Supraventricular arrhythmias in Brugada syndrome. Prof. Dr. Martin Borggrefe Mannheim
|
|
|
- Clare Bryant
- 5 years ago
- Views:
Transcription
1 Supraventricular arrhythmias in Brugada syndrome Prof. Dr. Martin Borggrefe Mannheim
2 Brugada syndrome Time interval between description of the disease and discovery of first causal gene Brugada P et al. Eur Heart J 2013;
3 Antzelevitch et al. JACC 2003, 41; 10:
4 Fluctuation of Brugada ECG pattern Veltmann et al. Eur Heart J 2006; 27:
5 Brugada Syndrome Positions of ECG electrodes Veltmann et al. Heart Rhythm 2012; 9:
6 Brugada Syndrome ECG and RVOT Veltmann et al. Heart Rhythm 2012; 9:
7 Brugada Syndrome Clinical Presentation of Brugada Syndrome cardiac arrest syncope palpitations family history of sudden death asymptomatic
8 Brugada Syndrome Clinical Presentation of Brugada Syndrome cardiac arrest syncope palpitations family history of sudden death asymptomatic Brugada Syndrome Brugada ECG pattern
9 Pat. 9: m/57, asymptomatic, pos. family history (SCD uncle), doc. SVT I II V 1 V 2 Brugada syndrome and SVT V 3 HRA HBE AVNRT RVA M,H S2 (240ms) Eckardt et al., J Cardiovasc Electrophysiol 2001:12:
10 I II Brugada syndrome and SVT Pat. 9 after slow pathway modulation V 1 V 2 V 3 HRA HBE RVA 370 S3 (220/180ms) Eckardt et al., J Cardiovasc Electrophysiol 2001:12:
11 I II III avr avl avf V 1 V 2 Brugada syndrome and SVT Patient 5 M/31 Aborted SCD No FH of syncope/scd WPW syndrome V 3 V 4 V 5 V 6 C,J Eckardt et al. Pace 2001;224: 1423ff
12 I Brugada syndrome and SVT 590ms II III avr avl avf V 1 V 2 V 3 V 4 V 5 V 6 C,J 74705
13 Brugada syndrome and SVT V1 V2 V3 Patient 5 M/31 Aborted SCD No FH of syncope/scd WPW syndrome Transient Brug. Sign Inducible VF ICD C,J mg ajmaline Eckardt et al. Pace 2001;224: 1423ff
14 Pacing Clin Electrophysiol. 2001; 24 :
15 J Cardiovasc Electrophysiol. 2001; 12 :
16 Eckardt et al. J Cardiovasc Electrophysiol. 2001; 12 :
17 Prevalence of Supraventricular Tachyarrhythmias in a Cohort of 115 Patients with Brugada Syndrome Rainer Schimpf M.D., Carla Giustetto M.D., Lars Eckardt M.D., Christian Veltmann M.D., Christian Wolpert M.D., Fiorenzo Gaita M.D., Günter Breithardt M.D., Martin Borggrefe M.D. Ann Noninvasive Electrocardiol. 2008; 3:
18 Mannheim-Münster-Turino n = 115 pts Age: 45 ± 12 years Sex: male n = 82 female n = 33 Clinical presentation VF n = 19 (17%) syncope n = 58 (50%) family history n = 33 (29%) n = 120 pts???
19 Mannheim-Münster-Turino Supraventricular Tachycardias in BrS n = 115 pts AF/Aflu AVNRT WPW EAT n = 26 (23 %)
20 Mannheim-Münster-Turino Ablation of SVT AVNRT n = 8 / 8 (100%) WPW n = 2 / 2 (100%) EAT n = 0 / 3 (0%) Success 10/10 (100%)
21 Incidence of atrial arrhythmias in Brugada Syndrome Francis and Antzelevitch, JACC 2008; 51:
22 Brugada cohort (n=291 pts; ) Mannheim History of SVT Sinus Male Female
23 Type of SVT in patients with Brugada Syndrome (n=49) Mannheim
24 Gender difference in arrhythmia sub-type Mannheim
25 Age distribution of Brugada patients with SVT Mannheim
26 PACE 2009; 32:
27 AF in patients with Brugada Syndrome Who is at risk? P wave duration (II) P wave dispersion PR (II) QRS HV Letsas et al. PACE 2009; 32:
28 Plot of ROC curve for AF prediction Letsas et al. PACE 2009; 32:
29 High prevalence of concealed Brugada Syndrome in patients with atrioventricular nodal reentrant tachycardia Can Hasdemir, MD, Serdar Payzin, MD, Umut Kocabas, MD, Hatice Sahin, RN, Nihal Yildirim, RN, Alpay Alp, Mehmet Aydin, MD, Ryan Pfeiffer, BSc, Elena Burashnikov, BSc, Yuesheng Wu, MS, Charles Antzelevitch, PhD, FHRS Heart Rhythm 2015; 12:
30 AVNRT and Brugada Syndrome n = 96 AVNRT pts n = 26 (27%) AVNRT + Brugada ECG genetic testing 13/17 pts positive high yield (76%) Heart Rhythm 2015; 12:
31 Conclusions (I) Patients with Brugada syndrome may present with: AF EAT AVNRT AVRT WPW Syndrome
32 Conclusions (II) As class Ic agents are contraindicated, serial ECG monitoring is mandatory ( unmasking Brugada ECG pattern) Catheter ablation is effective for SVT in Brugada syndrome
33 Conclusions (III) If patients present with AF < 40 yrs take family history (AF, sudden death) Ask for history of syncope Ask for fever seizures As AF is present in pts with SQT / LQT / Brugada Syndrome
Ripolarizzazione precoce. Torino, 24th October Non così innocente come si pensava
Asymptomatic inherited arrhythmia syndromes: Drug induced Brugada Syndrome: when a prophylactic ICD is indicated? how high (or low) is QT the risk? Asymptomatic short Ripolarizzazione precoce. Torino,
How to manage a patient with short QT syndrome?
How to manage a patient with short QT syndrome? Torino, 27 ottobre2012 Carla Giustetto Division of Cardiology University of Torino QT 280 ms QTc 260 ms Narrow, tall and peaked T waves High incidence of
Case-Based Practical ECG Interpretation for the Generalist
Case-Based Practical ECG Interpretation for the Generalist Paul D. Varosy, MD, FACC, FAHA, FHRS Director of Cardiac Electrophysiology VA Eastern Colorado Health Care System Associate Professor of Medicine
Asymptomatic patient with WPW
Asymptomatic patient with WPW Dimosthenis Avramidis, MD. Arrythmiologist Mitera Children s Hospital Athens Greece Scientific Associate 1st Cardiology Dpt Evangelismos Hospital Athens Greece Preexcitation
TACHYARRHYTHMIAs. Pawel Balsam, MD, PhD
TACHYARRHYTHMIAs Pawel Balsam, MD, PhD SupraVentricular Tachycardia Atrial Extra Systole Sinus Tachycardia Focal A. Tachycardia AVRT AVNRT Atrial Flutter Atrial Fibrillation Ventricular Tachycardia Ventricular
Asymptomatic WPW Syndrome; Observation or Ablation? 전남대학교병원순환기내과 박형욱
Asymptomatic WPW Syndrome; Observation or Ablation? 전남대학교병원순환기내과 박형욱 Let It Be? Vs. Just Do It? Natural history of asymptomatic WPW Incidence of sudden cardiac death in natural history studies involving
WPW syndrome and AVRT
WPW syndrome and AVRT Myung-Yong Lee, MD, PhD Division of Cardiology Department of Internal Medicine School of Medicine Dankook University, Cheonan, Korea Supraventricular tachycardia (SVT) Paroxysmal
Treatment of VT of Purkinje fiber origin: ablation targets and outcome
Treatment of VT of Purkinje fiber origin: ablation targets and outcome Ch. Piorkowski University Leipzig - Heart Center - Dept. of Electrophysiology Leipzig, Germany Presenter Disclosure Information Gerhard
Optimal management of Brugada syndrome
Optimal management of Brugada syndrome Cristian Stătescu 1,2, Teodor Vasilcu 1,2, Ioana Mădălina Chiorescu*,1,2, Grigore Tinică 1,2, Cătălina Arsenescu-Georgescu 1,2, Radu Sascău 1,2 1 "Grigore T. Popa"
Debate: Asymptomatic Patients with Ventricular Preexcitation Require EP Testing for Risk Stratification. Carlo Pappone, MD, PhD, FACC
Debate: Asymptomatic Patients with Ventricular Preexcitation Require EP Testing for Risk Stratification Carlo Pappone, MD, PhD, FACC The Wolff-Parkinson-White Syndrome Demographics Δ waves detectable on
Electrophysiologic investigation in Brugada syndrome
European Heart Journal (2002) 23, 1394 1401 doi:10.1053/euhj.2002.3256, available online at http://www.idealibrary.com on Electrophysiologic investigation in Brugada syndrome Yield of programmed ventricular
Supraventricular Tachycardia (SVT)
Supraventricular Tachycardia (SVT) Bruce Stambler, MD Piedmont Heart Atlanta, GA Supraventricular Tachycardia Objectives Types and mechanisms AV nodal reentrant tachycardia (AVNRT) AV reciprocating tachycardia
Ventricular fibrillation is the main mechanism involved in
Short QT Syndrome A Familial Cause of Sudden Death Fiorenzo Gaita, MD; Carla Giustetto, MD; Francesca Bianchi, MD; Christian Wolpert, MD; Rainer Schimpf, MD; Riccardo Riccardi, MD; Stefano Grossi, MD;
State of the Art: Brugada Syndrome Novel diagnostic approaches and risk stratification
State of the Art: Brugada Syndrome Novel diagnostic approaches and risk stratification Lars Eckardt Division Electrophysiology Department of Cardiovascular Medicine University of Münster, Germany I have
Tailored treatment in Brugada syndrome
Tailored treatment in Brugada syndrome Lars Eckardt Department of Cardiology and Angiology Division of Experimental and Clinical Electrophysiology University of Münster, Germany 45 yr old male preoperative
Emergency Medical Training Services Emergency Medical Technician Paramedic Program Outlines Outline Topic: WPW Revised: 11/2013
Emergency Medical Training Services Emergency Medical Technician Paramedic Program Outlines Outline Topic: WPW Revised: 11/2013 Wolff-Parkinson-White syndrome (WPW) is a syndrome of pre-excitation of the
Invasive Risk Stratification: When is it needed?
Inherited Cardiomyopathies and Channelopathies: Who is at risk for Sudden Cardiac Death? Invasive Risk Stratification: When is it needed? Hung-Fat Tse, MD, PhD Department of Medicine The University of
Sustained tachycardia with wide QRS
Sustained tachycardia with wide QRS Courtesy from Prof. Antonio Américo Friedmann. Electrocardiology Service of University of Faculty of São Paulo. Opinions from colleagues Greetings to everyone, In a
WPW and Brugada syndrome: what do they have in common?
Ripolarizzazione precoce. Non così innocente come si pensava WPW and Brugada syndrome: what do they have in common? Carla Giustetto Prof. Divisione Fiorenzo di Cardiologia Gaita Ospedale S.Giovanni Battista
Atrial fibrillation associated with Wolff-Parkinson-White syndrome in a patient with concomitant Brugada syndrome
Atrial fibrillation associated with Wolff-Parkinson-White syndrome in a patient with concomitant Brugada syndrome Shaobo Shi, MD, PhD, * Tao Liu, MD, PhD, * Hector Barajas-Martinez, PhD, FHRS, Ryan Pfeiffer,
Atrial fibrillation in Cardiac Channelopathies
Atrial fibrillation in Cardiac Channelopathies Thejus, Jayachandran Francis, Johnson Introduction Atrial fibrillation is the commonest arrhythmia encountered in day-to-day clinical practice. Its prevalence
Inappropriate electrical shocks: Tackling the beast
ESC Paris 2011 Inappropriate electrical shocks: Tackling the beast Gerhard Hindricks University of Leipzig Heart Center Dept. of Electrophysiology ESC Paris 2011 Inappropriate electrical shocks: Tackling
Chapter 16: Arrhythmias and Conduction Disturbances
Complete the following. Chapter 16: Arrhythmias and Conduction Disturbances 1. Cardiac arrhythmias result from abnormal impulse, abnormal impulse, or both mechanisms together. 2. is the ability of certain
ECGs on the acute admission ward. - Cardiology Update -
ECGs on the acute admission ward - Cardiology Update - Dr Simon Fynn Consultant Cardiologist Papworth Hospital, Cambridge RCP London Oct 2017 ECG 1 1. AF with BBB 2. Pre-excited AF 3. SVT with BBB 4.
Supraventricular Tachycardia: From Fetus to Adult. Mohamed Hamdan, MD
Supraventricular Tachycardia: From Fetus to Adult Mohamed Hamdan, MD Learning Objectives Define type of SVT by age Describe clinical approach Describe prenatal and postnatal management of SVT 2 SVT Across
Short QT Syndrome: Pharmacological Treatment
Journal of the American College of Cardiology Vol. 43, No. 8, 2004 2004 by the American College of Cardiology Foundation ISSN 0735-1097/04/$30.00 Published by Elsevier Inc. doi:10.1016/j.jacc.2004.02.034
Pearls of the ESC/ERS Guidelines 2015 Channelopathies
Pearls of the ESC/ERS Guidelines 2015 Channelopathies Carina Blomstrom Lundqvist Dept Cardiology, Uppsala, Sweden Content 2015 ESC Guidelines for the Management of Patients with Ventricular Arrhythmias
Please check your answers with correct statements in answer pages after the ECG cases.
ECG Cases ECG Case 1 Springer International Publishing AG, part of Springer Nature 2018 S. Okutucu, A. Oto, Interpreting ECGs in Clinical Practice, In Clinical Practice, https://doi.org/10.1007/978-3-319-90557-0
WPW in Athletes Should we treat all? age? RAMI FOGELMAN SCHNEIDER CHILDREN MEDICAL CENTER OF ISRAEL
WPW in Athletes Should we treat all? age? RAMI FOGELMAN SCHNEIDER CHILDREN MEDICAL CENTER OF ISRAEL W.P.W Clues in sinus rhythm No Q in Lt chest leads (WPW 88%, control 5%) PR < 100msec (WPW 80%, control
Supraventricular Tachycardia (SVT)
Supraventricular Tachycardia (SVT) Daniel Frisch, MD Cardiology Division, Electrophysiology Section Thomas Jefferson University Hospital daniel.frisch@jefferson.edu Short RP Are these the Mid same RP tachycardias?
Paroxysmal Supraventricular Tachycardia PSVT.
Atrial Tachycardia; is the name for an arrhythmia caused by a disorder of the impulse generation in the atrium or the AV node. An area in the atrium sends out rapid signals, which are faster than those
Dr.Binoy Skaria 13/07/15
Dr.Binoy Skaria binoyskaria@hotmail.com binoy.skaria@heartofengland.nhs.uk 13/07/15 Acknowledgement Medtronic, Google images & Elsevier for slides Natalie Ryan, Events Manager, HEFT- for organising the
Clinical Cardiac Electrophysiology
Clinical Cardiac Electrophysiology Certification Examination Blueprint Purpose of the exam The exam is designed to evaluate the knowledge, diagnostic reasoning, and clinical judgment skills expected of
Tachycardia-induced heart failure - Does it exist?
Tachycardia-induced heart failure - Does it exist? PD Dr Etienne Delacrétaz Clinique Cecil et Hôpital de Fribourg SSC Cardiology meeting 2015 Zürich Rapid atrial fibrillation is a common cause of heart
Long-Term Follow-Up of Patients With Short QT Syndrome
Journal of the American College of Cardiology Vol. 58, No. 6, 2011 2011 by the American College of Cardiology Foundation ISSN 0735-1097/$36.00 Published by Elsevier Inc. doi:10.1016/j.jacc.2011.03.038
Bernard Belhassen, MD; Roman Fish, MD; Sami Viskin, MD; Aharon Glick, MD; Michael Glikson, MD; Michael Eldar, MD
www.ipej.org 3 Original Article Incidence of Dual AV Node Physiology Following Termination of AV Nodal Reentrant Tachycardia by Adenosine-5'-Triphosphate: A Comparison with Drug Administration in Sinus
Successful treatment of tachycardia-induced cardiomyopathy secondary to dual atrioventricular nodal nonreentrant tachycardia using cryoablation
Successful treatment of tachycardia-induced cardiomyopathy secondary to dual atrioventricular nodal nonreentrant tachycardia using cryoablation Harold Rivner, MD, * Chris Healy, MD, Raul D. Mitrani, MD,
Pediatrics ECG Monitoring. Pediatric Intensive Care Unit Emergency Division
Pediatrics ECG Monitoring Pediatric Intensive Care Unit Emergency Division 1 Conditions Leading to Pediatric Cardiology Consultation 12.7% of annual consultation Is arrhythmias problems Geggel. Pediatrics.
Basic Electrophysiology Protocols
Indian Journal of Cardiology ISSN-0972-1622 2012 by the Indian Society of Cardiology Vol. 15, (3-4), 27-37 [ 27 Review Article Shomu Bohora Assistant Professor, Deptt. of Cardiology, U.N. Mehta Institute
Ambulatory ECG Monitoring. Gill Bouncir Blackpool Victoria Hospital
Ambulatory ECG Monitoring Gill Bouncir Blackpool Victoria Hospital History Developed in late 1950 s as a result of research of Dr Norman Holter TYPES Holter - continuous recording. Event recorder- patient
Incessant Tachycardia Using a Concealed Atrionodal Bypass Tract
191 Incessant Tachycardia Using a Concealed Atrionodal Bypass Tract ADAM ZIVIN, M.D., atid FRED MORADY, M.D. From the Division of Cardiology. Department of Internal Medicine, University of Michigan Medical
Exercise guidelines in athletes with isolated repolarisation abnormalities and structurally normal heart.
Exercise guidelines in athletes with isolated repolarisation abnormalities and structurally normal heart. Hanne Rasmusen Consultant cardiologist, PhD Dept. of Cardiology Bispebjerg University Hospital
Ripolarizzazione precoce.
Controversia: impianto di defibrillatore in prevenzione primaria Caso clinico: Ripolarizzazione precoce. Sindrome di Brugada Non così innocente come si pensava Torino, 31 marzo 2017 Carla Giustetto Carla
ICD in a young patient with syncope
ICD in a young patient with syncope Konstantinos P. Letsas, MD, FESC Second Department of Cardiology Evangelismos General Hospital of Athens Athens, Greece Case presentation A 17-year-old apparently healthy
Ripolarizzazione precoce. Non così innocente come si pensava
La sincope nel paziente con ECG Brugada-like Stresa, 9 giugno 2017 Ripolarizzazione precoce. Non così innocente come si pensava Carla Giustetto Carla Giustetto Divisione di Cardiologia Divisione Università
Differential diagnosis and pacing in maneuvers narrow QRS tachycardia. Richard Schilling
Differential diagnosis and pacing in maneuvers narrow QRS tachycardia Richard Schilling Differential diagnosis of narrow complex QRS tachycardia Anything that activates the ventricle normally via the His
a lecture series by SWESEMJR
Arrhythmias Automaticity- the ability to depolarize spontaneously. Pacemakers: Sinoatrial node: 70 bpm AV-nodal area: 40 bpm His-Purkinje: 20-40 bpm it Mechanisms of arrhythmias 1. Increased automaticity
Huseng Vefali MD St. Luke s University Health Network Department of Cardiology
Huseng Vefali MD St. Luke s University Health Network Department of Cardiology Learning Objectives Establish Consistent Approach to Interpreting ECGs Review Essential Cases for Paramedics and first responders
Antiarrhythmic Drugs
Antiarrhythmic Drugs DR ATIF ALQUBBANY A S S I S T A N T P R O F E S S O R O F M E D I C I N E / C A R D I O L O G Y C O N S U L T A N T C A R D I O L O G Y & I N T E R V E N T I O N A L E P A C H D /
Death after Syncope: Can we predict it? Daniel Zamarripa, MD Senior Medical Director December 2013
Death after Syncope: Can we predict it? Daniel Zamarripa, MD Senior Medical Director December 2013 Death after Syncope: Can we predict it? Those who suffer from frequent and severe fainting often die suddenly
CLINICAL CARDIAC ELECTROPHYSIOLOGY Maintenance of Certification (MOC) Examination Blueprint
CLINICAL CARDIAC ELECTROPHYSIOLOGY Maintenance of Certification (MOC) Examination Blueprint ABIM invites diplomates to help develop the Clinical Cardiac Electrophysiology MOC exam blueprint Based on feedback
Tachycardias II. Štěpán Havránek
Tachycardias II Štěpán Havránek Summary 1) Supraventricular (supraventricular rhythms) Atrial fibrillation and flutter Atrial ectopic tachycardia / extrabeats AV nodal reentrant a AV reentrant tachycardia
Outflow Tract Ventricular Tachycardia Always Benign?
Outflow Tract Ventricular Tachycardia Always Benign? Arash Arya, M.D. Department of Interventional Electrophysiology Heart Center University of Leipzig Disclosures: NONE Outflow Ventricular Tachycardia
ΤΙ ΠΡΕΠΕΙ ΝΑ ΓΝΩΡΙΖΕΙ ΟΓΕΝΙΚΟΣ ΚΑΡΔΙΟΛΟΓΟΣ ΓΙΑ ΤΙΣ ΔΙΑΥΛΟΠΑΘΕΙΕΣ
ΤΙ ΠΡΕΠΕΙ ΝΑ ΓΝΩΡΙΖΕΙ ΟΓΕΝΙΚΟΣ ΚΑΡΔΙΟΛΟΓΟΣ ΓΙΑ ΤΙΣ ΔΙΑΥΛΟΠΑΘΕΙΕΣ ΣΤΕΛΙΟΣ ΠΑΡΑΣΚΕΥΑÏΔΗΣ ΔΙΕΥΘΥΝΤΗΣ ΕΣΥ Α Καρδιολογική Κλινική ΑΠΘ, Νοσοκομείο ΑΧΕΠΑ, Θεσσαλονίκη NO CONFLICT OF INTEREST Sudden Cardiac Death
The Efficient and Smart Methods for Diagnosis of SVT 대구파티마병원순환기내과정병천
The Efficient and Smart Methods for Diagnosis of SVT 대구파티마병원순환기내과정병천 Differentiation Supraventricular Origin from Ventricular Origin on ECG. QRS-Complex Width. 1. Narrow QRS-Complex Tachycardia (
UNDERSTANDING ELECTROPHYSIOLOGY STUDIES
UNDERSTANDING ELECTROPHYSIOLOGY STUDIES Testing and Treating Your Heart s Electrical System A Problem with Your Heart Rhythm The speed and pattern of a heartbeat is called the heart rhythm. The rhythm
Arrhythmia Management Joshua M. Cooper, MD, FHRS, FACC
Arrhythmia Management Joshua M. Cooper, MD, FHRS, FACC Professor of Medicine Director of Cardiac Electrophysiology Temple University Health System Plumbing Electrical System Bradyarrhythmias Sinus Node
When VF is the endpoint, wait and see is not always the best option.
Being free of symptoms does not necessarily mean free of arrhythmias. This Holter is from a asymptomatic 48 years old female with LQT2 When VF is the endpoint, wait and see is not always the best option.
Solutions for Every Day Problems Cardiologists and the ECG: Are We Really That Good at It? Part II Daniel José Piñeiro Profesor Titular de Medicina,
Solutions for Every Day Problems Cardiologists and the ECG: Are We Really That Good at It? Part II Daniel José Piñeiro Profesor Titular de Medicina, Universidad de Buenos Aires, Argentina Member, Membership
Case Report Simultaneous Accessory Pathway and AV Node Mechanical Block
185 Case Report Simultaneous Accessory Pathway and AV Node Mechanical Block Daniel Garofalo, MD, FRACP, Alfonso Gomez Gallanti, MD, David Filgueiras Rama, MD, Rafael Peinado Peinado, PhD, FESC Unidad de
Repetitive narrow QRS tachycardia in a 61-year-old female patient with recent palpitations
Journal of Geriatric Cardiology (2018) 15: 193 198 2018 JGC All rights reserved; www.jgc301.com Case Report Open Access Repetitive narrow QRS tachycardia in a 61-year-old female patient with recent palpitations
ECG Interactive Session
SA HEART 2018 PRE-CONGRESS WORKSHOP 4 OCTOBER 2018 ECG Interactive Session Ashley Chin Cardiologist/Electrophysiologist University of Cape Town Groote Schuur Hospital ECG 1 Which ONE of the following is
Idiopathic Ventricular Tachycardia Need for an Update in EHRA/HRS Consensus?
Idiopathic Ventricular Tachycardia Need for an Update in EHRA/HRS Consensus? Arash Arya, M.D. Department of Interventional Electrophysiology Heart Center University of Leipzig Disclosures: NONE Idiopathic
Sudden cardiac death: Primary and secondary prevention
Sudden cardiac death: Primary and secondary prevention By Kai Chi Chan Penultimate Year Medical Student St George s University of London at UNic Sheba Medical Centre Definition Sudden cardiac arrest (SCA)
LONG RP TACHYCARDIA MAPPING AND RF ABLATION
LONG RP TACHYCARDIA MAPPING AND RF ABLATION Dr. Hayam Eldamanhoury Ain shams univeristy Arrhythmia is a too broad topic SVT is broadly defined as narrow complex ( unless aberrant conduction ) Requires
Name of Presenter: Marwan Refaat, MD
NAAMA s 24 th International Medical Convention Medicine in the Next Decade: Challenges and Opportunities Beirut, Lebanon June 26 July 2, 2010 I have no actual or potential conflict of interest in relation
ECG Workshop. Carolyn Shepherd And Anya Horne UWE Principles of Cardiac Care
ECG Workshop Carolyn Shepherd And Anya Horne UWE Principles of Cardiac Care ECG workshop case study1 44 Year old male. Reports SOB, Lethargy, tiredness. PMH: Hypertension, nil else. What tests? What treatment?
«Aσθενής με ασυμπτωματικό WPW και παροξυσμική κολπική μαρμαρυγή» Χάρης Κοσσυβάκης Επιμελητής A Καρδιολογικό Τμήμα Γ.Ν.Α. «Γ.
«Aσθενής με ασυμπτωματικό WPW και παροξυσμική κολπική μαρμαρυγή» Χάρης Κοσσυβάκης Επιμελητής A Καρδιολογικό Τμήμα Γ.Ν.Α. «Γ. ΓΕΝΝΗΜΑΤΑΣ» the primary mechanism of SCD in patients with WPW is the rapid conduction
Syncope in patients with inherited arrhythmogenic syndromes. Is it enough to justify ICD implantation?
Innovations in Interventional Cardiology and Electrophysiology Thessaloniki 2014 Syncope in patients with inherited arrhythmogenic syndromes. Is it enough to justify ICD implantation? K. Letsas, MD, FESC
A Narrow QRS Complex Tachycardia With An Apparently Concentric Retrograde Atrial Activation Sequence
www.ipej.org 125 Case Report A Narrow QRS Complex Tachycardia With An Apparently Concentric Retrograde Atrial Activation Sequence Miguel A. Arias MD, PhD; Eduardo Castellanos MD, PhD; Alberto Puchol MD;
We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists. International authors and editors
We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists 3,500 108,000 1.7 M Open access books available International authors and editors Downloads Our
Supraventricular Arrhythmias. Reading Assignment. Chapter 5 (p17-30)
Supraventricular Arrhythmias Reading Assignment Chapter 5 (p17-30) The Supraventricular Rhythms In Our Lives Site of Origin Single Events Slow Rates Intermediate Rates Fast Rates (>100 bpm) Sinus Sinus
Tachycardia Devices Indications and Basic Trouble Shooting
Tachycardia Devices Indications and Basic Trouble Shooting Peter A. Brady, MD., FRCP Cardiology Review Course London, March 6 th, 2014 2011 MFMER 3134946-1 Tachycardia Devices ICD Indications Primary and
Low Prevalence of Risk Markers in Cases of Sudden Death Due to Brugada Syndrome
Journal of the American College of Cardiology Vol. 57, No. 23, 2011 2011 by the American College of Cardiology Foundation ISSN 0735-1097/$36.00 Published by Elsevier Inc. doi:10.1016/j.jacc.2010.11.067
WPW: Background 10/23/10. Asymptomatic Subjects with WPW Should Undergo Catheter Ablation:! Proponent
Asymptomatic Subjects with WPW Should Undergo Catheter Ablation:! Proponent Ronn E. Tanel, MD Director, Pediatric Arrhythmia Center Associate Professor of Pediatrics UCSF School of Medicine WPW: Background
PEDIATRIC SVT MANAGEMENT
PEDIATRIC SVT MANAGEMENT 1 INTRODUCTION Supraventricular tachycardia (SVT) can be defined as an abnormally rapid heart rhythm originating above the ventricles, often (but not always) with a narrow QRS
Ectopic Atrial Tachycardia
Europace Madrid, 26-29 June 2011 Ectopic Atrial Tachycardia P. Loh, MD, PhD University of Utrecht Division Heart & Lungs Epidemiology Nonsustained atrial tachycardia Frequent finding on holter registrations
Uncommon forms of AV reentry: atrio and fasciculo-ventricular fibers, slow conducting fibers. Jesus Almendral, Madrid, Spain
Uncommon forms of AV reentry: atrio and fasciculo-ventricular fibers, slow conducting fibers Jesus Almendral, Madrid, Spain Common forms of AV reentry Accessory pathways: Upper insertion: atrium Lower
Office ECG Interpretation
Office ECG Interpretation Jason Evanchan, DO Assistant Professor of Medicine Division of Cardiovascular Medicine The Ohio State University Wexner Medical Center Outline of topics High risk ischemia T wave
Antony French Consultant Cardiologist & Electrophysiologist
Antony French Consultant Cardiologist & Electrophysiologist Palpitations Unpleasant awareness of rapid or forceful heart beat Not all tachycardias cause palpitations, and not all palpitations are due to
at least 4 8 hours per week
ECG IN ATHLETS An athlete is defined as an individual who engages in regular exercise or training for sport or general fitness, typically with a premium on performance, and often engaged in individual
Study methodology for screening candidates to athletes risk
1. Periodical Evaluations: each 2 years. Study methodology for screening candidates to athletes risk 2. Personal history: Personal history of murmur in childhood; dizziness, syncope, palpitations, intolerance
Asymptomatic Long QT. Prof. Dr. Martin Borggrefe Mannheim
Asymptomatic Long QT Prof. Dr. Martin Borggrefe Mannheim QT interval Distribution of QTc intervals in large population-based studies Viskin S, Heart Rhythm 2009; 6: 711-715 QT interval Distribution of
The Role of Defibrillator Therapy in Genetic Arrhythmia Syndromes
The Role of Defibrillator Therapy in Genetic Arrhythmia Syndromes RHEA C. PIMENTEL, MD, FACC, FHRS UNIVERSITY OF KANSAS HOSPITAL MID AMERICA CARDIOLOGY AUGUST 19, 2012 Monogenic Arrhythmia Syndromes Mendelian
Arrhythmias and Heart Failure Dr Chris Lang Consultant Cardiologist and Electrophysiologist Royal Infirmary of Edinburgh
Arrhythmias and Heart Failure Dr Chris Lang Consultant Cardiologist and Electrophysiologist Royal Infirmary of Edinburgh Arrhythmias and Heart Failure Ventricular Supraventricular VT/VF Primary prevention
Brugada Syndrome: An Update
Brugada Syndrome: An Update Osama Diab Associate professor of Cardiology Ain Shams university, Cairo, Egypt Updates Mechanism and Genetics Risk stratification Treatment 1 Brugada syndrome causes 4 12%
The pill-in-the-pocket strategy for paroxysmal atrial fibrillation
The pill-in-the-pocket strategy for paroxysmal atrial fibrillation KONSTANTINOS P. LETSAS, MD, FEHRA LABORATORY OF CARDIAC ELECTROPHYSIOLOGY EVANGELISMOS GENERAL HOSPITAL OF ATHENS ARRHYTHMIAS UPDATE,
CATHETER ABLATION FOR TACHYCARDIAS
190 CATHETER ABLATION FOR TACHYCARDIAS MASOOD AKHTAR, M.D. T ACHY ARRHYTHMIAS constitute a major cause of mortality and morbidity. The most serious manifestation of cardiac arrhythmia is sudden cardiac
Nathan Cade, MD Brandon Fainstad, MD Andrew Prouse, MD
Nathan Cade, MD Brandon Fainstad, MD Andrew Prouse, MD OBJECTIVES 1. Identify the basic electrophysiology of the four causes of wide complex tachycardia. 2. Develop a simple framework for acute management
NAAMA s 24 th International Medical Convention Medicine in the Next Decade: Challenges and Opportunities Beirut, Lebanon June 26 July 2, 2010
NAAMA s 24 th International Medical Convention Medicine in the Next Decade: Challenges and Opportunities Beirut, Lebanon June 26 July 2, 2010 I have a financial interest/arrangement or affiliation with
Ventricular arrhythmia during ajmaline challenge for the Brugada syndrome
Europace (2016) 18, 1501 1506 doi:10.1093/europace/euw008 REVIEW Ventricular arrhythmia during ajmaline challenge for the Brugada syndrome Bieke Dobbels 1 *, Dieter De Cleen 2,3, and Joris Ector 4,5 1
Cardiology update Clinical Decision Seminar: Difficult ECG Interpretations February 13th, 2013 Lars Eckardt Firat Duru Corinna Brunckhorst
Cardiology update Clinical Decision Seminar: Difficult ECG Interpretations February 13th, 2013 Lars Eckardt Firat Duru Corinna Brunckhorst 1. Patient K.P., male, 68 years Fatigue Exercise intolerance for
Unusual Tachycardia Association In A patient Without Structural Heart Disease
www.ipej.org 233 Case Report Unusual Tachycardia Association In A patient Without Structural Heart Disease Eduardo Arana-Rueda, Alonso Pedrote, Lorena Garcia-Riesco, Manuel Frutos-Lopez, Juan A. Sanchez-Brotons
How agressively should we treat asymptomatic patients with Brugada syndrome. Josep Brugada Medical Director Hospital Clínic, University of Barcelona
How agressively should we treat asymptomatic patients with Brugada syndrome Josep Brugada Medical Director Hospital Clínic, University of Barcelona The ECG in Brugada syndrome - Prolonged PR - RBBB - ST
ECG Cases and Questions. Ashish Sadhu, MD, FHRS, FACC Electrophysiology/Cardiology
ECG Cases and Questions Ashish Sadhu, MD, FHRS, FACC Electrophysiology/Cardiology 32 yo female Life Insurance Physical 56 yo male with chest pain Terminology Injury ST elevation Ischemia T wave inversion
Advances in Ablation Therapy for Ventricular Tachycardia
Advances in Ablation Therapy for Ventricular Tachycardia Nitish Badhwar, MD, FACC, FHRS Director, Cardiac Electrophysiology Training Program University of California, San Francisco For those of you who
Arrhythmia 341. Ahmad Hersi Professor of Cardiology KSU
Arrhythmia 341 Ahmad Hersi Professor of Cardiology KSU Objectives Epidemiology and Mechanisms of AF Evaluation of AF patients Classification of AF Treatment and Risk stratification of AF Identify other
Basic electrocardiography reading. R3 lee wei-chieh
Basic electrocardiography reading R3 lee wei-chieh The Normal Conduction System Lead Placement avf Limb Leads Precordial Leads Interpretation Rate Rhythm Interval Axis Chamber abnormality QRST change What
ECG Interpretation Made Easy
ECG Interpretation Made Easy Dr. A Tageldien Abdellah, MSc MD EBSC Lecturer of Cardiology- Hull University Hull York Medical School 2007-2008 ECG Interpretation Made Easy Synopsis Benefits Objectives Process
Cardiac rhythm detailed monitoring by an implanted pacemaker: The iecg solution
Cardiac rhythm detailed monitoring by an implanted pacemaker: The iecg solution Francesco Zanon, MD, FESC, FHRS Arrhythmia and Electrophysiology Unit, Cardiology Dept. Santa Maria della Misericordia General