Ventricular tachycardia surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
According to a few studies and opinions, patients with ventricular tachycardia may be considered for surgery ([[revascularization]]) if the underlying cause is [[coronary heart disease]] and the patient:<ref name="pmid16368337">{{cite journal |vauthors=Sartipy U, Albåge A, Strååt E, Insulander P, Lindblom D |title=Surgery for ventricular tachycardia in patients undergoing left ventricular reconstruction by the Dor procedure |journal=Ann. Thorac. Surg. |volume=81 |issue=1 |pages=65–71 |date=January 2006 |pmid=16368337 |doi=10.1016/j.athoracsur.2005.06.058 |url=}}</ref><ref name="pmid7305530">{{cite journal |vauthors=Guiraudon G, Fontaine G, Frank R, Leandri R, Barra J, Cabrol C |title=Surgical treatment of ventricular tachycardia guided by ventricular mapping in 23 patients without coronary artery disease |journal=Ann. Thorac. Surg. |volume=32 |issue=5 |pages=439–50 |date=November 1981 |pmid=7305530 |doi=10.1016/s0003-4975(10)61775-4 |url=}}</ref><ref name="pmid18569956">{{cite journal |vauthors=Sartipy U, Löfving A, Albåge A, Lindblom D |title=Surgery for ventricular tachycardia and left ventricular aneurysm provides arrhythmia control |journal=Scand. Cardiovasc. J. |volume=42 |issue=3 |pages=226–32 |date=June 2008 |pmid=18569956 |doi=10.1080/14017430802005240 |url=}}</ref> | According to a few studies and opinions, patients with ventricular tachycardia may be considered for surgery ([[revascularization]]) if the underlying cause is [[coronary heart disease]] and the patient:<ref name="pmid16368337">{{cite journal |vauthors=Sartipy U, Albåge A, Strååt E, Insulander P, Lindblom D |title=Surgery for ventricular tachycardia in patients undergoing left ventricular reconstruction by the Dor procedure |journal=Ann. Thorac. Surg. |volume=81 |issue=1 |pages=65–71 |date=January 2006 |pmid=16368337 |doi=10.1016/j.athoracsur.2005.06.058 |url=}}</ref><ref name="pmid7305530">{{cite journal |vauthors=Guiraudon G, Fontaine G, Frank R, Leandri R, Barra J, Cabrol C |title=Surgical treatment of ventricular tachycardia guided by ventricular mapping in 23 patients without coronary artery disease |journal=Ann. Thorac. Surg. |volume=32 |issue=5 |pages=439–50 |date=November 1981 |pmid=7305530 |doi=10.1016/s0003-4975(10)61775-4 |url=}}</ref><ref name="pmid18569956">{{cite journal |vauthors=Sartipy U, Löfving A, Albåge A, Lindblom D |title=Surgery for ventricular tachycardia and left ventricular aneurysm provides arrhythmia control |journal=Scand. Cardiovasc. J. |volume=42 |issue=3 |pages=226–32 |date=June 2008 |pmid=18569956 |doi=10.1080/14017430802005240 |url=}}</ref><ref name="pmid7018338">{{cite journal |vauthors=Horowitz LN, Harken AH, Josephson ME, Kastor JA |title=Surgical treatment of ventricular arrhythmias in coronary artery disease |journal=Ann. Intern. Med. |volume=95 |issue=1 |pages=88–97 |date=July 1981 |pmid=7018338 |doi=10.7326/0003-4819-95-1-88 |url=}}</ref> | ||
* Does not respond to [[antiarrhythmic]] drug therapy. | * Does not respond to [[antiarrhythmic]] drug therapy. | ||
Revision as of 15:39, 10 December 2019
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Ventricular tachycardia Microchapters |
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Differentiating Ventricular Tachycardia from other Disorders |
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Diagnosis |
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Treatment |
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Case Studies |
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Ventricular tachycardia surgery On the Web |
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Risk calculators and risk factors for Ventricular tachycardia surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Surgery is not a mainstay or a preferred method of treatment for ventricular tachycardia. There are some specific scenarios however in which revascularization may be considered, and may help in preventing VT.
Surgery
According to a few studies and opinions, patients with ventricular tachycardia may be considered for surgery (revascularization) if the underlying cause is coronary heart disease and the patient:[1][2][3][4]
- Does not respond to antiarrhythmic drug therapy.
- Has had a cardiac arrest in the past, and had monomorphic VT. This is especially desirable in patients who are already being considered for surgical revascularization.
- Has ventricular tachycardia and a disorder that is pathophysiologically related to the VT (such as postoperative tetralogy of Fallot).
Despite these ideas, revascularization alone has not been shown to prevent VT from recurring.
References
- ↑ Sartipy U, Albåge A, Strååt E, Insulander P, Lindblom D (January 2006). "Surgery for ventricular tachycardia in patients undergoing left ventricular reconstruction by the Dor procedure". Ann. Thorac. Surg. 81 (1): 65–71. doi:10.1016/j.athoracsur.2005.06.058. PMID 16368337.
- ↑ Guiraudon G, Fontaine G, Frank R, Leandri R, Barra J, Cabrol C (November 1981). "Surgical treatment of ventricular tachycardia guided by ventricular mapping in 23 patients without coronary artery disease". Ann. Thorac. Surg. 32 (5): 439–50. doi:10.1016/s0003-4975(10)61775-4. PMID 7305530.
- ↑ Sartipy U, Löfving A, Albåge A, Lindblom D (June 2008). "Surgery for ventricular tachycardia and left ventricular aneurysm provides arrhythmia control". Scand. Cardiovasc. J. 42 (3): 226–32. doi:10.1080/14017430802005240. PMID 18569956.
- ↑ Horowitz LN, Harken AH, Josephson ME, Kastor JA (July 1981). "Surgical treatment of ventricular arrhythmias in coronary artery disease". Ann. Intern. Med. 95 (1): 88–97. doi:10.7326/0003-4819-95-1-88. PMID 7018338.