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Conquering the Arrhythmic Substrate: The Scalpel and the Source

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In this chapter, the reentrant mechanism of VT and the pioneers behind these discoveries that ultimately resulted in identifying the pathophysiology of the substrate of VT in remote infarcts leading to its surgical and catheter ablation are discussed.


In order to conquer, what we need is to dare, still to dare, and always to dare.—Georges Jacques Danton.

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  1. 1.

    A surgical procedure to cut out the weak bulging heart muscle that has arisen from a heart attack. It requires open heart surgery and cardiopulmonary bypass.

  2. 2.

    In intra-aortic balloon counter pulsation (IABP), physicians insert a catheter with a balloon mounted on it into the aorta via the femoral artery in the groin. It helps maintain blood pressure and coronary flow.

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Correspondence to J. Anthony Gomes .

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© 2021 The Author(s), under exclusive license to Springer Nature Switzerland AG

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Gomes, J.A. (2021). Conquering the Arrhythmic Substrate: The Scalpel and the Source. In: Rhythms of Broken Hearts. Springer, Cham.

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-77381-6

  • Online ISBN: 978-3-030-77382-3

  • eBook Packages: MedicineMedicine (R0)

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