Noninvasive programmed stimulation in the setting of ventricular tachycardia catheter ablation

Antonio Frontera, Tine Prolic Kalinsek, Alexios Hadjis, Paolo Della Bella

Research output: Contribution to journalReview articlepeer-review

Abstract

In the setting of catheter ablation of ventricular tachycardia (VT), invasive programmed ventricular stimulation (PVS) is considered an important tool to assess the (residual) inducibility of ventricular arrhythmias and determine the acute success of the procedure. In patients with cardiovascular implantable electronic devices, noninvasive programmed stimulation via implantable cardioverter-defibrillator (ICD) leads can be an alternative to the invasive PVS with intracardiac catheters. The advantages of noninvasive programmed stimulation include preprocedure planning of the electrophysiology procedure to ensure optimal conditions for successful catheter ablation of VT. Following the procedure, noninvasive programmed stimulation has been shown to be used as a guide for repeat early ablation, to offer better programming of ICD, to offer prognostic value regarding the VT recurrence, and to guide antiarrhythmic drug therapy. The noninvasive nature of noninvasive programmed stimulation makes it an attractive alternative to PVS in patients with ICD who have not undergone catheter ablation of VT to obtain prognostic value regarding the occurrence of VT.

Original languageEnglish
Pages (from-to)1828-1835
Number of pages8
JournalJournal of Cardiovascular Electrophysiology
Volume31
Issue number7
DOIs
Publication statusPublished - Jul 1 2020

Keywords

  • cardiovascular implantable electronic device
  • catheter ablation
  • noninvasive programmed stimulation
  • outcomes
  • ventricular tachycardia

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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