Premature ventricular contraction surgery

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Premature ventricular contraction Microchapters

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Differentiating Premature Ventricular Contraction from other Disorders

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Diagnostic Study of Choice

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Homa Najafi, M.D.[2]


Overview

Surgical intervention is not recommended for the management of [disease name].

OR

Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]

OR

The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].

OR

The feasibility of surgery depends on the stage of [malignancy] at diagnosis.

OR

Surgery is the mainstay of treatment for [disease or malignancy].

Indications

  • Surgical intervention is not recommended for the management of [disease name].

OR

  • Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either:
    • [Indication 1]
    • [Indication 2]
    • [Indication 3]
  • The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:
    • [Indication 1]
    • [Indication 2]
    • [Indication 3]

Surgery

  • The feasibility of surgery depends on the stage of [malignancy] at diagnosis.

OR

  • Surgery is the mainstay of treatment for [disease or malignancy].

Contraindications

2017 AHA/ACC/HRS Guideline for Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death (DO NOT EDIT)[1]

Recommendations for Surgery and Revascularization Procedures in Patients With Ischemic Heart Disease

Class I
1. Patients with sustained VA and survivors of SCA should be evaluated for ischemic heart disease, and should be revascularized as appropriate (Level of Evidence: B-NR).[2][3][4][5]

2. In patients with anomalous origin of a coronary artery suspected to be the cause of SCA, repair or revascularization is recommended(Level of Evidence: C-EO).

Recommendation for Surgery for Arrhythmia Management

Class IIa
1. In patients with monomorphic VT refractory to antiarrhythmic medications and attempts at catheter ablation, surgical ablation may be reasonable (Level of Evidence: C-LD).[6][7][8][9]


References

  1. Al-Khatib, Sana M.; Stevenson, William G.; Ackerman, Michael J.; Bryant, William J.; Callans, David J.; Curtis, Anne B.; Deal, Barbara J.; Dickfeld, Timm; Field, Michael E.; Fonarow, Gregg C.; Gillis, Anne M.; Granger, Christopher B.; Hammill, Stephen C.; Hlatky, Mark A.; Joglar, José A.; Kay, G. Neal; Matlock, Daniel D.; Myerburg, Robert J.; Page, Richard L. (2018). "2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death". Circulation. 138 (13). doi:10.1161/CIR.0000000000000549. ISSN 0009-7322.
  2. Cook, James R.; Rizo-Patron, Carlos; Curtis, Anne B.; Gillis, Anne M.; Bigger, J.Thomas; Kutalek, Steven P.; Coromilas, James; Hofer, Bradley I.; Powell, Judy; Hallstrom, Alfred P. (2002). "Effect of surgical revascularization in patients with coronary artery disease and ventricular tachycardia or fibrillation in the Antiarrhythmics Versus Implantable Defibrillators (AVID) Registry". American Heart Journal. 143 (5): 821–826. doi:10.1067/mhj.2002.121732. ISSN 0002-8703.
  3. Velazquez, Eric J.; Lee, Kerry L.; Jones, Robert H.; Al-Khalidi, Hussein R.; Hill, James A.; Panza, Julio A.; Michler, Robert E.; Bonow, Robert O.; Doenst, Torsten; Petrie, Mark C.; Oh, Jae K.; She, Lilin; Moore, Vanessa L.; Desvigne-Nickens, Patrice; Sopko, George; Rouleau, Jean L. (2016). "Coronary-Artery Bypass Surgery in Patients with Ischemic Cardiomyopathy". New England Journal of Medicine. 374 (16): 1511–1520. doi:10.1056/NEJMoa1602001. ISSN 0028-4793.
  4. Every, Nathan R.; Fahrenbruch, Carol E.; Hallstrom, Alfred P.; Weaver, W.Douglas; Cobb, Leonard A. (1992). "Influence of coronary bypass surgery on subsequent outcome of patients resuscitated from out of hospital cardiac arrest". Journal of the American College of Cardiology. 19 (7): 1435–1439. doi:10.1016/0735-1097(92)90599-I. ISSN 0735-1097.
  5. Dumas, Florence; Bougouin, Wulfran; Geri, Guillaume; Lamhaut, Lionel; Rosencher, Julien; Pène, Frédéric; Chiche, Jean-Daniel; Varenne, Olivier; Carli, Pierre; Jouven, Xavier; Mira, Jean-Paul; Spaulding, Christian; Cariou, Alain (2016). "Emergency Percutaneous Coronary Intervention in Post–Cardiac Arrest Patients Without ST-Segment Elevation Pattern". JACC: Cardiovascular Interventions. 9 (10): 1011–1018. doi:10.1016/j.jcin.2016.02.001. ISSN 1936-8798.
  6. Anter, Elad; Hutchinson, Mathew D.; Deo, Rajat; Haqqani, Haris M.; Callans, David J.; Gerstenfeld, Edward P.; Garcia, Fermin C.; Bala, Rupa; Lin, David; Riley, Michael P.; Litt, Harold I.; Woo, Joseph Y.; Acker, Michael A.; Szeto, Wilson Y.; Zado, Erica S.; Marchlinski, Francis E.; Dixit, Sanjay (2011). "Surgical Ablation of Refractory Ventricular Tachycardia in Patients With Nonischemic Cardiomyopathy". Circulation: Arrhythmia and Electrophysiology. 4 (4): 494–500. doi:10.1161/CIRCEP.111.962555. ISSN 1941-3149.
  7. Bhavani, Sekar Sangameswaran; Tchou, Patrick; Saliba, Walid; Gillinov, A. Marc (2007). "Surgical Options for Refractory Ventricular Tachycardia". Journal of Cardiac Surgery. 22 (6): 533–534. doi:10.1111/j.1540-8191.2007.00468.x. ISSN 0886-0440.
  8. Choi, Eue-Keun; Nagashima, Koichi; Lin, Kaity Y.; Kumar, Saurabh; Barbhaiya, Chirag R.; Baldinger, Samuel H.; Reichlin, Tobias; Michaud, Gregory F.; Couper, Gregory S.; Stevenson, William G.; John, Roy M. (2015). "Surgical cryoablation for ventricular tachyarrhythmia arising from the left ventricular outflow tract region". Heart Rhythm. 12 (6): 1128–1136. doi:10.1016/j.hrthm.2015.02.016. ISSN 1547-5271.
  9. Kumar, Saurabh; Barbhaiya, Chirag R.; Sobieszczyk, Piotr; Eisenhauer, Andrew C.; Couper, Gregory S.; Nagashima, Koichi; Mahida, Saagar; Baldinger, Samuel H.; Choi, Eue-Keun; Epstein, Laurence M.; Koplan, Bruce A.; John, Roy M.; Michaud, Gregory F.; Stevenson, William G.; Tedrow, Usha B. (2015). "Role of Alternative Interventional Procedures When Endo- and Epicardial Catheter Ablation Attempts for Ventricular Arrhythmias Fail". Circulation: Arrhythmia and Electrophysiology. 8 (3): 606–615. doi:10.1161/CIRCEP.114.002522. ISSN 1941-3149.

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