Deceptive intracardiac electrograms during an ICD interrogation. A clinical challenge.

Indian Pacing Electrophysiol J

Electrophysiology Section in the Department of Medicine at Winthrop, University Hospital, Mineola, NY, USA.

Published: August 2016

We present a case of a patient with significant structural heart disease from previous cardiac surgeries who presented for an electrophysiology study and radiofrequency ablation. The case highlights the significance of intra-atrial conduction delays in such patients and potential pitfalls it can present while interpreting intra-cardiac electrograms especially during implantable cardioverter defibrillator (ICD) interrogations.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4936655PMC
http://dx.doi.org/10.1016/j.ipej.2016.05.002DOI Listing

Publication Analysis

Top Keywords

deceptive intracardiac
4
intracardiac electrograms
4
electrograms icd
4
icd interrogation
4
interrogation clinical
4
clinical challenge
4
challenge case
4
case patient
4
patient structural
4
structural heart
4

Similar Publications

A 46-year-old female presented with native tricuspid valve endocarditis complicated by a stroke with a hemorrhagic component. There was no evidence of intracardiac shunt nor left-sided valve involvement. Delayed surgery was planned to allow neurologic recovery, however, the patient developed an ST-elevation myocardial infarction and cardiac arrest from an occluded right posterior ventricular branch of the right coronary artery from a septic embolism.

View Article and Find Full Text PDF

A case of unprovoked, precarious, patent foramen ovale protuberance.

Echo Res Pract

September 2017

The King's College London British Heart Foundation Centre of Excellence, The Rayne Institute, London, UK.

Unlabelled: This is a case of a precarious thrombotic mass straddling a patent foramen ovale which had already embolised to the pulmonary circulation. The diagnosis was initially deceptive and management challenging.

Learning Points: Echocardiography is mandated and can change management in haemodynamically unstable patients with pulmonary emboli.

View Article and Find Full Text PDF

Deceptive intracardiac electrograms during an ICD interrogation. A clinical challenge.

Indian Pacing Electrophysiol J

August 2016

Electrophysiology Section in the Department of Medicine at Winthrop, University Hospital, Mineola, NY, USA.

We present a case of a patient with significant structural heart disease from previous cardiac surgeries who presented for an electrophysiology study and radiofrequency ablation. The case highlights the significance of intra-atrial conduction delays in such patients and potential pitfalls it can present while interpreting intra-cardiac electrograms especially during implantable cardioverter defibrillator (ICD) interrogations.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!