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Morin DP, Lerman BB. Management of ventricular tachycardia in the absence of structural heart disease. Curr Treat Options Cardiovasc Med. 2007;9(5):356-63doi: 10.1007/s11936-007-0055-9.
Morin, D. P., & Lerman, B. B. (2007). Management of ventricular tachycardia in the absence of structural heart disease. Current treatment options in cardiovascular medicine, 9(5), 356-63. https://doi.org/10.1007/s11936-007-0055-9
Morin, Daniel P, and Lerman, Bruce B. "Management of ventricular tachycardia in the absence of structural heart disease." Current treatment options in cardiovascular medicine vol. 9,5 (2007): 356-63. doi: https://doi.org/10.1007/s11936-007-0055-9
Morin DP, Lerman BB. Management of ventricular tachycardia in the absence of structural heart disease. Curr Treat Options Cardiovasc Med. 2007 Oct;9(5):356-63. doi: 10.1007/s11936-007-0055-9. PMID: 17897564.
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Curr Treat Options Cardiovasc Med. 2007 Oct;9(5):356-63. doi: 10.1007/s11936-007-0055-9.

Management of ventricular tachycardia in the absence of structural heart disease.

Current treatment options in cardiovascular medicine

Daniel P Morin, Bruce B Lerman

Affiliations

  1. Division of Cardiology, Cornell University Medical Center, 525 East 68th Street, Starr-4, New York, NY 10021, USA.

PMID: 17897564 DOI: 10.1007/s11936-007-0055-9

Abstract

Ventricular tachycardia most often arises from the ventricular outflow tracts in patients with apparently structurally normal hearts, and is often termed idiopathic ventricular tachycardia. These tachycardias are characterized by a left bundle branch block, inferior axis QRS morphology, and a unique electropharmacologic profile. The choice of treatment is dictated by the severity of symptoms, and ranges from observation for asymptomatic patients, to antiarrhythmic agents for those who are mildly to moderately symptomatic (eg, palpitations), to catheter-based ablation for those with more troubling symptoms or those who develop tachycardia-mediated cardiomyopathy. Antiarrhythmic therapy can be effective for arrhythmia suppression, and radiofrequency ablation has a high success rate (> 90%) with few procedural complications. In general, ventricular outflow tract tachycardia has a favorable prognosis. Exclusion of arrhythmogenic right ventricular dysplasia/cardiomyopathy is important due to significant disparities in prognosis and treatment.

References

  1. Heart Rhythm. 2007 Jul;4(7):973-6 - PubMed
  2. Card Electrophysiol Rev. 2002 Dec;6(4):442-7 - PubMed
  3. Circulation. 1997 Aug 19;96(4):1192-200 - PubMed
  4. Br Heart J. 1992 Oct;68(4):392-7 - PubMed
  5. J Cardiovasc Electrophysiol. 2002 Jul;13(7):633-8 - PubMed
  6. Circulation. 1998 Oct 13;98(15):1525-33 - PubMed
  7. Pacing Clin Electrophysiol. 2001 Feb;24(2):166-71 - PubMed
  8. J Cardiovasc Electrophysiol. 1996 Jun;7(6):559-69 - PubMed
  9. Pacing Clin Electrophysiol. 1990 Sep;13(9):1142-7 - PubMed
  10. Pacing Clin Electrophysiol. 1996 Dec;19(12 Pt 1):2120-37 - PubMed
  11. J Am Coll Cardiol. 1994 Sep;24(3):720-7 - PubMed
  12. Am J Cardiol. 1999 Jul 1;84(1):99-101, A8 - PubMed
  13. J Am Coll Cardiol. 2005 Apr 19;45(8):1259-65 - PubMed
  14. Circulation. 1993 Feb;87(2):382-90 - PubMed
  15. Circulation. 2005 Aug 23;112(8):1092-7 - PubMed
  16. Am J Cardiol. 1997 Feb 1;79(3):309-14 - PubMed
  17. Heart. 1997 Sep;78(3):255-61 - PubMed
  18. Circulation. 1986 Aug;74(2):270-80 - PubMed
  19. Heart. 2005 Feb;91(2):136-8 - PubMed
  20. Circulation. 1995 Aug 1;92(3):421-9 - PubMed
  21. J Cardiovasc Electrophysiol. 2006 Oct;17(10):1052-8 - PubMed
  22. Am Heart J. 2000 Jun;139(6):1009-13 - PubMed
  23. Pacing Clin Electrophysiol. 2006 Aug;29(8):837-45 - PubMed
  24. Heart Rhythm. 2007 Mar;4(3):366-70 - PubMed
  25. Am Heart J. 1993 Nov;126(5):1126-33 - PubMed
  26. Am J Cardiol. 1991 Oct 1;68(9):897-900 - PubMed
  27. J Am Coll Cardiol. 1997 Apr;29(5):1023-7 - PubMed
  28. J Am Coll Cardiol. 2002 Feb 6;39(3):500-8 - PubMed
  29. J Clin Invest. 1988 Dec;82(6):2127-35 - PubMed
  30. J Am Coll Cardiol. 2007 May 22;49(20):2035-43 - PubMed

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