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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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Management of ventricular arrhythmias in structural heart disease

Jason T Jacobson1, Sei Iwai, Wilbert Aronow

  • 1Division of Cardiology, Department of Medicine, Westchester Medical Center, New York Medical College , Valhalla, New York , USA.

Postgraduate Medicine
|May 15, 2015
PubMed

Insights

Ventricular arrhythmias (VA) in structural heart disease (SHD) patients cause significant problems. This review covers advanced treatments like catheter ablation and ICD programming for secondary prevention.

Area of Science:

  • Cardiology
  • Electrophysiology
  • Cardiac Arrhythmias

Background:

  • Ventricular arrhythmias (VA) are a major cause of morbidity and mortality in patients with structural heart disease (SHD).
  • While implantable cardiac defibrillators (ICDs) reduce mortality, associated morbidity remains a significant challenge.
  • Current VA management extends beyond traditional anti-arrhythmic drugs.

Purpose of the Study:

  • To review the spectrum of management strategies for ventricular arrhythmias in patients with structural heart disease.
  • To focus on secondary prevention of VA in this patient population.
  • To evaluate the clinical evidence supporting various treatment modalities.

Main Methods:

  • Review of current literature and clinical evidence.
  • Discussion of therapeutic strategies including medical therapy, ICD implantation and programming, catheter ablation, and autonomic modulation.
  • Emphasis on secondary prevention approaches for VA in SHD.

Main Results:

  • Modern VA treatment encompasses a range of interventions from device programming to complex procedures.
  • Intelligent ICD programming and catheter ablation represent advanced therapeutic options.
  • Autonomic modulation is also considered in the management of VA.

Conclusions:

  • A comprehensive approach is necessary for managing VA in SHD patients.
  • Advanced strategies like catheter ablation and optimized ICD programming are crucial for secondary prevention.
  • Evidence-based utilization of these diverse treatments can improve patient outcomes.

Keywords:
Ventricular tachycardiaablationcardiomyopathyimplantable defibrillatorsympathetic denervationventricular fibrillation

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