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Clinical introduction A woman in her 30s, a case of rheumatic mitral stenosis status post balloon mitral valvuloplasty 15 years prior, presented to urgent care with palpitations and dyspnoea for 1 week. Echocardiography demonstrated severe calcific mitral stenosis with pulmonary hypertension.
Radiofrequency ablation (RFA) of cavotricuspid isthmus (CTI)dependent atrialflutter requires ablation of the tricuspid annulus overlying the right coronary artery (RCA). Although it is considered safe, reports of acute and subacute RCA injury in human and animal studies raise the possibility of late RCA stenosis.
Additional real-world data from more than 17,000 patients in the MANIFEST-17K registry demonstrated continued real-world safety of the system, with no reports of permanent phrenic nerve palsy, pulmonary vein stenosis or esophageal injury. director of electrophysiology, Mount Sinai Fuster Heart Hospital , New York.
The atrial muscle can be entirely normal, or the interstitium can be infiltrated with lipids, fibroblasts, amyloid, etc. We know atrialflutters can be confined to one atrium. Pierre Jaïs Circulation 2000 ) When such flutters transform into fibrillation, how does the spillover of signals occur to the contralateral atrium?
LAFB, atrialflutter, anterolateral STEMI(+) OMI. So the patient was taken for emergent cath, showing: Culprit artery: LAD (100% stenosis, TIMI 0) requiring thrombectomy and stent. South African flag pattern, plus precordial swirl pattern. Queen of Hearts interpretation: Now the cardiologist considered it "STEMI"!
Methods The primary effectiveness endpoint (PEE) was 12-month freedom from documented atrial fibrillation/atrialflutter/atrial tachycardia plus freedom from acute procedural failure, nonstudy catheter failure, repeat ablation failure, direct current cardioversion (DCCV), and Class I/III antiarrhythmic drug (AAD) failure.
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