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Basics of Electrophysiology
ARRHYTHMIAS
Objectives:
Understand what types of arrhythmias the category of atrial tachycardias encompasses.
Describe two mechanisms causing atrial tachycardias.
Describe the area that most of the atrial tachycardias are found.
Describe two difficulties the physician might encounter in ablating in these areas.
Describe and identify the location of the crista terminalis.
Objectives:
Describe the concept of dual AV nodal physiology.
Understand where the reentry loop occurs.
Identify the triangle of Koch and its relevance to the ablation.
Identify and describe in detail the area the ablation for AVNRT takes place.
Describe what rhythm helps determines success during each burn.
AVRNT (atrioventricular re-entry tachycardia) - causes, pathophysiology, treatment
Wolff‑Parkinson‑White syndrome
Objectives:
Understand the etiology of accessory pathways.
Describe where these pathways can be found.
Understand the percentage of ablations this arrhythmia represents.
How the Kent bundle is associated with WPW.
Understand the role of the coronary sinus catheter in WPW.
Describe the two changes commonly seen on a surface EKG.
Explain changes seen on the surface EKG suggesting a successful ablation.
Describe what length of a burn signals a successful ablation or reoccurrence is unlikely.
WPW: Explanation and Treatment
Objectives:
Describe the two types of flutter and features that differentiate them.
Describe the location and characteristics of the isthmus, where the ablation for typical flutter takes place.
Describe where the ablation lines are placed for typical flutter using appropriate anatomical terms.
Describe the concept of the line of block.
Objectives:
Identify the salient features of a surface EKG of atrial fibrillation.
Describe physiologically what is happening during atrial fibrillation.
Describe the long-term effects of atrial fibrillation.
Describe the current therapeutic treatment of atrial fibrillation.
Understand what percentage atrial fibrillation represents in the market place.
Atrial fibrillation (A-fib, AF) - causes, symptoms, treatment & pathology
Objectives:
Identify ventricular tachycardia on the surface EKG.
Identify ventricular fibrillation on surface EKG.
Understand the different mechanisms of ventricular tachycardia.
Understand the problems associated with ablation of ischemic ventricular tachycardia.
Ventricular tachycardia (VT) - causes, symptoms, diagnosis, treatment & pathology
Objectives:
Understand the mechanism of action of VF.
Learn how VF is treated.
Identify the hemodynamic effects of VF.
Premature Ventricular Contractions
Objectives:
Identify typical sites of origin of PVCs.
Define PVC burden.
Describe treatments used to control PVCs.
Premature Ventricular Contraction - causes, symptoms, diagnosis, treatment, pathology
Please take the Arrhythmias Assessment in Dot Compliance
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