A Turning Point in Electrophysiology: Reentrant Drivers and Therapeutic Strategies for Complex AF Patients
Discuss the basic science of AF mechanisms, and apply translational research into clinical practice to guide ablation strategies. Observe the role of focal impulse and rotor modulation ablation for improving ablation outcomes versus conventional ablation alone. Assess contemporary challenges in AF ablation, and review the potential impact of temperature-sensing ablation on procedural outcomes. Review the challenges and benefits of a first-in-class transcatheter device for reducing symptoms and slowing the progression of HF
Advancements in Fluoro Reduction for the Electrophysiology Lab
June 5th, 2013 7pm EDT Tariq Salam, MD, FACC, FHRS Clinical Service Chief Electrophysiology and Atrial Fibrillation Multicare Health System Tacoma, WA Shephal Doshi, MD Director, Cardiac Electrophysiology Research Pacific Heart Institute Santa Monica, CA This quest for innovative solutions that reduce fluoroscopy exposure during ablation procedures and enable the achievement of successful procedural outcomes in practice, without compromising safety, is sought by every global practicing electrophysiology professional. This interactive educational webcast has been developed to evaluate technological advancements and optimal workflows that significantly reduce the use of fluoroscopy. The assembled expert faculty will share their experiences and impart their knowledge about new dimensions in electroanatomical mapping technology that improves procedural efficiency, safety and efficacy; while greatly assisting lower fluoroscopy levels.
Advances in Arrhythmia Detection, Prevention, and Treatment
The purpose of this live activity is to discuss the evolution in the science of arrhythmia detection and how these innovations may lead to greater protection from sudden cardiac death and stroke.
Advancing Frontiers in Electrophysiology: Improving Outcomes in Clinical Practice through New Technologies Webcast
This accredited webcast features leading electrophysiologists who share their expert insights on a variety of innovative technologies and clinical decision making strategies to improve procedural outcomes in the electrophysiology lab for the enhancement of patient care.
Application Advanced Mapping and Ablation Technologies
This session will explore the newer technologies that exist for mapping and ablating some of the common, and less common, substrates that may be treated in the pediatric and adult electrophysiology laboratory.
History, description, genetics, and diagnostic protocol for testing. The Brugada Foundation; Mapfre Medicine Foundation. Text
New electrocardiographic leads and the procainamide test for the detection of the Brugada sign in sudden unexplained death syndrome survivors and their relatives. European Heart Journal. Text.
Cardiac Arrhythmia Procedures – 15 Different Programs
15 different videos on EP procedures ranging from implants, to EP Studies & 3-D Mapping, to A Fib Ablations (several). See how other programs address these problems. OR Live. Webcasts.
Cardiac Cell Action Potential
Spend some time on the following illustration depicting the normal cardiac action potential that explain the ionic movements . Understand why a cardiac muscle has two refractory periods , why there is a sustained dome for myocardial action potential and this is missing in SA and AV nodal potential?
Differentiating Atrioventricular Nodal Reentrant Tachycardia from Junctional Tachycardia: Novel Application of the Delta H-A Interval
Junctional tachycardia (JT) and atrioventricular nodal reentrant tachycardia (AVNRT) can be difficult to differentiate. Yet, the two arrhythmias require distinct diagnostic and therapeutic approaches. We explored the utility of the delta H-A interval as a novel technique to differentiate these two tachycardias. Journal of Cardiovascular Electrophysiology. Text.
Electrocardiograms / Arrhythmias
Explains and demonstrates the propagation of normal and abnormal electrical impulses through the heart. Go to SVT Tutorial at the bottom of their intro page. Requires Adobe Shockwave(follow download link up above. Excellent animation with text.
Enhanced Imaging Modalities in Atrial Fibrillation
The wealth of imaging options for the practicing electrophysiologist has exploded over the last decade, primarily due to the ability to effectively ablate patients with atrial fibrillation (AF).
EP Diagnostics and Therapeutics – What’s new In 2016?
To identify new and developing technologies and devices in electrophysiology To explain the potential clinical impact of these technologies and devices To discuss the utility of new technologies to further understand mechanisms and physiology underlying complex arrhythmias.
Establishing the Mechanism of Supraventricular Tachycardia in the Electrophysiology Laboratory
Supraventricular tachycardia (SVT) is a common disorder which is associated with significant morbidity due to recurrent symptoms and multiple hospital visits. With advancements in mapping and ablation technology, most of the patients with SVT are now treated with radiofrequency ablation. However, for the procedure to be highly effective and safe it is imperative that the mechanism of tachycardia be understood accurately.
Highlights from 9th Annual Electrophysiology Symposium at Staten Island University Hospital
On October 23, 2013, the 9th Annual Electrophysiology Cardiac Symposium took place at Staten Island University Hospital, in the recently opened, state-of-the-art Regina M. McGinn, MD Medical Education Center. The event was led by course directors Dr. Soad Bekheit and Dr. Marcin Kowalski.
Imaging-guided Ventricular Tachycardia Ablation
Over the past decades important advances have been made in the field of ventricular tachycardia (VT) ablation, and as a result, VT ablation is now more widely being performed.
Intracardiac Echo Imaging Guided Ablation of Cavotricuspid Isthmus-dependent Atrial Flutter
Cavotricuspid isthmus-dependent atrial flutter is an arrhythmia that is frequently encountered in the electrophysiology laboratory, and can be successfully ablated with conventional mapping and ablation techniques. In difficult cases, use of intracardiac echo imaging can be invaluable in guiding the ablation. We report a case of common right atrial flutter that was ablated successfully using real-time intracardiac echo imaging.
Intracardiac Echocardiography 101: The Beginner’s Guide to ICE Imaging and Cardiac Structure Recognition
Two-dimensional ICE is the primary echo modality used in today s electrophysiology laboratory because it provides meaningful, real-time anatomic information occurring within the structures of the heart. A review of intracardiac ultrasound with 3 good pictures with labeled anatomy. Text with images. EP Lab Digest
Intro to EP Setup & Vascular Access
Overview of EP equipment setup. Illustrations of vascular access. Fundamental Approaches to the Management of Cardiac Arrhythmias. Text. Pg. 26-36.
Medtronic: Connecting site to register for free Edu. offerings.
Varied classes for EP Staff. Basic EKG Strips – Cardiac Surgical and Catheter Ablation 2007 Coding Resources – Electrical Anatomy of the Atrial Chambers – Electromagnetic Compatibility Guide (EMC & EMI) for Medtronic Pacemakers & ICD’s – Pacemaker & ICD Encyclopedia – SCA Myth busters – Syncope: Diagnostic & Treatment Strategy. Medtronic. Text; Slide. Registration.
Phillips Learning Center
Numerous EP classes for CEU’s. Fee or $18 per credit hour. Log in and go to the Cardiology Section.
Preventing Recurrent Stroke: The Importance of Arrhythmia Detection
The goal of this activity is to emphasize the importance of timely detection of atrial fibrillation and appropriate anticoagulation in patients with a history of cryptogenic stroke.
Principals of Entrainment: Diagnostic Utility for Supraventricular Tachycardia
This review examines how principals of entrainment can be used to arrive at a firm SVT diagnosis using a simple algorithm and builds a foundation for the application of entrainment to more complex or unknown circuits. Indian Pacing and Electrophysiology Journal. Text.
Radiation Free Electrophysiology Cases – It’s Easier Than You Think
Essential information for avoiding radiation related complications in the pediatric population. Techniques are applicable to adults as well. Text. EPreward eReports.
Recurrent Arrhythmias after Pulmonary Vein Isolation
Evaluation of recurrent arrhythmias after catheter ablation of atrial fibrillation is challenging and requires specialized knowledge of the mechanisms of atrial fibrillation, the substrate for re-entrant arrhythmias after left atrial ablation, and an understanding of arrhythmias which can trigger or mimic atrial fibrillation. We present the case of a middle-aged female who continued to have symptoms of palpitations, dizziness, and shortness of breath after undergoing a catheter-based pulmonary vein antral isolation.
Separating Atrial Flutter From Atrial Fibrillation With Apparent Electrocardiographic Organization Using Dominant and Narrow F-Wave Spectra
OBJECTIVES: The purpose of this study was to separate atrial flutter (AFL) with atypical F waves from fibrillation (AF) with “apparent organization.” Electrophysiology Service, Veterans Affairs San Diego, University of California San Diego, San Diego, California. Article. JACC. Text.
This online program uses computer animations to explain arrhythmia mechanisms and their associated electrocardiographic findings for the following examples: AV node reentry, AV reentry, atrial tachycardia, atrial flutter, and atrial fibrillation. Go to “SVT Tutorial” at the bottom of the page. Blaufuss Medical Multimedia Laboratories. Shockwave.
The EP Lab.com
This is a great site that is an introductory course in itself. Excellent for newer EP people. Written by a knowledgable & experienced EP staff, Rick Hood, who is now in the industry.
The Fat Stripe: A Fluoroscopic Landmark to Anatomic Sites During Diagnostic and Interventional EP Studies
Fluoroscopic video images of the cardiac anatomy to assist with understanding of the placement of EP catheters. By Order and Disorder. EP Consulting Services. Video.
The Fundamentals: Diagnosis and Ablation of Common Arrhythmias
Contains a compilation of didactic lectures providing expert instruction on useful techniques and strategies utilized in a clinical setting in order to accurately assess, diagnose and ablate common arrhythmias.
Transseptal Access for the Electrophysiologist: Anatomic Considerations to Enhance Safety and Efficacy
A review of the anatomical considerations, technique and tools available to assist with a safe and consistent procedure. Essential knowledge for physicians and scrub staff. Text with numerous photos. Innovations in Cardiac Rhythm Management.
VuMedi Webinar, Percutaneous LAA Closure from September 2013
Past Webinar featuring interventional cardiologists Matthew Price and Steven Yakubov, and electrophysiologists Vivek Reddy and Randall Lee.