2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias: Executive summary

Edmond M. Cronin, Frank M. Bogun, Philippe Maury, Petr Peichl, Minglong Chen, Narayanan Namboodiri, Luis Aguinaga, Luiz Roberto Leite, Sana M. Al-Khatib, Elad Anter, Antonio Berruezo, David J. Callans, Mina K. Chung, Phillip Cuculich, Andre d'Avila, Barbara J. Deal, Paolo Della Bella, Thomas Deneke, Timm Michael Dickfeld, Claudio HadidHaris M. Haqqani, G. Neal Kay, Rakesh Latchamsetty, Francis Marchlinski, John M. Miller, Akihiko Nogami, Akash R. Patel, Rajeev Kumar Pathak, Luis C. Saenz Morales, Pasquale Santangeli, John L. Sapp, Andrea Sarkozy, Kyoko Soejima, William G. Stevenson, Usha B. Tedrow, Wendy S. Tzou, Niraj Varma, Katja Zeppenfeld

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Ventricular arrhythmias are an important cause of morbidity and mortality and come in a variety of forms, from single premature ventricular complexes to sustained ventricular tachycardia and fibrillation. Rapid developments have taken place over the past decade in our understanding of these arrhythmias and in our ability to diagnose and treat them. The field of catheter ablation has progressed with the development of new methods and tools, and with the publication of large clinical trials. Therefore, global cardiac electrophysiology professional societies undertook to outline recommendations and best practices for these procedures in a document that will update and replace the 2009 EHRA/HRS Expert Consensus on Catheter Ablation of Ventricular Arrhythmias. An expert writing group, after reviewing and discussing the literature, including a systematic review and meta-analysis published in conjunction with this document, and drawing on their own experience, drafted and voted on recommendations and summarized current knowledge and practice in the field. Each recommendation is presented in knowledge byte format and is accompanied by supportive text and references. Further sections provide a practical synopsis of the various techniques and of the specific ventricular arrhythmia sites and substrates encountered in the electrophysiology lab. The purpose of this document is to help electrophysiologists around the world to appropriately select patients for catheter ablation, to perform procedures in a safe and efficacious manner, and to provide follow-up and adjunctive care in order to obtain the best possible outcomes for patients with ventricular arrhythmias.

Original languageEnglish (US)
Pages (from-to)e155-e205
JournalHeart rhythm
Volume17
Issue number1
DOIs
StatePublished - Jan 2020

Fingerprint

Catheter Ablation
Cardiac Arrhythmias
Cardiac Electrophysiology
Aftercare
Ventricular Premature Complexes
Electrophysiology
Ventricular Fibrillation
Ventricular Tachycardia
Practice Guidelines
Publications
Meta-Analysis
Clinical Trials
Morbidity
Mortality

Keywords

  • Catheter ablation
  • Clinical document
  • Electrical storm
  • Electroanatomical mapping
  • Electrocardiogram
  • Expert consensus statement
  • Imaging
  • Premature ventricular complex
  • Radiofrequency ablation
  • Ventricular arrhythmia
  • Ventricular tachycardia

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

Cite this

Cronin, E. M., Bogun, F. M., Maury, P., Peichl, P., Chen, M., Namboodiri, N., ... Zeppenfeld, K. (2020). 2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias: Executive summary. Heart rhythm, 17(1), e155-e205. https://doi.org/10.1016/j.hrthm.2019.03.014
Cronin, Edmond M. ; Bogun, Frank M. ; Maury, Philippe ; Peichl, Petr ; Chen, Minglong ; Namboodiri, Narayanan ; Aguinaga, Luis ; Leite, Luiz Roberto ; Al-Khatib, Sana M. ; Anter, Elad ; Berruezo, Antonio ; Callans, David J. ; Chung, Mina K. ; Cuculich, Phillip ; d'Avila, Andre ; Deal, Barbara J. ; Della Bella, Paolo ; Deneke, Thomas ; Dickfeld, Timm Michael ; Hadid, Claudio ; Haqqani, Haris M. ; Kay, G. Neal ; Latchamsetty, Rakesh ; Marchlinski, Francis ; Miller, John M. ; Nogami, Akihiko ; Patel, Akash R. ; Pathak, Rajeev Kumar ; Saenz Morales, Luis C. ; Santangeli, Pasquale ; Sapp, John L. ; Sarkozy, Andrea ; Soejima, Kyoko ; Stevenson, William G. ; Tedrow, Usha B. ; Tzou, Wendy S. ; Varma, Niraj ; Zeppenfeld, Katja. / 2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias : Executive summary. In: Heart rhythm. 2020 ; Vol. 17, No. 1. pp. e155-e205.
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abstract = "Ventricular arrhythmias are an important cause of morbidity and mortality and come in a variety of forms, from single premature ventricular complexes to sustained ventricular tachycardia and fibrillation. Rapid developments have taken place over the past decade in our understanding of these arrhythmias and in our ability to diagnose and treat them. The field of catheter ablation has progressed with the development of new methods and tools, and with the publication of large clinical trials. Therefore, global cardiac electrophysiology professional societies undertook to outline recommendations and best practices for these procedures in a document that will update and replace the 2009 EHRA/HRS Expert Consensus on Catheter Ablation of Ventricular Arrhythmias. An expert writing group, after reviewing and discussing the literature, including a systematic review and meta-analysis published in conjunction with this document, and drawing on their own experience, drafted and voted on recommendations and summarized current knowledge and practice in the field. Each recommendation is presented in knowledge byte format and is accompanied by supportive text and references. Further sections provide a practical synopsis of the various techniques and of the specific ventricular arrhythmia sites and substrates encountered in the electrophysiology lab. The purpose of this document is to help electrophysiologists around the world to appropriately select patients for catheter ablation, to perform procedures in a safe and efficacious manner, and to provide follow-up and adjunctive care in order to obtain the best possible outcomes for patients with ventricular arrhythmias.",
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Cronin, EM, Bogun, FM, Maury, P, Peichl, P, Chen, M, Namboodiri, N, Aguinaga, L, Leite, LR, Al-Khatib, SM, Anter, E, Berruezo, A, Callans, DJ, Chung, MK, Cuculich, P, d'Avila, A, Deal, BJ, Della Bella, P, Deneke, T, Dickfeld, TM, Hadid, C, Haqqani, HM, Kay, GN, Latchamsetty, R, Marchlinski, F, Miller, JM, Nogami, A, Patel, AR, Pathak, RK, Saenz Morales, LC, Santangeli, P, Sapp, JL, Sarkozy, A, Soejima, K, Stevenson, WG, Tedrow, UB, Tzou, WS, Varma, N & Zeppenfeld, K 2020, '2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias: Executive summary', Heart rhythm, vol. 17, no. 1, pp. e155-e205. https://doi.org/10.1016/j.hrthm.2019.03.014

2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias : Executive summary. / Cronin, Edmond M.; Bogun, Frank M.; Maury, Philippe; Peichl, Petr; Chen, Minglong; Namboodiri, Narayanan; Aguinaga, Luis; Leite, Luiz Roberto; Al-Khatib, Sana M.; Anter, Elad; Berruezo, Antonio; Callans, David J.; Chung, Mina K.; Cuculich, Phillip; d'Avila, Andre; Deal, Barbara J.; Della Bella, Paolo; Deneke, Thomas; Dickfeld, Timm Michael; Hadid, Claudio; Haqqani, Haris M.; Kay, G. Neal; Latchamsetty, Rakesh; Marchlinski, Francis; Miller, John M.; Nogami, Akihiko; Patel, Akash R.; Pathak, Rajeev Kumar; Saenz Morales, Luis C.; Santangeli, Pasquale; Sapp, John L.; Sarkozy, Andrea; Soejima, Kyoko; Stevenson, William G.; Tedrow, Usha B.; Tzou, Wendy S.; Varma, Niraj; Zeppenfeld, Katja.

In: Heart rhythm, Vol. 17, No. 1, 01.2020, p. e155-e205.

Research output: Contribution to journalArticle

TY - JOUR

T1 - 2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias

T2 - Executive summary

AU - Cronin, Edmond M.

AU - Bogun, Frank M.

AU - Maury, Philippe

AU - Peichl, Petr

AU - Chen, Minglong

AU - Namboodiri, Narayanan

AU - Aguinaga, Luis

AU - Leite, Luiz Roberto

AU - Al-Khatib, Sana M.

AU - Anter, Elad

AU - Berruezo, Antonio

AU - Callans, David J.

AU - Chung, Mina K.

AU - Cuculich, Phillip

AU - d'Avila, Andre

AU - Deal, Barbara J.

AU - Della Bella, Paolo

AU - Deneke, Thomas

AU - Dickfeld, Timm Michael

AU - Hadid, Claudio

AU - Haqqani, Haris M.

AU - Kay, G. Neal

AU - Latchamsetty, Rakesh

AU - Marchlinski, Francis

AU - Miller, John M.

AU - Nogami, Akihiko

AU - Patel, Akash R.

AU - Pathak, Rajeev Kumar

AU - Saenz Morales, Luis C.

AU - Santangeli, Pasquale

AU - Sapp, John L.

AU - Sarkozy, Andrea

AU - Soejima, Kyoko

AU - Stevenson, William G.

AU - Tedrow, Usha B.

AU - Tzou, Wendy S.

AU - Varma, Niraj

AU - Zeppenfeld, Katja

PY - 2020/1

Y1 - 2020/1

N2 - Ventricular arrhythmias are an important cause of morbidity and mortality and come in a variety of forms, from single premature ventricular complexes to sustained ventricular tachycardia and fibrillation. Rapid developments have taken place over the past decade in our understanding of these arrhythmias and in our ability to diagnose and treat them. The field of catheter ablation has progressed with the development of new methods and tools, and with the publication of large clinical trials. Therefore, global cardiac electrophysiology professional societies undertook to outline recommendations and best practices for these procedures in a document that will update and replace the 2009 EHRA/HRS Expert Consensus on Catheter Ablation of Ventricular Arrhythmias. An expert writing group, after reviewing and discussing the literature, including a systematic review and meta-analysis published in conjunction with this document, and drawing on their own experience, drafted and voted on recommendations and summarized current knowledge and practice in the field. Each recommendation is presented in knowledge byte format and is accompanied by supportive text and references. Further sections provide a practical synopsis of the various techniques and of the specific ventricular arrhythmia sites and substrates encountered in the electrophysiology lab. The purpose of this document is to help electrophysiologists around the world to appropriately select patients for catheter ablation, to perform procedures in a safe and efficacious manner, and to provide follow-up and adjunctive care in order to obtain the best possible outcomes for patients with ventricular arrhythmias.

AB - Ventricular arrhythmias are an important cause of morbidity and mortality and come in a variety of forms, from single premature ventricular complexes to sustained ventricular tachycardia and fibrillation. Rapid developments have taken place over the past decade in our understanding of these arrhythmias and in our ability to diagnose and treat them. The field of catheter ablation has progressed with the development of new methods and tools, and with the publication of large clinical trials. Therefore, global cardiac electrophysiology professional societies undertook to outline recommendations and best practices for these procedures in a document that will update and replace the 2009 EHRA/HRS Expert Consensus on Catheter Ablation of Ventricular Arrhythmias. An expert writing group, after reviewing and discussing the literature, including a systematic review and meta-analysis published in conjunction with this document, and drawing on their own experience, drafted and voted on recommendations and summarized current knowledge and practice in the field. Each recommendation is presented in knowledge byte format and is accompanied by supportive text and references. Further sections provide a practical synopsis of the various techniques and of the specific ventricular arrhythmia sites and substrates encountered in the electrophysiology lab. The purpose of this document is to help electrophysiologists around the world to appropriately select patients for catheter ablation, to perform procedures in a safe and efficacious manner, and to provide follow-up and adjunctive care in order to obtain the best possible outcomes for patients with ventricular arrhythmias.

KW - Catheter ablation

KW - Clinical document

KW - Electrical storm

KW - Electroanatomical mapping

KW - Electrocardiogram

KW - Expert consensus statement

KW - Imaging

KW - Premature ventricular complex

KW - Radiofrequency ablation

KW - Ventricular arrhythmia

KW - Ventricular tachycardia

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