CURRENT ROLE OF PHARMACOLOGIC THERAPY FOR PATIENTS WITH PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA
Identifieur interne : 003C08 ( Main/Exploration ); précédent : 003C07; suivant : 003C09CURRENT ROLE OF PHARMACOLOGIC THERAPY FOR PATIENTS WITH PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA
Auteurs : Magdy Basta [Canada] ; Magdy Mbbch [Canada] ; George J. Klein [Canada] ; Raymond Yee [Canada] ; Andrew Krahn [Canada] ; John Lee [Canada]Source :
- Cardiology Clinics [ 0733-8651 ] ; 1997.
Abstract
The advent of radiofrequency catheter ablation has dramatically changed the approach to all arrhythmias, especially the supraventricular arrhythmias. 21,51 The efficacy and safety of the procedure, along with the appeal of achieving cure, have led to an ever-increasing role of catheter ablation for management of supraventricular tachycardia (SVT). The effectiveness of ablation as a therapeutic modality has resulted in a marked decline of the traditional role of drug therapy. In addition, the increasing use of curative therapy is likely to result in a further decline in the prevalence of many of the SVTs in clinical practice.The progress in the pharmacotherapy of SVT has been less dramatic. One of the major breakthroughs has been the establishment of the role of adenosine in the acute management of SVT. 6,15 Moreover, the issue of antiarrhythmic drug safety has been a major concern given the potential for proarrhythmia with virtually every antiarrhythmic drug. This article reviews the current role of pharmacotherapy in the management of SVT in this era of successful catheter ablation.
Url:
DOI: 10.1016/S0733-8651(05)70363-5
Affiliations:
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<front><div type="abstract">The advent of radiofrequency catheter ablation has dramatically changed the approach to all arrhythmias, especially the supraventricular arrhythmias. 21,51 The efficacy and safety of the procedure, along with the appeal of achieving cure, have led to an ever-increasing role of catheter ablation for management of supraventricular tachycardia (SVT). The effectiveness of ablation as a therapeutic modality has resulted in a marked decline of the traditional role of drug therapy. In addition, the increasing use of curative therapy is likely to result in a further decline in the prevalence of many of the SVTs in clinical practice.The progress in the pharmacotherapy of SVT has been less dramatic. One of the major breakthroughs has been the establishment of the role of adenosine in the acute management of SVT. 6,15 Moreover, the issue of antiarrhythmic drug safety has been a major concern given the potential for proarrhythmia with virtually every antiarrhythmic drug. This article reviews the current role of pharmacotherapy in the management of SVT in this era of successful catheter ablation.</div>
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