Radiofrequency ablation for post infarction ventricular tachycardia. Report of a single centre experience of 112 cases.
Radiofrequency ablation for post infarction ventricular tachycardia. Report of a single centre experience of 112 cases.
复制标题
射频消融治疗梗死后室性心动过速。
DOI：
10.1053/euhj.2001.3230
复制
发表时间：
2002
影响因子：
39.3
通讯作者：
Stephen S. Furniss
中科院分区：
文献类型：
--
作者：
David O'donnell;J. P. Bourke;R. Anilkumar;E. Simeonidou;Stephen S. Furniss
OBJECTIVES
This report presents the largest consecutive series to date of radiofrequency ablation in the treatment of post infarction ventricular tachycardia.
METHODS
One hundred and twelve consecutive patients were studied, with an average of 12 documented episodes of ventricular tachycardia in the month preceding the radiofrequency ablation. Seventy-four percent of the subjects had an ejection fraction of less than 35%; 84% had more than one morphology of ventricular tachycardia and 30% had haemodynamically unstable ventricular tachycardia. The mean follow-up period was 61 months.
RESULTS
Complete success defined as no inducible sustained monomorphic ventricular tachycardia was achieved in 38%. Modified result, defined as ventricular tachycardia only inducible by two stimuli more aggressive than at baseline was achieved in 34%. During follow-up, ventricular tachycardia recurred in 25 patients: 22 after a failed procedure, two following a modified result and one following a complete success. Twenty-five patients died: 13 of progressive cardiac failure and four of presumed arrhythmic causes, three after a failed procedure and one following a modified result. There were no procedure-related deaths. Procedural complications occurred in seven patients.
CONCLUSIONS
In this report, radiofrequency ablation of post infarction ventricular tachycardia is a successful procedure with a low complication rate. Acute procedural success accurately predicts long-term freedom from recurrent ventricular tachycardia.
对从近乎致命的室性心律失常中复苏的患者进行抗心律失常药物治疗与植入式除颤器的比较。
DOI：
10.1056/nejm199711273372202
发表时间：
1997
期刊：
The New England journal of medicine
影响因子：
--
作者：
AntiarrhythmicsversusImplantableDefibrillators(AVID)Investigators
通讯作者：
AntiarrhythmicsversusImplantableDefibrillators(AVID)Investigators