By Andrea Natale, Antonio Raviele
- Describes most sensible practices in Ventricular Tachycardia and traumatic inflammation Ablation in keeping with a consensus of the world's top specialists, in response to the once a year 'Venice Arrythmias' meeting.
- Catheter ablation of atrial traumatic inflammation has turn into a common, but controversial, therapy modality in electrophysiology laboratories.
- Presents a complete and up to date evaluate of all of the most vital and debated facets of atrial traumatic inflammation ablation.
- Covers all key themes, from pre- and intra-procedural administration to top thoughts and results for sufferers with and with out structural HD to symptoms for VT/VF ablation and hybrid remedy to destiny instruments and remedy options.
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Extra info for Ventricular Tachycardia Fibrillation Ablation: The state of the Art based on the VeniceChart International Consensus Document
In patients with nonischemic DCM, an LVEF Յ35%, and a history of heart failure, the presence of late gadolinium enhancement increased by a factor of 8 the risk of experiencing a composite outcome of hospitalization for heart failure, appropriate ICD ﬁring, and cardiac death. The presence of late gadolinium enhancement predicts ICD ﬁrings or cardiac death alone in this study as well . Bundle branch reentry can also be responsible for sustained recurrent VT in DCM. Although bundle branch reentry is claimed to be responsible for 30–40% of the sustained monomorphic VTs developing in patients with DCM , this ﬁgure is probably an overestimation of the actual contribution of this mechanism to VT in this patient population.
While SCD in this population may be because of AV block and bradycardia, or atrial ﬂutter with rapid conduction as seen in patients who have had atrial switch procedures or Fontan procedures, ventricular arrhythmias remain the most likely and most common cause of SCD. Most Epidemiology, Classiﬁcation, and Clinical Impact of VT/VF 17 of the data on ventricular arrhythmias and SCD in patients with congenital heart disease are in patients with repaired tetralogy of Fallot; this is not surprising given that tetralogy of Fallot is the most common cyanotic congenital heart disease and has a higher incidence of ventricular arrhythmias than other cyanotic conditions .
Not all individuals with CPVT have a known mutation. A study by Priori et al. , examining the clinical phenotype of 30 individuals with exercise or emotional stress–induced VT and of 118 family members, revealed that only 14 of 30 (47%), as well as 9 family members who were screened (including 4 who were asymptomatic), carried a RyR2 mutation. Among individuals with a RyR2 mutation, events occurred at a younger age and syncope was more common among males . Nongenotyped patients were more likely to be female and have syncope at an older age.
Ventricular Tachycardia Fibrillation Ablation: The state of the Art based on the VeniceChart International Consensus Document by Andrea Natale, Antonio Raviele