Recommendations for catheter ablation of VT in nonischemic cardiomyopathy (NICM)
COR | LOE | Recommendations | References |
---|---|---|---|
| |||
I | B-NR | 1. In patients with NICM and recurrent sustained monomorphic VT for whom antiarrhythmic medications are ineffective, contraindicated, or not tolerated, catheter ablation is useful for reducing recurrent VT and ICD shocks. | S4.5.1–S4.5.6 |
I | B-NR | 2. In patients with NICM and electrical storm refractory to AAD therapy, catheter ablation is useful for reducing recurrent VT and ICD shocks. | S4.5.7–S4.5.9 |
IIa | B-NR | 3. In patients with NICM, epicardial catheter ablation of VT can be useful after failure of endocardial ablation or as the initial ablation approach when there is a suspicion of an epicardial substrate or circuit. | S4.5.4,S4.5.10–S4.5.13 |
IIa | B-NR | 4. In patients with cardiac sarcoidosis and recurrent VT despite medical therapy, catheter ablation can be useful to reduce the risk of VT recurrence and ICD shocks. | S4.5.14–S4.5.18 |
IIa | C-EO | 5. In patients with NICM and recurrent sustained monomorphic VT for whom antiarrhythmic medications are not desired, catheter ablation can be useful for reducing recurrent VT and ICD shocks. | |
IIb | B-NR | 6. In patients with NICM related to lamin A/C (LMNA) mutations and recurrent VT, catheter ablation may be considered as a palliative strategy for short-term arrhythmia control. | S4.5.19 |