I |
B‐R |
1. In patients with IHD who experience recurrent monomorphic VT despite chronic amiodarone therapy, catheter ablation is recommended in preference to escalating AAD therapy. |
S4.4.1 |
I |
B‐NR |
2. In patients with IHD and recurrent symptomatic monomorphic VT despite AAD therapy, or when AAD therapy is contraindicated or not tolerated, catheter ablation is recommended to reduce recurrent VT. |
S4.4.2–S4.4.4 |
I |
B‐NR |
3. In patients with IHD and VT storm refractory to AAD therapy, catheter ablation is recommended. |
S4.4.5–S4.4.9 |
IIa |
C‐EO |
4. In patients with IHD and recurrent monomorphic VT, in whom AADs are not desired, catheter ablation can be useful. |
|
IIb |
A |
5. In patients with IHD and an ICD who experience a first episode of monomorphic VT, catheter ablation may be considered to reduce the risk of recurrent VT or ICD therapies. |
S4.4.10–S4.4.14 |
IIb |
C‐LD |
6. In patients with prior MI and recurrent episodes of symptomatic sustained VT for whom prior endocardial catheter ablation has not been successful and who have ECG, endocardial mapping, or imaging evidence of a subepicardial VT substrate, epicardial ablation may be considered. |
S4.4.15–S4.4.19 |