Document Detail


Catecholaminergic polymorphic ventricular tachycardia.
MedLine Citation:
PMID:  20143088     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Catecholaminergic polymorphic ventricular tachycardia (CPVT) is an inherited arrhythmogenic disorder that causes syncopal episodes related with stress or emotion and even sudden cardiac deaths. Signs and symptoms usually begin in childhood. A suspicion of CPVT should be kept in mind when a child or an adolescent suddenly loses consciousness, particularly if this happens upon physical exercise or sudden mental stress. During the past decade, the knowledge of CPVT genetics and physiology has increased. Exercise testing is essential when suspecting arrhythmogenic origin of syncope, and in the case of CPVT, it may be even more sensitive than Holter monitoring. Beta-antiadrenergic medication can substantially decrease the mortality associated with CPVT. Asymptomatic patients with known CPVT gene defects should also be treated because sudden cardiac death may be the first manifestation of the disease. An implantable cardioverter-defibrillator may also be required in the most severe CPVT cases. In this review, we summarise the current knowledge on the clinical characteristics, diagnostic, genetic and prognostic features of CPVT in children. In all, 133 publications covering 60 years were checked, and those written in English and containing ten or more, mainly paediatric CPVT cases, were included. In addition, a CPVT family with three members and delayed diagnoses until late childhood and adulthood is presented.
Authors:
Kaisa Yl?nen; Tuija Poutanen; Anita Hiippala; Heikki Swan; Matti Korppi
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2010-02-09
Journal Detail:
Title:  European journal of pediatrics     Volume:  169     ISSN:  1432-1076     ISO Abbreviation:  Eur. J. Pediatr.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-03-10     Completed Date:  2010-06-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7603873     Medline TA:  Eur J Pediatr     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  535-42     Citation Subset:  IM    
Affiliation:
Paediatric Research Centre, Tampere University and University Hospital, FinMed-3 Building, Tampere, Finland. kaisa@ylanen.fi
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Catecholamines / physiology*
Child
Child, Preschool
Electrocardiography
Female
Humans
Male
Polymorphism, Genetic
Tachycardia, Ventricular / diagnosis,  genetics*,  physiopathology*,  therapy
Chemical
Reg. No./Substance:
0/Catecholamines

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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