Vnitr Lek 2014, 60(12):1055-1061

Catheter ablation of focus triggering ventricular fibrillation in patients with structural heart disease

Josef Kautzner*, Petr Peichl
Klinika kardiologie IKEM Praha, přednosta prof. MUDr. Josef Kautzner, CSc.

First experiences with ablation of focus triggering ventricular fibrillation were reported in isolated cases of idiopathic ventricular fibrillation. Later, there were described the options in management of an electrical instability triggered by ectopic activity in patients after myocardial infarction. In both cases it was shown that the sources of extrasystoles originate almost exclusively from conducting system of chambers. Subsequently, isolated cases were also reported in other structural diseases. It is important that the urgent catheter ablation is able to remove focus which triggers electric instability. In many cases it is a lifesaving procedure. This review summarizes the current knowledge of the catheter ablation of focus triggering ventricular fibrillation with structural heart disease.

Keywords: catheter ablation; Purkinje fibres; ventricular fibrillation

Received: October 13, 2014; Accepted: October 27, 2014; Published: December 1, 2014  Show citation

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Kautzner J, Peichl P. Catheter ablation of focus triggering ventricular fibrillation in patients with structural heart disease. Vnitr Lek. 2014;60(12):1055-1061.
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