Risk stratification for sudden cardiac death In patients with non-ischemic dilated cardiomyopathy

Shekha, Karthik; Ghosh, Joydeep; Thekkoott, Deepak and Greenberg, Yisachar (2005) Risk stratification for sudden cardiac death In patients with non-ischemic dilated cardiomyopathy. Indian Pacing and Electrophysiology Journal, 5 (2). pp. 122-138. ISSN 0972-6292

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Abstract

Non ischemic dilated cardiomyopathy (NIDCM) is a disorder of myocardium. It has varying etiologies. Albeit the varying etiologies of this heart muscle disorder, it presents with symptoms of heart failure, and rarely as sudden cardiac death (SCD). Manifestations of this disorder are in many ways similar to its counterpart, ischemic dilated cardiomyopathy (IDCM). A proportion of patients with NIDCM carries a grave prognosis and is prone to sudden cardiac death from sustained ventricular arrhythmias. Identification of this subgroup of patients who carry the risk of sudden cardiac death despite adequate medical management is a challenge .Yet another method is a blanket treatment of patients with this disorder with anti arrhythmic medications or anti tachyarrhythmia devices like implantable cardioverter defibrillators (ICD). However this modality of treatment could be a costly exercise even for affluent economies. In this review we try to analyze the existing data of risk stratification of NIDCM and its clinical implications in practice.

EPrint Type:Article
Uncontrolled Keywords:Non Ischemic Dilated Cardiomyopathy; Ischemic Dilated Cardiomyopathy; Risk Stratification; Implantable cardioverter defibrillator; Sudden Cardiac Death
Subjects:Cardiovascular Diseases > Heart Diseases > Cardiomegaly > Cardiomyopathy, Dilated
-Journal Repositories > Indian Pacing and Electrophysiology Journal
Cardiovascular Diseases > Heart Diseases > Arrhythmia
Cardiovascular Diseases > Heart Diseases > Heart Arrest
Equipment and Supplies > Electrodes > Defibrillators > Defibrillators, Implantable
ID Code:153
Deposited By:Indian Pacing and Electrophysiology Journal
Deposited On:03 July 2005

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