Does radiofrequency catheter ablation prevent recurrence of sustained ventricular tachycardia in patients with severe coronary artery disease?
Radiofrequency catheter ablation of the slow reentrant pathway is an effective treatment for recurrent sustained ventricular tachycardia in patients with severe coronary artery disease.
The article reports the cases of two patients with severe coronary artery disease and associated recurrent sustained ventricular tachycardia successfully treated with radiofrequency catheter ablation. In the first patient, two different types of ventricular tachycardia (one incessant) were eliminated. In all procedures, an area of slow conduction critical for tachycardia maintenance was localized by endocardial mapping techniques. Radiofrequency energy delivered to this area could permanently modify the anatomical substrate of the arrhythmia. After single follow-ups of 19, 14, and 13 months regarding the arrhythmic entities, the patients are well and free from spontaneous recurrences.
Ometto et al. (Wed,) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: