Left Cardiac Sympathetic Denervation in Patients with CASQ2-Associated Catecholaminergic Polymorphic Ventricular Tachycardia

Isr Med Assoc J. 2015 Sep;17(9):538-40.

Abstract

Background: Left cardiac sympathetic denervation (LCSD) was reported to be effective in patients with intractable ryanodine receptor mutation-associated catecholaminergic polymorphic ventricular tachycardia (CPVT).

Objectives: To report our experience with LCSD in calsequestrin (CASQ2) mutation-associated CPVT.

Methods: LCSD was performed in three patients with CASQ2 mutation-associated CPVT with symptoms and exercise-induced ventricular arrhythmia despite high dose beta-blocker

Results: None of them experienced symptoms or exercise-induced ventricular arrhythmia after LCSD. However, all had recurrence of symptoms and/or exercise-induced ventricular arrhythmia after 6 months (6-18 months).

Conclusions: LCSD conferred short-term suppression but less than optimal long-term suppression of exercise-induced ventricular arrhythmia among CASQ2-associated CPVT patients.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adrenergic beta-Antagonists / administration & dosage
  • Adrenergic beta-Antagonists / therapeutic use
  • Calsequestrin / genetics*
  • Exercise
  • Humans
  • Male
  • Mutation
  • Recurrence
  • Sympathectomy / methods*
  • Tachycardia, Ventricular / genetics
  • Tachycardia, Ventricular / surgery*

Substances

  • Adrenergic beta-Antagonists
  • Calsequestrin

Supplementary concepts

  • Polymorphic catecholergic ventricular tachycardia