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

Workshop 9: Arrhythmia Case Studies - Putting It All Together for the Boards (Michaud)

Video Transcription

Video Summary

The video, presented by Greg Michaud from Mass General Hospital, discusses various cardiac conditions and the procedural considerations related to them, focusing specifically on scenarios encountered in electrophysiology. A key scenario involves a 56-year-old patient with increased dyspnea after atrial fibrillation ablation. Michaud suggests a CT scan to investigate possible pulmonary vein stenosis or other underlying causes, alongside potential complications such as phrenic nerve paralysis. Another case study involves a 68-year-old woman with potential atrioesophageal fistula following a PVI procedure. In such scenarios, a high-resolution CT scan with oral and IV contrast is recommended for accurate diagnosis, avoiding dangerous procedures like esophagoscopy. The session also examines arrhythmias, emphasizing diagnostic approaches to determine mechanisms like AV nodal reentry in SVT, and distinguishing junctional tachycardia from other forms using appropriate pacing responses and telemetry analysis.

Keywords

Cardiac conditions

Electrophysiology

Atrial fibrillation ablation

Pulmonary vein stenosis

Atrioesophageal fistula

Arrhythmia diagnosis