↳Sustained monomorphic VT in ischemic cardiomyopathy — amiodarone vs catheter ablation, which is first-line?
This is a patient with ischemic cardiomyopathy (EF ~30%) and recurrent sustained monomorphic VT despite ICD and amiodarone, representing drug-refractory VT with recurrent ICD therapies. In this setting, catheter ablation is preferred over further antiarrhythmic escalation. Evidence from the VANISH trial demonstrated t…