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.

Beth Israel Deaconess Medical Center Boston Massachusetts

Brigham and Women's Hospital Boston Massachusetts

Canberra Hospital Australian National University Canberra Australia

CardioInfantil Foundation Cardiac Institute Bogota Columbia

Centro Privado de Cardiología Tucuman Argentina

Cleveland Clinic Cleveland Ohio

Duke University Medical Center Durham North Carolina

Hartford Hospital Hartford Connecticut

Heart Institute Teknon Medical Center Barcelona Spain

Herz und Gefäß Klinik Bad Neustadt Germany

Hospital Cardiologico SOS Cardio Florianopolis Brazil

Hospital General de Agudos Cosme Argerich Buenos Aires Argentina

Indiana University School of Medicine Krannert Institute of Cardiology Indianapolis Indiana

Institute for Clinical and Experimental Medicine Prague Czech Republic

Instituto Brasília de Arritmia Brasília Brazil

Jiangsu Province Hospital The 1st Affiliated Hospital of Nanjing Medical University Nanjing China

Kyorin University School of Medicine Tokyo Japan

Leiden University Medical Center Leiden The Netherlands

Northwestern University Feinberg School of Medicine Chicago Illinois

Ospedale San Raffaele Milan Italy

Queen Elizabeth 2 Health Sciences Centre Halifax Canada

Sree Chitra Institute for Medical Sciences and Technology Thiruvananthapuram India

University Hospital Antwerp University of Antwerp Antwerp Belgium

University Hospital Rangueil Toulouse France

University of Alabama at Birmingham Birmingham Alabama

University of California San Francisco Benioff Children's Hospital San Francisco California

University of Colorado Denver Aurora Colorado

University of Maryland Baltimore Maryland

University of Michigan Ann Arbor Michigan

University of Pennsylvania Philadelphia Pennsylvania

University of Queensland The Prince Charles Hospital Chermside Australia

University of Tsukuba Ibaraki Japan

Vanderbilt University Heart and Vascular Center Nashville Tennessee

Washington University School of Medicine St Louis Missouri

Zobrazit více v PubMed

J Arrhythm. 2019 May 10;35(3):323-484 PubMed

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