| Popis: |
The diagnosis of an idiopathic RVOT-VT is made by exclusion of ARVC or any other structural heart disease. If there are no signs of RV myocardial changes, such as dilatation, dyskinesia, hypokinesia, or aneurysms and wall thickening, and there are no electrocardiographic signs of ARVC, the patient most likely has an idiopathic RVOT-VT. However, especially in families with a history of sudden death, close follow-up may be useful. When enough minor or major criteria are met, the patient should be risk-stratified and treatment options should be tailored to the individual, taking into consideration the risks and benefits. In some younger patients with, e.g. syncope and one other minor criterion and RVOT-VT, this decision is often very difficult and will probably remain difficult. Genetic testing should be performed in all patients with a family history in order to detect relatives at risk. |
