PMID- 28262437 OWN - NLM STAT- MEDLINE DCOM- 20170905 LR - 20220318 IS - 1873-2615 (Electronic) IS - 1050-1738 (Linking) VI - 27 IP - 5 DP - 2017 Jul TI - Myocardial fibrosis predicts ventricular tachyarrhythmias. PG - 363-372 LID - S1050-1738(17)30012-9 [pii] LID - 10.1016/j.tcm.2017.01.011 [doi] AB - Myocardial fibrosis is a common pattern in the setting of different heart diseases, and promotes ventricular tachyarrhythmias by creating a vulnerable substrate for reentrant activity and by favoring the emergence of triggers. Currently, late gadolinium enhancement (LGE) cardiac magnetic resonance is considered the reference method for the noninvasive assessment of ventricular fibrosis. Several studies and meta-analyses have shown that ventricular fibrosis detected by LGE is a powerful predictor of ventricular tachyarrhythmic events in ischemic, non-ischemic dilated cardiomyopathy and hypertrophic cardiomyopathy patients. Both the presence and extension of ventricular fibrosis were shown to correlate with the occurrence of ventricular arrhythmias and sudden cardiac death, irrespective of the grade of left ventricular dysfunction. Based on these results, the assessment of ventricular fibrosis has been suggested as a candidate marker to improve the decision making for implantable cardioverter-defibrillator therapy in patients with left ventricular dysfunction. These points will be discussed in the review. CI - Copyright (c) 2017 Elsevier Inc. All rights reserved. FAU - Disertori, Marcello AU - Disertori M AD - Healthcare Research and Innovation Program, PAT-FBK, Trento, Italy; Department of Cardiology, Santa Chiara Hospital, Trento, Italy. Electronic address: disertorim@gmail.com. FAU - Mase, Michela AU - Mase M AD - Department of Physics, University of Trento, Povo, Trento, Italy. FAU - Ravelli, Flavia AU - Ravelli F AD - Department of Physics, University of Trento, Povo, Trento, Italy. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20170202 PL - United States TA - Trends Cardiovasc Med JT - Trends in cardiovascular medicine JID - 9108337 SB - IM CIN - Trends Cardiovasc Med. 2017 Jul;27(5):373-375. PMID: 28351697 MH - Animals MH - Arrhythmias, Cardiac/diagnosis/*etiology/physiopathology/therapy MH - Biopsy MH - Cardiomyopathies/*complications/diagnostic imaging/physiopathology/*therapy MH - Death, Sudden, Cardiac/etiology/prevention & control MH - Defibrillators, Implantable MH - Electric Countershock/instrumentation MH - Electrocardiography MH - Fibrosis MH - *Heart Rate MH - Humans MH - Magnetic Resonance Imaging MH - Myocardium/*pathology MH - Predictive Value of Tests MH - Risk Factors MH - Treatment Outcome MH - *Ventricular Function OTO - NOTNLM OT - Arrhythmias OT - Cardiomyopathy OT - Fibrosis OT - Implantable cardioverter-defibrillator OT - Late gadolinium enhancement OT - Sudden cardiac death EDAT- 2017/03/07 06:00 MHDA- 2017/09/07 06:00 CRDT- 2017/03/07 06:00 PHST- 2016/12/21 00:00 [received] PHST- 2017/01/31 00:00 [revised] PHST- 2017/01/31 00:00 [accepted] PHST- 2017/03/07 06:00 [pubmed] PHST- 2017/09/07 06:00 [medline] PHST- 2017/03/07 06:00 [entrez] AID - S1050-1738(17)30012-9 [pii] AID - 10.1016/j.tcm.2017.01.011 [doi] PST - ppublish SO - Trends Cardiovasc Med. 2017 Jul;27(5):363-372. doi: 10.1016/j.tcm.2017.01.011. Epub 2017 Feb 2.