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2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias: Executive summary

Authors
  • Cronin, Edmond M.1
  • Bogun, Frank M.2
  • Maury, Philippe3
  • Peichl, Petr4
  • Chen, Minglong5
  • Namboodiri, Narayanan6
  • Aguinaga, Luis7
  • Leite, Luiz Roberto8
  • Al-Khatib, Sana M.9
  • Anter, Elad10
  • Berruezo, Antonio11
  • Callans, David J.12
  • Chung, Mina K.13
  • Cuculich, Phillip14
  • d’Avila, Andre15
  • Deal, Barbara J.16
  • Della Bella, Paolo17
  • Deneke, Thomas18
  • Dickfeld, Timm-Michael19
  • Hadid, Claudio20
  • And 18 more
  • 1 Hartford Hospital,
  • 2 University of Michigan,
  • 3 University Hospital Rangueil,
  • 4 Institute for Clinical and Experimental Medicine,
  • 5 The First Affiliated Hospital of Nanjing Medical University,
  • 6 Sree Chitra Institute for Medical Sciences and Technology, Thiruvananthapuram, India
  • 7 Centro Privado de Cardiología, Tucuman, Argentina
  • 8 Instituto Brasília de Arritmia, Brasília, Brazil
  • 9 Duke University Medical Center,
  • 10 Beth Israel Deaconess Medical Center,
  • 11 Teknon Medical Center,
  • 12 University of Pennsylvania,
  • 13 Cleveland Clinic,
  • 14 Washington University School of Medicine,
  • 15 Hospital Cardiologico SOS Cardio, Florianopolis, Brazil
  • 16 Northwestern University Feinberg School of Medicine,
  • 17 Ospedale San Raffaele,
  • 18 Herz- und Gefäß-Klinik,
  • 19 University of Maryland,
  • 20 Hospital General de Agudos Cosme Argerich, Buenos Aires, Argentina
  • 21 University of Queensland, The Prince Charles Hospital, Chermside, Australia
  • 22 University of Alabama at Birmingham,
  • 23 Krannert Institute of Cardiology,
  • 24 University of Tsukuba,
  • 25 University of California San Francisco Benioff Children’s Hospital,
  • 26 Canberra Hospital,
  • 27 CardioInfantil Foundation, Cardiac Institute, Bogota, Colombia
  • 28 Queen Elizabeth II Health Sciences Centre,
  • 29 University Hospital Antwerp, University of Antwerp, Antwerp, Belgium
  • 30 Kyorin University School of Medicine,
  • 31 Vanderbilt University Heart and Vascular Center,
  • 32 Brigham and Women’s Hospital,
  • 33 University of Colorado Denver,
  • 34 Leiden University Medical Center,
Type
Published Article
Journal
Journal of Interventional Cardiac Electrophysiology
Publisher
Springer-Verlag
Publication Date
Jan 20, 2020
Volume
59
Issue
1
Pages
81–133
Identifiers
DOI: 10.1007/s10840-019-00664-2
PMID: 31960344
PMCID: PMC7508755
Source
PubMed Central
Keywords
License
Unknown

Abstract

Ventricular arrhythmias are an important cause of morbidity and mortality and come in a variety of forms, from single premature ventricular complexes to sustained ventricular tachycardia and fibrillation. Rapid developments have taken place over the past decade in our understanding of these arrhythmias and in our ability to diagnose and treat them. The field of catheter ablation has progressed with the development of new methods and tools, and with the publication of large clinical trials. Therefore, global cardiac electrophysiology professional societies undertook to outline recommendations and best practices for these procedures in a document that will update and replace the 2009 EHRA/HRS Expert Consensus on Catheter Ablation of Ventricular Arrhythmias . An expert writing group, after reviewing and discussing the literature, including a systematic review and meta-analysis published in conjunction with this document, and drawing on their own experience, drafted and voted on recommendations and summarized current knowledge and practice in the field. Each recommendation is presented in knowledge byte format and is accompanied by supportive text and references. Further sections provide a practical synopsis of the various techniques and of the specific ventricular arrhythmia sites and substrates encountered in the electrophysiology lab. The purpose of this document is to help electrophysiologists around the world to appropriately select patients for catheter ablation, to perform procedures in a safe and efficacious manner, and to provide follow-up and adjunctive care in order to obtain the best possible outcomes for patients with ventricular arrhythmias. Electronic supplementary material The online version of this article (10.1007/s10840-019-00664-2) contains supplementary material, which is available to authorized users.

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