Primary Prevention
Sudden Cardiac
Arrest
Secondary Prevention
Survivor
Grundy SM, et al. Assessment of cardiovascular risk by use of multiple-risk-factor assessment equations. Circulation. 1999;100:1481–92.
EHRA/HRS/APHRS Guidelines 2014
ESC Guidelines 2015
20 18%
18
16
% Arrhythmic Death
14
12 11%
10
8%
8
6
4
2
0
1 Year 2 Years 3 Years
.80
.70 P = 0.007
.65
0 1 2 3
Years
Anderson JL, et al. Circulation. 1999;99:1692-1699.
} For secondary prevention, ICD implantation had no doubt
} Are there any predictors so we get maximum benefit for ICD that
being implanted ?
} ECG Predictors
} Electrophysiological Predictors
} A history of syncope has been associated with an increased incidence
of future arrhythmic events in several studies, including a meta-
analysis
2-3 : intermediate
} Female 34 y.o.
} Frequent Syncope
} Witnessed VT/VF
} SCA Survivor
} Referred from Jember
Measure QTC 550 ms
Long QT Syndrome (LQTS)
Types
Long QT Syndrome (LQTS)
Clinical Implication
QT Interval
Short – Normal – Long
Short QT Syndrome
Diagnosis Criteria
Points ≥ 4 :High-probability
Point 3 :Intermediate-probability
Poin ≥2 :Low-probability
Short QT Syndrome
ECG
Catecholaminergic
Polymorphic VT (CPVT)
CPVT
Prevalence