Table 8

Knowledge gaps in pharmacological therapies for VT/SCD

Knowledge gapsAvailable evidenceFeasibility of studyOngoing trials
Role of combination of potassium and sodium channel blockers (amiodarone + propafenone/flecainid) in patients with ICD and frequent adequate interventions/arrhythmic stormObservationalModerateNone
Safety of Class IC in combination with beta-blockers in patients with ICD and frequent adequate interventions/arrhythmic stormObservationalFeasibleNone
Azimilide in patients with ICD and frequent adequate interventions/arrhythmic stormRCT SHIELD, SHIELD-2LikelyNone
Underpowered
Use of AAD during resuscitation for refractory VF/VTUnderpowered trialsModerateNone
Role of ranolazine (inhibitor of late INa) in preveng non-sustained VT and SCD in patients post-ACSMERLIN-TIMI 36, post hoc analysisModerateRAID trial (NCT NCT01215253)
Targeted therapy with AAD for treatment of frequent ventricular ectopyObservationalLikelyNone
Targeted AAD therapy for cardiac channelopathiesObservationalModerateNone
Role of late sodium current blockers (mexiletine, lidocaine) in preventing TdP by reducing drug-induced QTc prolongationHealthy volunteersLikelyNone
Knowledge gapsAvailable evidenceFeasibility of studyOngoing trials
Role of combination of potassium and sodium channel blockers (amiodarone + propafenone/flecainid) in patients with ICD and frequent adequate interventions/arrhythmic stormObservationalModerateNone
Safety of Class IC in combination with beta-blockers in patients with ICD and frequent adequate interventions/arrhythmic stormObservationalFeasibleNone
Azimilide in patients with ICD and frequent adequate interventions/arrhythmic stormRCT SHIELD, SHIELD-2LikelyNone
Underpowered
Use of AAD during resuscitation for refractory VF/VTUnderpowered trialsModerateNone
Role of ranolazine (inhibitor of late INa) in preveng non-sustained VT and SCD in patients post-ACSMERLIN-TIMI 36, post hoc analysisModerateRAID trial (NCT NCT01215253)
Targeted therapy with AAD for treatment of frequent ventricular ectopyObservationalLikelyNone
Targeted AAD therapy for cardiac channelopathiesObservationalModerateNone
Role of late sodium current blockers (mexiletine, lidocaine) in preventing TdP by reducing drug-induced QTc prolongationHealthy volunteersLikelyNone

AAD, antiarrhythmic drug; ACS, acute coronary syndrome; ICD, implantable cardioverter-defibrillator; SCD, sudden cardiac death; VF, ventricular fibrillation; VT, ventricular tachycardia.

Table 8

Knowledge gaps in pharmacological therapies for VT/SCD

Knowledge gapsAvailable evidenceFeasibility of studyOngoing trials
Role of combination of potassium and sodium channel blockers (amiodarone + propafenone/flecainid) in patients with ICD and frequent adequate interventions/arrhythmic stormObservationalModerateNone
Safety of Class IC in combination with beta-blockers in patients with ICD and frequent adequate interventions/arrhythmic stormObservationalFeasibleNone
Azimilide in patients with ICD and frequent adequate interventions/arrhythmic stormRCT SHIELD, SHIELD-2LikelyNone
Underpowered
Use of AAD during resuscitation for refractory VF/VTUnderpowered trialsModerateNone
Role of ranolazine (inhibitor of late INa) in preveng non-sustained VT and SCD in patients post-ACSMERLIN-TIMI 36, post hoc analysisModerateRAID trial (NCT NCT01215253)
Targeted therapy with AAD for treatment of frequent ventricular ectopyObservationalLikelyNone
Targeted AAD therapy for cardiac channelopathiesObservationalModerateNone
Role of late sodium current blockers (mexiletine, lidocaine) in preventing TdP by reducing drug-induced QTc prolongationHealthy volunteersLikelyNone
Knowledge gapsAvailable evidenceFeasibility of studyOngoing trials
Role of combination of potassium and sodium channel blockers (amiodarone + propafenone/flecainid) in patients with ICD and frequent adequate interventions/arrhythmic stormObservationalModerateNone
Safety of Class IC in combination with beta-blockers in patients with ICD and frequent adequate interventions/arrhythmic stormObservationalFeasibleNone
Azimilide in patients with ICD and frequent adequate interventions/arrhythmic stormRCT SHIELD, SHIELD-2LikelyNone
Underpowered
Use of AAD during resuscitation for refractory VF/VTUnderpowered trialsModerateNone
Role of ranolazine (inhibitor of late INa) in preveng non-sustained VT and SCD in patients post-ACSMERLIN-TIMI 36, post hoc analysisModerateRAID trial (NCT NCT01215253)
Targeted therapy with AAD for treatment of frequent ventricular ectopyObservationalLikelyNone
Targeted AAD therapy for cardiac channelopathiesObservationalModerateNone
Role of late sodium current blockers (mexiletine, lidocaine) in preventing TdP by reducing drug-induced QTc prolongationHealthy volunteersLikelyNone

AAD, antiarrhythmic drug; ACS, acute coronary syndrome; ICD, implantable cardioverter-defibrillator; SCD, sudden cardiac death; VF, ventricular fibrillation; VT, ventricular tachycardia.

Close
This Feature Is Available To Subscribers Only

Sign In or Create an Account

Close

This PDF is available to Subscribers Only

View Article Abstract & Purchase Options

For full access to this pdf, sign in to an existing account, or purchase an annual subscription.

Close