Predictors of fatal arrhythmic events in patients with non-compaction cardiomyopathy: a systematic review.

Journal article


Bazoukis, G., Tyrovolas, Konstantinos, Letsas, Konstantinos P, Vlachos, Konstantinos, Radford, Danny, Chung, Cheuk To, Liu, Tong, Efremidis, Michael, Tse, Gary and Baranchuk, Adrian 2022. Predictors of fatal arrhythmic events in patients with non-compaction cardiomyopathy: a systematic review. Heart Failure Reviews. https://doi.org/10.1007/s10741-022-10257-3
AuthorsBazoukis, G., Tyrovolas, Konstantinos, Letsas, Konstantinos P, Vlachos, Konstantinos, Radford, Danny, Chung, Cheuk To, Liu, Tong, Efremidis, Michael, Tse, Gary and Baranchuk, Adrian
AbstractLeft ventricular non-compaction cardiomyopathy (LVNC) is a congenital heart disease with autosomal dominant inheritance. This review aims to summarize the existing data about the predictors of fatal arrhythmias in patients with LVNC. Medline and Cochrane library databases were searched from inception to November 2021 for articles on LVNC. The reference lists of the relevant research studies as well as the relevant review studies and meta-analyses were also searched. Clinical symptoms and electrocardiogram findings such as left bundle branch block are significantly associated with ventricular arrhythmias. Other non-invasive tools such as Holter monitoring, echocardiography, and cardiac magnetic resonance (CMR) can provide additional value for risk stratification. CMR-derived left and right ventricular ejection fraction, left ventricular end-diastolic diameter, late gadolinium enhancement, and non-compacted to compacted myocardium ratio are predictive of ventricular arrhythmias. An electrophysiological study can provide additional prognostic data in patients with LVNC who are at moderate risk of ventricular arrhythmias. Risk stratification of LVNC patients with no prior history of a fatal arrhythmic event remains challenging. Symptoms assessment, electrocardiogram, Holter monitoring, and cardiac imaging should be performed on every patient, while an electrophysiological study should be performed for moderate-risk patients. Large cohort studies are needed for the construction of score models for arrhythmic risk stratification purposes. [Abstract copyright: © 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.]
KeywordsSudden cardiac death; Cardiomyopathies; Risk stratification; Ventricular arrhythmias; Left ventricular non-compaction
Year2022
JournalHeart Failure Reviews
PublisherSpringer
ISSN1573-7322
Digital Object Identifier (DOI)https://doi.org/10.1007/s10741-022-10257-3
Official URLhttps://link.springer.com/article/10.1007/s10741-022-10257-3
Publication dates
Online01 Jul 2022
Publication process dates
Accepted20 Jun 2022
Deposited18 Jul 2022
Output statusPublished
Page range10.1007/s10741-022-10257-3
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