Clinical Challenges in Catecholaminergic Polymorphic Ventricular Tachycardia

Jacopo F. Imberti, Katherine Underwood, Andrea Mazzanti, Silvia G. Priori

Research output: Contribution to journalArticle

Abstract

Catecholaminergic polymorphic ventricular tachycardia (CPVT) is an inheritable cardiac disorder associated with exercise- and stress-induced sudden death in young individuals.Although important steps forward have been made in the comprehension and treatment of this disease, several aspects remain unclear. Firstly, from an epidemiological standpoint the actual prevalence of CPVT is still unknown and possibly underestimated. In addition, the diagnostic process remains very challenging and can be supported by genetic analysis in only about half of the cases. Finally, up to one third of CPVT patients continue to present complex arrhythmias despite beta-blocker treatment; the role of newer therapeutic options, such as flecainide and left cardiac sympathetic denervation, needs to be further elucidated. All these points constitute challenges for the cardiologist in the management of CPVT patients and fuel research into new diagnostic, prognostic and therapeutic approaches.

Original languageEnglish
JournalHeart Lung and Circulation
DOIs
Publication statusPublished - 2016

Keywords

  • Bidirectional ventricular tachycardia
  • CASQ2
  • Catecholaminergic polymorphic ventricular tachycardia
  • Flecainide
  • RyR2
  • Sudden cardiac death

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine

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