2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias

Edmond M. Cronin, Frank M. Bogun, Philippe Maury, Petr Peichl, Minglong Chen, Narayanan Namboodiri, Luis Aguinaga, Luiz Roberto Leite, Sana M. Al-Khatib, Elad Anter, Antonio Berruezo, David J. Callans, Mina K. Chung, Phillip Cuculich, Andre d’Avila, Barbara J. Deal, Paolo Della Bella, Thomas Deneke, Timm Michael Dickfeld, Claudio HadidHaris M. Haqqani, G. Neal Kay, Rakesh Latchamsetty, Francis Marchlinski, John M. Miller, Akihiko Nogami, Akash R. Patel, Rajeev Kumar Pathak, Luis C. Saenz Morales, Pasquale Santangeli, John L. Sapp, Andrea Sarkozy, Kyoko Soejima, William G. Stevenson, Usha B. Tedrow, Wendy S. Tzou, Niraj Varma, Katja Zeppenfeld

Research output: Contribution to journalArticle

Abstract

Ventricular arrhythmias are an important cause of morbidity and mortality and come in a variety of forms, from single premature ventricular complexes to sustained ventricular tachycardia and fibrillation. Rapid developments have taken place over the past decade in our understanding of these arrhythmias and in our ability to diagnose and treat them. The field of catheter ablation has progressed with the development of new methods and tools, and with the publication of large clinical trials. Therefore, global cardiac electrophysiology professional societies undertook to outline recommendations and best practices for these procedures in a document that will update and replace the 2009 EHRA/HRS Expert Consensus on Catheter Ablation of Ventricular Arrhythmias. An expert writing group, after reviewing and discussing the literature, including a systematic review and meta-analysis published in conjunction with this document, and drawing on their own experience, drafted and voted on recommendations and summarized current knowledge and practice in the field. Each recommendation is presented in knowledge byte format and is accompanied by supportive text and references. Further sections provide a practical synopsis of the various techniques and of the specific ventricular arrhythmia sites and substrates encountered in the electrophysiology lab. The purpose of this document is to help electrophysiologists around the world to appropriately select patients for catheter ablation, to perform procedures in a safe and efficacious manner, and to provide follow-up and adjunctive care in order to obtain the best possible outcomes for patients with ventricular arrhythmias.

Original languageEnglish (US)
JournalJournal of Interventional Cardiac Electrophysiology
DOIs
StateAccepted/In press - Jan 1 2020

Keywords

  • Catheter ablation
  • Clinical document
  • Electrical storm
  • Electroanatomical mapping
  • Electrocardiogram
  • Expert consensus statement
  • Imaging
  • Premature ventricular complex
  • Radiofrequency ablation
  • Ventricular arrhythmia
  • Ventricular tachycardia

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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  • Cite this

    Cronin, E. M., Bogun, F. M., Maury, P., Peichl, P., Chen, M., Namboodiri, N., Aguinaga, L., Leite, L. R., Al-Khatib, S. M., Anter, E., Berruezo, A., Callans, D. J., Chung, M. K., Cuculich, P., d’Avila, A., Deal, B. J., Bella, P. D., Deneke, T., Dickfeld, T. M., ... Zeppenfeld, K. (Accepted/In press). 2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias. Journal of Interventional Cardiac Electrophysiology. https://doi.org/10.1007/s10840-019-00663-3