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- W2338173888 abstract "(substrate-based) and standard medical treatment in patients with hemodynamically unstable ventricular tachycardia (VT), patients with syncope and inducible VT, and patients who had undergone implantation of an ICD for primary prevention and had received an appropriate shock. In the group of patients who underwent ablation, ICD interventions were reduced by 73% and there was a nonsignificant trend toward a reduction in mortality. The VTACH trial 9 studied the ‘‘prophylactic’’ effect of ablation in 107 patients with chronic ischemic heart disease who were scheduled to undergo ICD implantation following an episode of hemodynamically tolerated SMVT. After 2 years of follow-up, 47% of the patients who had undergone ablation were free of recurrences, compared with 29% in the group without ablation, and the difference was especially marked in patients with a left ventricular ejection fraction > 30%. Thus, these 2 reports demonstrate the efficacy of ablation in 2 different but complementary scenarios; on the one hand, patients with poorly tolerated VT or VT with syncope and, on the other, those who tolerated VT, although their ventricular function had deteriorated little. However, there is no clinical evidence showing that ablation reduces mortality, except in patients with electrical storm. 10 These data justify performing ablation as an adjuvant treatment in patients with ICD from the onset of SMVT, rather than waiting until the patient has experienced several shocks to resort to this approach." @default.
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- W2338173888 date "2016-01-01" @default.
- W2338173888 modified "2023-09-23" @default.
- W2338173888 title "Substrate Ablation of Post-infarction Ventricular Tachycardias Ablacion de sustrato de las taquicardias ventriculares en pacientes con infarto de miocardio antiguo" @default.
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