(FIT)-Module 1, Workshop 1: Electrocardiographic/Electrophysiologic Correlation-Miller Workshop 1

Miller Workshop 1

Pdf Summary

In Workshop #1, Dr. John M. Miller reviews various cases related to cardiac electrophysiology. In the first case, a 77-year-old woman who had a hysterectomy experiences paroxysmal AV block. Dr. Miller advises using a stool softener to address the issue. In the second case, a 57-year-old man undergoing electrophysiologic study for syncope is found to have bidirectional right bundle branch block (RBBB) and retrograde His bundle block. In the third case, a 63-year-old man with recurrent syncope undergoes ventricular pacing and it is concluded that there is no retrograde conduction, suggesting blockage in the His-Purkinje system. In the final case, a 63-year-old woman undergoing a treadmill stress test experiences a low ventricular rate during exercise. It is determined that she has mixed AV nodal and His-Purkinje disease.<br /><br />The workshop also includes a disclosure of Dr. Miller's relationships and financial support from various companies in the medical industry.<br /><br />Overall, the cases illustrate different scenarios encountered in cardiac electrophysiology and highlight the importance of accurate diagnosis and appropriate management for patients with arrhythmias and syncope.

Keywords

cardiac electrophysiology

paroxysmal AV block

stool softener

bidirectional right bundle branch block

retrograde His bundle block

ventricular pacing

His-Purkinje system block

treadmill stress test

AV nodal disease

arrhythmias and syncope