Surgical management of ventricular arrhythmias

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Management of ventricular arrhythmias in patients with ventricular assist devices.

PURPOSE OF REVIEW To summarize the available evidence concerning the occurrence and treatment of ventricular arrhythmias in patients supported with long-term ventricular assist devices (VADs). RECENT FINDINGS Approximately one-third of left ventricular assist device-supported patients experience significant ventricular arrhythmias, with higher rates in certain patient subsets. Ventricular arr...

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We present our experience in the treatment of life-threatening ventricular tachycardia using electrophysiologically guided surgery (97 patients), automatic implantable cardioverter defibrillator (AICD) (42 patients), and orthotopic heart transplantation (15 patients). Eighty-three percent of these patients had ischemic and 17%, nonischemic heart disease. Our results of electrophysiologically di...

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Management of common arrhythmias: Part II. Ventricular arrhythmias and arrhythmias in special populations.

In patients without established cardiac disease, the occurrence of premature ventricular complexes without sustained ventricular tachycardia is more an annoyance than a medical risk, and treatment is not required. In contrast, patients with established heart disease and premature ventricular complexes have a higher likelihood of developing ventricular tachycardia or fibrillation. These patients...

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Ventricular Arrhythmias.

Ventricular tachycardia (VT) is the most common form of wide complex tachycardia and is associated with a high mortality rate. Electrocardiographic analysis remains paramount in diagnosis and helps to direct therapy. Antiarrhythmic agents, although effective in reducing arrhythmia burden, have never demonstrated a mortality benefit. The implantable cardioverter-defibrillator aids not only in th...

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ژورنال

عنوان ژورنال: Nature Reviews Cardiology

سال: 2011

ISSN: 1759-5002,1759-5010

DOI: 10.1038/nrcardio.2011.15-c1