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The Electrical Substrate of the Right Ventricle in Valvar Pulmonary Stenosis: Early Observations from Electrophysiology Studies Prior to Pulmonary Valve Replacement

HeartRhythm

Infants with severe valvar pulmonary stenosis (PS) are palliated by transcatheter balloon pulmonary valvuloplasty or surgical pulmonary valvotomy. Either strategy effectively relieves the obstruction, but one long-term sequela is pulmonary regurgitation (PR) necessitating pulmonary valve replacement.

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Boston Scientific Receives FDA Approval for FARAPULSE Pulsed Field Ablation System

DAIC

said Nick Spadea-Anello, president, Electrophysiology, Boston Scientific. 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.

Ablation 111
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“Diastolic blind spots” in VT

Dr. S. Venkatesan MD

The term, VT mapping has been in vogue in clinical electrophysiology for more than half a century, right from Dr.Josephson and Wellens’ days. While , treating VTs with drugs is still a choice, permanent solutions by defining the VT circuit and ablating them, is the new norm. How can we remember this EP lesson easily ?

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Stent‐in‐Stent Intervention for Pulmonary Vein in Stent Restenosis: A Long‐Term Follow‐Up Case Report

Journal of Cardiovascular Electrophysiology

The stenosis was treated with a stent. Balloon angioplasty seems to be the widely preferred treatment of choice. Method and Results A 54-year-old man with long history of atrial fibrillations developed PVS secondary to multiple radiofrequency ablation procedures. He has since remained asymptomatic over 3 years of follow-up.

Stents 40
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American College of Cardiology ACC.24 Late-breaking Science and Guidelines Session Summary

DAIC

Session 104) - What Is Really New in Electrophysiology That Will Change My Practice? The Guidelines Sessions at ACC.24 24: Joint American College of Cardiology/Journal of the American College of Cardiology Late-Breaking Clinical Trials (Session 402) Saturday, April 6 9:30 – 10:30 a.m.

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Retrograde coronary venous ethanol ablation for ventricular tachycardia in a patient with inaccessible substrate due to previous surgery

Journal of Cardiovascular Electrophysiology

Methods and Results This article describes a 55-year-old patient with a history of surgically repaired subvalvular aortic stenosis and subsequent valve-sparing root replacement who presented with sustained VT.

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What Lies Beneath

EMS 12-Lead

Jesse McLaren @ECGcases [link] [link] This case was kindly submitted by Dr. Paco Dardon (@PacoDardon), and it’s a privilege to present it as a formal review due to the many pathophysiological, and electrophysiological, phenomenon at play. The coronary angiogram revealed no critical stenosis, or acute plaque ulceration. Friedman, M.,