Our mission is to become a worldwide reference for education in the field for all professionals involved in the process to disseminate knowledge & skills of Acute Cardiovascular Care.
Our mission is to promote excellence in clinical diagnosis, research, technical development, and education in cardiovascular imaging in Europe.
Our mission is to promote excellence in research, practice, education and policy in cardiovascular health, primary and secondary prevention.
Our mission is to reduce the burden of cardiovascular disease through percutaneous cardiovascular interventions.
Improving the quality of life and reducing sudden cardiac death by limiting the impact of heart rhythm disturbances.
Our mission is to improve quality of life and longevity, through better prevention, diagnosis and treatment of heart failure, including the establishment of networks for its management, education and research.
The ESC Working Groups' goal is to stimulate and disseminate scientific knowledge in different fields of cardiology.
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Prof. Varga Albert
Discover the details of the session
This was a very interesting and exciting session that focused on the importance of new cardiac imaging modalities in the selection of patients for implantable cardioverter defibrillator (ICD) treatment and on the prognostic value of these imaging modalities in the prediction of arrhythmic events in different pathologies. The first speaker, Professor Kisslo from Durham, US, in his excellent presentation underlined that there is strong evidence (the MADIT-CRT trial etc) that has already proven the usefulness of resynchronization therapy in combination with ICD implantation. In the subsequent parts of his talk, he elegantly demonstrated the relevance of different patterns of strain and strain rate imaging in the selection process and the prognostic value of mechanical dispersion in the prediction of arrhythmic events.Professor Thor Edvardsen from Norway focused his presentation on the prediction of arrhythmias (and sudden cardiac death) by global longitudinal strain measured by speckle tracking echocardiography. He emphasized that the assessment of mechanical dispersion by echocardiography is helpful to identify patients prone to malignant arrhythmias. The mechanical dispersion determined by strain echocardiographic measurements predicts arrhythmic events even in patients with dilated cardiomyopathy. Dr. Sophie Mavrogeni from Greece demonstrated the importance of cardiac magnetic resonance (CMR) imaging in the prediction of ventricular arrhythmias in different pathologies. She concluded that the detection of late enhancement in the left ventricle is predictive of ventricular tachycardia in both ischemic and non–ischemic heart disease; CMR is a method of choice in the diagnosis of myocarditis with normal left ventricular ejection fraction; CMR plays important role in the evaluation of patients with congenital heart disease and at high risk of ventricular arrhythmias.
In summary, all speakers convincingly demonstrated that both the new echocardiographic modalities and CMR play an important role in the management of patients with a high risk of fatal ventricular arrhythmias who are candidates for ICD implantation.
How can cardiac imaging contribute in risk evaluation of ventricular arrhythmias?
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