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İdiyopatik Sol Ventriküler Taşikardi’li Bir Olgunun Radyofrekans Kateter Ablasyonu İle Tedavisi

Radiofrequency Catheter Ablation of a Patient With Idiopathic Left Ventricular Tachycardia

Journal Name:

  • Uludağ Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2004

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
Management of patients with ventricular tachycardia (VT) is often difficult. Sustained monomorphic VT is most often associated with structural heart disease such as healed myocardial infarction and cardiomyopathy. However no apparent structural abnormality is identified in some patients with VT. Medical treatment is often ineffective. Idiopathic ventricular tachycardia is defined as VT arising in a patient with no evidence of structural heart disease by using electrocardiography, echocardiography and coronary angiography. Because of its usual hemodynamic stability, its focal origin and the lack of surrounding scar idiopathic VT has been highly amenable to radiofrequency catheter ablation. In selected patients radiofrequency catheter ablation can terminate the episodes, provides clinical improvement and protect patient from the side eff
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Abstract (Original Language): 
Ventriküler taşikardi’li (VT) hastaları değerlendirmek sıklıkla zordur. Sürekli monomorfik ventriküler taşikardi, sıklıkla geçirilmiş miyokard infarktüsü ve kardiyomiyopati gibi yapısal kalp hastalıkları ile ilişkilidir. Bununla birlikte bazı VT’li hastalarda, organik kalp hastalığı bulunamamıştır. İlaç tedavisi genellikle yetersizdir. İdiyopatik VT elektrokardiyografi (EKG), ekokardiyografi (EKO) ve koroner anjiyografi (KAG) yapılarak yapısal kalp hastalığı olmadığı gösterilmiş hastalarda oluşan VT atakları olarak tanımlanır. Hemodinamik olarak genellikle stabil olması, fokal orijinli olması, etrafında skar dokusu olmaması ile VT’yi radyofrekans ablasyona oldukça duyarlı kılar. Radyofrekans kateter ablasyonu seçilmiş hastalarda atakları bitirebilir ve kür sağlayabilir, antiaritmik ajanların uzun süreli kullanımı ile oluşabilecek yan etkilerden hastayı kurtarır. Bizde burada idiyopatik sol VT’li bir olgumuzun radyofrekans kateter ablasyonu ile küratif tedavisini sunduk
FULL TEXT (PDF): 
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  • 2
123-126
  • Turkish

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