Cronin Edmond M, Bogun Frank M, Maury Philippe, Peichl Petr, Chen Minglong, Namboodiri Narayanan, Aguinaga Luis, Leite Luiz Roberto, Al-Khatib Sana M, Anter Elad, Berruezo Antonio, Callans David J, Chung Mina K, Cuculich Phillip, d'Avila Andre, Deal Barbara J, Bella Paolo Della, Deneke Thomas, Dickfeld Timm-Michael, Hadid Claudio, Haqqani Haris M, Kay G Neal, Latchamsetty Rakesh, Marchlinski Francis, Miller John M, Nogami Akihiko, Patel Akash R, Pathak Rajeev Kumar, Saenz Morales Luis C, Santangeli Pasquale, Sapp John L, Sarkozy Andrea, Soejima Kyoko, Stevenson William G, Tedrow Usha B, Tzou Wendy S, Varma Niraj, Zeppenfeld Katja
Hartford Hospital Hartford CT USA.
University of Michigan Ann Arbor MI USA.
J Arrhythm. 2020 Jan 3;36(1):1-58. doi: 10.1002/joa3.12264. eCollection 2020 Feb.
Ventricular arrhythmias are an important cause of morbidity and mortality and come in a variety of forms, from single premature ventricular complexes to sustained ventricular tachycardia and fibrillation. Rapid developments have taken place over the past decade in our understanding of these arrhythmias and in our ability to diagnose and treat them. The field of catheter ablation has progressed with the development of new methods and tools, and with the publication of large clinical trials. Therefore, global cardiac electrophysiology professional societies undertook to outline recommendations and best practices for these procedures in a document that will update and replace the 2009 EHRA/HRS Expert Consensus on Catheter Ablation of Ventricular Arrhythmias. An expert writing group, after reviewing and discussing the literature, including a systematic review and meta-analysis published in conjunction with this document, and drawing on their own experience, drafted and voted on recommendations and summarized current knowledge and practice in the field. Each recommendation is presented in knowledge byte format and is accompanied by supportive text and references. Further sections provide a practical synopsis of the various techniques and of the specific ventricular arrhythmia sites and substrates encountered in the electrophysiology lab. The purpose of this document is to help electrophysiologists around the world to appropriately select patients for catheter ablation, to perform procedures in a safe and efficacious manner, and to provide follow-up and adjunctive care in order to obtain the best possible outcomes for patients with ventricular arrhythmias.
室性心律失常是发病和死亡的重要原因，有多种形式，从单个室性早搏到持续性室性心动过速和颤动。在过去十年中，我们对这些心律失常的认识以及诊断和治疗能力都有了迅速发展。随着新方法和工具的开发以及大型临床试验的发表，导管消融领域取得了进展。因此，全球心脏电生理专业协会着手在一份文件中概述这些手术的建议和最佳实践，该文件将更新并取代2009年EHRA/HRS关于室性心律失常导管消融的专家共识。一个专家写作小组在回顾和讨论文献（包括与本文一起发表的系统评价和荟萃分析）并借鉴他们自己的经验后，起草并对建议进行投票，并总结了该领域的当前知识和实践。每项建议均以知识字节格式呈现，并附有支持性文本和参考文献。其他部分提供了各种技术以及在电生理实验室中遇到的特定室性心律失常部位和基质的实用概要。本文的目的是帮助世界各地的电生理学家为导管消融适当选择患者，以安全有效的方式进行手术，并提供随访和辅助护理，以便为室性心律失常患者获得尽可能好的结果。
