Sustained Ventricular Tachycardia in Apparently Normal Hearts: Ablation Should Be the First Step in Management

Joshua D. Moss, Roderick Tung

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations

Abstract

Patients without structural heart disease tend to have fewer morphologies of ventricular tachycardia, with automaticity and triggered activity a more common mechanism than re-entry associated with extremely low risk of sudden death. Ablation can be curative in patients with a single morphology of ventricular tachycardia that is focal in origin, particularly in patients without overt structural heart disease. There are limited data in secondary prevention implantable cardioverter defibrillator literature to support the routine implementation of implantable cardioverter defibrillator in normal hearts. Antiarrhythmic drugs have not been shown to reduce all-cause mortality in patients with and without structural heart disease.

Original languageEnglish (US)
Pages (from-to)623-630
Number of pages8
JournalCardiac Electrophysiology Clinics
Volume8
Issue number3
DOIs
StatePublished - Sep 1 2016
Externally publishedYes

Keywords

  • Antiarrhythmic drugs
  • Catheter ablation
  • Implantable cardioverter defibrillator
  • Ventricular tachycardia

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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