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001-es BibID:	BIBFORM119708
035-os BibID:	(Scopus)85186929611
Első szerző:	Szilágyi Gergő
Cím:	Kamrai tachycardiák epikardiális ablációja : esetbemutatás és irodalmi áttekintés / Szilágyi Gergő, Csanádi Zoltán, Clemens Marcell
Dátum:	2023
ISSN:	0133-5596
Megjegyzések:	Ventricular tachycardias (VT) are common in different types of cardiomyopathies. Consequently, ICD implantation could be indicated as a primary or secondary prevention. However, in case of multiple VT episodes with ICD discharges despite antiarrhythmic medication, catheter ablation of the VT should be considered. Epicardial ablation of the VT could be a first line treatment, or used following an unsuccesful endocardial ablation. A 48 year-old female patient with non-ischemic dilated cardiomyopathy (NICM) received a VVI ICD in a primary prevention indication. Amiodarone treatment due to numerous shock delivery for VT-s was only temporarily successful due to an electrical storm, and as a result endocardial catheter ablation was performed. At the end of the procedure the clinical VT could not be induced. Two months after the first procedure, the patient was readmitted to the Institute again due to another electric storm, amiodarone and mexiletin treatment was inefficient, hence after a combined endo-epicardial mapping an extensive epicardial scar was also found. After the ablation in this area no VT could be induced. During follow up, leaving the patient on oral amiodarone therapy, VT-s were rare, and, importantly, always were terminated by ATP. According to recent studies, in certain cardiomyopathies-like NICMthe epicardial origin of VT-s is frequent. Therefore, epicardial ablation could be neccesary by alone or in conjunction with endocardial ablation. Multicenter studies proved that the success rate of epicardial ablation of VT-s is high in experienced centers and the incidence of complications is not higher than with the endocardial approach.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk ARVC DCM epicardial ablation ICM ventricular tachycardia
Megjelenés:	Cardiologia Hungarica. - 53 : 3 (2023), p. 262-267. -
További szerzők:	Csanádi Zoltán (1960-) (kardiológus) Clemens Marcell (1979-) (kardiológus)
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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