Implantable cardioverter defibrillator in a young child with left ventricular noncompaction
Service de cardiologie pédiatrique, hôpital des Enfants, Toulouse University Hospital, TSA 70034, 31059 Toulouse cedex 9, France.Archives of cardiovascular diseases (Impact Factor: 1.84). 06/2011; 104(6-7):417-8. DOI: 10.1016/j.acvd.2010.10.011
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ABSTRACT: Left ventricular noncompaction (LVNC) is a newly recognized form of cardiomyopathy that has been associated with heart failure, arrhythmias, thromboembolic events, and sudden death. Both ventricular and supraventricular arrhythmias are now well described as prominent clinical components of LVNC. Throughout the spectrum of age, these arrhythmias have been associated with prognosis and outcome, and their clinical management is therefore an important aspect of patient care. The risk of sudden death seems to be associated with ventricular dilation, systolic dysfunction, and the presence of arrhythmias. Proposed management strategies shown to have efficacy include antiarrhythmic therapy, ablation techniques, and implantable cardioverter-defibrillator implantation. Copyright © 2015 Elsevier Inc. All rights reserved.