Cardiac Electrophysiology: Clinical Case Review by Amin Al-Ahmad (auth.), Andrea Natale, Amin Al-Ahmad, Paul J.

By Amin Al-Ahmad (auth.), Andrea Natale, Amin Al-Ahmad, Paul J. Wang, John DiMarco (eds.)

As the sphere of cardiac electrophysiology evolves, the problem is still to coach new generations of cardiac electrophysiologists with the fundamentals in addition to the most recent advances within the box. whereas there are lots of striking assets supplying in-depth evaluate of electrophysiology issues, there are few case-based books that comprehensively conceal scientific electrophysiology, units and ablation. Case evaluation deals an easy, but powerful manner in instructing very important thoughts, supplying perception into either the elemental pathophysiology of an issue in addition to the medical reasoning that results in an answer. Cardiac Electrophysiology: medical Case assessment collates the main finished case-based experiences of electrophysiology designed to attract all scholars of the sphere whether or not they are fellows, allied pros or working towards electrophysiologists. The Editors have recruited the various actual specialists within the box to give a contribution instances that they have got encountered and summarizing the real studying goals in a succinct method. protecting scientific electrophysiology, gadget troubleshooting and research in addition to intracardiac electrogram research and ablation, readers will locate the circumstances priceless as a evaluate of electrophysiology or of their everyday interactions with patients.

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Sample text

He had a 5-year history of AF, which had been persistent for the previous 5 months. The first procedure consisted of pulmonary vein (PV) isolation, ablation of the inferior left atrium (LA) and coronary sinus (CS), electrogram-based ablation at the posterior and anterior LA and a linear lesion at the LA roof. This terminated the AF to an intermediate atrial tachycardia (AT), which was subsequently ablated anterior to the ostium of the left atrial appendage (LAA) with subsequent restoration of sinus rhythm.

3, panel B); this resulted in a prolongation of both AFCLs to 176 ms. 3, panel C), and the AFCL was prolonged to 188 and 183 ms in the right and left appendages, respectively. 4). During sinus rhythm, PV isolation was confirmed and the roofline was completed. 3 Recording of the ablation catheter (RF) and the coronary sinus (CS 1–2 to 9–10). Panel A: Ablation along the inferior left atrium targeting continuous electrical activity. Panel B: Ablation at the posterior part of the left atrial appendage targeting centrifugal activation with 17 consistent distal-to-proximal fractionated electrograms.

For the right veins, A segmental or circumferential ablation with a continuous circular lesion can be performed depending on the operator’s preference. 2, indicating a residual anatomical connection on the line of ablation. After ablation, nine attempts at induction (with bursts up to a cycle length of 200 ms) at three different places (CS and both appendages) could not induce sustained arrhythmia, predicting a favorable clinical outcome. This case illustrates a typical ablation of paroxysmal AF where it was clearly demonstrated that the arrhythmogenic ectopic beats triggering AF originated from the LSPV.

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