Therapeutic Addressal of Post-Myocardial Infarction Ventricular Tachycardia: Implantable Cardiac Defibrillator Versus Medical Therapy

2017 ◽  
Vol 3 (2) ◽  
pp. 132-138
Author(s):  
Nikhila Pachani ◽  
◽  
Praveen G. Pai ◽  
Keyword(s):  
Myocardial Infarction ◽  
Ventricular Tachycardia ◽  
Medical Therapy ◽  
Post Myocardial Infarction ◽  
Implantable Cardiac Defibrillator

The Role of Restitution Profile in Determining Ventricular Tachycardia Propensity Post-Myocardial Infarction

2010 ◽  
Vol 19 ◽  
pp. S113
Author(s):  
J. Pouliopoulos ◽  
G. Sivagangabalan ◽  
W. Chik ◽  
K. Huang ◽  
J. Lu ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Ventricular Tachycardia ◽  
Post Myocardial Infarction

scholarly journals Genetic variants in post myocardial infarction patients presenting with electrical storm of unstable ventricular tachycardia

2018 ◽  
Vol 18 (3) ◽  
pp. 91-94 ◽  
Author(s):  
Advithi Rangaraju ◽  
Shuba Krishnan ◽  
G. Aparna ◽  
Satish Sankaran ◽  
Ashraf U. Mannan ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Ventricular Tachycardia ◽  
Genetic Variants ◽  
Post Myocardial Infarction ◽  
Electrical Storm

Post-MI VT

2017 ◽  
Author(s):  
Hein Heidbuchel ◽  
Mattias Duytschaever ◽  
Haran Burri
Keyword(s):  
Myocardial Infarction ◽  
Ventricular Tachycardia ◽  
Post Myocardial Infarction ◽  
Substrate Modification

This case discusses substrate modification for post-myocardial infarction ventricular tachycardia

scholarly journals Arrhythmic risk stratification in post-myocardial infarction patients with preserved ejection fraction: the PRESERVE EF study

2019 ◽  
Vol 40 (35) ◽  
pp. 2940-2949 ◽  
Author(s):  
Konstantinos A Gatzoulis ◽  
Dimitrios Tsiachris ◽  
Petros Arsenos ◽  
Christos-Konstantinos Antoniou ◽  
Polychronis Dilaveris ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Ventricular Tachycardia ◽  
Ejection Fraction ◽  
Risk Stratification ◽  
Primary Endpoint ◽  
Predictive Value ◽  
Sustained Ventricular Tachycardia ◽  
Post Myocardial Infarction ◽  
Left Ventricular Ejection ◽  
Non Invasive

Abstract Aims Sudden cardiac death (SCD) annual incidence is 0.6–1% in post-myocardial infarction (MI) patients with left ventricular ejection fraction (LVEF)≥40%. No recommendations for implantable cardioverter-defibrillator (ICD) use exist in this population. Methods and results We introduced a combined non-invasive/invasive risk stratification approach in post-MI ischaemia-free patients, with LVEF ≥ 40%, in a multicentre, prospective, observational cohort study. Patients with at least one positive electrocardiographic non-invasive risk factor (NIRF): premature ventricular complexes, non-sustained ventricular tachycardia, late potentials, prolonged QTc, increased T-wave alternans, reduced heart rate variability, abnormal deceleration capacity with abnormal turbulence, were referred for programmed ventricular stimulation (PVS), with ICDs offered to those inducible. The primary endpoint was the occurrence of a major arrhythmic event (MAE), namely sustained ventricular tachycardia/fibrillation, appropriate ICD activation or SCD. We screened and included 575 consecutive patients (mean age 57 years, LVEF 50.8%). Of them, 204 (35.5%) had at least one positive NIRF. Forty-one of 152 patients undergoing PVS (27–7.1% of total sample) were inducible. Thirty-seven (90.2%) of them received an ICD. Mean follow-up was 32 months and no SCDs were observed, while 9 ICDs (1.57% of total screened population) were appropriately activated. None patient without NIRFs or with NIRFs but negative PVS met the primary endpoint. The algorithm yielded the following: sensitivity 100%, specificity 93.8%, positive predictive value 22%, and negative predictive value 100%. Conclusion The two-step approach of the PRESERVE EF study detects a subpopulation of post-MI patients with preserved LVEF at risk for MAEs that can be effectively addressed with an ICD. Clinicaltrials.gov identifier NCT02124018

scholarly journals 1219Comparison of procedural endpoints for ablation of post-myocardial infarction ventricular tachycardia

EP Europace ◽  
2017 ◽  
Vol 19 (suppl_3) ◽  
pp. iii251-iii251
Author(s):  
M. Wolf ◽  
T. Kitamura ◽  
F. Sacher ◽  
H. Cochet ◽  
K. Vlachos ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Ventricular Tachycardia ◽  
Post Myocardial Infarction

scholarly journals Long-Term Outcome of Substrate Modification in Ablation of Post–Myocardial Infarction Ventricular Tachycardia

2018 ◽  
Vol 11 (2) ◽  
Author(s):  
Michael Wolf ◽  
Frédéric Sacher ◽  
Hubert Cochet ◽  
Takeshi Kitamura ◽  
Masateru Takigawa ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Ventricular Tachycardia ◽  
Post Myocardial Infarction ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Substrate Modification
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