Treating Stubborn Cardiac Arrhythmias-Looking Toward the Future.

Autor: Hsue W; Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, 930 Campus Road, Ithaca, NY 14853, USA. Electronic address: wh446@cornell.edu., Gagnon AL; Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California - Davis, One Shields Avenue, Davis, CA 95616, USA. Electronic address: algagnon@ucdavis.edu.
Jazyk: angličtina
Zdroj: The Veterinary clinics of North America. Small animal practice [Vet Clin North Am Small Anim Pract] 2023 Nov; Vol. 53 (6), pp. 1415-1428. Date of Electronic Publication: 2023 Aug 03.
DOI: 10.1016/j.cvsm.2023.06.003
Abstrakt: As animals can develop significant side effects or remain refractory while on antiarrhythmic medical therapy for tachyarrhythmias, interventional therapies are progressively being explored. This review will highlight the principles and utilities of implantable cardioverter-defibrillators, electrophysiological mapping and catheter ablation, three-dimensional electroanatomical mapping, and stereotactic arrhythmia radiotherapy. In particular, three-dimensional electroanatomical mapping is emerging as an adjunct electrophysiology tool to facilitate activation, substrate, and pace mapping for intuitive analysis of complex tachyarrhythmias. Unlike antiarrhythmic medications, these modalities offer potential for decreasing risk of sudden death and even permanent termination of tachyarrhythmias.
(Published by Elsevier Inc.)
Databáze: MEDLINE