Electrophysiology
Recap of HRS23 in NOLA: No significant advancements in clinical trials were reported. However, there was considerable focus on three notable areas of interest: left bundle area pacing, CardioNeuroAblation, and PulseField Ablation.
Meeting the master of Cardio Neuro Ablation (CNA) #HRS23 @NOLA
Cardio Neuro Ablation (CNA) for syncope in young patient- another exciting groundbreaking technique discussed at #HRS23 @NOLA
early days but promising data
need more RCT
what do you think?
67 year old complains of palpitations. History is significant for CAD s/p pci, cardiomyopathy LVEF 30%. EKG suggests:
1- Atrial tachycardia
2- AVNRT
3- VT
4- Junctional tachycardia
A 69-year-old man who is in the ER with palpitations. His past medical history is not immediately available. Physical exam is otherwise unremarkable.
What is going on?
This is a tracing from an ambulatory monitor on an elderly lady with palpitations. Although its interpretation is straightforward, the tracing demonstrates several electrophysiological phenomena that are basic for understanding EKG interpretation.
What are these phenomena?
Try to choose the correct answer from the poll below, then you can review the attached 5 min video for the answer and explanation.
This tracing was taken from a 68 year-old-female with h/o palpitations. Her EKG showed NSR with PVCs in a trigemini pattern.
Again, this tracing demonstrates a basic electrophysiological phenomenon, what is it?
Answer the question in the poll before before viewing the video with the explanation
56 year old male with presented in the ED with pre-syncope and chest pain. 12 lead EKG shown below. Most likely etiology?
68 year female with PMH of COPD presented with 3 weeks of palpitation and breathlessness. Presenting EKG is shown below
Post DDDR pacemaker , 24h Holter showed frequent PACs , PVCs and this wide QRS complex Tachycardia. Your thoughts..
87-year-old male complains of dyspnea on exertion worsening over last 6 months, PND, orthopnea, and lower limb edema improved with diuretics. ECHO showed preserved LVEF, diastolic function not adequately assessed. ECG is shown below.
•What is the next best step?
1- Continue diuretics
2- Start ACE inhibitors
3- Implant dual chamber pacemaker
