Ventricular tachycardia ablation and substrate modification in ICD patients with electrical storm
Author(s) -
Minglong Chen
Publication year - 2015
Publication title -
journal of biomedical research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.617
H-Index - 31
eISSN - 2352-4685
pISSN - 1674-8301
DOI - 10.7555/jbr.29.20140165
Subject(s) - ablation , medicine , ventricular tachycardia , catheter ablation , cardiology , defibrillation , radiofrequency catheter ablation , tachycardia , ventricular fibrillation , substrate (aquarium) , anesthesia , oceanography , geology
The electrical storm (ES) is defined as a state of electrical instability with three or more sustained ventricular arrhythmias (VAs) occurring within twenty-four hours, which needs intravenous antiarrhythmic medications and frequent defibrillation. Recently, radiofrequency catheter ablation evolved as a sole therapy to terminate ES in patients with ICD, and the survival has been reported to be improved with successful ablation during follow-up. In this review, we briefly summarize substrate mapping and substrate ablation strategy in patients with ES, and discuss the reason of recurrence after ablation.
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