Contemporary management of ventricular arrhythmias in heart failure.

ICD programming Ventricular arrhythmias severe heart failure ventricular tachycardia ablation

Journal

American journal of cardiovascular disease
ISSN: 2160-200X
Titre abrégé: Am J Cardiovasc Dis
Pays: United States
ID NLM: 101569582

Informations de publication

Date de publication:
2023
Historique:
received: 10 12 2022
accepted: 04 07 2023
medline: 22 9 2023
pubmed: 22 9 2023
entrez: 22 9 2023
Statut: epublish

Résumé

Enhanced ventricular arrhythmogenesis is commonly experienced by patients in the end-stage of heart failure spectrum. A high burden of ventricular arrhythmias can affect the ventricular systolic function, lead to unexpected hospitalizations and further deteriorate the prognosis. Management of ventricular arrhythmias in this population is challenging. Implantable cardioverter-defibrillators are protective for the immediate termination of life-threatening arrhythmias but they have no impact in reducing the arrhythmic burden. Combination treatment with invasive (catheter ablation, mechanical hemodynamic support, sympathetic denervation) and noninvasive (antiarrhythmic drugs, medical therapy for heart failure, programming of implantable devices) therapies is commonly required. The aim of this review is to present the available therapeutic options, with main focus on recently published data for catheter ablation and provide a stepwise treatment approach.

Identifiants

pubmed: 37736352
pmc: PMC10509449

Types de publication

Journal Article Review

Langues

eng

Pagination

207-221

Informations de copyright

AJCD Copyright © 2023.

Déclaration de conflit d'intérêts

None.

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Auteurs

Ourania Kariki (O)

Department of Cardiology, Onassis Cardiac Surgery Center Athens, Greece.

Maximos Georgopoulos (M)

Department of Cardiology, Onassis Cardiac Surgery Center Athens, Greece.

Nikitas Katsillis (N)

Department of Cardiology, Onassis Cardiac Surgery Center Athens, Greece.

Anastasios Chatziantoniou (A)

Department of Cardiology, Onassis Cardiac Surgery Center Athens, Greece.

Stavroula Koskina (S)

Department of Cardiology, Onassis Cardiac Surgery Center Athens, Greece.

Andromahi Zygouri (A)

Department of Cardiology, Onassis Cardiac Surgery Center Athens, Greece.

Athanasios Saplaouras (A)

Department of Cardiology, Onassis Cardiac Surgery Center Athens, Greece.

George Bazoukis (G)

Department of Cardiology, Larnaca General Hospital Larnaca, Cyprus.

Aggeliki Gkouziouta (A)

Department of Cardiology, Onassis Cardiac Surgery Center Athens, Greece.

Konstantinos Vlachos (K)

Department of Cardiology, Onassis Cardiac Surgery Center Athens, Greece.

Stylianos Dragasis (S)

Department of Cardiology, Onassis Cardiac Surgery Center Athens, Greece.

Panagiotis Mililis (P)

Department of Cardiology, Onassis Cardiac Surgery Center Athens, Greece.

Stamatis Adamopoulos (S)

Department of Cardiology, Onassis Cardiac Surgery Center Athens, Greece.

Michael Efremidis (M)

Department of Cardiology, Onassis Cardiac Surgery Center Athens, Greece.

Konstantinos P Letsas (KP)

Department of Cardiology, Onassis Cardiac Surgery Center Athens, Greece.

Classifications MeSH