My ESC in Marocco · CARDIOLOGY@ WE ARE THE ESC ICD 'mplantation for the primary prevention of SCD...
Transcript of My ESC in Marocco · CARDIOLOGY@ WE ARE THE ESC ICD 'mplantation for the primary prevention of SCD...
![Page 1: My ESC in Marocco · CARDIOLOGY@ WE ARE THE ESC ICD 'mplantation for the primary prevention of SCD is generally not indicated days after myocardial infarction. No. at Risk ICD group](https://reader034.fdocuments.net/reader034/viewer/2022051511/601d4f201756845a136e6441/html5/thumbnails/1.jpg)
Ventricular Arrhythmias
My ESC in Marocco
JC Deharo, MD, FESC
![Page 2: My ESC in Marocco · CARDIOLOGY@ WE ARE THE ESC ICD 'mplantation for the primary prevention of SCD is generally not indicated days after myocardial infarction. No. at Risk ICD group](https://reader034.fdocuments.net/reader034/viewer/2022051511/601d4f201756845a136e6441/html5/thumbnails/2.jpg)
Relationship disclosure
• Research Grants: Biotronik; Boston Scientific; Medtronic; Saint Jude Medical; Sorin
Group;
• Honoraria / Travel Grants for Lectures: Biotronik; Boston Scientific; Medtronic; Saint Jude Medical; Sorin
Group; Spectranetics; Boehringer Ingelheim; Sanofi; MedaPharma; Bayer
• Consultant :Medtronic; Spectranetics
![Page 3: My ESC in Marocco · CARDIOLOGY@ WE ARE THE ESC ICD 'mplantation for the primary prevention of SCD is generally not indicated days after myocardial infarction. No. at Risk ICD group](https://reader034.fdocuments.net/reader034/viewer/2022051511/601d4f201756845a136e6441/html5/thumbnails/3.jpg)
LVEF ≤ 35%NYHA II – III
OMT > 3 mo.
Ischemic CMNon ischemic
CM
Primary prevention by the ICD
I I
![Page 4: My ESC in Marocco · CARDIOLOGY@ WE ARE THE ESC ICD 'mplantation for the primary prevention of SCD is generally not indicated days after myocardial infarction. No. at Risk ICD group](https://reader034.fdocuments.net/reader034/viewer/2022051511/601d4f201756845a136e6441/html5/thumbnails/4.jpg)
DINAMIT trial, Hohnloser NEJM 2004
![Page 5: My ESC in Marocco · CARDIOLOGY@ WE ARE THE ESC ICD 'mplantation for the primary prevention of SCD is generally not indicated days after myocardial infarction. No. at Risk ICD group](https://reader034.fdocuments.net/reader034/viewer/2022051511/601d4f201756845a136e6441/html5/thumbnails/5.jpg)
![Page 6: My ESC in Marocco · CARDIOLOGY@ WE ARE THE ESC ICD 'mplantation for the primary prevention of SCD is generally not indicated days after myocardial infarction. No. at Risk ICD group](https://reader034.fdocuments.net/reader034/viewer/2022051511/601d4f201756845a136e6441/html5/thumbnails/6.jpg)
1 - Reperfusion
![Page 7: My ESC in Marocco · CARDIOLOGY@ WE ARE THE ESC ICD 'mplantation for the primary prevention of SCD is generally not indicated days after myocardial infarction. No. at Risk ICD group](https://reader034.fdocuments.net/reader034/viewer/2022051511/601d4f201756845a136e6441/html5/thumbnails/7.jpg)
2 – Bêta bloquants & Amiodarone ±
Lidocaine
![Page 8: My ESC in Marocco · CARDIOLOGY@ WE ARE THE ESC ICD 'mplantation for the primary prevention of SCD is generally not indicated days after myocardial infarction. No. at Risk ICD group](https://reader034.fdocuments.net/reader034/viewer/2022051511/601d4f201756845a136e6441/html5/thumbnails/8.jpg)
3 – Rééquilibration hydro-électrolytique
Lidocaine
![Page 9: My ESC in Marocco · CARDIOLOGY@ WE ARE THE ESC ICD 'mplantation for the primary prevention of SCD is generally not indicated days after myocardial infarction. No. at Risk ICD group](https://reader034.fdocuments.net/reader034/viewer/2022051511/601d4f201756845a136e6441/html5/thumbnails/9.jpg)
4 – Ablation
![Page 10: My ESC in Marocco · CARDIOLOGY@ WE ARE THE ESC ICD 'mplantation for the primary prevention of SCD is generally not indicated days after myocardial infarction. No. at Risk ICD group](https://reader034.fdocuments.net/reader034/viewer/2022051511/601d4f201756845a136e6441/html5/thumbnails/10.jpg)
Catheter ablation
Substrate
Voltage map / Abnormal potentials
Non reproductible
Unstable
Poorly tolerated
General anesthesia
Hemodynamic support
VT Induction attempt
![Page 11: My ESC in Marocco · CARDIOLOGY@ WE ARE THE ESC ICD 'mplantation for the primary prevention of SCD is generally not indicated days after myocardial infarction. No. at Risk ICD group](https://reader034.fdocuments.net/reader034/viewer/2022051511/601d4f201756845a136e6441/html5/thumbnails/11.jpg)
![Page 12: My ESC in Marocco · CARDIOLOGY@ WE ARE THE ESC ICD 'mplantation for the primary prevention of SCD is generally not indicated days after myocardial infarction. No. at Risk ICD group](https://reader034.fdocuments.net/reader034/viewer/2022051511/601d4f201756845a136e6441/html5/thumbnails/12.jpg)
![Page 13: My ESC in Marocco · CARDIOLOGY@ WE ARE THE ESC ICD 'mplantation for the primary prevention of SCD is generally not indicated days after myocardial infarction. No. at Risk ICD group](https://reader034.fdocuments.net/reader034/viewer/2022051511/601d4f201756845a136e6441/html5/thumbnails/13.jpg)
![Page 14: My ESC in Marocco · CARDIOLOGY@ WE ARE THE ESC ICD 'mplantation for the primary prevention of SCD is generally not indicated days after myocardial infarction. No. at Risk ICD group](https://reader034.fdocuments.net/reader034/viewer/2022051511/601d4f201756845a136e6441/html5/thumbnails/14.jpg)
![Page 15: My ESC in Marocco · CARDIOLOGY@ WE ARE THE ESC ICD 'mplantation for the primary prevention of SCD is generally not indicated days after myocardial infarction. No. at Risk ICD group](https://reader034.fdocuments.net/reader034/viewer/2022051511/601d4f201756845a136e6441/html5/thumbnails/15.jpg)
Poorly toleratedVF / VT (> 48H after
MI)
Well tolerated VT(> 48H after MI
VentricularArrhythmia
I IIa
Secondary prevention by the ICD
![Page 16: My ESC in Marocco · CARDIOLOGY@ WE ARE THE ESC ICD 'mplantation for the primary prevention of SCD is generally not indicated days after myocardial infarction. No. at Risk ICD group](https://reader034.fdocuments.net/reader034/viewer/2022051511/601d4f201756845a136e6441/html5/thumbnails/16.jpg)
Fata
l e
ve
nts