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Management of patients with Arrhythmogenic Right Ventricular Cardiomyopathy in the Nordic countries

Objectives. Diagnostics of patients with arrhythmogenic right ventricular cardiomyopathy (ARVC) are complex, and based on the 2010 Task Force document including different diagnostic modalities. However, recommendations for clinical management and follow-up of patients with ARVC and their relatives a...

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Autores principales: Haugaa, Kristina H., Bundgaard, Henning, Edvardsen, Thor, Eschen, Ole, Gilljam, Thomas, Hansen, Jim, Jensen, Henrik Kjærulf, Platonov, Pyotr G., Svensson, Anneli, Svendsen, Jesper H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Informa Healthcare 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4616022/
https://www.ncbi.nlm.nih.gov/pubmed/26395672
http://dx.doi.org/10.3109/14017431.2015.1086017
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author Haugaa, Kristina H.
Bundgaard, Henning
Edvardsen, Thor
Eschen, Ole
Gilljam, Thomas
Hansen, Jim
Jensen, Henrik Kjærulf
Platonov, Pyotr G.
Svensson, Anneli
Svendsen, Jesper H.
author_facet Haugaa, Kristina H.
Bundgaard, Henning
Edvardsen, Thor
Eschen, Ole
Gilljam, Thomas
Hansen, Jim
Jensen, Henrik Kjærulf
Platonov, Pyotr G.
Svensson, Anneli
Svendsen, Jesper H.
author_sort Haugaa, Kristina H.
collection PubMed
description Objectives. Diagnostics of patients with arrhythmogenic right ventricular cardiomyopathy (ARVC) are complex, and based on the 2010 Task Force document including different diagnostic modalities. However, recommendations for clinical management and follow-up of patients with ARVC and their relatives are sparse. This paper aims to give a practical overview of management strategies, risk stratification, and selection of appropriate therapies for patients with ARVC and their family members. Design. This paper summarizes follow-up and treatment strategies in ARVC patients in the Nordic countries. The author group represents cardiologists who are actively involved in the Nordic ARVC Registry which was established in 2009, and contains prospectively collected clinical data from more than 590 ARVC patients from Denmark, Norway, Sweden, and Finland. Results. Different approaches of management and follow-up are required in patients with definite ARVC and in genetic-mutation-positive family members. Furthermore, ARVC patients with and without implantable cardioverter defibrillators (ICDs) require different follow-up strategies. Conclusion. Careful follow-up is required in patients with ARVC diagnosis to evaluate the need of anti-arrhythmic therapy and ICD implantation. Mutation-positive family members should be followed regularly for detection of early disease and risk stratification of ventricular arrhythmias.
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spelling pubmed-46160222015-11-24 Management of patients with Arrhythmogenic Right Ventricular Cardiomyopathy in the Nordic countries Haugaa, Kristina H. Bundgaard, Henning Edvardsen, Thor Eschen, Ole Gilljam, Thomas Hansen, Jim Jensen, Henrik Kjærulf Platonov, Pyotr G. Svensson, Anneli Svendsen, Jesper H. Scand Cardiovasc J Review Article Objectives. Diagnostics of patients with arrhythmogenic right ventricular cardiomyopathy (ARVC) are complex, and based on the 2010 Task Force document including different diagnostic modalities. However, recommendations for clinical management and follow-up of patients with ARVC and their relatives are sparse. This paper aims to give a practical overview of management strategies, risk stratification, and selection of appropriate therapies for patients with ARVC and their family members. Design. This paper summarizes follow-up and treatment strategies in ARVC patients in the Nordic countries. The author group represents cardiologists who are actively involved in the Nordic ARVC Registry which was established in 2009, and contains prospectively collected clinical data from more than 590 ARVC patients from Denmark, Norway, Sweden, and Finland. Results. Different approaches of management and follow-up are required in patients with definite ARVC and in genetic-mutation-positive family members. Furthermore, ARVC patients with and without implantable cardioverter defibrillators (ICDs) require different follow-up strategies. Conclusion. Careful follow-up is required in patients with ARVC diagnosis to evaluate the need of anti-arrhythmic therapy and ICD implantation. Mutation-positive family members should be followed regularly for detection of early disease and risk stratification of ventricular arrhythmias. Informa Healthcare 2015-11-02 2015-09-23 /pmc/articles/PMC4616022/ /pubmed/26395672 http://dx.doi.org/10.3109/14017431.2015.1086017 Text en © 2015 The Author(s). Published by Taylor & Francis. http://creativecommons.org/Licenses/by-nc-nd/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/Licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
spellingShingle Review Article
Haugaa, Kristina H.
Bundgaard, Henning
Edvardsen, Thor
Eschen, Ole
Gilljam, Thomas
Hansen, Jim
Jensen, Henrik Kjærulf
Platonov, Pyotr G.
Svensson, Anneli
Svendsen, Jesper H.
Management of patients with Arrhythmogenic Right Ventricular Cardiomyopathy in the Nordic countries
title Management of patients with Arrhythmogenic Right Ventricular Cardiomyopathy in the Nordic countries
title_full Management of patients with Arrhythmogenic Right Ventricular Cardiomyopathy in the Nordic countries
title_fullStr Management of patients with Arrhythmogenic Right Ventricular Cardiomyopathy in the Nordic countries
title_full_unstemmed Management of patients with Arrhythmogenic Right Ventricular Cardiomyopathy in the Nordic countries
title_short Management of patients with Arrhythmogenic Right Ventricular Cardiomyopathy in the Nordic countries
title_sort management of patients with arrhythmogenic right ventricular cardiomyopathy in the nordic countries
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4616022/
https://www.ncbi.nlm.nih.gov/pubmed/26395672
http://dx.doi.org/10.3109/14017431.2015.1086017
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