J 2021

Radiation-Induced Changes in Ventricular Myocardium After Stereotactic Body Radiotherapy for Recurrent Ventricular Tachycardia

KAUTZNER, Josef, Kristina JEDLICKOVA, Marek SRAMKO, Petr PEICHL, Jakub CVEK et. al.

Basic information

Original name

Radiation-Induced Changes in Ventricular Myocardium After Stereotactic Body Radiotherapy for Recurrent Ventricular Tachycardia

Authors

KAUTZNER, Josef (203 Czech Republic, guarantor), Kristina JEDLICKOVA (203 Czech Republic), Marek SRAMKO (203 Czech Republic), Petr PEICHL (203 Czech Republic), Jakub CVEK (203 Czech Republic), Lukas KNYBEL (203 Czech Republic), Radek NEUWIRTH (203 Czech Republic, belonging to the institution), Otakar JIRAVSKÝ (203 Czech Republic, belonging to the institution), Ludek VOSKA (203 Czech Republic) and Tomas KUCERA (203 Czech Republic)

Edition

JACC: Clinical Electrophysiology, Amsterdam, Elsevier, 2021, 2405-500X

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30201 Cardiac and Cardiovascular systems

Country of publisher

Netherlands

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 6.124

RIV identification code

RIV/00216224:14110/21:00122490

Organization unit

Faculty of Medicine

UT WoS

000744196000003

Keywords in English

catheter ablation; histology; immunohistochemistry; radiotherapy; ventricular tachycardia

Tags

Tags

International impact, Reviewed
Změněno: 21/4/2022 10:18, Mgr. Tereza Miškechová

Abstract

V originále

Stereotactic body radiotherapy (SBRT) has been suggested as a promising therapeutic alternative in cases of failed catheter ablation for recurrent ventricular tachycardias (VTs) in patients with structural heart disease. This case series is the first postmortem immunohistochemical analysis of morphologic changes in the myocardium early and late after SBRT. The present findings are in line with experimental observations on apoptosis followed by fibrosis. This may explain why the effect of SBRT on VT is not predominantly immediate. Together with observation of early recurrences after SBRT for VT, these data suggest that this strategy may have rather delayed antiarrhythmic effects. (J Am Coll Cardiol EP 2021;7:1487-1492) (c) 2021 by the American College of Cardiology Foundation.