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2021, Number 1

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Invest Medicoquir 2021; 13 (1)

Substrate ablation in patients with ventricular tachycardia, prior infarction and implanted defibrillator

Castañeda CO, Martínez LF, Castro HJ, Dorantes SM, de la Vega VK, Falcón RR, Cruz CM, Gutiérrez LA, Mengana BA, de Zayas GJ, Gandarilla SJC
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Language: Spanish
References: 5
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Key words:

substrate ablation, acute myocardial infarction.

ABSTRACT

Introduction. The survival of patients with acute myocardial infarction has increased in recent years. Generally speaking, most patients who present with post-infarction ventricular tachycardias (VT) have an implantable automatic defibrillator (IAD) that will save their lives during an episode of ventricular arrhythmia. Methods. With the development of non-fluoroscopic navigation systems, the ablation of either the substrate or the arrhythmia itself has become very popular in these patients with good results. VT ablation was performed in 5 patients, all of them with ischemic dilated cardiomyopathy, ICD and appropriate discharges from it. Results. The recurrence rate in these 5 patients was close to 40%. Conclusions. Substrate ablation in ischemic patients with VT and ICD is a safe procedure.


REFERENCES

  1. Avila,P y Arenal, A .Ablacion de sustrato de las taquicardias ventriculares en pacientes con infarto de miocardio antiguo.. Servicio de Cardiologia Hospital General Universitario Gregorio Marañon. Madrid. España. Rev Esp Cardiol.2014;67(7):514-518

  2. Francis E. Marchlinski,F, C.Garcia, Almendral, Harris Haqqani,MBBS, JACC :Clinical Electrophysiology 2018. Catheter ablation of ventricular tachycardia.Are we underestimating the benefit?.

  3. Romero J,Dl Biase L,Diaz JC,et al.Early versus Late referral for catheter ablation of ventricular tachycardia in patients with structural heart disease :a systematic review and meta- analysis of clinical outcomes.Jam Coll Cardiol EP 2018;4:374 -82.

  4. Marchlinski FE,Haffajee CL,Beshai JF,et al.Long –term success of irrigated radiofrecuency catheter ablation of sustained ventricular tachycardia: post approval THERMOCOOL VT trial J Am Coll Carsiol 2016;67:674-83.

  5. Tzou WS , Frankel DS, Hegeman T,et al.Core isolation of critical arrhythmia elements for treatment of multiple scar-based ventricular tachycardias.Circ Arrhythm Electrophysiol 2015;8:353-61.




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Invest Medicoquir. 2021;13