雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Advances in catheter ablation for the treatment of patients with tachyarrhythmias Hiroyuki SATO 1 1Department of Cardiology, Teine Keijinkai Hospital pp.106-114
Published Date 2021/1/1
DOI https://doi.org/10.11477/mf.3102200838
  • Abstract
  • Look Inside
  • Reference

Management of arrhythmias,as well as coronary disease and heart failure is essential in the ICU/CCU. As non-pharmacological therapy for tachyarrhythmias, catheter ablation has rapidly developed. Catheter ablation is a treatment strategy that intensivists and cardiologists should share in their discussions. Ablation technologies, such as 3D mapping systems, irrigated catheters with contact force, balloon ablation, and new energy sources, have emerged in the last several years. Advances in catheter ablation technology have established standardization of pulmonary vein isolation for atrial fibrillation (AF) to maintain freedom from AF recurrence and safety. The CASTLE-AF study reported that catheter ablation for AF improves the long-term prognosis in patients with heart failure. Atrial tachycardias with complex circuits after heart surgery or previous ablation become visible and treatable using a new 3D mapping system. Epicardial ablation makes it possible to suppress refractory ventricular arrhythmias such as Brugada syndrome. In patients with myocardial infarction presenting with ventricular fibrillation storm, emergent ablation targeting the site of the triggered activity is lifesaving. Intensivists increasingly need to understand the indications and procedures for catheter ablation. This column outlines the history, evidence and recommendations for catheter ablation.


Copyright © 2021, MEDICAL SCIENCES INTERNATIONAL, LTD. All rights reserved.

基本情報

電子版ISSN 2186-7852 印刷版ISSN 1883-4833 メディカル・サイエンス・インターナショナル

関連文献

もっと見る

文献を共有