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The increased use of radiofrequency ablation (RFA) for atrial fibrillation (AF) has led to a rise in cases of pulmonary vein stenosis or occlusion (PVS/O) as a complication. Clinical signs of PVS/O post-ablation can vary from no symptoms to common respiratory issues like coughing, hemoptysis, shortness of breath, and chestpain.
milla1cf Thu, 01/18/2024 - 14:21 January 18, 2024 — Abbott announced the first global procedures have been conducted using the company's new Volt Pulsed Field Ablation (PFA) System to treat patients battling common abnormal heart rhythms such as atrial fibrillation (AFib).
A 30-something presented with chestpain, palpitations, and SOB. Electrophysiology note : "In the context of pre-excited atrial fibrillation, we would recommend proceeding with mapping and ablation of accessory pathway (particularly given high risk features including his shortest pre-excited R-R interval is 25 X6 = 150/minute ).
Written by Jesse McLaren, with edits from Smith and Grauer A 60 year old with no past medical history presented with two hours of chestpain radiating to the left arm, with normal vitals. Unfortunately, the reality is — that many ( most ) WPW patients who present with chestpain do not manifest intermittent preexcitation.
Radiofrequency ablation (RFA) has been utilized to treat patients with hypertrophic obstructive cardiomyopathy, but there is no reports on its use in treating LVOTO resulting from SVS. Case 2: A 57-year-old female was admitted to the hospital due to recurrent chestpain after physical activity for more than four years.
He had no chestpain or shortness of breath. The patient did well and was referred for ablation. Written by Pendell Meyers A teenager was playing basketball when he suddenly developed palpitations and lightheadedness. He presented soon afterward at the Emergency Department with ongoing symptoms.
Patients may feel a fluttering in the chest, chestpain, shortness of breath and dizziness or lightheadedness as a result. Unfortunately, ablation also destroys healthy heart tissue in the process. Current ablation procedures destroy heart tissue and tend to worsen heart function.
Objective This study aims to leverage natural language processing (NLP) and machine learning clustering analyses to (1) identify co-occurring symptoms of patients undergoing catheter ablation for atrial fibrillation (AF) and (2) describe clinical and sociodemographic correlates of symptom clusters.
BACKGROUND:Inflammation may promote atrial fibrillation (AF) recurrence after catheter ablation. This study aimed to evaluate a short-term anti-inflammatory treatment with colchicine following ablation of AF.METHODS:Patients scheduled for ablation were randomized to receive colchicine 0.6 mg twice daily or placebo for 10 days.
Written by Bobby Nicholson MD and Pendell Meyers A man in his 30s presented to the ED for evaluation of chestpain and palpitations. At this point, the patient had been symptomatic for almost 5 hours, appeared unwell with chestpain and diaphoresis. An accessory pathway was identified and was ablated.
A 90 yo with a history of orthostatic hypotension had a near syncopal event followed by chestpain. Chestpain was resolved upon arrival in the ED. Chestpain and possible ischemia were attributed not to ACS, but to transient hypoperfusion from orthostatic hypotension. His previous ECG was normal.
A 34 yo woman with a history of HTN, h/o SVT s/p ablation 2006, and 5 months post-partum presented with intermittent central chestpain and SOB. She had one episode of pain the previous night and two additional episodes early on morning the morning she presented. Deep breaths are painful and symptoms come and go.
AFib causes a variety of symptoms, including fast or chaotic heartbeat, fatigue, shortness of breath, and chestpain, and causes about 450,000 hospitalizations each year, according to the Centers for Disease Control and Prevention. Still, he emphasized the need for a multipronged approach for better success.
ET Murphy Ballroom 4 Health 360x Registry: Scalable Workforce for Equitable Access to Point of Care Decentralized Clinical Trials Prevalence of Cardiovascular Disease and Risk Factors Among National Football League Alumni and Their Family Members: Results from the Huddle Study Hózhó (Heart Failure Optimization at Home to Improve Outcomes): A Pragmatic (..)
RVOT VT: A 40-something without past history presents with wide complex tachycardia and crushing chestpain Regular Wide Complex Tachycardia. It was ablated. == MY Comment , by K EN G RAUER, MD ( 6/28 /2023 ): == There is a tendency for clinicians to interpret cardiac arrhythmias in binary fashion. There is no inferior axis.
Diagnosis : Atrial flutter with 1:1 conduction, with fast AV conduction made possible by sympathetic drive of exercise On arrival, we obtained another 12-lead: Unremarkable Further history: One month history of shortness of breath on exertion, denies palpitations, chestpain, orthopnea, leg swelling.
Medical treatment for heart failure was optimized and after a few days the patient was discharged with referral to VT ablation procedure. Learning points *A patient with tachydysrhythmia and chest discomfort needs immediate rhythm or rate control. After atrial rhythm/SR was restored the patient slowly improved.
She reports that she is now unable to vagal out of her palpitations and is having shortness of breath and dull chestpain. There is no need to immediately refer today’s patient to EP for ablation. Patients should be offered a choice for a trial of medication vs ablation for this non-life-threatening arrhythmia.
There was some dyspnea but no chestpain. Unless there is a dramatic response to being put back on beta-blocker therapy — consideration of S eptal R eduction T herapy ( SRT ) , in the form of either surgical myomectomy or alcohol septal ablation, performed at a center with experience in this area may soon be needed.
The patient in today’s case is a previously healthy 40-something male who contacted EMS due to acute onset crushing chestpain. The pain was 10/10 in intensity radiating bilaterally to the shoulders and also to the left arm and neck. Written By Magnus Nossen — with edits by Ken Grauer and Smith. The below ECG was recorded.
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