., Deal, B. J., Dickfeld, T., Field, M. E., Fonarow, G. C., Gillis, A. M., Granger, C. B., Hammill, S. C., Hlatky, M. A., Joglar, J. A., Kay, G. N., Matlock, D. D., Myerburg, R. J., Page, R. L. (2018). 2017 AHA/ACC/HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Journal of the American College of Cardiology, 72(14), e91–e220.

Buxton, A. E., Calkins, H., Callans, D. J., DiMarco, J. P., Fisher, J. D., Greene, H. L., Haines, D. E., Hayes, D. L., Heidenreich, P. A., Miller, J. M., Poppas, A., Prystowsky, E. N., Schoenfeld, M. H., Zimetbaum, P. J., Goff, D. C., Grover, F. L., Malenka, D. J., Peterson, E. D., Radford, M. J., & Redberg, R. F. (2006). ACC/AHA/HRS 2006 key data elements and definitions for electrophysiological studies and procedures: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Data Standards. Journal of the American College of Cardiology, 48(11), 2360–2396.

Buca, S., McKinney, J., Brywczynski, J., & Slovis, C. (2011). A twisting of points: recognize the signs of Torsades de Pointes. JEMS, 36(7), 40, 44.

Kim, C. W., Aronow, W. S., Dutta, T., Frenkel, D., & Frishman, W. H. (2020). Catecholaminergic polymorphic ventricular tachycardia. Cardiology in Review, 28(6), 325–331.

Gupta, S., Pressman, G. S., & Figueredo, V. M. (2010). Incidence of, predictors for, and mortality associated with malignant ventricular arrhythmias in non-ST elevation myocardial infarction patients. Coronary Artery Disease, 21(8), 460–465.

Jakkoju, A., Jakkoju, R., Subramaniam, P. N., & Glancy, D. L. (2018). Accelerated idioventricular rhythm. Proceedings (Baylor University Medical Center), 31(4), 506–507.

Terkelsen, C. J., Sørensen, J. T., Kaltoft, A. K., Nielsen, S. S., Thuesen, L., Bøtker, H. E., & Lassen, J. F. (2009). Prevalence and significance of accelerated idioventricular rhythm in patients with ST elevation myocardial infarction treated with primary percutaneous coronary intervention. The American Journal of Cardiology, 104(12), 1641–1646.

Pandozi, C., Lavalle, C., Russo, M., Galeazzi, M., Ficili, S., Malacrida, M., Centurion Aznaran, C., & Colivicchi, F. (2019). Mapping of ventricular tachycardia in patients with ischemic cardiomyopathy: current approaches and future perspectives. Clinical Cardiology, 42(10), 1041–1050.

Balaban, G., Costa, C. M., Porter, B., Halliday, B., Rinaldi, C. A., Prasad, S., Plank, G., Ismail, T. F., & Bishop, M. J. (2020). 3D electrophysiological modeling of interstitial fibrosis networks and their role in ventricular arrhythmias in non ischemic cardiomyopathy. IEEE Transactions on Biomedical Engineering, 67(11), 3125–3133.

Alzand, B. S., & Crijns, H. J. (2011). Diagnostic criteria of broad QRS complex tachycardia: decades of evolution. Europace, 13(4), 465–472.

Jabbari, R., Engstrøm, T., Glinge, C., Risgaard, B., Jabbari, J., Winkel, B. G., Terkelsen, C. J., Tilsted, H. H., Jensen, L. O., Hougaard, M., Chiuve, S. E., Pedersen, F., Svendsen, J. H., Haunsø, S., Albert, C. M., & Tfelt Hansen, J. (2015). Incidence and risk factors of ventricular fibrillation before primary angioplasty in patients with first ST elevation myocardial infarction: a nationwide study in Denmark. Journal of the American Heart Association, 4(1), e001399.

Koplan, B. A., & Stevenson, W. G. (2009). Ventricular tachycardia and sudden cardiac death. Mayo Clinic Proceedings, 84(3), 289–297.

Bejar, D., Colombo, P. C., Latif, F., & Yuzefpolskaya, M. (2015). Infiltrative cardiomyopathies. Clinical Medicine Insights: Cardiology, 9(Suppl. 2), 29–38.

Lankaputhra, M., & Voskoboinik, A. (2021). Congenital long QT syndrome: a clinician’s guide. Internal Medicine Journal, 51(12), 1999–2011.

Skinner, J. R., Winbo, A., Abrams, D., Vohra, J., & Wilde, A. A. (2019). Channelopathies that lead to sudden cardiac death: clinical and genetic aspects. Heart, Lung and Circulation, 28(1), 22–30.

Kobayashi, Y. (2018). Idiopathic ventricular premature contraction and ventricular tachycardia: distribution of the origin, diagnostic algorithm, and catheter ablation. Journal of Nippon Medical School, 85(2), 87–94.

Tondo, C., Carbucicchio, C., Dello Russo, A., Majocchi, B., Zucchetti, M., Pizzamiglio, F., Bologna, F., Cattaneo, F., Colombo, D., Russo, E., & Casella, M. (2015). Idiopathic ventricular tachycardia: transcatheter ablation or antiarrhythmic drugs? Journal of Atrial Fibrillation, 7(5), 1164.

McNally, B., Robb, R., Mehta, M., Vellano, K., Valderrama, A. L., Yoon, P. W., Sasson, C., Crouch, A., Perez, A. B., Merritt, R., Kellermann, A., & Centers for Disease Control and Prevention. (2011). Out of hospital cardiac arrest surveillance — Cardiac Arrest Registry to Enhance Survival (CARES), United States, October 1, 2005–December 31, 2010. MMWR Surveillance Summaries, 60(8), 1–19.

Aronow, W. S., Ahn, C., Mercando, A. D., Epstein, S., & Kronzon, I. (2002). Prevalence and association of ventricular tachycardia and complex ventricular arrhythmias with new coronary events in older men and women with and without cardiovascular disease. Journal of Gerontology A: Biological Sciences and Medical Sciences, 57(3), M178–M180.

American College of Cardiology/American Heart Association Task Force on Clinical Data Standards; ACC/AHA/HRS Writing Committee to Develop Data Standards on Electrophysiology; Buxton, A. E., Calkins, H., Callans, D. J., DiMarco, J. P., Fisher, J. D., Greene, H. L., Haines, D. E., Hayes, D. L., Heidenreich, P. A., Miller, J. M., Poppas, A., Prystowsky, E. N., Schoenfeld, M. H., Zimetbaum, P. J., Goff, D. C., Grover, F. L., Malenka, D. J., Peterson, E. D., Radford, M. J., & Redberg, R. F. (2006). ACC/AHA/HRS 2006 key data elements and definitions for electrophysiological studies and procedures: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Data Standards. Circulation, 114(23), 2534–2570.

Dumas, F., Cariou, A., Manzo Silberman, S., Grimaldi, D., Vivien, B., Rosencher, J., Empana, J. P., Carli, P., Mira, J. P., Jouven, X., & Spaulding, C. (2010). Immediate percutaneous coronary intervention is associated with better survival after out of hospital cardiac arrest: insights from the PROCAT registry. Circulation: Cardiovascular Interventions, 3(3), 200–207.

Volpi, A., Cavalli, A., Franzosi, M. G., Maggioni, A., Mauri, F., Santoro, E., & Tognoni, G. (1989). One year prognosis of primary ventricular fibrillation complicating acute myocardial infarction. The American Journal of Cardiology, 63(17), 1174–1178.

Sirichand, S., Killu, A. M., Padmanabhan, D., Hodge, O., Chamberlain, A. M., Brady, P. A., Kapa, S., Noseworthy, P. A., Packer, D. L., Munger, T. M., Gersh, B. J., McLeod, C. J., Shen, W. K., Cha, Y. M., Asirvatham, S. J., Friedman, P. A., & Mulpuru, S. K. (2017). Incidence of idiopathic ventricular arrhythmias: a population based study. Circulation: Arrhythmia and Electrophysiology, 10(2).

Clémenty, J., Cheradame, I., Bordier, P., Gosse, P., & Poquet, F. (1993). Mechanisms of ventricular tachycardia. Archives des Maladies du Cœur et des Vaisseaux, 86(5 Suppl.), 705–713.

Lopez, E. M., & Malhotra, R. (2019). Ventricular tachycardia in structural heart disease. Journal of Innovation in Cardiac Rhythm Management, 10(8), 3762–3773.

Zipes, D. P., & Wellens, H. J. (1998). Sudden cardiac death. Circulation, 98(21), 2334–2351.

Lerman, B. B., Belardinelli, L., West, G. A., Berne, R. M., & DiMarco, J. P. (1986). Adenosine sensitive ventricular tachycardia: evidence suggesting cyclic AMP mediated triggered activity. Circulation, 74(2), 270–280.

Lerman, B. B., Stein, K., Engelstein, E. D., Battleman, D. S., Lippman, N., Bei, D., & Catanzaro, D. (1995). Mechanism of repetitive monomorphic ventricular tachycardia. Circulation, 92(3), 421–429.

Kanagasundram, A. N., Richardson, T. D., & Stevenson, W. G. (2021). The heart rate of ventricular tachycardia. Circulation, 143(3), 227–229.

Zeppenfeld, K., Wijnmaalen, A. P., Ebert, M., Baldinger, S. H., Berruezo, A., Catto, V., Vaseghi, M., Arya, A., Kumar, S., de Riva, M., Deneke, T., Gaspar, T., Soejima, K., van Rein, N., Tedrow, U. B., Piorkowski, C., Shivkumar, K., Carbucicchio, C., Hindricks, G., & Stevenson, W. G. (2022). Clinical outcomes in patients with dilated cardiomyopathy and ventricular tachycardia. Journal of the American College of Cardiology, 80(11), 1045–1056.


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