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Sigmoid ventricular septum treated with endocardial ablation to improve left ventricular outflow: cases report

Frontiers in Cardiovascular Medicine

BackgroundSigmoid Ventricular Septum (SVS) is a type of hypertrophic cardiomyopathy characterized by a reduced angle between the basal interventricular septum and the ascending aorta, and SVS can lead to dynamic Left Ventricular Outflow Tract obstruction (LVOTO) during hypercontractile states.

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Case Report: Electroanatomic mapping as an early diagnostic tool in arrhythmogenic cardiomyopathy

Frontiers in Cardiovascular Medicine

BackgroundAbnormal substrate on invasive electroanatomic mapping (EAM) correlates with areas of myocardial thinning and fibrofatty replacement in Arrhythmogenic Cardiomyopathy (ACM). Transthoracic echocardiogram revealed normal biventricular function and dimension. Twelve-lead ECG showed diffuse low-voltage QRS complexes.

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Hypertrophic Cardiomyopathy

All About Cardiovascular System and Disorders

Hypertrophic cardiomyopathy is a genetic disorder with a guarded prognosis which occurs in about 1:500 individuals. The most common symptom of hypertrophic cardiomyopathy is dyspnoea which occurs in 90% of cases and is due to elevated left ventricular diastolic pressures as a consequence of the diastolic dysfunction.

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Abstract 4140664: From Atrial Fibrillation to Rare Genetic Disorder: The Unexpected Diagnosis of Birt-Hogg-Dubé Syndrome

Circulation

After three unsuccessful cardioversions and refractory episodes despite Dronedarone therapy, he was scheduled for an ablation. A pre-procedural transesophageal echocardiogram showed a left ventricular (LV) ejection fraction of 55%, mild concentric LV hypertrophy, and mild left atrial enlargement. He was loaded with amiodarone.

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Young Man with a Heart Rate of 257. What is it and how to manage?

Dr. Smith's ECG Blog

The patient was found to have a "concealed" posteroseptal pathway (WPW without delta waves) confirmed to have SVT at EP study and was ablated. Here is the Electrophysilogist's note: "Only 1 pathway attachment could be ablated, the second one deep within the CS could not be ablated with high power. The echo was normal.

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Electrical instability in a healthy 50 year old. How to manage?

Dr. Smith's ECG Blog

Whenever I see PVCs with the morphology and axis seen in todays case I always look for signs of AC ( Arrhythmogenic Cardiomyopathy ). Arrhythmogenic cardiomyopathy often manifests with PVCs from the RV. The ECG in Figure-1 however, shows no signs of arrhythmogenic cardiomyopathy.