(FIT)-Module 2 Workshop 3: SVT Mechanisms and Maneuvers-Miles Case 4 Question

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Video Summary

In this scenario, after successfully ablating a right anterior accessory pathway and observing the disappearance of the delta wave, the next step involves analyzing the obtained electrograms. The decision could involve several options: waiting for 30 minutes to check for recurrence, reinforcing the ablation, mapping other potential pathways, or recognizing a fasciculoventricular connection. The situation requires careful examination of the electrograms, which include surface leads, atrial, His bundle, coronary sinus, and right ventricular leads. The correct course of action will depend on interpreting these tracings to identify the presence of any additional accessory pathway or connections.

Keywords

right anterior accessory pathway

delta wave disappearance

electrogram analysis

ablation reinforcement

fasciculoventricular connection