(FIT)-Module 3 Workshop 4: SVT and VT Invasive and Non-Invasive Correlation-Miles Case 7 Question

Video Transcription

Video Summary

In this case, a patient with a delta wave on EKG comes to the EP lab for evaluation. Upon administering adenosine before ablation, the objective is to uncover the characteristics of the accessory pathway. The potential findings include an adenosine-responsive accessory pathway, dormant conduction revealed by adenosine hyperpolarization, an atypical AV nodal response, a standard accessory pathway reaction, or a fasciculoventricular connection. The tracing includes standard surface leads along with right atrium, His, coronary sinus, and right ventricular leads. The discussion is centered on interpreting the specific response to adenosine in this context.

Keywords

delta wave

adenosine

accessory pathway

electrophysiology lab

fasciculoventricular connection