article thumbnail

Outcomes of Patients With vs. Without Pre-Ablation Transesophageal Echocardiogram

American College of Cardiology

Patients undergoing atrial fibrillation (AFib) ablation who were not properly anticoagulated and did not undergo preprocedural transesophageal echocardiogram (TEE) were significantly more likely to suffer from transient ischemic attack (TIA) or pulmonary embolism (PE).

article thumbnail

InterAtrial Block

EMS 12-Lead

In the pre-hospital setting the varying modalities needed to rule-in/rule-out these causative factors are not available (eg, Chest X-ray, Echocardiogram, etc). And since common things are common, the statistical probability favors Atrial Fibrillation (AFib) as the culprit. AFib can come and go. AFib can come and go.

AFIB 59
article thumbnail

Impact of elevated left ventricular filling pressure on long-term outcomes after transcatheter aortic valve replacement

Open Heart

However, the impact of elevated FP as detected by pretranscatheter aortic valve replacement (TAVR) echocardiogram on long-term outcomes after TAVR remains unclear. The presence of elevated FP was determined in accordance with the latest guidelines using the last available comprehensive echocardiogram prior to TAVR.

article thumbnail

PO-01-054 TRENDS AND OUTCOMES OF TRANSESOPHAGEAL ECHOCARDIOGRAPHY USE PRIOR TO ATRIAL FIBRILLATION ABLATION: INSIGHTS FROM THE NCDR® AFIB ABLATION REGISTRY®

HeartRhythm

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.

article thumbnail

ECG Blog #412 — Is Cardiac Cath Indicated?

Ken Grauer, MD

That said — distinction between "classic" HCM vs the apical HCM for m may be useful because: i ) ECG findings tend to be different ( Lyon et al — Europace 20:102-112iii, 2018 ) ; — ii ) Echo appearance is different when hypertrophy localizes to the apex; and , iii ) There is a significantly greater incidence of AFib with apical HCM.

Blog 159
article thumbnail

Peculiar ST and QT

EMS 12-Lead

She was known to have a history of poorly controlled COPD, AFib, and multivessel coronary disease. Echocardiogram showed LVEF 55%, indeterminate diastole (due to AFib), and no significant valve pathology. David Didlake, FF/EMT-P, AG-ACNP @DidlakeDW An elder female presented to the ED with worsening shortness of breath.

article thumbnail

A teenager involved in a motor vehicle collision with abnormal ECG

Dr. Smith's ECG Blog

Hopefully a repeat echocardiogram will be performed outpatient. Other Arrhythmias ( PACs, PVCs, AFib, Bradycardia and AV conduction disorders — potentially lethal VT/VFib ). Systolic function normal by visual assessment only, unable to visualize well for further characterization. 1900: RBBB and LAFB are almost fully resolved.