Document Detail


Insights into the electrophysiology of ventricular tachycardia gained by the catheter ablation experience: "learning while burning".
MedLine Citation:
PMID:  7874333     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The success of catheter ablation has significantly improved the treatment of patients with cardiac arrhythmias and has established electrophysiology as an increasingly interventional subspecialty. Some members of the electrophysiology community have expressed concern that this success has been purchased at the cost of undermining what had been our primary concern: understanding the anatomic and physiologic basis of arrhythmia syndromes. In many laboratories, endpoints such as case load and primary success have eclipsed physiologic investigation. Despite these trends, however, catheter ablation is not inherently at odds with investigation and education. On the contrary, because the lesions delivered with current techniques are much more discrete than the effects of antiarrhythmic agents or surgical ablation, catheter ablation can be used as a research tool directed toward a more precise understanding of arrhythmia substrates. Conscious attempts at "learning while burning" have already provided important and unique information about arrhythmia pathogenesis.
Authors:
D J Callans; D Schwartzman; C D Gottlieb; F E Marchlinski
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of cardiovascular electrophysiology     Volume:  5     ISSN:  1045-3873     ISO Abbreviation:  J. Cardiovasc. Electrophysiol.     Publication Date:  1994 Oct 
Date Detail:
Created Date:  1995-04-06     Completed Date:  1995-04-06     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9010756     Medline TA:  J Cardiovasc Electrophysiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  877-94     Citation Subset:  IM    
Affiliation:
Clinical Electrophysiology Laboratory, Philadelphia Heart Institute, Presbyterian Medical Center, PA 19104.
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MeSH Terms
Descriptor/Qualifier:
Cardiomyopathy, Dilated / complications
Catheter Ablation*
Coronary Disease / complications
Electrophysiology
Evaluation Studies as Topic
Humans
Myocardial Infarction / complications
Tachycardia, Ventricular / complications,  physiopathology*,  surgery*
Ventricular Function, Left

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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