2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias: Executive summary.

2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias: Executive summary.
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DOI:
10.1016/j.hrthm.2019.03.014
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发表时间:
2020-01
期刊:
影响因子:
5.5
通讯作者:
Zeppenfeld K
Zeppenfeld K
中科院分区:
医学2区
文献类型:
--
作者:
Cronin EM;Bogun FM;Maury P;Peichl P;Chen M;Namboodiri N;Aguinaga L;Leite LR;Al-Khatib SM;Anter E;Berruezo A;Callans DJ;Chung MK;Cuculich P;d'Avila A;Deal BJ;Della Bella P;Deneke T;Dickfeld TM;Hadid C;Haqqani HM;Kay GN;Latchamsetty R;Marchlinski F;Miller JM;Nogami A;Patel AR;Pathak RK;Saenz Morales LC;Santangeli P;Sapp JL Jr;Sarkozy A;Soejima K;Stevenson WG;Tedrow UB;Tzou WS;Varma N;Zeppenfeld K

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室性心律失常是发病率和死亡率的重要原因,有多种形式,从单一的过早心室复合体到持续的室性心动过速和颤动。在过去的十年里,我们对这些心律失常的理解以及诊断和治疗能力都有了快速的发展。导管消融领域随着新方法和工具的发展以及大型临床试验的发表而取得了进展。因此,全球心脏电生理专业协会承诺在一份文件中概述这些程序的建议和最佳实践,该文件将更新并取代2009年EHRA/HRS关于室性心律失常导管消融的专家共识。一个专家写作小组,在审查和讨论文献,包括与本文件一起发表的系统综述和荟萃分析,并借鉴自己的经验,起草和投票的建议,并总结当前的知识和实践领域。每条建议都以知识字节格式呈现,并附有支持性文本和参考文献。进一步的章节提供了各种技术的实用概要,以及在电生理学实验室中遇到的特定室性心律失常部位和底物。本文献的目的是帮助世界各地的电生理学家正确选择导管消融患者,以安全有效的方式执行手术,并提供随访和辅助护理,以获得室性心律失常患者的最佳预后。
Ventricular arrhythmias are an important cause of morbidity and mortality and come in a variety of forms, from single premature ventricular complexes to sustained ventricular tachycardia and fibrillation. Rapid developments have taken place over the past decade in our understanding of these arrhythmias and in our ability to diagnose and treat them. The field of catheter ablation has progressed with the development of new methods and tools, and with the publication of large clinical trials. Therefore, global cardiac electrophysiology professional societies undertook to outline recommendations and best practices for these procedures in a document that will update and replace the 2009 EHRA/HRS Expert Consensus on Catheter Ablation of Ventricular Arrhythmias. An expert writing group, after reviewing and discussing the literature, including a systematic review and meta-analysis published in conjunction with this document, and drawing on their own experience, drafted and voted on recommendations and summarized current knowledge and practice in the field. Each recommendation is presented in knowledge byte format and is accompanied by supportive text and references. Further sections provide a practical synopsis of the various techniques and of the specific ventricular arrhythmia sites and substrates encountered in the electrophysiology lab. The purpose of this document is to help electrophysiologists around the world to appropriately select patients for catheter ablation, to perform procedures in a safe and efficacious manner, and to provide follow-up and adjunctive care in order to obtain the best possible outcomes for patients with ventricular arrhythmias.
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