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Methods We present the first described case of using two leadless pacing systems manufactured by separate companies implanted within the same patient to provide atrial and ventricular pacing due to complex congenital anatomy. Laser-lead extraction and temporary atrial pacemaker placement was performed.
Echocardiogram showing thickened interventricular septum and mitral regurgitation in HCM. Cases are on record, in which ablation of the fourth septal artery has been done to ameliorate the obstruction in mid cavity obstruction. The role of cath now a days is mostly for septal ablation. Doppler echo showing LVOT gradient in HCM.
The patient has been scheduled for a PVC ablation procedure. Our patient was referred for EP study with a plan of PVC ablation if possible. The various idiopathic VTs usually can be controlled well with medical treatment and/or catheter ablation therapy. It is reasonable to perform an echocardiogram to evaluate LV function.
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