(FIT)-Module 5 Workshop 9: Arrhythmia Case Studies (Putting It All Together for the Boards)-Miller Workshop 9

Miller Workshop 9

Pdf Summary

In Workshop #9, the topic of discussion is various types of arrhythmias and their diagnosis and treatment. The presenter, John M. Miller, MD, FHRS, discloses his relationships with several companies in the medical industry. <br /><br />The workshop includes multiple-choice questions with corresponding ECG tracings and intracardiac recordings. Participants are asked to diagnose the abnormal rhythms based on the information provided. <br /><br />In question 1, a 38-year-old man presents with palpitations, and the ECG and response to adenosine indicate a reentrant ventricular tachycardia related to the left posterior fascicle. <br /><br />Question 2 involves a 59-year-old man with palpitations, and the recordings suggest a myocardial ventricular tachycardia. <br /><br />Question 3 involves a 39-year-old man with premature complexes, and the recordings indicate that the most prominent factor limiting successful ablation in this case is catheter stability at the site of origin of the complexes. <br /><br />Question 4 involves a 53-year-old man with palpitations and a history of atrial septal defect repair, and the recordings suggest a focal tachycardia that is not scar-related. Ablation in the left atrium on the opposite side of the septum is needed. <br /><br />Question 5 involves a 37-year-old man with palpitations and lightheadedness, and the recordings indicate a fascicular tachycardia from the left anterior fascicle. Overdrive pacing is performed to confirm the diagnosis and help identify a good ablation site. <br /><br />The workshop emphasizes the importance of proper diagnosis and mapping techniques in order to effectively treat different types of arrhythmias.

Keywords

arrhythmias

ventricular tachycardia

fascicular tachycardia

ECG tracings

intracardiac recordings

catheter ablation

atrial septal defect repair

overdrive pacing

mapping techniques

diagnosis and treatment