Who are suitable patients for catheter ablation?
Who are suitable patients for catheter ablation?
- Symptomatic paroxysmal or persistent AF AND
- Failed at least 1 anti-arrhythmic medication OR
- Unwilling or unable to take anti-arrhythmic therapy
- Atrial fibrillation with concurrent heart failure
- Symptomatic episodes of palpitations with one or more:
- ED presentations with documented narrow complex tachycardia reverting with Valsalva, carotid massage or adenosine administration
- Reliable termination of symptoms with Valsalva manoeuvre
- Documentation of arrhythmia on 12 lead ECG, holter or iPhone monitoring device.
- Significant VE burden (usually single morphology) associated with one or more of the following:
- Troublesome symptoms such as palpitations
- Reduced LV function
- Sustained VT
- Impairment of Bi-Ventricular Pacemaker function
- One or more of:
- Recurrent symptomatic VT unresponsive to anti-arrhythmic medications
- Recurrent VT with intolerance to antiarrhythmic therapy
- Recurrent VT leading to ICD shocks
- Atrial fibrillation where rhythm control has failed or is otherwise unsuitable for AF ablation AND
- Rapid ventricular rates despite medical rate control OR
- Poor toleration of rate control medications OR
- Symptomatic heart failure
Who are suitable candidates for cardiac devices?
- Complete or high grade atrio-ventricular block
- Bradycardia associated with:
- Syncope or collapse
- Dizziness
- Conduction abnormalities associated with:
- Syncope or collapse
- Dizziness
- Prior to planned AV node ablation
- Heart failure with left bundle branch block and LVEF <35% (Bi-ventricular pacemaker)
- Persistent LVEF <35% despite medical therapy
- Survivors of cardiac arrest due to VT of VF
- Non-sustained VT in certain high risk patients
- Patients with unexplained syncope or collapse
- Patients with unexplained stroke (monitoring for AF detection)
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Discover Associate Professor Sandeep Prabhu’s experience, training and research.