When to ablate in Brugada and early repolarization syndromes.

IF 1.8 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Eloi Vacher, Jean Baptiste Gourraud, Vincent Probst
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引用次数: 0

Abstract

Introduction: Mapping advances have expanded both the feasibility and benefits of ablation as a therapeutic approach, including in the treatment of two heart conditions that contribute to sudden cardiac death in young people: Brugada syndrome (BrS) and early repolarization syndrome (ERS). Although these conditions share a number of similarities, debates persist regarding the underlying pathophysiology and origin of the ventricular arrhythmias associated with them.

Areas covered: By synthesizing available data (PubMed), including current recommendations, pathophysiological insights and case reports, patient registries, our aim is to elucidate and establish the nuanced role of radiofrequency ablation (RFA) in therapeutic management.

Expert opinion: RFA is a particularly promising approach in BrS, with a proven long-term benefit. Concerning ERS, RFA seems to be interesting at the price of more complex procedures with more nuanced results.

何时对 Brugada 和早期再极化综合征进行消融。
导言:制图技术的进步扩大了消融作为一种治疗方法的可行性和益处,包括治疗两种导致年轻人心脏性猝死的心脏疾病:Brugada 综合征 (BrS) 和早期再极化综合征 (ERS)。尽管这两种病症有许多相似之处,但关于它们相关的室性心律失常的潜在病理生理学和起源仍存在争议:通过综合现有数据(PubMed),包括当前建议、病理生理学见解和病例报告、患者登记,我们的目标是阐明并确立射频消融(RFA)在治疗管理中的微妙作用:专家观点:射频消融是治疗 BrS 的一种特别有前途的方法,其长期疗效已得到证实。关于 ERS,射频消融似乎很有意义,但代价是更复杂的手术和更微妙的结果。
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来源期刊
Expert Review of Cardiovascular Therapy
Expert Review of Cardiovascular Therapy CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
3.70
自引率
0.00%
发文量
82
期刊介绍: Expert Review of Cardiovascular Therapy (ISSN 1477-9072) provides expert reviews on the clinical applications of new medicines, therapeutic agents and diagnostics in cardiovascular disease. Coverage includes drug therapy, heart disease, vascular disorders, hypertension, cholesterol in cardiovascular disease, heart disease, stroke, heart failure and cardiovascular surgery. The Expert Review format is unique. Each review provides a complete overview of current thinking in a key area of research or clinical practice.
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