[Transluminal electric catheter ablation in the treatment of drug-refractory focal ventricular tachycardias].
In a 46-year-old patient with dilatative cardiomyopathy and medicamentously therapy-resistant focal ventricular tachycardias after endocardial right- and left-ventricular catheter mapping a transvasal electric ablation of the focus of tachycardia was carried out. For this purpose at the left-ventricular-septally localized origin of tachycardia two electroshocks of 100 and 200 J via the electrode catheter positioned there was given. Immediately after ablation a stable sinus rhythm was to be registered; longer persisting recidivations of tachycardia did not appear again subsequently. In the further course the patient suddenly died after transitory haemodynamic improvement, in which case a new, acutely beginning arrhythmia is to be assumed as a prefinal event.
Volkmann
H
H
Klinik für Innere Medizin, Friedrich-Schiller-Universität, Jena.
Kühnert
H
H
Dannberg
G
G
Heinke
M
M
Büttner
A
A
Küch
N
N
D006328:Cardiac Catheterization; D005117:Cardiac Complexes, Premature / Q000503:physiopathology; D002304:Cardiac Pacing, Artificial; D002312:Cardiomyopathy, Hypertrophic / Q000503:physiopathology; D004562:Electrocardiography; D004564:Electrocoagulation; D006346:Heart Septum / Q000503:physiopathology / Q000601:surgery*; D006352:Heart Ventricles / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000503:physiopathology; D012815:Signal Processing, Computer-Assisted; D013614:Tachycardia, Paroxysmal / Q000503:physiopathology / Q000601:surgery*
Transvasale elektrische Katheterablation zur Behandlung medikamentös refraktärer fokaler Kammertachykardien.