Heart, Arrhythmia

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Acceptability at Recruitment

QUALIFIED

Acceptability at CT / Work-Up

QUALIFIED

Individual at Risk

Donor

Explanation of Condition

Abnormal heart rhythm or electrical activity. Usually picked up using an electrocardiogram (ECG).

Guidance

Possible procedural risk, particularly with general anaesthetic and insertion of central venous catheters. Discuss with MO.

Acceptable

Benign atrial or ventricular ectopics (extrasystoles)

Sinus tachycardia/bradycardia acceptable, but inform anaesthetist at work-up if for bone marrow harvest.

Beta-blockers prescribed for benign ectopics or sinus tachycardia are acceptable.

Supraventricular tachycardias (SVT), including atrial fibrillation/flutter, acceptable if successfully treated with catheter ablation and off rate/rhythm-control medications (such as beta-blockers) for at least 12 months.

Right bundle branch block in the absence of any other abnormality

Left or right sided axis deviation in the absence of any other abnormality

First degree heart block may be acceptable at work up at the discretion of the assessing physician

In the absence of a family history of heart conditions, or symptoms the donor does not require an echocardiogram for the above conditions at medical assessment.

For BM donation all the above conditions should be discussed with anaesthetist at medical assessment

Unacceptable

Uncorrected atrial fibrillation/flutter

Any history of ventricular tachycardia/fibrillation

Wolff-Parkinson-White/Lown-Ganong-Levine syndromes unacceptable unless treated with catheter ablation, and no ECG evidence of accessory pathways.

Second or third degree heart block

All pacemakers and implantable cardiac defibrillators (ICD)

Left bundle branch block

Long-QT syndrome, Brugada syndrome or any other known cause of sudden cardiac death

Pseudonyms or Related Conditions

SVT

Atrial fibrillation

Atrial flutter

Tachycardia

Bradycardia

Heart block

Rhythm abnormality

Cardiogenic syncope

Long-QT syndrome

Brugada Syndrome

Wolff-Parkinson-White Syndrome

Lown-Ganong-Levine Syndrome

Re-entrant Tachycardia

Ventricular Tachycardia

Version

Version 1, Edition 2

Date of Last Update

1 June 2016