2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias
2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias
复制标题
DOI：
10.1007/s10840-019-00663-3
复制
发表时间：
2020-01-27
影响因子：
1.8
通讯作者：
Zeppenfeld, Katja
中科院分区：
文献类型：
--
作者：
Cronin, Edmond M.;Bogun, Frank M.;Zeppenfeld, Katja
室性心律失常是发病率和死亡率的重要原因，并且以多种形式出现，从单个室性早搏复合波到持续性室性心动过速和室颤。过去十年，我们对这些心律失常的了解以及诊断和治疗心律失常的能力取得了快速发展。随着新方法和工具的开发以及大型临床试验的发表，导管消融领域取得了进展。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手术的建议和最佳实践，该文件将更新并取代2009年EHRA/HRS室性心律失常导管消融专家共识。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，并总结了目前的知识和实践领域。每项建议都以知识字节格式提出，并附有支持性文本和参考资料。进一步的章节提供了各种技术和具体的室性心律失常的网站和基板在电生理实验室遇到的实用概要。本文件的目的是帮助世界各地的电生理学家适当选择导管消融患者，以安全有效的方式进行手术，并提供随访和后续护理，以获得室性心律失常患者的最佳结局。
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.