Why the study?
How do subendocardial resection, AICD, and AICD with CABG compare in terms of mortality and recurrent arrhythmias in patients with malignant ventricular tachyarrhythmias?
Population
348 consecutive patients treated surgically for malignant ventricular tachyarrhythmias. Patients undergoing…
Comparison
Electrophysiologically directed subendocardial… vs Automatic implantable cardioverter defibrillator…
Design
Cohort
Follow-up
4 years
Authors
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SER may lower recurrent VT without raising early mortality in surgical candidates; leaves open need for randomized trials versus contemporary ICD strategies.
How do subendocardial resection, AICD, and AICD with CABG compare in terms of mortality and recurrent arrhythmias in patients with malignant ventricular tachyarrhythmias?
While 30-day mortality and long-term survival are similar among surgical strategies for malignant ventricular arrhythmias, subendocardial resection offers a significantly lower rate of recurrent VT and reduced need for antiarrhythmic medications compared to AICD.
Geha et al. (1992) studied this question.
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