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Catheter Ablation for Premature Ventricular Contractions and Ventricular Tachycardia in Patients with Heart Failure

  • Congestive Heart Failure (J Lindenfeld, Section Editor)
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Abstract

Ventricular arrhythmias (VA) are a significant contributor to morbidity and mortality in patients with heart failure (HF). Implantable cardioverter defibrillators are effective in reducing mortality, but do not prevent arrhythmia recurrence. There is increasing recognition that frequent premature ventricular contractions or repetitive ventricular tachycardia may also lead to new onset ventricular dysfunction or deterioration of ventricular function in patients with pre-existing HF. Suppression of the arrhythmia may lead to recovery of ventricular function. Catheter ablation has emerged as a safe and effective treatment option for reducing arrhythmia recurrence and for suppression of PVCs but its efficacy is governed by the nature of the arrhythmias, the underlying HF substrate and the accessibility of the arrhythmia substrates to ablation.

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Saurabh Kumar declares that he has no conflict of interest.

William G. Stevenson has a patent for needle ablation.

Roy M. John reports personal fees from St. Jude Medical and Medtronic.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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  1. Cardiac Arrhythmia Service, Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA

    Saurabh Kumar, William G. Stevenson & Roy M. John

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  1. Saurabh Kumar
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  2. William G. Stevenson
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Correspondence to Roy M. John.

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This article is part of the Topical Collection on Congestive Heart Failure

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Kumar, S., Stevenson, W.G. & John, R.M. Catheter Ablation for Premature Ventricular Contractions and Ventricular Tachycardia in Patients with Heart Failure. Curr Cardiol Rep 16, 522 (2014). https://doi.org/10.1007/s11886-014-0522-3

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