Updated guidelines for treatment for patients with
ventricular arrhythmias
Dr KK Aggarwal
The American College of Cardiology (ACC), American Heart
Association (AHA) and the Heart Rhythm Society (HRS) have jointly published new
guidelines for the management of adults who have ventricular arrhythmias or who
are at risk for sudden cardiac death, including diseases and syndromes
associated with a risk of sudden cardiac death from ventricular arrhythmias.
According to the guidelines, patients considering
implantation of a new ICD or replacement of an existing one should be informed
of their individual risk of sudden cardiac death and nonsudden death from heart
failure or noncardiac conditions, and the effectiveness and potential
complications of the ICD. In patients nearing the end of life from other
illness, clinicians should discuss ICD shock deactivation as they reassess
their patients’ goals and preferences.
Emphasizing on the role of shared decision making between
patients and their doctors, the guidelines say that treatment decisions should also
take into consideration, the health goals, preferences, and values of the
patients.
The “2017 AHA/ACC/HRS Guideline for Management of
Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac
Death” have been published online October 30, 2017 in the Journal of
the American College of Cardiology, Circulation and
(Source: ACC News Release, October 30, 2017)
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