The treatment of ventricular arrhythmias is a major challenge for cardiologists both clinical and interventional ones. Pharmacological strategies are often limited and non-pharmacological options are not always available in every center. In many cases, such as during an electrical storm, the priority is patient stabilization.
The goal is to offer cardiologists the basis and the most recent updates in this field in order to improve the quality of treatment of such difficult patients as those with recurrent ventricular arrhythmias. Including:
1) To discuss the best pharmacological strategies considering the different pharmacological properties of drugs and of their associations.
2) To define the role of catheter ablation, its indications, the best approach (endo; epicardial or both) and its possible complications and moreover to discuss the right timing for considering this procedure and the right setting to provide it.
3) To discuss other treatments such as neuromodulation in an emergency or non-emergency setting meaning percutaneous stellate ganglion block and cardiac sympathetic denervation.
4) Finally to propose new therapeutic algorithms.
The scope of this series of papers is to provide an update about the treatment of complex ventricular arrhythmias from many perspectives: pharmacological therapy, device implantation and programming, catheter ablation and neuromodulation.
The treatment of ventricular arrhythmias is a major challenge for cardiologists both clinical and interventional ones. Pharmacological strategies are often limited and non-pharmacological options are not always available in every center. In many cases, such as during an electrical storm, the priority is patient stabilization.
The goal is to offer cardiologists the basis and the most recent updates in this field in order to improve the quality of treatment of such difficult patients as those with recurrent ventricular arrhythmias. Including:
1) To discuss the best pharmacological strategies considering the different pharmacological properties of drugs and of their associations.
2) To define the role of catheter ablation, its indications, the best approach (endo; epicardial or both) and its possible complications and moreover to discuss the right timing for considering this procedure and the right setting to provide it.
3) To discuss other treatments such as neuromodulation in an emergency or non-emergency setting meaning percutaneous stellate ganglion block and cardiac sympathetic denervation.
4) Finally to propose new therapeutic algorithms.
The scope of this series of papers is to provide an update about the treatment of complex ventricular arrhythmias from many perspectives: pharmacological therapy, device implantation and programming, catheter ablation and neuromodulation.