Society and EHRA Release Expert Consensus Statement on the Catheter Ablation of VT

May 14, 2009

Media Contact

Ken Demith
Heart Rhythm Society
214-914-5084

BOSTON, May 14, 2009 — Catheter ablation is now an important therapy option to be considered when trying to control recurrent ventricular tachycardias (VT). To ensure that physicians have up to date knowledge of this evolving therapy, which can be life-saving for some patients, and promote the best patient care, the European Heart Rhythm Association and the Heart Rhythm Society have prepared EHRA/HRS Expert Consensus on Catheter Ablation of Ventricular Arrhythmias. The consensus statement was released today at Heart Rhythm 2009, the Society’s 30th Annual Scientific Sessions.

Ventricular tachycardia (VT) is characterized by a very fast heart rate and is usually seen in the setting of other serious heart disease, where it can cause cardiac arrest and sudden death. Many patients are protected from death by implanted defibrillators, but these devices do not prevent episodes of VT. Ablation can have a major impact to reduce or prevent VT episodes. VT occurs less frequently in patients without structural heart disease, in whom ablation is often effective sole therapy when treatment is required.

“As the field progresses, it is important that the medical profession plays a significant role in critically evaluating therapies as they are introduced and evolve,” said Etienne Aliot, MD, from Hôpital de Brabois in Vandoeuvre-les-Nancy, France, and co-chair of the task force. “In the past ablation was often not considered until pharmacological options had been exhausted, and often patients had suffered from recurrent episodes of VT and multiple ICD shocks. Based on available studies, experts now affirm that catheter ablation should be considered as an earlier treatment.”

The European Heart Rhythm Association and the Heart Rhythm Society created a task force of international experts to conduct rigorous analysis of the available data documenting indications, techniques, benefits and risks and outcomes to produce guidance to improve the effectiveness of care, optimize patient outcomes and identify areas for improvement and future research. The statement summarizes the opinion of the task force members based on their analysis of the literature, as well as their experience in treating patients, and is directed to all health care professionals, health care institutions, manufacturers and governmental, reimbursement and regulatory bodies who are involved in the care of patients with VTs.

The new consensus statement offers guidance on a range of issues including:

  • Indications for catheter ablation of ventricular tachycardia
  • Technical aspects such as mapping systems, robotic navigation, imaging, energy sources for ablation, anticoagulation and arrhythmic drug management
  • Mechanisms of specific types of VTs
  • Ablation outcomes and considerations in specific diseases
  • Ablation approaches and outcomes for idiopathic VTs that are not due to structural heart disease
  • Training, institutional requirements and competencies for centers and physicians performing ablation
  • Clinical trial considerations and needs for future research

“When considering catheter ablation treatment, physicians should take into account the risks and benefits that are determined by patient characteristics, as well as the availability of appropriate facilities with technical expertise,” said William Stevenson, MD, from Brigham and Women’s Hospital in Boston, Massachusetts, and co-chair of the task force. “This consensus statement defines the indications, techniques and outcomes of catheter ablation procedure specific for the treatment of VT.”

The complete guidelines will be published in the June issue of the HeartRhythmJournal, the official journal of the Heart Rhythm Society, and Europace.

About the European Heart Rhythm Association

The European Heart Rhythm Association (EHRA) is a registered branch of the European Society of Cardiology (ESC). Its aim is to improve the quality of life of the European population by reducing the impact of cardiac arrhythmias and reducing sudden cardiac death. EHRA promotes science and education in the field of cardiac arrhythmias with a special focus on AF. Besides patient engagement programs EHRA organizes scientific and educational events for physicians and allied professionals. In cooperation with other associations and societies EHRA promotes the quality of care for patients with atrial fibrillation with the publication of international consensus documents. Further information is available at www.escardio.org/EHRA

About the Heart Rhythm Society

The Heart Rhythm Society is the international leader in science, education, and advocacy for cardiac arrhythmia professionals and patients, and the primary information resource on heart rhythm disorders. Its mission is to improve the care of patients by promoting research, education, and optimal health care policies and standards. Incorporated in 1979 and based in Washington, DC, it has a membership of more than 6,000 heart rhythm professionals in more than 72 countries around the world. For more information, visit www.HRSonline.org.