Arrhythmias & electrophysiology

Rates and predictors for sustained ventricular tachycardia in patients with cardiac sarcoidosis and AV block as first cardiac presentation: Implications for device implantation

Heart RhythmPublished Prospective cohort study

Authors' conclusion

Patients with CS presenting with AVB have a high risk of sustained VA.

Study context

Population
Patients with cardiac sarcoidosis without prior ventricular arrhythmias (VA)82 analysed after excluding VA
Participants
112 patients
Exposure
AV block vs other symptoms as first cardiac presentation of cardiac sarcoidosis
  • Atrioventricular block (AVB)n = 34
  • OSFn = 48reference
Outcome
Sustained VA
Follow-up
During

Main finding

As reported in the abstract

P = 0.001

Observational data: associations, not effects.

Further findings

LGE

P = 0.966

Abnormal PET uptake

P = 0.007

OutcomeAVBOSFP value
Death, LVAD implantation or heart transplantation11.8%— not stated in the abstractP = 0.847

— not stated in the abstract

Predictors of VA (multivariate analysis)

HR

AVB
25.15
Right ventricular (RV) late gadolinium enhancement (LGE) on cardiovascular magnetic resonance (CMR)
7.39
Immunosuppressive therapy (less VA)
0.26

Original publication

Rates and predictors for sustained ventricular tachycardia in patients with cardiac sarcoidosis and AV block as first cardiac presentation: Implications for device implantation. Heart Rhythm. Published 14 September 2024. doi:10.1016/j.hrthm.2024.09.020

Composed by AI from the published abstract and checked against it. How Briefs are made →

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