Ward Robert C, van Zyl Martin, DeSimone Christopher V
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN 55902, USA.
J Clin Med. 2023 Jan 25;12(3):930. doi: 10.3390/jcm12030930.
Idiopathic ventricular tachycardia (VT) is an important cause of morbidity and less commonly, mortality in patients with structurally normal hearts. Appropriate diagnosis and management are predicated on an understanding of the mechanism, relevant cardiac anatomy, and associated ECG signatures. Catheter ablation is a viable strategy to adequately treat and potentially provide a cure in patients that are intolerant to medications or when these are ineffective. In this review, we discuss special approaches and considerations for effective and safe ablation of VT arising from the right ventricular outflow tract, left ventricular outflow tract, left ventricular fascicles, papillary muscles, and moderator band.
特发性室性心动过速(VT)是心脏结构正常患者发病的重要原因,较少情况下也是死亡原因。准确的诊断和管理基于对发病机制、相关心脏解剖结构及相关心电图特征的了解。对于不耐受药物或药物治疗无效的患者,导管消融是一种可行的充分治疗策略,且有可能治愈。在本综述中,我们讨论了对起源于右心室流出道、左心室流出道、左心室束支、乳头肌和节制索的室性心动过速进行有效且安全消融的特殊方法和注意事项。