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Ablation for Ventricular Tachycardia

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Management of Cardiac Arrhythmias

Part of the book series: Contemporary Cardiology ((CONCARD))

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Abstract

Sustained ventricular tachycardia (VT) is an important cause of morbidity and mortality in patients with heart disease and an important cause of morbidity in patients with normal heart. It is most common in patients with coronary artery disease with a history of myocardial infarction but it can develop in patients with other heart diseases. Since the advent and introduction of implantable cardioverter-defibrillators, the therapeutic approach to recurrent sustained VT in patients with heart disease significantly changed. Advances over the past decade now allow ablation of multiple, hemodynamically unstable, epicardial, and polymorphic VTs, formerly considered unmappable. Specific locations for the origins of idiopathic VT outside of the RVOT have been defined. These procedures are often difficult and are best approached by experienced operators in experienced laboratories. When the expertise is available, catheter ablation should be considered earlier in the therapeutic armamentarium for treatment of recurrent VT.

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Authors and Affiliations

  1. Division of Cardiology, Lankenau Hospital, Main Line Health Heart Center, Wynnewood, PA, USA

    Dusan Kocovic MD

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  1. Dusan Kocovic MD
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  1. Main Line Health Heart Center, 100 Lancaster Ave, Wynnewood, 19096, Pennsylvania, USA

    Gan-Xin Yan

  2. Main Line Health Heart Center, 100 Lancaster Ave, Wynnewood, 19096, Pennsylvania, USA

    Peter R. Kowey

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Kocovic, D. (2011). Ablation for Ventricular Tachycardia. In: Yan, GX., Kowey, P. (eds) Management of Cardiac Arrhythmias. Contemporary Cardiology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60761-161-5_12

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  • DOI: https://doi.org/10.1007/978-1-60761-161-5_12

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