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Ablation of Ischemic Ventricular Tachycardia Using a Multipolar Catheter and 3-dimensional Mapping System for High-density Electro-anatomical Reconstruction
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Ablation of Ischemic Ventricular Tachycardia Using a Multipolar Catheter and 3-dimensional Mapping System for High-density Electro-anatomical Reconstruction

Published on: January 31, 2019

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Ablation of ventricular arrhythmias

Mouhannad M Sadek1, Francis E Marchlinski1

  • 1Electrophysiology Section, Cardiovascular Division, Department of Medicine, Hospital of the University of Pennsylvania, 9 Founders Pavilion-Cardiology, 3400 Spruce Street, Philadelphia, PA 19104.

Trends in Cardiovascular Medicine
|September 15, 2014
PubMed

Insights

This review covers ventricular arrhythmias (VAs), including premature depolarizations (VPDs) and ventricular tachycardia (VT), in patients with and without heart disease. Catheter ablation offers a cure for many, but optimal strategies for scar-related VT require further study.

Area of Science:

  • Cardiology
  • Electrophysiology
  • Cardiac Pacing, Arrhythmia, and Conduction

Background:

  • Ventricular arrhythmias (VAs) are common in patients with structural heart disease, presenting as ventricular premature depolarizations (VPDs), monomorphic ventricular tachycardia (VT), or polymorphic VT/ventricular fibrillation.
  • Idiopathic VAs can also affect individuals with structurally normal hearts.

Purpose of the Study:

  • To explore the etiology, clinical presentation, and management strategies for various types of VAs.
  • To discuss medical and invasive treatment options, including catheter ablation approaches.

Main Methods:

  • Literature review of etiology, clinical presentation, and management of VAs.
  • Discussion of medical therapies and invasive strategies, focusing on catheter ablation.

Main Results:

  • Ablation of VPDs and idiopathic VT is curative for most patients.
  • Ongoing research is needed to determine the optimal ablation strategy for scar-related VT.

Conclusions:

  • Ventricular arrhythmias have diverse causes and presentations.
  • Catheter ablation is a key treatment modality, with established efficacy for VPDs and idiopathic VT, but further research is essential for scar-related VT management.

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