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An international consensus statement on how to treat atrial fibrillation with catheter or surgical ablation has been published in EP Europace, a journal of the European Society of Cardiology (ESC), and was recently presented at EHRA 2024, a scientific congress held April 7-9 in Berlin, Germany. Image courtesy: European Society of Cardiology.
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. Patients experiencing LVOTO may manifest symptoms such as angina, syncope, etc. After RFA was performed, the patient's symptoms significantly improved.
Preprocedural transesophageal echocardiogram (TEE) has been a routine component of atrial fibrillation (AF) ablation procedures since the origin of this procedure. However, practice changes regarding preprocedural imaging and anticoagulation management have reduced the necessity of pre-ablation TEE.
Abstract Introduction Catheter ablation for atrial fibrillation (AF) reduces heart failure (HF) hospitalization in patients with HF with preserved ejection fraction (HFpEF). However, the long-term outcomes and subclinical HF after nonparoxysmal AF ablation in HFpEF patients have not been fully evaluated.
Abstract Introduction Cavo-tricuspid isthmus (CTI) dependent atrial flutter (AFL) is one of the most common atrial arrhythmias involving the right atrium (RA) for which radiofrequency catheter ablation has been widely used as a therapy of choice. However, there is limited data on the effect of this intervention on cardiac size and function.
Abstract Introduction Real-world studies comparing safety and efficacy of combined percutaneous left atrial appendage occlusion (LAAO) and catheter ablation (CA) to LAAO alone are limited. vs. 4.5%, p =0.96) on transesophageal echocardiogram did not differ. Both major (1.4% vs. 2.1%, p =0.72) and minor (27.8%
Transthoracic echocardiogram revealed normal biventricular function and dimension. Twelve-lead ECG showed diffuse low-voltage QRS complexes. Holter monitor showed 28% burden of PVCs with various morphologies consistent with right ventricular (RV) inflow and outflow tract exits.
Residents also received instruction in mitral valve and aortic valve surgery, giving and receiving feedback in the operating room, and the importance of performing ablation. The best parts of the Boot Camp were learning the basics of CT surgery, the vast topics covered (transthoracic echocardiogram, lobectomy, etc.)
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.
Afterward, a transesophageal echocardiogram guided implantation of both a Micra AV 2 (Medtronic) leadless pacemaker in the interventricular septum within the right ventricle and an Aveir (Abbott) leadless pacemaker in the superior base of the right atrial appendage was performed with successful pacing.
She had an echocardiogram which was normal. 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. I’ve had pregnant patients who only got their reentry SVTs during their pregnancy.
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 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.
BackgroundAlthough successful atrial fibrillation (AF) ablation can maintain sinus rhythm and reduce the left atrial (LA) dimension, blunted LA reverse remodeling can be observed in patients with atrial myopathy. Journal of the American Heart Association, Ahead of Print.
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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