Martinek M, Manninger M, Schönbauer R, Scherr D, Schukro C, Pürerfellner H, Petzl A, Strohmer B, Derndorfer M, Bisping E, Stühlinger M, Fiedler L
Ordensklinikum Linz Elisabethinen, Interne 2 mit Kardiologie, Angiologie und Intensivmedizin, Fadingerstrasse 1, 4020 Linz, Austria.
Universitätsklinikum St. Pölten, Interne 3 - Kardiologie, Dunant-Platz 1, 3100 St. Pölten, Austria.
Int J Cardiol Heart Vasc. 2021 Apr 3;34:100760. doi: 10.1016/j.ijcha.2021.100760. eCollection 2021 Jun.
The Arrhythmia Working Group of the Austrian Society of Cardiology (ÖKG) has set the goal of systematically structuring and organizing the acute care of patients with ventricular arrhythmias (VA), i.e. ventricular tachycardia (VT) or ventricular fibrillation (VF) in Austria. Within a consensus paper, national recommendations on the basic diagnostic work-up of VA (12-lead ECG, medical history, family history, laboratory analyses, echocardiography, search for reversible causes, ICD interrogation), as well as further medical treatment and therapeutic measures (indication of coronary angiography, ablation therapy) are established. Since acute ablation of VT is indicated in the current ESC guidelines as a class IB indication for scar-associated incessant VT or electrical storm (ES; ≥ 3 ICD therapies in 24 h) as well as for ischemic cardiomyopathy (iCMP) with recurrent ICD shocks, organizational measures must be taken to ensure that these guidelines can be implemented. Therefore, a VT network will be established covering all areas in Austria, consisting of primary and secondary VT centers. Organizational aspects of an acute VT network are defined and should subsequently be implemented by the participating hospitals. All electrophysiologic centers in Austria that deal with VT ablation are to be integrated into the network in the medium-term. Centers that co-operate in the network are divided into primary and secondary VT centers according to predefined criteria.
奥地利心脏病学会（ÖKG）心律失常工作组设定了一个目标，即对奥地利室性心律失常（VA）患者，即室性心动过速（VT）或心室颤动（VF）患者的急性护理进行系统的结构化和组织。在一篇共识文件中，制定了关于VA基本诊断检查（12导联心电图、病史、家族史、实验室分析、超声心动图、寻找可逆病因、植入式心律转复除颤器（ICD）问询）以及进一步药物治疗和治疗措施（冠状动脉造影指征、消融治疗）的国家建议。由于当前欧洲心脏病学会（ESC）指南将VT的急性消融列为瘢痕相关持续性VT或电风暴（ES；24小时内≥3次ICD治疗）以及伴有反复ICD电击的缺血性心肌病（iCMP）的IB类指征，因此必须采取组织措施以确保这些指南能够得到实施。因此，将建立一个覆盖奥地利所有地区的VT网络，由初级和二级VT中心组成。定义了急性VT网络的组织方面内容，随后应由参与的医院予以实施。奥地利所有从事VT消融的电生理中心将在中期纳入该网络。在网络中合作的中心根据预定义标准分为初级和二级VT中心。
