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
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
收藏
页码:362 / 367
页数:6
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