Kuo Ling, Liang Jackson J, Nazarian Saman, Marchlinski Francis E
Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Electrophysiology Section, Cardiovascular Division, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, US.
Arrhythm Electrophysiol Rev. 2020 Feb 12;8(4):255-264. doi: 10.15420/aer.2019.37.3.
Catheter ablation is an effective treatment option for ventricular tachycardia (VT) in patients with non-ischaemic cardiomyopathy (NICM). The heterogeneous nature of NICM aetiologies and VT substrate in patients with NICM play a role in long-term ablation outcomes in this population. Over the past decades, more precise identification of NICM aetiologies and better characterisation of various substrates have been made. Application of multimodal imaging has greatly contributed to the accurate diagnosis of NICM subtypes and improved VT ablation strategies. This article summarises the current knowledge of multimodal imaging used in the characterisation of non-ischaemic NICM substrates, procedural planning and image integration for the optimisation of VT ablation.
导管消融是治疗非缺血性心肌病（NICM）患者室性心动过速（VT）的有效方法。NICM病因的异质性以及NICM患者的室速基质在该人群的长期消融结果中起作用。在过去几十年中，人们对NICM病因有了更精确的识别，并对各种基质有了更好的特征描述。多模态成像的应用极大地促进了NICM亚型的准确诊断，并改善了室速消融策略。本文总结了目前在非缺血性NICM基质特征描述、程序规划和图像整合以优化室速消融方面多模态成像的相关知识。
