Subéndokardial'naia rezektsiia v khirurgicheskom lechenii zheludochkovykh aritmiǐ u bol'nykh ishemicheskoǐ bolezn'iu serdtsa.

Translated title of the contribution: Subendocardial resection in the surgical treatment of ventricular arrhythmia in patients with ischemic heart disease

M. Josephson, John Miller, K. Hargrove

Research output: Contribution to journalArticle

Abstract

The authors have much experience in diagnosing and managing ventricular arrhythmias in patients with coronary heart disease. In most cases, the arrhythmogenic areas are present in the subendocardium and surgeries aimed at improving myocardial revascularization prove to be frequently ineffective in managing arrhythmias. Subendocardial resection proposed by the authors was used in 284 patients. Mortality rates were in 15%, the deaths were mainly due to phenomena of heart failure. Positive results were achieved in 160 (67%) patients. To evaluate the efficacy of the surgical management, the authors consider it advisable to apply programmed endocardial stimulation. The value of pre- and intraoperative mapping is the most important factor that determines the outcome of the surgical management. Subendocardial resection should be regarded as the method of choice just at early stages of the disease in patients with recurrent ventricular tachycardias occurring after acute myocardial infarction.

Original languageUndefined/Unknown
Pages (from-to)76-78
Number of pages3
JournalKardiologiya
Volume30
Issue number11
StatePublished - Nov 1990
Externally publishedYes

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Myocardial Ischemia
Cardiac Arrhythmias
Myocardial Revascularization
Therapeutics
Ventricular Tachycardia
Coronary Disease
Heart Failure
Myocardial Infarction
Mortality

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Subéndokardial'naia rezektsiia v khirurgicheskom lechenii zheludochkovykh aritmiǐ u bol'nykh ishemicheskoǐ bolezn'iu serdtsa. / Josephson, M.; Miller, John; Hargrove, K.

In: Kardiologiya, Vol. 30, No. 11, 11.1990, p. 76-78.

Research output: Contribution to journalArticle

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abstract = "The authors have much experience in diagnosing and managing ventricular arrhythmias in patients with coronary heart disease. In most cases, the arrhythmogenic areas are present in the subendocardium and surgeries aimed at improving myocardial revascularization prove to be frequently ineffective in managing arrhythmias. Subendocardial resection proposed by the authors was used in 284 patients. Mortality rates were in 15{\%}, the deaths were mainly due to phenomena of heart failure. Positive results were achieved in 160 (67{\%}) patients. To evaluate the efficacy of the surgical management, the authors consider it advisable to apply programmed endocardial stimulation. The value of pre- and intraoperative mapping is the most important factor that determines the outcome of the surgical management. Subendocardial resection should be regarded as the method of choice just at early stages of the disease in patients with recurrent ventricular tachycardias occurring after acute myocardial infarction.",
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