Clinical Investigation of Antiarrhythmic Devices: A Statement for Healthcare Professionals From a Joint Task Force of the North American Society of Pacing and Electrophysiology, the American College of Cardiology, the American Heart Association, and the Working Groups on Arrhythmias and Cardiac Pacing of the European Society of Cardiology

SANJEEV SAKSENA, ANDREW E. EPSTEIN, RALPH LAZZARA, JAMES D. MALONEY, DOUGLAS P. ZIPES, DAVID G. BENDITT, A. JOHN CAMM, MICHAEL J. DOMANSKI, JOHN D. FISHER, BERNARD J. GERSH, GERVASIO A. LAMAS, MICHAEL H. LEHMANN, DANIEL E. NICKELSON, ERIC N. PRYSTOWSKY, D. GEORGE WYSE

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

The goal of radiofrequency catheter ablation and the criterion for efficacy is the elimination of arrhythmogenic myocardium. The application of radiofrequency current in the heart clearly results in lower morbidity and mortality rates than thoracic and cardiac surgical procedures in general, and comparisons of therapy with radiofrequency catheter ablation and therapy with thoracic and cardiac surgical procedures in randomized clinical trials are unwarranted. Trials of radiofrequency catheter ablation versus medical or implantable cardioverter defibrillator therapy may be indicated in certain conditions, such as ventricular tachycardia associated with coronary artery disease. Randomized trials are recommended for new and radical departures in technology that aim to accomplish the same goals as radiofrequency catheter ablation. Surveillance using registries and/or databases is necessary in the assessment of long-term safety and efficacy.

Original languageEnglish (US)
Pages (from-to)637-654
Number of pages18
JournalPacing and Clinical Electrophysiology
Volume18
Issue number4
DOIs
StatePublished - Apr 1995

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    SAKSENA, SANJEEV., EPSTEIN, ANDREW. E., LAZZARA, RALPH., MALONEY, JAMES. D., ZIPES, DOUGLAS. P., BENDITT, DAVID. G., CAMM, A. JOHN., DOMANSKI, MICHAEL. J., FISHER, JOHN. D., GERSH, BERNARD. J., LAMAS, GERVASIO. A., LEHMANN, MICHAEL. H., NICKELSON, DANIEL. E., PRYSTOWSKY, ERIC. N., & WYSE, D. GEORGE. (1995). Clinical Investigation of Antiarrhythmic Devices: A Statement for Healthcare Professionals From a Joint Task Force of the North American Society of Pacing and Electrophysiology, the American College of Cardiology, the American Heart Association, and the Working Groups on Arrhythmias and Cardiac Pacing of the European Society of Cardiology. Pacing and Clinical Electrophysiology, 18(4), 637-654. https://doi.org/10.1111/j.1540-8159.1995.tb04659.x