Approach to Ablation of Unmappable Ventricular Arrhythmias
作者： Juan Fernández-Armenta , Diego Penela , Juan Acosta , David Andreu , Antonio Berruezo
DOI: 10.1016/J.CCEP.2015.05.011
关键词: Heart disease 、 Ventricular tachycardia 、 Arrhythmogenic substrate 、 Substrate mapping 、 Sinus rhythm 、 Catheter ablation 、 Ablation 、 Medicine 、 Ventricular tachycardia ablation 、 Internal medicine 、 Cardiology
摘要: Most patients with structural heart disease referred for ventricular tachycardia ablation have unstable tachycardias not suitable conventional mapping (ie, entrainment mapping). Substrate-guided and during sinus rhythm are intended to overcome the limitations of ablation. Substrate permits elimination multiple irrespective their inducibility procedure or hemodynamic tolerability. Moreover, elimination/isolation arrhythmogenic substrate identified has been associated better outcomes. There is currently no standardized approach substrate-guided This article discusses main aspects proposed techniques targets.
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