Advice Table 8

Chronic treatment of ES in stabilized primary electrical disease

EvidenceStrength
Advice TO DO
Perform LCSD in LQTS or CPVT patients with an ICD who are symptomatic on BB and who experience multiple shocks or ES refractory or intolerant to medical therapy216–219OBSgraphic
May be appropriate TO DO
Quinidine therapy may be appropriate in patients with BrS who have recurrent ICD shocks or ES290,291,329OBSgraphic
Quinidine in addition to an ICD may be appropriate for ES or recurrent VF in ERS, PVC triggered VF, or IVF patients197,325OBSgraphic
Catheter ablation by experienced electrophysiologists may be appropriate in patients with ERS or IVF with recurrent episodes of VF triggered by a similar PVC non-responsive to medical treatment197,325OBSgraphic
Catheter ablation of triggering PVCs and/or RVOT epicardial substrate may be appropriate in BrS patients with ES or recurrent appropriate ICD shocks317–319OBSgraphic
EvidenceStrength
Advice TO DO
Perform LCSD in LQTS or CPVT patients with an ICD who are symptomatic on BB and who experience multiple shocks or ES refractory or intolerant to medical therapy216–219OBSgraphic
May be appropriate TO DO
Quinidine therapy may be appropriate in patients with BrS who have recurrent ICD shocks or ES290,291,329OBSgraphic
Quinidine in addition to an ICD may be appropriate for ES or recurrent VF in ERS, PVC triggered VF, or IVF patients197,325OBSgraphic
Catheter ablation by experienced electrophysiologists may be appropriate in patients with ERS or IVF with recurrent episodes of VF triggered by a similar PVC non-responsive to medical treatment197,325OBSgraphic
Catheter ablation of triggering PVCs and/or RVOT epicardial substrate may be appropriate in BrS patients with ES or recurrent appropriate ICD shocks317–319OBSgraphic
Advice Table 8

Chronic treatment of ES in stabilized primary electrical disease

EvidenceStrength
Advice TO DO
Perform LCSD in LQTS or CPVT patients with an ICD who are symptomatic on BB and who experience multiple shocks or ES refractory or intolerant to medical therapy216–219OBSgraphic
May be appropriate TO DO
Quinidine therapy may be appropriate in patients with BrS who have recurrent ICD shocks or ES290,291,329OBSgraphic
Quinidine in addition to an ICD may be appropriate for ES or recurrent VF in ERS, PVC triggered VF, or IVF patients197,325OBSgraphic
Catheter ablation by experienced electrophysiologists may be appropriate in patients with ERS or IVF with recurrent episodes of VF triggered by a similar PVC non-responsive to medical treatment197,325OBSgraphic
Catheter ablation of triggering PVCs and/or RVOT epicardial substrate may be appropriate in BrS patients with ES or recurrent appropriate ICD shocks317–319OBSgraphic
EvidenceStrength
Advice TO DO
Perform LCSD in LQTS or CPVT patients with an ICD who are symptomatic on BB and who experience multiple shocks or ES refractory or intolerant to medical therapy216–219OBSgraphic
May be appropriate TO DO
Quinidine therapy may be appropriate in patients with BrS who have recurrent ICD shocks or ES290,291,329OBSgraphic
Quinidine in addition to an ICD may be appropriate for ES or recurrent VF in ERS, PVC triggered VF, or IVF patients197,325OBSgraphic
Catheter ablation by experienced electrophysiologists may be appropriate in patients with ERS or IVF with recurrent episodes of VF triggered by a similar PVC non-responsive to medical treatment197,325OBSgraphic
Catheter ablation of triggering PVCs and/or RVOT epicardial substrate may be appropriate in BrS patients with ES or recurrent appropriate ICD shocks317–319OBSgraphic
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