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(MedPage Today) -- Not all defibrillator pad positions may work equally well for patients with shockable out-of-hospital cardiac arrest. JAMA Network Open) Medical therapy for aortic stenosis? Early clinical data on evogliptin were disappointing.
With widespread use of pulse field ablation (PFA) increasing, including off-label for cavotricuspid isthmus (CTI) line, there is limited data on safety of pulse field ablation when in close proximity to implantable cardiac defibrillator (ICD) leads.
The first randomized trial to investigate preventive ablation of a potential arrhythmogenic substrate associated with coronary chronic total occlusion (CTO) in patients at high risk of ventricular arrhythmias (VAs) reduces the risk of appropriate implantable cardioverter-defibrillator (ICD) therapy and unplanned hospitalization in patients with no (..)
An 18-year-old male with arrhythmogenic cardiomyopathy was referred for catheter ablation of ventricular tachycardia after experiencing appropriate implantable cardioverter-defibrillator (ICD) shock. Six months prior, he had undergone uncomplicated implantation of an extravascular ICD (EV-ICD) [1].
Chagasic cardiomyopathy has been associated with high defibrillator shock rates and poor clinical outcomes. The benefits of VT ablation in patients with Chagasic cardiomyopathy have been evaluated in only a few studies. Chagas disease is an endemic condition in Latin America.
Brugada syndrome may result in ventricular tachycardia (VT) or ventricular fibrillation requiring multiple implantable cardioverter defibrillator (ICD) shocks, hospitalizations, and post-traumatic stress disorder despite antiarrhythmic therapy. There is still controversy regarding the role of VT ablation in these patients.
They include medications that are not very effective and cause unpleasant side effects, an implantable cardioverter-defibrillator (or ICD) that provides an internal shock to correct the heartbeat, and a procedure called catheter ablation. Unfortunately, ablation also destroys healthy heart tissue in the process.
Catheter VT ablation has been shown to reduce implantable cardioverter-defibrillator (ICD) shocks, however inpatient outcomes compared to medical VT management have not been established. VT is often well tolerated hemodynamically in the presence a LVAD; therefore, antiarrhythmic drugs are first-line for therapy.
Implantable cardioverter-defibrillator (ICD) therapy improves outcomes, but recurrent VT, ICD discharges, and cardiac hospitalizations remain a source of significant morbidity and are associated with increased mortality. Anti-arrhythmic medications are effective, but long-term use is associated with significant side effects.
Patients suffering recurrent Ventricular Tachycardia (VT) despite antiarrhythmic drugs, defibrillator and ablation remain at significant risk of morbidity and mortality. Although cardiac radioablation (RA) has demonstrated promise, results are heterogenous.
Implantable cardioverter-defibrillator (ICD) therapy improves outcomes, though recurrent VT, ICD discharges, and cardiac hospitalizations remain a source of significant morbidity and are associated with increased mortality. Anti-arrhythmic medications are generally effective, but long-term use is associated with significant side effects.
Catheter ablation (CA) lowers VT recurrence and implantable cardioverter defibrillator (ICD) interventions, however, its effect on all-cause mortality remains unclear. Ventricular tachycardia (VT) increases morbidity and mortality in patients with cardiomyopathy.
Cardiac stereotactic body radiation therapy (SBRT) is a promising non-invasive approach for the treatment of ventricular tachycardia refractory to conventional therapy with ablation and antiarrhythmic drugs. Its effect on implantable cardioverter defibrillator (ICD) parameters remains unknown.
Chronic recurrent monomorphic VT like fascicular tachycardia and right ventricular outflow tract tachycardia are also amenable to electrophysiological mapping and ablation. Recurrent ventricular tachycardia in spite of radiofrequency catheter ablation needs an implantable cardioverter defibrillator.
Optimization of implantable cardioverter defibrillator (ICD) programming is essential to minimize inappropriate shocks, and to ensure appropriate ICD therapies are delivered for slower ventricular tachycardia (VT).
AFHCUs included clinical actions such as ablation, cardioversion, initiation/intensification of rate or rhythm control medication, or progression to a pacemaker or implantable cardioverter-defibrillator. i Centers for Disease Control and Prevention. 2024, May 15). About Atrial Fibrillation.
Pacemakers and implantable cardioverter defibrillators (ICDs) are the standard of care to regulate a patient’s irregular heartbeat. The most common arrhythmia, atrial fibrillation , will affect approximately 12.1 million people in the United States by 2030, based on an estimation from the Centers for Disease Control and Prevention.
AF, atrial fibrillation; ICD, implantable cardioverter defibrillator; ILR, implantable loop recorder. vs. 1.3%; p =0.996) or catheter ablation (3.8% ABSTRACT Introduction Little is known about age and clinical intervention after implantable loop recorder (ILR) insertion. The mean age was 64.3 vs. 18.6%; p <0.001).
Over the past years, patients with tetralogy of Fallot (TOF) have experienced numerous improvements in different treatment modalities consisting of a mixture of surgical procedures, transcatheter interventions including ablation therapy, and implantable cardioverter-defibrillator implantation procedures.
Although implantable cardioverter-defibrillators (ICDs) and quinidine are primary treatments, recurrent BrS-triggered ventricular arrhythmias can persist. In this setting, epicardial substrate ablation has emerged as a promising alternative for symptomatic patients.
Implantable cardioverter-defibrillators (ICDs) are placed to prevent sudden cardiac death, but ICD shocks are known to have a negative effect on quality of life and survival. Currently, catheter ablation is used when antiarrhythmic drugs fail to suppress Ventricular Tachycardia, but its efficacy as a first-line treatment is uncertain.
Implantable cardioverter defibrillator (ICD) prevents sudden cardiac death (SCD) in patients with ischemic cardiomyopathy (ICM). Catheter ablation has been shown to effectively reduce ventricular tachycardia (VT) recurrence, yet its efficacy in patients without an ICD implantation remains uncertain.
Recent advancements in catheter ablation for structural ventricular tachycardia (VT), such as high-density mapping and cardiac imaging-based detection of target areas, have significantly improved the efficacy of ablation procedures.
In the PARTITA trial antitachycardia pacing (ATP) predicted the occurrence of implantable cardioverter-defibrillator (ICD) shocks. Catheter ablation of ventricular tachycardia after the first shock reduced the risk of death or worsening heart failure (wHF).
Ventricular tachycardia (VT) ablation in LMNA patients has high failure and recurrence rates. Cardiac sympathectomy denervation (CSD) has shown to decrease the VA and implantable cardiac defibrillator (ICD) shock burden in patients with refractory VAs.
Ablation will be performed with the use of a substrate-based approach in which the myocardial scar is mapped and ablated while the heart remains predominantly in sinus rhythm. Cardiovascular mortality, driven by sudden cardiac death, is the main reason for dying while waiting for heart transplantation (HTx).
Nearly two thirds in the rhythm control strategy were on amiodarone and only 14 had catheter ablation. That is how the strategy of rhythm control by catheter ablation was thought of as a possible better strategy, though technically more challenging, not uniformly effective and having significant risk of complications. N Engl J Med.
Treatment options, which consist primarily of antiarrhythmic medications, catheter ablation procedures, and autonomic modulation, are limited by mediocre effectiveness, invasiveness, and side effects including potential end-organ toxicities2-4.
He required multiple defibrillations within a period of a few hours. This time, the arrhythmia did not spontaneously terminate — but rather degenerated to VFib, requiring defibrillation. Some episodes of PMVT would terminate spontaneously — but on many occasions, the PMVT degenerated to VFib, requiring defibrillation.
Radiofrequency ablation has shown some potential in disrupting ventricular tachycardia circuits, with combined endo and epicardial ablation yielding better results which could be considered at the index procedure. Additionally, the impact of sotalol and amiodarone is inconsistent with studies reporting contradictory results.
All study participants never received alcohol septal ablation or surgical myectomy during follow-up. In the subgroup with Class 3 of recommendation for implantable cardioverter defibrillator, patients with absolute LV-GLS ≤ 9% showed significantly worse prognosis than those with absolute LV-GLS > 9% (p =.002 vs -266.2;
The patient has been scheduled for a PVC ablation procedure. Our patient was referred for EP study with a plan of PVC ablation if possible. The various idiopathic VTs usually can be controlled well with medical treatment and/or catheter ablation therapy. Once the arrhythmia was under control cardiac MRi was performed.
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