What acute cardiac care physicians need to know from the latest 2022 ESC Guidelines for ventricular tachycardia and sudden cardiac death

Eur Heart J Acute Cardiovasc Care. 2023 Jan 27;12(1):62-68. doi: 10.1093/ehjacc/zuac149.

Abstract

The present paper summarizes and comments on the latest 2022 ESC guidelines on ventricular tachycardia and sudden cardiac death. Most relevant recommendations for acute cardiovascular care physicians are addressed, particularly, in the fields of coronary artery disease, dilated cardiomyopathy, and inflammatory diseases. New recommendations encompass the implantation of a defibrillator (ICD) in the setting of acute myocarditis. Furthermore, the pathophysiology of the electrical storm including involved molecular pathways as well as the angry Purkinje fibre syndrome is presented and discussed.

Keywords: Ablation; Electrical storm; Guideline; Sudden death; Tachycardia; Therapy.

MeSH terms

  • Arrhythmias, Cardiac
  • Cardiomyopathy, Dilated*
  • Death, Sudden, Cardiac / prevention & control
  • Defibrillators, Implantable*
  • Humans
  • Tachycardia, Ventricular* / therapy