title: A Challenging Case Of Ventricular Arrhythmia In A Patient With Myocarditis: ICD Yes/No After Ablation.
abstract: In patients with myocarditis, early diagnosis and appropriate therapy are mandatory, as well as close clinical follow-up with particular regard to progression of disease and ventricular arrhythmia recurrences. The management of ventricular arrhythmias should follow current guidelines for ICD implantation, but new therapeutic options could be evaluated in these patients, such as combined epicardial/endocardial ablation and external wearable defibrillator. Particularly, depressed left ventricular ejection fraction (LVEF) represents the only risk marker for sudden cardiac death currently used in myocarditis, although the use of a single risk factor has limited utility. On this regard, combined analysis of myocardial tissue structure by cardiac magnetic resonance (CMR) and endomyocardial biopsy, in association with resting cardiac systolic function, could improve predictive accuracy for SCD in patients with myocarditis.
authors.affiliation: Department Of Cardiovascular Sciences, Institute of Cardiology, Catholic University of the Sacred Heart, Rome, Italy.
authors.forename: Maria L
authors.initials: ML
authors.lastname: Narducci
authors.affiliation: Department Of Cardiovascular Sciences, Institute of Cardiology, Catholic University of the Sacred Heart, Rome, Italy.
authors.forename: Teresa
authors.initials: T
authors.lastname: Rio
authors.affiliation: Department Of Cardiovascular Sciences, Institute of Cardiology, Catholic University of the Sacred Heart, Rome, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Perna
authors.affiliation: Department Of Cardiovascular Sciences, Institute of Cardiology, Catholic University of the Sacred Heart, Rome, Italy.
authors.forename: Domenico
authors.initials: D
authors.lastname: D'Amario
authors.affiliation: Department Of Radiology, Catholic University of the Sacred Heart, Rome, Italy.
authors.forename: Biagio
authors.initials: B
authors.lastname: Merlino
authors.affiliation: Department Of Radiology, Catholic University of the Sacred Heart, Rome, Italy.
authors.forename: Riccardo
authors.initials: R
authors.lastname: Marano
authors.affiliation: Department Of Cardiovascular Sciences, Institute of Cardiology, Catholic University of the Sacred Heart, Rome, Italy.
authors.forename: Gianluigi
authors.initials: G
authors.lastname: Bencardino
authors.affiliation: INnstitute Of Pathology, Catholic University of the Sacred Heart, Rome, Italy.
authors.forename: Frediano
authors.initials: F
authors.lastname: Inzani
authors.affiliation: Department Of Cardiovascular Sciences, Institute of Cardiology, Catholic University of the Sacred Heart, Rome, Italy.
authors.forename: Gemma
authors.initials: G
authors.lastname: Pelargonio
authors.affiliation: Department Of Cardiovascular Sciences, Institute of Cardiology, Catholic University of the Sacred Heart, Rome, Italy.
authors.forename: Filippo
authors.initials: F
authors.lastname: Crea