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Ventricular Tachycardia/Ventricular Fibrillation Ablation in the Setting of Ischemic Heart Disease
Authors:FRANCIS MARCHLINSKI  M.D.  FERMIN GARCIA  M.D.  AMIR SIADATAN  M.D.  WILLIAM SAUER  M.D.  STUART BELDNER  M.D.  ERICA ZADO  P.A.-C.  HENRY HSIA  M.D.  DAVID LIN  M.D.  JOSHUA COOPER  M.D.  RALPH VERDINO  M.D.  EDWARD GERSTENFELD  M.D.  SANJAY DIXIT  M.D.  REA RUSSO  M.D.   DAVID CALLANS  M.D.
Affiliation:From the Electrophysiology Section, Division of Cardiology, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA
Abstract:Recurrent ventricular tachycardia (VT) in the setting of coronary artery disease is frequently a life-threatening electrophysiologic emergency. Even in patients with an implantable defibrillator, recurrent VT is frequently accompanied by repeated and disabling shock therapy. Catheter ablative therapy offers the ability to provide immediate control of recurrent VT. Long-term elimination of VT should be anticipated in most patients. This article reviews the strategies, tools, techniques, and expected outcome for catheter ablation of stable and unstable ventricular arrhythmias in the setting ischemic heart disease.
Keywords:ventricular tachycardia    catheter ablation    cardiac mapping
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