Table 1.
Demographic and Clinical Characteristics of the Patients and Treatment Details.*
Variable | Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 |
---|---|---|---|---|---|
Demographic or clinical characteristic | |||||
Age (yr) | 61 | 60 | 65 | 62 | 83 |
Sex | Male | Male | Male | Male | Female |
Type of cardiomyopathy | Nonischemic | Ischemic | Nonischemic | Nonischemic | Ischemic |
NYHA class | IV | III | IV | IV | IV |
Left ventricular ejection fraction (%) | 37 | 17 | 22 | 26 | 15 |
No. of previous antiarrhythmic drugs | 3 | 3 | 3 | 4 | 2 |
No. of previous catheter ablations | 1 | 0 | 2 | 4 | 0 |
No. of induced episodes of ventricular tachycardia | 2 | 1 | 0 | 5 | 6 |
No. of episodes of ventricular tachycardia 3 mo before treatment | 30 | 20 | 5 | 2210 | 4312 |
Treatment | |||||
Ablation target region | Anterior basal left ventricle | Anterolateral basal left ventricle | Inferior left ventricle | Left ventricle outflow and septum | Inferolateral mid left ventricle |
blation volume (ml) | 51.3 | 17.3 | 44.5 | 53.0 | 81.0 |
Treatment time (min) | 12 | 11 | 14 | 12 | 18 |
Length of hospital stay after treatment (days) | 2 | 1 | 2 | 2 | 1 |
Antiarrhythmic medication at discharge | Amiodarone, mexiletine | Amiodarone, mexiletine | Amiodarone, mexiletine | Amiodarone, mexiletine | Amiodarone, mexiletine |
No. of episodes of ventricular tachycardia during 6-wk blanking period | 0 | 3 | 0 | 355 | 322 |
No. of episodes of ventricular tachycardia 10.5 mo after blanking period | 3 | 0 | 1 | 0 | NA |
No. of additional ablation procedures performed by 1 yr | 0 | 0 | 0 | 1 at 4 wk | NA |
Antiarrhythmic medication at 1 yr | None | None | Amiodarone (restarted at 9 mo) | None | NA |
NA denotes not applicable because the patient died 3 weeks after treatment, and NYHA New York Heart Association.