Ventricular tachycardia surgery

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Ventricular tachycardia Microchapters

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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:

  • Does not respond to antiarrhythmic drug therapy
  • Has had a cardiac arrest in the past, and had monomorphic VT induced. 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