Key result
Aneurysmectomy and mapping-guided endocardial resection achieved freedom from ventricular tachycardia and fibrillation in 21 of 26 patients (80.8%), with 4 perioperative deaths.
Why the study?
Does aneurysmectomy and mapping-guided endocardial resection prevent recurrent ventricular tachycardia and fibrillation in patients with left ventricular aneurysm and VT/VF following myocardial infarction?
Population
26 patients with left ventricular aneurysm and ventricular tachycardia and/or ventricular fibrillation…
Design
Case_series
Follow-up
3-48 (mean 22) months
Authors
Loading...
High perioperative mortality warrants caution with this approach in post-MI VT/VF; leaves open its role versus ablation or medical therapy.
Observational (n=26)
Does aneurysmectomy and mapping-guided endocardial resection prevent recurrent ventricular tachycardia and fibrillation in patients with left ventricular aneurysm and VT/VF following myocardial infarction?
Mapping-guided endocardial resection with aneurysmectomy effectively eliminates VT/VF in most survivors, though it carries a notable perioperative mortality risk.
Kromann-Hansen et al. (1989) conducted an observational in Left ventricular aneurysm and ventricular tachycardia and/or ventricular fibrillation following myocardial infarction (n=26). Aneurysmectomy and mapping-guided endocardial resection was evaluated on Freedom from ventricular tachycardia and fibrillation. Aneurysmectomy and mapping-guided endocardial resection achieved freedom from ventricular tachycardia and fibrillation in 21 of 26 patients (80.8%), with 4 perioperative deaths.
Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context: