Arrhythmogenic right ventricular cardiomyopathy (ARVC) can be complicated by ventricular tachycardia (VT) — including incessant episodes or the need for frequent ICD-delivered therapies. A structured, evidence-based protocol guides the appropriate intervention for these patients.
This protocol applies to patients with established ARVC who present with ventricular tachycardia — particularly those experiencing incessant VT or repeated appropriate ICD interventions for VT.
Management involves a catheter-based intervention guided by advanced three-dimensional electroanatomical imaging, with the option for an epicardial approach where required.
The complete structured regimen — including full patient selection criteria, procedural guidance, and decision sequencing — is available via the full protocol below.
DOI: 10.1093/eurheartj/ehad194
Catheter ablation with availability for epicardial approach guided by 3D electroanatomical mapping of VT should be considered in ARVC patients with incessant VT or frequent appropriate ICD interventions for VT despite pharmacological therapy with beta-blockers.
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