Emerging concepts in heart failure management and treatment: focus on tachycardia-induced cardiomyopathy.

atrial fibrillation cardiomyopathy heart failure tachyarrhythmia tachycardia tachycardiomyopathy

Journal

Drugs in context
ISSN: 1745-1981
Titre abrégé: Drugs Context
Pays: England
ID NLM: 101262187

Informations de publication

Date de publication:
2023
Historique:
received: 28 08 2022
accepted: 07 11 2022
entrez: 20 1 2023
pubmed: 21 1 2023
medline: 21 1 2023
Statut: epublish

Résumé

Tachycardia-induced cardiomyopathy is an entity characterized by reversible dysfunction of the left ventricle, which can be induced by different types of arrhythmia such as atrial fibrillation, atrial flutter, incessant supraventricular tachycardia and ventricular arrhythmia (more frequent causes). Correct identification of the causative arrhythmia and normalization of the heart rate (e.g through medical treatment, electrical cardioversion, ablation) can lead to recovery of left ventricular function. Tachycardia-induced cardiomyopathy should be suspected in patients with tachycardia and left ventricular dysfunction (heart failure setting), especially when there is no history of previous heart disease. Its usual phenotype is that of non-ischaemic/non-valvular dilated cardiomyopathy and it can occur in both children (main cause: permanent junctional reciprocating tachycardia) and adults (main cause: atrial fibrillation). With proper treatment, most cases recover within a few months, though there is a risk of relapse, especially when the causal arrhythmia reappears or its control is lost. This is a narrative review that comprehensively addresses the pathophysiology, clinical manifestations, and therapeutic management of tachycardia-induced cardiomyopathy. This article is part of the

Identifiants

pubmed: 36660016
doi: 10.7573/dic.2022-8-4
pii: dic-2022-8-4
pmc: PMC9828873
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Informations de copyright

Copyright © 2023 Báez Cabanillas MA, Colque R, Tibaldi MA, Kaplinsky E, Perrone S, Barbagelata A.

Déclaration de conflit d'intérêts

Disclosure and potential conflicts of interest: The authors declare that they have no conflicts of interest relevant to this manuscript. The International Committee of Medical Journal Editors (ICMJE) Potential Conflicts of Interests form for the authors is available for download at: https://www.drugsincontext.com/wp-content/uploads/2022/11/dic.2022-8-4-COI.pdf

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Auteurs

María Victoria Báez Cabanillas (MV)

Catholic University of Argentina, Buenos Aires, Argentina.
Cardiovascular Medicine Department, Sanatorio Allende, Córdoba, Argentina.

Roberto Colque (R)

Cardiovascular Medicine Department, Sanatorio Allende, Córdoba, Argentina.

Miguel Ángel Tibaldi (MÁ)

Cardiovascular Medicine Department, Sanatorio Allende, Córdoba, Argentina.

Edgardo Kaplinsky (E)

Cardiology Unit, Medicine Department, Hospital Municipal de Badalona, Barcelona, Spain.

Sergio Perrone (S)

Catholic University of Argentina, Buenos Aires, Argentina.
Fleni Institute, Buenos Aires, Argentina.

Alejandro Barbagelata (A)

Catholic University of Argentina, Buenos Aires, Argentina.
Duke University School of Medicine, Durham, NC, USA.

Classifications MeSH