Surgery for recurrent ventricular tachyarrhythmias

M. E. Josephson, John Miller, L. N. Horowitz, A. H. Harken, W. C. Hargrove

Research output: Contribution to journalArticle

Abstract

Ventricular tachyarrhythmias are well-known complications of ischemic heart disease. Recurrent sustained ventricular tachycardia (VT) can now be easily recognized and is frequently reversed both in and out of hospital. Coronary artery bypass surgery with or without aneurysmectomy has been disappointing as therapy for these arrhythmias. With the advent of programmed electrical stimulation, it has become possible to distinguish automatic and reentrant ventricular tachyarrhythmias. The latter have recently proved amenable to operative intervention. In this review, the pathophysiology of VT as determined by programmed electrical stimulation is discussed. Surgical therapy with isolation, resection, revascularization, thermal ablation, cardiac pacing, reentrant circuit interruption, and endocardial excision is examined. Operation for cardiac arrhythmias is on a firm electrophysiologic foundation. Surgical treatment of refractory ventricular tachyarrhythmias is now reasonable, recommended, and rewarding.

Original languageEnglish (US)
Pages (from-to)10-16+21
JournalCardiovascular Reviews and Reports
Volume12
Issue number10
StatePublished - 1991
Externally publishedYes

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Tachycardia
Ventricular Tachycardia
Electric Stimulation
Cardiac Arrhythmias
Coronary Artery Bypass
Myocardial Ischemia
Hot Temperature
Therapeutics

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Josephson, M. E., Miller, J., Horowitz, L. N., Harken, A. H., & Hargrove, W. C. (1991). Surgery for recurrent ventricular tachyarrhythmias. Cardiovascular Reviews and Reports, 12(10), 10-16+21.

Surgery for recurrent ventricular tachyarrhythmias. / Josephson, M. E.; Miller, John; Horowitz, L. N.; Harken, A. H.; Hargrove, W. C.

In: Cardiovascular Reviews and Reports, Vol. 12, No. 10, 1991, p. 10-16+21.

Research output: Contribution to journalArticle

Josephson, ME, Miller, J, Horowitz, LN, Harken, AH & Hargrove, WC 1991, 'Surgery for recurrent ventricular tachyarrhythmias', Cardiovascular Reviews and Reports, vol. 12, no. 10, pp. 10-16+21.
Josephson ME, Miller J, Horowitz LN, Harken AH, Hargrove WC. Surgery for recurrent ventricular tachyarrhythmias. Cardiovascular Reviews and Reports. 1991;12(10):10-16+21.
Josephson, M. E. ; Miller, John ; Horowitz, L. N. ; Harken, A. H. ; Hargrove, W. C. / Surgery for recurrent ventricular tachyarrhythmias. In: Cardiovascular Reviews and Reports. 1991 ; Vol. 12, No. 10. pp. 10-16+21.
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