Why the study?
Organizational measures were needed to implement ESC guidelines recommending acute VT ablation and to systematically structure the acute care of ventricular arrhythmias in Austria.
This consensus document establishes national recommendations and an organizational framework for a VT network in Austria to improve the acute management of ventricular arrhythmias in alignment with ESC guidelines.
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Creates a national VT network for acute VA management in Austria; extends ESC guidelines into organized care pathways.
The Arrhythmia Working Group of the Austrian Society of Cardiology (ÖKG) has set the goal of systematically structuring and organizing the acute care of patients with ventricular arrhythmias (VA), i.e. ventricular tachycardia (VT) or ventricular fibrillation (VF) in Austria. Within a consensus paper, national recommendations on the basic diagnostic work-up of VA (12-lead ECG, medical history, family history, laboratory analyses, echocardiography, search for reversible causes, ICD interrogation), as well as further medical treatment and therapeutic measures (indication of coronary angiography, ablation therapy) are established. Since acute ablation of VT is indicated in the current ESC guidelines as a class IB indication for scar-associated incessant VT or electrical storm (ES; ≥ 3 ICD therapies in 24 h) as well as for ischemic cardiomyopathy (iCMP) with recurrent ICD shocks, organizational measures must be taken to ensure that these guidelines can be implemented. Therefore, a VT network will be established covering all areas in Austria, consisting of primary and secondary VT centers. Organizational aspects of an acute VT network are defined and should subsequently be implemented by the participating hospitals. All electrophysiologic centers in Austria that deal with VT ablation are to be integrated into the network in the medium-term. Centers that co-operate in the network are divided into primary and secondary VT centers according to predefined criteria.
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Martinek et al. (2021) studied Ventricular arrhythmias. VT network and national recommendations was evaluated. A national expert consensus established recommendations and a structured VT network in Austria to organize the acute diagnostic work-up and ablation therapy for patients with ventricular arrhythmias.
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