Role of catheter ablation of ventricular tachycardia associated with structural heart disease

作     者：Roberto De Ponti 

作者机构：Department of Heart Brain and Vessels Ospedale di Circolo e Fondazione Macchi University of Insubria 

出 版 物：《World Journal of Cardiology》 (世界心脏病学杂志（英文版）（电子版）)

年 卷 期：2011年第3卷第11期

页      面：339-350页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Catheter ablation Electroanatomic mapping Implantable cardioverter-defibrillator Radio-frequency energy Sudden cardiac death Ventricular tachycardia 

摘      要：In patients with structural heart disease, ventricular tachycardia (VT) worsens the clinical condition and may severely affect the shortand long-term prognosis. Several therapeutic options can be considered for the management of this arrhythmia. Among others, catheter ablation, a closed-chest therapy, can prevent arrhythmia recurrences by abolishing the arrhythmogenic substrate. Over the last two decades, different techniques have been developed for an effective approach to both tolerated and untolerated VTs. The clinical outcome of patients undergoing ablation has been evaluated in multiple studies. This editorial gives an overview of the role, methodology, clinical outcome and innovative approaches in catheter ablation of VT.