학술논문

Catheter ablation of ventricular tachycardia in nonischemic cardiomyopathy
Document Type
article
Source
Journal of Arrhythmia, Vol 34, Iss 4, Pp 347-355 (2018)
Subject
catheter ablation
nonischemic cardiomyopathy
ventricular tachycardia
Diseases of the circulatory (Cardiovascular) system
RC666-701
Language
English
ISSN
1883-2148
1880-4276
Abstract
Abstract The number of patients with nonischemic cardiomyopathy (NICM) undergoing catheter ablation of ventricular tachycardia (VT) has increased by the years, however, there are no randomized studies of VT ablation in this population. Many studies have reported more mixed or inferior outcome after the ablation in patients with NICM as compared to in those with ischemic cardiomyopathy (ICM)—likely because of the heterogeneous VT substrates in each etiology. While, various ablation strategies for substrate modification in the setting of ICM, including low voltage area ablation, late potential abolition, and local abnormal ventricular activity elimination, have been well established, it is still unknown which ablation strategy is effective for prevention of recurrence VTs in NICM patients. Therefore, this review will highlight the recent progress made in VT ablation in patients with NICM.