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. 2022 Aug 11;24(12):1981–2003. doi: 10.1093/europace/euac125

Table 12.

Catheter ablation of VAs in AMVP

Consensus statement on catheter ablation of VAs Symbol References
Ablation of PVCs in patients with frequent PVCs who are symptomatic or have decreased LV function is advised. graphic file with name euac125il1.jpg 95,128,154,173,175–179
Ablation of VA in MVP patients should be performed in experienced centres with expertise in VA ablation and interventional and surgical treatment of MV regurgitation. graphic file with name euac125il1.jpg Expert consensus
Ablation of papillary muscle PVCs/VA is challenging and use of intracardiac echocardiography, contact force sensing catheters or cryoablation may be helpful to improve catheter contact and effective manipulation. graphic file with name euac125il2.jpg 176,177
Ablation of PVCs is reasonable if triggering VF, particularly if not controlled by medications. graphic file with name euac125il1.jpg 128,129
Ablation of sustained monomorphic VT despite antiarrhythmic treatment or if antiarrhythmic treatment is not desired, or contraindicated should be performed in MVP patients with recurrent ICD therapies. graphic file with name euac125il1.jpg 154,179

AMVP, arrhythmic mitral valve prolapse; ICD, implantable cardioverter defibrillator; MVP, mitral valve prolapse; MV, mitral valve; PVC, premature ventricular contraction; VA, ventricular arrhythmia; VF, ventricular fibrillation; VT, ventricular tachycardia.