Group 1 | Group 2 | |
---|---|---|
ACS (conservative & PCI) | ✔ 1 week waiting period & not angina CCS IV | ✔ If
asymptomatic, EF >35%, normal exercise test 6-week waiting period |
Elective PCI | ✔ | ✔ |
Bypass | ✔ After recovery | ✔ If
NYHA I-II, EF >35%, normal exercise test 3-month waiting period |
Stable coronary artery disease | ✔ No resting angina | ✔ If
asymptomatic, EF >35%, normal stress test annually |
Group 1 | Group 2 | |
---|---|---|
AV Block I and Wenkebach II | ✔ | ✔ |
AV Block Mobitz II
Paroxysmal in sleep While awake |
✔ | ✔ |
✔ After PM implantation | ✔ After PM implantation | |
AV Block III born | ✔ If asymptomatic | ✔ After PM implantation |
AV Block III acquired | ✔ After PM implantation | ✔ After PM implantation |
RBBB or isolated hemiblock | ✔ | ✔ |
LBBB | ✔ | ✔ After echocardiography |
Bifascicular block with normal PQ interval | ✔ | ✔ |
Bifascicular blocked with prolonged PQ interval | ✔ If asymptomatic | ✔ If asymptomatic |
Group 1 | Group 2 | |
---|---|---|
Congenital long QT | ✔ If ICD* | Case-by-case assessment ✘ If ICD is indicated |
Brugada syndrome | ✔ If ICD* | Case-by-case assessment ✘ If ICD is indicated |
Group 1 | Group 2 | |
---|---|---|
Congenital diseases
Asymptomatic Symptomatic |
✔ | ✔ |
Case-by-case assessment | Case-by-case assessment | |
Hypertrophic cardiomyopathies
Asymptomatic Symptomatic |
✔ |
✔ If no ICD indicated |
Group 1 | Group 2 | |
---|---|---|
Vasovagal syncope
1×, not sitting/driving >1× OR while sitting/driving |
✔ | ✔ |
✔ 1-month waiting period | ✔ >3-month waiting period and case-by-case assessment | |
Triggering and recoverable factor | ✔ | ✔ |
Unclear syncope without prodrome | ✔ 3-month waiting period | ✔ If diagnosis and treatment; Otherwise, 12-month waiting period |
Group 1 | Group 2 | |
---|---|---|
Regular SV tachycardia
Without relevant symptoms With relevant symptoms |
✔ | ✔ |
✔ After ablation, 4 weeks of waiting and cardiological control | ✔ After ablation, 4 weeks of waiting and cardiological control | |
WPW No history of tachycardia | ✔ | ✔ |
Atrial fibrilation
Without relevant symptoms With relevant symptoms |
✔ | ✔ |
✔ After therapy, 4 weeks of waiting and cardiological control | ✔ After therapy, 4 weeks of waiting, and cardiological control |
Group 1 | Group 2 | |
---|---|---|
PM: with history syncope | ✔ 1 week waiting period | ✔ 3-month waiting period and cardiological control |
PM: without history of syncope | ✔ 1 week waiting period | ✔ 4-week waiting period and cardiological control |
ICD | ✔ With restrictions | ✘ |
CRT-D in non-ischemic cardiomyopathy & for primary prevention | ✔ 1 week waiting period | ✔ If:
>6 months sustained improvement to EF >50% and D function deactivated |
One-time, adequate shock | ✔ 3 months waiting period | |
Inappropriate shock | ✔ When cause resolved | |
Antitachycardic pacing of ventricular tachycardia with relevant symptoms without relevant symptoms | ✔ 3-month waiting period | |
✔ |
Group 1 | Group 2 | |
---|---|---|
NYHA I and II | ✔ | ✔ If EF >35% and normal stress test |
NYHA III | ✔ If stable | ✘ |
NYHA IV | ✘ | ✘ |
LVAD | Case-by-case assessment | ✘ |
After heart transplant | ✔ After recovery | ✔ NYHA I/II, EF >35% & normal stress test and 3-month waiting period |
Ventricular arrhythmias: no structural heart disease, no ion channel disease (typically from RVOT or LVOT) | ||
---|---|---|
PVC | ✔ | ✔ |
NSVT and VT
without relevant symptoms with relevant symptoms |
✔ | Case-by-case assessment |
✔ After therapy, 4 weeks of waiting and cardiological control | ✔ After therapy, 4 weeks of waiting and cardiological control | |
Idiopathic ventricular fibrillation | ✔ After ICD | ✘ |
PVC | ✔ | ✔ |
NSVT
Without relevant symptoms With relevant symptoms |
✔ | Case-by-case assessment |
✔ After therapy, 3-month wait and cardiological control | ✘ | |
Sustained VT with/without symptoms | ✔ After ICD | ✘ |
Group 1 | Group 2 | |
---|---|---|
Arterial hypertension | ✔ Without cerebral symptoms or visual disturbances | ✔ Without cerebral symptoms or visual disturbances BP <180 mmHg systolic / <110 mmHg diastolic |
Pulmonary hypertension | ✔ If NYHA I-III | ✔ If NYHA I-II & no permanent O2 need |
Thoracic aortic aneurysm | ✔ If <6.5 cm | ✔ If <5.5cm |
Group 1 | Group 2 | |
---|---|---|
Aortic Stenosis Asymptomatic Symptomatic After treatment | ✔ |
✔If not severe, annual reevaluation |
Other valvulopathies Asymptomatic Symptomatic After treatment | ✔ |
✔EF >35% and no severe mitral stenosis |