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

. 2020 Feb ; 36 (1) : 1-58. [epub] 20200103

Status PubMed-not-MEDLINE Language English Country Japan Media electronic-ecollection

Document type Journal Article

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 MA USA

Brigham and Women's Hospital Boston MA USA

Canberra Hospital Australian National University Canberra ACT Australia

Cardiac Institute CardioInfantil Foundation Bogota Columbia

Centro Privado de Cardiología Tucuman Argentina

Cleveland Clinic Cleveland OH USA

Duke University Medical Center Durham NC USA

Hartford Hospital Hartford CT USA

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

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

Krannert Institute of Cardiology Indiana University School of Medicine Indianapolis IN USA

Kyorin University School of Medicine Tokyo Japan

Leiden University Medical Center Leiden The Netherlands

Northwestern University Feinberg School of Medicine Chicago IL USA

Ospedale San Raffaele Milan Italy

Queen Elizabeth 2 Health Sciences Centre Halifax NS 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 AL USA

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

University of Colorado Denver Aurora CO USA

University of Maryland Baltimore MD USA

University of Michigan Ann Arbor MI USA

University of Pennsylvania Philadelphia PA USA

University of Queensland The Prince Charles Hospital Brisbane Qld Australia

University of Tsukuba Ibaraki Japan

Vanderbilt University Heart and Vascular Center Nashville TN USA

Washington University School of Medicine St Louis MO USA

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J Arrhythm. 2020 Jan 03;36(1):1-58 PubMed

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