Ventricular tachycardia in repaired congenital heart disease
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Key result
Substrate-based radiofrequency catheter ablation targeting specific slow-conducting anatomical isthmuses is an effective treatment for macro-reentrant ventricular tachycardia in patients with repaired congenital heart disease.
Population
Adults with repaired congenital heart disease, particularly repaired tetralogy of Fallot, at risk for or…
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Implication
May inform substrate-targeted ablation in adult congenital heart disease; leaves open need for prospective validation.
Structured PICO
P
Population
Review of the anatomical substrates, risk stratification, and catheter ablation strategies for ventricular tachycardia in adults with repaired congenital heart disease.
Advances in electroanatomical mapping allow for the identification and ablation of arrhythmogenic anatomical isthmuses during sinus rhythm in patients with repaired congenital heart disease and ventricular tachycardia.
Cite This Study
Katja Zeppenfeld (2016) conducted a review in Repaired congenital heart disease with ventricular tachycardia. Radiofrequency catheter ablation was evaluated. Substrate-based radiofrequency catheter ablation targeting specific slow-conducting anatomical isthmuses is an effective treatment for macro-reentrant ventricular tachycardia in patients with repaired congenital heart disease.
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