AI Article Synopsis
- Mapping and treating ventricular arrhythmias in patients with nonischemic cardiomyopathies is difficult due to electroanatomic irregularities that are hard to reach with standard techniques.* -
- Success in ablation procedures relies on thorough understanding, detailed mapping, careful planning, and the use of advanced imaging technologies.* -
- Addressing arrhythmogenic sources early and exploring new ablation techniques can enhance success rates and reduce complications, especially in challenging cases.*
Article Abstract
Mapping and ablation of ventricular arrhythmias in patients with nonischemic cardiomyopathies remain a major challenge. The electroanatomic abnormalities are frequently inaccessible to conventional endocardial ablations. Diagnostic diligence with a thorough understanding of the potential mechanisms/substrate, coupled with detailed electroanatomic mapping, is essential. Careful procedural planning, advanced imaging, and unipolar recordings help to formulate ablation strategy, facilitate work flow, and improve outcomes. Inaccessibility of arrhythmogenic substrate and disease progression are important causes of ablation failure. Early intervention may help to improve outcome and minimize complications. Several novel adjunctive ablation techniques are capable of serving as alternative options in refractory cases.
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| http://dx.doi.org/10.1016/j.ccep.2019.08.005 | DOI Listing |
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