正如在7.1.5部分所讨论的,工作组承认在不同类型心肌病表型中定义广泛的可接受风险的阈值是存在挑战的,但是认为采取与HCM患者危险分层类似的方法是合理的。尽管2022年ESC室性心律失常患者的管理和心脏性猝死的预防指南已经建议,携带LMNA变异的DCM患者,采取5年风险>10%的阈值来指导ICD植入进行一级预防[3],工作组推荐...
potential additional value in the different risk groups.There is a significant association between LGE extension and the novel SCD risk calculator that may help conflicting ICD decisions.Seventy-seven patients with HCM underwent routine clinical evaluation, echocardiography, and cardiac magnetic resonance ...
2023ESC心肌病指南解读要点一:新增非扩张型左室心肌病(NDLVC)分类。新版指南根据形态学和功能学特征,将心肌病分为肥厚型心肌病(HCM)、扩张型心肌病(DCM)、NDLVC、致心律失常性右室心肌病(ARVC)和限制型心肌病(RCM)五种主要类型,新增了NDLVC。NDLVC被定义为正常心肌出现非缺血性左心室瘢痕或被脂肪组织替代(可伴...
Paroxysmal atrial fibrillation (PAF) is more likely in HCM patients with an enlarged left atrium. The risk for SCD can be estimated accu- rately using a risk calculator.2 This score comes with recommendations regarding the advisability of an ICD and recommenda- tions about the need for genetic...