• Isr Med Assoc J · Sep 2015

    Case Reports

    Left Cardiac Sympathetic Denervation in Patients with CASQ2-Associated Catecholaminergic Polymorphic Ventricular Tachycardia.

    • Ibrahim Marai, Monther Boulos, and Asaad Khoury.
    • Isr Med Assoc J. 2015 Sep 1;17(9):538-40.

    BackgroundLeft cardiac sympathetic denervation (LCSD) was reported to be effective in patients with intractable ryanodine receptor mutation-associated catecholaminergic polymorphic ventricular tachycardia (CPVT).ObjectivesTo report our experience with LCSD in calsequestrin (CASQ2) mutation-associated CPVT.MethodsLCSD was performed in three patients with CASQ2 mutation-associated CPVT with symptoms and exercise-induced ventricular arrhythmia despite high dose beta-blockerResultsNone of them experienced symptoms or exercise-induced ventricular arrhythmia after LCSD. However, all had recurrence of symptoms and/or exercise-induced ventricular arrhythmia after 6 months (6-18 months).ConclusionsLCSD conferred short-term suppression but less than optimal long-term suppression of exercise-induced ventricular arrhythmia among CASQ2-associated CPVT patients.

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