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Tilz, RR; Lenarczyk, R; Scherr, D; Haugaa, KH; Iliodromitis, K; Pürerfellner, H; Kiliszek, M; Dagres, N.
Management of ventricular tachycardia in the ablation era: results of the European Heart Rhythm Association Survey.
Europace. 2018; 20(1):209-213 Doi: 10.1093/europace/eux332
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Scherr Daniel

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Patients with sustained ventricular tachycardia (VT) are at risk of sudden death. Treatment options for VT include antiarrhythmic drug therapy, insertion of an implantable cardioverter-defibrillator, and catheter ablation. Evidence on indications for VT ablation, timing, ablation strategies, and periprocedural management is sparse. The aim of this European Heart Rhythm Association (EHRA) survey was to evaluate clinical practice regarding management of VT among the European countries. An electronic questionnaire was sent to members of the EHRA Electrophysiology Research Network. Responses were received from 88 centres in 12 countries. The results have shown that management of VTs is very heterogeneous across the participating centres. Indications, periprocedural management, and ablation strategies vary substantially. This EP Wire survey has revealed that catheter ablation is the first-line therapy for the treatment of recurrent monomorphic stable VT in patients without structural heart disease as well as in patients with ischaemic cardiomyopathy and impaired left ventricular ejection fraction in the majority of centres. Furthermore, in patients with ischaemic cardiomyopathy and the first episode of monomorphic VT, most centres (62.0%) performed catheter ablation. On the contrary, in patients with non-ischaemic cardiomyopathy, amiodarone (41.4%) and catheter ablation (37.1%) are used in a very similar proportion. Ablation strategies, endpoints, and post-ablation antithrombotic management vary substantially among European centres. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2017. For permissions, please email:
Find related publications in this database (using NLM MeSH Indexing)
Ablation Techniques - adverse effects
Ablation Techniques - trends
Europe - epidemiology
Fibrinolytic Agents - administration & dosage
Health Care Surveys -
Healthcare Disparities - trends
Hospitals, High-Volume - trends
Hospitals, Low-Volume - trends
Humans -
Practice Patterns, Physicians' - trends
Risk Factors -
Tachycardia, Ventricular - diagnosis
Tachycardia, Ventricular - epidemiology
Tachycardia, Ventricular - physiopathology
Tachycardia, Ventricular - surgery
Treatment Outcome -

Find related publications in this database (Keywords)
Ventricular tachycardia
Sudden cardiac death
Catheter ablation
Implantable cardioverter-defibrillator
Ablation endpoints
EHRA survey
EP Wire
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