Inside EP: Insights From Clinical Decision-Makers for the Industry Professional-Case: Ventricular Arrhythmias

Video Transcription

Video Summary

In this video, the speaker discusses a case of a 48-year-old male with symptomatic premature ventricular contractions (PVCs) and a low ejection fraction (EF). They describe the patient's workup, which included an echocardiogram, nuclear stress test, MRI, and PET scan. The panel debates the need for a PET scan and its usefulness in identifying areas of inflammation in the heart. The speaker then presents the patient's ECG, highlighting the prolonged time it takes for the QRS complex to reach its peak, indicating a tough-to-access location in the heart for ablation. The panel discusses various approaches to treatment, including the use of antiarrhythmic drugs and different ablation techniques. Ultimately, the speaker describes how they were able to successfully ablate the PVCs using an ablation catheter and an RF wire. The patient has since shown improvement.

Asset Caption

Kalyanam Shivkumar, MD, PhD, FHRS, UCLA Health System, Los Angeles, CA

Keywords

premature ventricular contractions

low ejection fraction

echocardiogram

PET scan

ablation catheter