100 QUESTIONS IN CARDIOLOGY

86 Who should have a VT stimulation study? What are the risks and benefits? Roy M John Contrary to conventional wisdom, a signif ...

reliability of induced polymorphic VT or ventricular fibrillation as end points. Recent data from subgroup analysis of the Multi ...

87 What are the indications for implantable cardioverter defibrillator (ICD) implantation and what are the survival benefits? Ro ...

that the ICD should be reserved for those with the worst LV function. Unfortunately, such patients have competing causes for mor ...

33 Familial or inherited conditions with a high risk for life- threatening ventricular tachyarrhythmia such as long QT syndrome ...

to the health care system. Other patients must be dealt with on a case by case basis weighing up all the individual circumstance ...

88 How do I manage the patient with an ICD? Roy M John An implantable cardioverter defibrillator (ICD) serves as prophy- laxis a ...

form of atrial fibrillation that is commonly associated with rapid rates at its onset. Occasionally, RF ablation of the AV node ...

89 How do I follow up the patient with the implantable cardioverter defibrillator? Mark Squirrell Follow up of the patient with ...

55 Minimise the risk of complications occurring both from in- appropriate therapy delivered to the patient and those associated ...

90 What do I do if an ICD keeps discharging? Roy M John and Mark Squirrell Most patients who experience a single ICD shock do so ...

Other causes of inappropriate therapy include: Sinus tachycardia Lead fracture Diaphragmatic muscle sensing Electromagnetic int ...

91 How do I manage the pregnant woman with dilated cardiomyopathy? Sara Thorne The management of a pregnant woman with dilated c ...

Fetal risk Fetal risk should be considered in terms of two factors: 11 Factors which put the mother at risk 22 Adverse effects f ...

92 How do I manage the pregnant woman with valve disease? Sara Thorne Native or tissue valves In general, regurgitant lesions ar ...

Note: 11 Mitral tilting disc prostheses at particular risk: fatal thrombotic occlusion of these valves in pregnant women describ ...

93 Which cardiac patients should never get pregnant? Which cardiac patients should undergo elective Caesarean section? Sara Thor ...

expense of excessive maternal haemorrhage to which cyanotic patients are prone. 22 Pulmonary hypertension. See comments above. A ...

94 A patient is on life-long warfarin and wishes to become pregnant. How should she be managed? Rachael James All anticoagulant ...

than full anticoagulation but experience is increasing. Indeed, case reports are starting to emerge where LMWH has been used for ...