Key result
Electrophysiology involvement is crucial for managing ventricular arrhythmias in LVAD patients through appropriate ICD programming, surgical ablation during implantation, and catheter ablation.
Why the study?
Ventricular arrhythmias occur frequently and significantly impact the clinical course of patients with LVADs, making successful management complex as the role of defibrillator therapy continually evolves.
This review highlights the critical role of the electrophysiologist in the multidisciplinary management of ventricular arrhythmias in patients with left ventricular assist devices.
The successful management of ventricular arrhythmias (VAs) in people with left ventricular assist devices (LVADs) is often complex. The need for and the role of defibrillator therapy is continually evolving in this group. VAs occur frequently and significantly impact the clinical course of patients with LVADs. The management of VAs begins prior to LVAD implantation and typically involves appropriate implantable cardioverter-defibrillator use and programming after the fact. Surgical ablation during LVAD implantation and supplementary catheter ablation performed as needed are attractive options for the management of VAs in this population. The performance of catheter ablation is generally safe and feasible after LVAD implantation with a team approach.
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Arkles et al. (2019) conducted a review in Ventricular arrhythmias in patients with left ventricular assist devices (LVADs). Electrophysiology management (ICD, surgical ablation, catheter ablation) was evaluated. Electrophysiology involvement is crucial for managing ventricular arrhythmias in LVAD patients through appropriate ICD programming, surgical ablation during implantation, and catheter ablation.
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