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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1987-8-14
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pubmed:abstractText |
The purpose of this report is to present a 5 year experience in electrophysiologically guided surgical treatment of post-infarction ventricular tachycardia (VT) in a consecutive series of 39 patients. In every case the arrhythmia was not responsive to pluripharmacological therapy. The diagnostic steps included preoperative endocardial, intraoperative epi- and endocardial mapping, automatically carried out when possible. Surgical techniques were: classic Guiraudon's encircling endocardial ventriculotomy (EEV), partial EEV, endocardial resection (ER), cryoablation or combined procedures. The hospital mortality was of 4 patients (10%). During the follow-up period (1-68 mo), 4 patients (11%) died of cardiac non-VT related causes. Among the survivors, 90% are in sinus rhythm. The authors consider electrophysiologically guided surgery a safe and reliable method for the treatment of post-infarction VT and suggest more extensive indications. They stress the importance of automatic mapping in pleomorphic and non-sustained VT, and the necessity of tailoring the surgical technique to the characteristics of each case.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0021-9509
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
28
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
374-9
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pubmed:dateRevised |
2009-11-11
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pubmed:meshHeading |
pubmed-meshheading:3597529-Action Potentials,
pubmed-meshheading:3597529-Aged,
pubmed-meshheading:3597529-Cardiac Surgical Procedures,
pubmed-meshheading:3597529-Endocardium,
pubmed-meshheading:3597529-Female,
pubmed-meshheading:3597529-Heart Catheterization,
pubmed-meshheading:3597529-Heart Ventricles,
pubmed-meshheading:3597529-Hemodynamics,
pubmed-meshheading:3597529-Humans,
pubmed-meshheading:3597529-Male,
pubmed-meshheading:3597529-Middle Aged,
pubmed-meshheading:3597529-Myocardial Infarction,
pubmed-meshheading:3597529-Tachycardia
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pubmed:articleTitle |
The role of surgery in the treatment of post-infarction ventricular tachycardia. A 5 year experience.
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pubmed:publicationType |
Journal Article
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