Incessant or recurrent ventricular tachycardia. Indications for emergency ablation

被引：0

作者：

Surber, R. ^{[1
]}

Prochnau, D. ^{[1
]}

Kuehnert, H. ^{[1
]}

Figulla, H. R. ^{[1
]}

机构：

[1] Univ Klinikum Jena, Klin Innere Med Kardiol Angiol Pneumol Internist, D-07747 Jena, Germany

来源：

MEDIZINISCHE KLINIK-INTENSIVMEDIZIN UND NOTFALLMEDIZIN | 2012年 / 107卷 / 05期

关键词：

Tachycardia; ventricular; Catheter ablation; adiofrequency; Arrhythmias; cardiac; ardiomyopathies; Amiodaroneblockierenden; CATHETER ABLATION; ELECTRICAL STORM; SYMPATHETIC DENERVATION; MANAGEMENT; ARRHYTHMIAS; PREVENTION; SUBSTRATE; SUPPORT; RHYTHM; DEATH;

D O I：

10.1007/s00063-012-0080-7

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Incessant ventricular tachycardia and "electrical storms" are emergencies, requiring urgent action in a close cooperation between critical care physicians and cardiologists. The leading cause of such events is advanced cardiac disease. Besides the patient's history, an ECG and, if applicable, an implantable cardioverter-defibrillator (ICD) interrogation is required for a reliable diagnosis. Further diagnostics include laboratory parameters, an echocardiogram, and possibly a coronary angiography. The medical therapy, consisting of amiodarone and beta-blockers, should immediately be initiated after diagnosis. In the case of failed drug therapy, urgent catheter ablation is indicated. This is a complex procedure, in which the clinical tachycardia or the electrical substrate is modified by using an irrigated catheter. The acute success rate of this life-saving procedure is high. However, there might also be complications due to the required extensive procedures.

引用

页码：362 / 367

页数：6

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