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sarcoidosis icd 10
Betensky BP; Tschabrunn CM; Zado ES; Goldberg LR; Marchlinski FE; Garcia FC; Cooper JM
BACKGROUND: Ventricular tachyarrhythmias are an important account of anguish and bloodshed in cardiac sarcoidosis. To date, the prevalence and accident of ventricular tachycardia/ventricular fibrillation (VT/VF) in this citizenry abide unknown.
OBJECTIVES: To actuate the prevalence and accident of ventricular tachyarrhythmias in patients with cardiac sarcoidosis and to analyze the analytic attributes associated with adapted implantable cardioverter-defibrillator (ICD) therapies.
METHODS: We advised 45 patients with ICDs, biopsy-proven systemic sarcoidosis, and cardiac involvement, as apparent by histopathology, cardiac alluring resonance imaging, and/or (18)F-fluoro-2-deoxyglucose-positron discharge tomography imaging. Device logs and medical annal were retrospectively reviewed.
RESULTS: Adapted ICD therapies for VT/VF were empiric in 37.8% of the patients with an accident of 15% per year. Inappropriate ICD therapies occurred in 13.3% of the patients. Longer ICD aftereffect (4.5 ± 3.1 years vs 1.5 ± 1.5 years; P = .001), depressed larboard ventricular casting atom (35.5% ± 15.5% vs 50.9% ± 15.5%; P = .002), and complete affection block (47.1% vs 17.9%; P = .048) were associated with adapted ICD therapy. While there was no cogent aberration in the absolute cardinal of shocks/antitachycardia pacing-terminated contest amid primary (n = 29) and accessory (n = 16) blockage groups, there was a trend against added contest in the accessory blockage arm afterwards 2 years.
CONCLUSIONS: Ventricular tachyarrhythmias acute ICD analysis were accepted in patients with cardiac sarcoidosis, with an estimated accident amount of 15% per year. Longer follow-up, larboard ventricular systolic dysfunction, and complete affection block were associated with VT/VF. Patients with primary blockage ICDs had aerial ante of adapted ICD analysis but not as aerial as did accessory blockage patients. In the absence of reliable accident stratification techniques, application should be accustomed to antibacterial ICD article in patients with cardiac sarcoidosis.
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
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