Abstract
Ventricular arrhythmias often present clinical challenges to the practitioner from diagnostic as well as therapeutic perspectives. Due to their gravity, arrhythmias of the ventricle need to be diagnosed accordingly and treated promptly as they can quickly become life threatening. Understanding critical aspects of ventricular arrhythmias such as initiating mechanisms, proper risk stratification and response to medical and ablation therapies is needed to properly care for these patients. This chapter is intended to provide a concise yet thorough review on the topic.
Clinically proven useful tools to assess diagnostic criteria of ventricular origin will be discussed. Conditions ranging from ventricular arrhythmia related to normal heart and benign prognosis will be distinguished from arrhythmia related to scar and diseased hearts that require more immediate attention and treatment. The care of patients with pharmacologic therapies will be outlined and nonpharmacologic therapies will be summarized. Recognition of patients with recurrent arrhythmias and at high mortality risk is emphasized along with therapeutic strategies.
Particular attention to invasive electrophysiologic tests including activation and entrainment mapping, and specific technical information as well as ablation strategies, will be detailed.
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Farzaneh-Far A, Lerman BB. Idiopathic ventricular outflow tract tachycardia. Heart. 2005;91(2):136–8.
Brugada P, Brugada J, Mont L, et al. A new approach to the differential diagnosis of a regular tachycardia with a wide QRS complex. Circulation. 1991;83:1649–59.
Vereckei A, Duray G, Szenasi G, et al. New algorithm using only lead aVR for differential diagnosis of wide QRS complex tachycardia. Heart Rhythm. 2008;5:89–98.
Pava LR, Perfan P, Badiel M, et al. R-wave peak time at DII: a new criterion for differentiating between wide complex QRS tachycardias. Heart Rhythm. 2010;7:922.
Stevenson WG, Friedman PL, Sager PT, et al. Exploring postinfarction reentrant ventricular tachycardia with entrainment mapping. J Am Coll Cardiol. 1997;29(6):1180–9.
Sesselberg HW, et al. Ventricular arrhythmia storms in postinfarction patients with implantable defibrillators for primary prevention indications: a MADIT-II substudy. Heart Rhythm. 2007;4(11):1395–402.
Vaseghi M, Gima J, Kanaan C, Ajijola OA, Marmureanu A, Mahajan A, Shivkumar K. Cardiac sympathetic denervation in patients with refractory ventricular arrhythmias or electricalstorm: intermediate and long-term follow-up. Heart Rhythm. 2014;11(3):360–6.
Reddy VY, et al. Prophylactic catheter ablation for the prevention of defibrillator therapy. N Engl J Med. 2007;357(26):2657–65.
Kuck KH, Schaumann A, Eckardt L, et al. Catheter ablation of stable ventricular tachycardia before defibrillator implantation in patients with coronary heart disease (VTACH): a multicentre randomised controlled trial. Lancet. 2010;375(9708):31–40.
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© 2015 Springer-Verlag London
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Brenyo, A., Prinzi, T., Huang, D.T. (2015). Ventricular Tachyarrhythmias. In: Huang, MD, D., Prinzi, MD, T. (eds) Clinical Cardiac Electrophysiology in Clinical Practice. In Clinical Practice. Springer, London. https://doi.org/10.1007/978-1-4471-5433-4_7
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DOI: https://doi.org/10.1007/978-1-4471-5433-4_7
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