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Evaluation and Management of Arrhythmic Risk in Neuromuscular Disorders

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37 YES YES YES YES ICD (1) PPM (2a) PPM (1) a Some patients with indications for pacemaker implantation or secondary prevention ICD based on recommendations from previously published guidelines may not be represented in this flow diagram. b Physical examination, ECG, ambulatory ECG, and cardiac imaging (echocardiography or CMR) at diagnosis with periodic retesting. Colors correspond to the class of recommendation (COR) on pages 48–49. NO NO NO NO Sustained VT/VF ICD concordant with patient goals of care and clinical status Advanced 2nd or 3rd degree AV block and/or sinus node dysfunction Progressive AV conduction abnormally/block or fascicular block

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