Ventricular tachycardia surgery: Difference between revisions
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==Overview== | ==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]] 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== | ==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><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><ref name="pmid17646937">{{cite journal |vauthors=Doenst T, Faerber G, Grandinac S, Kuntze T, Menicanti L, Borger MA, Mohr FW |title=Surgical therapy of ventricular arrhythmias |journal=Herzschrittmacherther Elektrophysiol |volume=18 |issue=2 |pages=62–7 |date=June 2007 |pmid=17646937 |doi=10.1007/s00399-007-0561-1 |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><ref name="pmid17646937">{{cite journal |vauthors=Doenst T, Faerber G, Grandinac S, Kuntze T, Menicanti L, Borger MA, Mohr FW |title=Surgical therapy of ventricular arrhythmias |journal=Herzschrittmacherther Elektrophysiol |volume=18 |issue=2 |pages=62–7 |date=June 2007 |pmid=17646937 |doi=10.1007/s00399-007-0561-1 |url=}}</ref> | ||
* Does not respond to [[antiarrhythmic]] drug therapy. | * 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 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]]). | * Has ventricular tachycardia and a disorder that is [[Pathophysiology|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. | *Despite these ideas, [[revascularization]] alone has not been shown to prevent VT from recurring. | ||
Revision as of 18:03, 3 March 2020
Ventricular tachycardia Microchapters |
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Ventricular tachycardia surgery On the Web |
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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][5]
- 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.
- ↑ Doenst T, Faerber G, Grandinac S, Kuntze T, Menicanti L, Borger MA, Mohr FW (June 2007). "Surgical therapy of ventricular arrhythmias". Herzschrittmacherther Elektrophysiol. 18 (2): 62–7. doi:10.1007/s00399-007-0561-1. PMID 17646937.