Redo Ventricular Tachycardia Ablation in a Frail Patient with Ischemic Cardiomyopathy. Benefit of Survival versus Risk of Complications

Authors

  • Dimitris Tsiachris EP Laboratory, First Cardiology Clinic, Hippokration Hospital, University of Athens, Athens, Greece
  • Petros Arsenos EP Laboratory, First Cardiology Clinic, Hippokration Hospital, University of Athens, Athens, Greece
  • Nikos Apostolopoulos EP Laboratory, First Cardiology Clinic, Hippokration Hospital, University of Athens, Athens, Greece
  • Anna Kefala EP Laboratory, First Cardiology Clinic, Hippokration Hospital, University of Athens, Athens, Greece
  • Konstantinos Gatzoulis EP Laboratory, First Cardiology Clinic, Hippokration Hospital, University of Athens, Athens, Greece

DOI:

https://doi.org/10.2015/hc.v9i4.598

Keywords:

ventricular tachycardia ablation, late potentials, incessant ventricular tachycardia

Abstract

We present a case of repeated successful ventricular tachycardia ablation in an elderly frail post-myocardial infarction patient who presented with recurrent and often incessant episodes of slow ventricular tachycardia. An 85-year old thin male was presented with a hemodynamically stable, slow ventricular tachycardia, temporarily terminated after multiple anti-tachycardia pacing attempts. A previous recent ventricular tachycardia ablation procedure due to multiple ICD activations yielded poor result. Identification and elimination of late potentials was accompanied by final non-inducibility and a free from ventricular tachycardia mid-term outcome.

Downloads

Published

2014-09-15

Issue

Vol. 9 No. 4 (2014)

Section

CASE REPORTS

License

Authors who publish with this journal agree to the following terms:

a. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

b. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

c. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).