Evaluation and management of ventricular outflow tract tachycardias
Ventricular tachycardia (VT) arising from the right or left ventricular outflow tract (OT) is a recognized arrhythmia in individuals with structurally normal hearts. Treatment options for OTVT include medications, ablation and, rarely, an implantable cardioverter defibrillator (ICD). In the past few...
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| Veröffentlicht in: | Cardiac electrophysiology review 2002-12, Vol.6 (4), p.442-447 |
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| creator | Cole, Christopher R Marrouche, Nassir F Natale, Andrea |
| description | Ventricular tachycardia (VT) arising from the right or left ventricular outflow tract (OT) is a recognized arrhythmia in individuals with structurally normal hearts. Treatment options for OTVT include medications, ablation and, rarely, an implantable cardioverter defibrillator (ICD). In the past few years ablation techniques have developed to the point where most OTVTs can be successfully ablated. However, a percentage of cases have remained where ablation is unsuccessful. Some of these cases may represent an epicardial focus of the VT. Several approaches to epicardial VT ablation have been described. We recently described a LVOT-VT variant, which may be epicardial in nature, in a group of patients in whom prior ablation attempts had failed. A trans-aortic ablation approach to outflow tract VT was successful in these patients. |
| doi_str_mv | 10.1023/a:1021148711621 |
| format | Article |
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Treatment options for OTVT include medications, ablation and, rarely, an implantable cardioverter defibrillator (ICD). In the past few years ablation techniques have developed to the point where most OTVTs can be successfully ablated. However, a percentage of cases have remained where ablation is unsuccessful. Some of these cases may represent an epicardial focus of the VT. Several approaches to epicardial VT ablation have been described. We recently described a LVOT-VT variant, which may be epicardial in nature, in a group of patients in whom prior ablation attempts had failed. 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Treatment options for OTVT include medications, ablation and, rarely, an implantable cardioverter defibrillator (ICD). In the past few years ablation techniques have developed to the point where most OTVTs can be successfully ablated. However, a percentage of cases have remained where ablation is unsuccessful. Some of these cases may represent an epicardial focus of the VT. Several approaches to epicardial VT ablation have been described. We recently described a LVOT-VT variant, which may be epicardial in nature, in a group of patients in whom prior ablation attempts had failed. A trans-aortic ablation approach to outflow tract VT was successful in these patients.</description><subject>Anti-Arrhythmia Agents - therapeutic use</subject><subject>Body Surface Potential Mapping - methods</subject><subject>Bundle-Branch Block - diagnosis</subject><subject>Bundle-Branch Block - therapy</subject><subject>Catheter Ablation - methods</subject><subject>Clinical Trials as Topic</subject><subject>Defibrillators, Implantable</subject><subject>Diagnosis, Differential</subject><subject>Electrophysiologic Techniques, Cardiac - methods</subject><subject>Evaluation Studies as Topic</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Risk Assessment</subject><subject>Severity of Illness Index</subject><subject>Tachycardia, Ventricular - diagnosis</subject><subject>Tachycardia, Ventricular - etiology</subject><subject>Tachycardia, Ventricular - therapy</subject><subject>Treatment Outcome</subject><subject>Ventricular Outflow Obstruction - complications</subject><subject>Ventricular Outflow Obstruction - diagnosis</subject><issn>1385-2264</issn><issn>1573-725X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkDtPwzAUhS0EoqUws6GIgS3ge-3YCRuKykOqxAISW3TjOJAqj-I4Rf33GFEWpu8On845uoydA78GjuKGbgMAZKoBFMIBm0OiRawxeTsMt0iTGFHJGTsZxzXnwVH6mM0ApUhTVHOWL7fUTuSboY-or6KOenq3ne19NNTRNtA1ZmrJRcPk63b4irwj4yNP5mNnyFUNjafsqKZ2tGd7Ltjr_fIlf4xXzw9P-d0qNphxH1vUmUWBVZqYkkolIZNYpqqqBCZ1mlHYJzIJpQLLueVaYQ2yJiuTGoisWLCr39yNGz4nO_qia0Zj25Z6O0xjoVGHBMmDePlPXA-T68O2AkGon14VpIu9NJWdrYqNazpyu-LvN-IbEBBlUA</recordid><startdate>200212</startdate><enddate>200212</enddate><creator>Cole, Christopher R</creator><creator>Marrouche, Nassir F</creator><creator>Natale, Andrea</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200212</creationdate><title>Evaluation and management of ventricular outflow tract tachycardias</title><author>Cole, Christopher R ; Marrouche, Nassir F ; Natale, Andrea</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c290t-e279e232d85cbab641942b86dd325f89a0013941b61e00e0762f14fae45f1aae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Anti-Arrhythmia Agents - therapeutic use</topic><topic>Body Surface Potential Mapping - methods</topic><topic>Bundle-Branch Block - diagnosis</topic><topic>Bundle-Branch Block - therapy</topic><topic>Catheter Ablation - methods</topic><topic>Clinical Trials as Topic</topic><topic>Defibrillators, Implantable</topic><topic>Diagnosis, Differential</topic><topic>Electrophysiologic Techniques, Cardiac - methods</topic><topic>Evaluation Studies as Topic</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Risk Assessment</topic><topic>Severity of Illness Index</topic><topic>Tachycardia, Ventricular - diagnosis</topic><topic>Tachycardia, Ventricular - etiology</topic><topic>Tachycardia, Ventricular - therapy</topic><topic>Treatment Outcome</topic><topic>Ventricular Outflow Obstruction - complications</topic><topic>Ventricular Outflow Obstruction - diagnosis</topic><toplevel>online_resources</toplevel><creatorcontrib>Cole, Christopher R</creatorcontrib><creatorcontrib>Marrouche, Nassir F</creatorcontrib><creatorcontrib>Natale, Andrea</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Cardiac electrophysiology review</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cole, Christopher R</au><au>Marrouche, Nassir F</au><au>Natale, Andrea</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation and management of ventricular outflow tract tachycardias</atitle><jtitle>Cardiac electrophysiology review</jtitle><addtitle>Card Electrophysiol Rev</addtitle><date>2002-12</date><risdate>2002</risdate><volume>6</volume><issue>4</issue><spage>442</spage><epage>447</epage><pages>442-447</pages><issn>1385-2264</issn><eissn>1573-725X</eissn><coden>CELRFR</coden><abstract>Ventricular tachycardia (VT) arising from the right or left ventricular outflow tract (OT) is a recognized arrhythmia in individuals with structurally normal hearts. Treatment options for OTVT include medications, ablation and, rarely, an implantable cardioverter defibrillator (ICD). In the past few years ablation techniques have developed to the point where most OTVTs can be successfully ablated. However, a percentage of cases have remained where ablation is unsuccessful. Some of these cases may represent an epicardial focus of the VT. Several approaches to epicardial VT ablation have been described. We recently described a LVOT-VT variant, which may be epicardial in nature, in a group of patients in whom prior ablation attempts had failed. A trans-aortic ablation approach to outflow tract VT was successful in these patients.</abstract><cop>United States</cop><pub>Springer Nature B.V</pub><pmid>12438826</pmid><doi>10.1023/a:1021148711621</doi><tpages>6</tpages></addata></record> |
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| ispartof | Cardiac electrophysiology review, 2002-12, Vol.6 (4), p.442-447 |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Anti-Arrhythmia Agents - therapeutic use Body Surface Potential Mapping - methods Bundle-Branch Block - diagnosis Bundle-Branch Block - therapy Catheter Ablation - methods Clinical Trials as Topic Defibrillators, Implantable Diagnosis, Differential Electrophysiologic Techniques, Cardiac - methods Evaluation Studies as Topic Female Follow-Up Studies Humans Male Risk Assessment Severity of Illness Index Tachycardia, Ventricular - diagnosis Tachycardia, Ventricular - etiology Tachycardia, Ventricular - therapy Treatment Outcome Ventricular Outflow Obstruction - complications Ventricular Outflow Obstruction - diagnosis |
| title | Evaluation and management of ventricular outflow tract tachycardias |
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