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European Heart Journal 1989 10(Supplement E):48-52; doi:10.1093/eurheartj/10.suppl_E.48
Copyright © 1989 by the European Society of Cardiology.
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© 1989 The European Society of Cardiology

Non-medical therapy of ventricular tachyarrhythmias

S. Lévy

Service de Cardiologie, Hôpital Nord Marseille, France

Address for correspondence: Pr. S. Lévy, Hospital Nord. Service de Cardiologie, Chemin des Bourrely, 13326 Marseille Cedex 15, France

In recent years, development of non-pharmacological therapy has provided new therapeutic possibilities for patients with ventricular tachyarrhythmias. One of the major advances is the automatic cardioverterdefibrillator which has reduced dramatically the number of arrhythmic deaths in patients with ventricular tachycardia or fibrillation. Surgery of ventricular arrhythmias represents an interesting alternative in selected patients as it provides a cure. Electrical ablation of the arrhythmogenic substrates is still experimental. The mortality associated with the procedure in patients with coronary artery disease represents a serious limitation. A carefulselection of the indications in order to tailor therapy to the patient is needed and guidelines are proposed.

Key Words: Antitachycardia pacemakers • implantable defibrillators • ventricular tachycardia ablation • ventricular tachycardia surgery


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