title: Ventricular tachycardia/ventricular fibrillation ablation in the setting of ischemic heart disease.
abstract: Recurrent ventricular tachycardia (VT) in the setting of coronary artery disease is frequently a life-threatening electrophysiologic emergency. Even in patients with an implantable defibrillator, recurrent VT is frequently accompanied by repeated and disabling shock therapy. Catheter ablative therapy offers the ability to provide immediate control of recurrent VT. Long-term elimination of VT should be anticipated in most patients. This article reviews the strategies, tools, techniques, and expected outcome for catheter ablation of stable and unstable ventricular arrhythmias in the setting ischemic heart disease.
authors.affiliation: Electrophysiology Section, Division of Cardiology, University of Pennsylvania Health System, Philadelphia, Pennsylvania 19104, USA. francis.marchlinski@uphs.upenn.edu
authors.forename: Francis
authors.initials: F
authors.lastname: Marchlinski
authors.forename: Fermin
authors.initials: F
authors.lastname: Garcia
authors.forename: Amir
authors.initials: A
authors.lastname: Siadatan
authors.forename: William
authors.initials: W
authors.lastname: Sauer
authors.forename: Stuart
authors.initials: S
authors.lastname: Beldner
authors.forename: Erica
authors.initials: E
authors.lastname: Zado
authors.forename: Henry
authors.initials: H
authors.lastname: Hsia
authors.forename: David
authors.initials: D
authors.lastname: Lin
authors.forename: Joshua
authors.initials: J
authors.lastname: Cooper
authors.forename: Ralph
authors.initials: R
authors.lastname: Verdino
authors.forename: Edward
authors.initials: E
authors.lastname: Gerstenfeld
authors.forename: Sanjay
authors.initials: S
authors.lastname: Dixit
authors.forename: Andrea
authors.initials: A
authors.lastname: Russo
authors.forename: David
authors.initials: D
authors.lastname: Callans
mesh_terms: D017115:Catheter Ablation / Q000379:methods*; D006801:Humans; D017202:Myocardial Ischemia / Q000150:complications / Q000601:surgery*; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D055502:Secondary Prevention; D017180:Tachycardia, Ventricular / Q000209:etiology / Q000517:prevention & control*; D016896:Treatment Outcome; D014693:Ventricular Fibrillation / Q000209:etiology / Q000517:prevention & control*