학술논문

Catecholaminergic Polymorphic Ventricular Tachycardia in Children
Document Type
article
Source
Circulation Arrhythmia and Electrophysiology. 8(3)
Subject
Heart Disease
Cardiovascular
Clinical Research
Neurosciences
Pediatric
Adolescent
Age Factors
Anti-Arrhythmia Agents
Child
Death
Sudden
Cardiac
Defibrillators
Implantable
Electric Countershock
Female
Humans
Male
Patient Selection
Phenotype
Registries
Retrospective Studies
Risk Factors
Severity of Illness Index
Sympathectomy
Tachycardia
Ventricular
Time Factors
Treatment Outcome
polymorphic catecholaminergic ventricular tachycardia
implanted cardioverter defibrillator
flecainide
sudden unexpected death
Cardiorespiratory Medicine and Haematology
Clinical Sciences
Medical Physiology
Cardiovascular System & Hematology
Language
Abstract
BackgroundCatecholaminergic polymorphic ventricular tachycardia is an uncommon, potentially lethal, ion channelopathy. Standard therapies have high failure rates and little is known about treatment in children. Newer options such as flecainide and left cardiac sympathetic denervation are not well validated. We sought to define treatment outcomes in children with catecholaminergic polymorphic ventricular tachycardia.Methods and resultsThis is a Pediatric and Congenital Electrophysiology Society multicenter, retrospective cohort study of catecholaminergic polymorphic ventricular tachycardia patients diagnosed before 19 years of age. The cohort included 226 patients, including 170 probands and 56 relatives. Symptomatic presentation was reported in 176 (78%). Symptom onset occurred at 10.8 (interquartile range, 6.8-13.2) years with a delay to diagnosis of 0.5 (0-2.6) years. Syncope (P