非缺血性心肌病室性心动过速消融治疗的进展。
Advances in ablation of ventricular tachycardia in nonischemic cardiomyopathy.
机构信息
St. Luke's Episcopal Hospital/Texas Heart Institute, Houston, TX, USA.
出版信息
Curr Cardiol Rep. 2012 Oct;14(5):577-83. doi: 10.1007/s11886-012-0302-x.
Abstract
Management of patients with nonischemic cardiomyopathy (NICM) and ventricular tachycardia (VT) remains challenging. The role of catheter ablation for VT continues to evolve for these patients. Prior reports have described the location of the arrhythmogenic substrate for patients with NICM to be frequently located along the basal left ventricle, with an epicardial predilection. Furthermore, predictors for identifying whether mapping the endocardium or epicardial surface of the heart have been identified for improved success of VT ablation in this patient population. This chapter will review the latest advances in catheter ablation of ventricular tachycardia in patients with NICM.
摘要
非缺血性心肌病（NICM）和室性心动过速（VT）患者的管理仍然具有挑战性。对于这些患者，导管消融治疗 VT 的作用仍在不断发展。先前的报告描述了 NICM 患者的心律失常基质位置通常位于基底左心室，并伴有心外膜倾向。此外，还确定了一些预测因素，可以确定在这一患者群体中，为提高 VT 消融的成功率，是对心内膜还是心外膜表面进行标测。本章将回顾 NICM 患者 VT 导管消融的最新进展。
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本文引用的文献
1
Late potentials abolition as an additional technique for reduction of arrhythmia recurrence in scar related ventricular tachycardia ablation.
J Cardiovasc Electrophysiol. 2012 Jun;23(6):621-7. doi: 10.1111/j.1540-8167.2011.02246.x. Epub 2012 Apr 4.
2
Assessing epicardial substrate using intracardiac echocardiography during VT ablation.
Circ Arrhythm Electrophysiol. 2011 Oct;4(5):667-73. doi: 10.1161/CIRCEP.111.963553. Epub 2011 Aug 31.
3
Sinus rhythm ECG criteria associated with basal-lateral ventricular tachycardia substrate in patients with nonischemic cardiomyopathy.
J Cardiovasc Electrophysiol. 2011 Dec;22(12):1351-8. doi: 10.1111/j.1540-8167.2011.02129.x. Epub 2011 Jul 7.
4
Surgical ablation of refractory ventricular tachycardia in patients with nonischemic cardiomyopathy.
Circ Arrhythm Electrophysiol. 2011 Aug;4(4):494-500. doi: 10.1161/CIRCEP.111.962555. Epub 2011 Jun 14.
5
Management of hemopericardium related to percutaneous epicardial access, mapping, and ablation.
Heart Rhythm. 2011 Oct;8(10):1652-7. doi: 10.1016/j.hrthm.2011.03.059. Epub 2011 Apr 1.
6
Isolated septal substrate for ventricular tachycardia in nonischemic dilated cardiomyopathy: incidence, characterization, and implications.
Heart Rhythm. 2011 Aug;8(8):1169-76. doi: 10.1016/j.hrthm.2011.03.008. Epub 2011 Mar 8.
7
Endocardial unipolar voltage mapping to detect epicardial ventricular tachycardia substrate in patients with nonischemic left ventricular cardiomyopathy.
Circ Arrhythm Electrophysiol. 2011 Feb;4(1):49-55. doi: 10.1161/CIRCEP.110.959957. Epub 2010 Dec 3.
8
Ventricular tachycardia originating from the aortic sinus cusp in patients with idiopathic dilated cardiomyopathy.
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9
Endocardial unipolar voltage mapping to identify epicardial substrate in arrhythmogenic right ventricular cardiomyopathy/dysplasia.
Heart Rhythm. 2011 Jan;8(1):76-83. doi: 10.1016/j.hrthm.2010.09.088. Epub 2010 Nov 27.
10
Catheter ablation for ventricular tachycardia after failed endocardial ablation: epicardial substrate or inappropriate endocardial ablation?
Heart Rhythm. 2010 Dec;7(12):1746-52. doi: 10.1016/j.hrthm.2010.08.010. Epub 2010 Aug 13.
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