Madison J. Spence

LV Summit PVC

LV summited ➡️ PVC terminated

Our patient came into the lab with one PVC morphology in trigeminy

PVC morph breakdown:
Leads II III AVF ➡️ positive
V1 ➡️ barely anything but baseline
V2 – V6 ➡️ positive

With an Maximum Deflection Index ~.69 … we had our work cut out for us

We quickly ruled out our RVOT with our earliest activation ~at onset of our BS QRS

On to the left via retrograde through the aorta to map the cusps & find our earliest site of activation near the left coronary cusp. We weakened and suppressed our PVC w/ ablation but it beared back and we switched sides

Our PVC’s return was short lived with a trip to the CS to meet it’s final #Sheikhdown & term w/ a signal ~36 ms early in the CS and a uni that doesn’t lie 😍

#ePeeps what are your approaches to PVCs with MDIs > 55?

#ARAyoukiddingme
#PVC #biosensewebster #carto #healthcaretechnology #healthcareinnovation #healthcareleaders

RVOT pvc

RVOT PVC propagation with quite a juicy signal. Pace mapped at 97% match to our clinical morphology and the unipolar signal on our Pentaray catheter was too good to pass up. Suppression at 25W and a kill shot at 35W with normal sinus rhythm to prevail!

Patient care is our top priority so we use an ultrasound catheter for real-time monitoring during our procedure. Ultrasound contours are a must when ablating so close to significant anatomy such as the aortic cusps ( drawn out in blue / pink / brown ) #ePeeps Is ultrasound visualization a part of your daily workflow?


#healthcare #medicaldevices #visualization #electrophysiology #ePeeps #burnandterm

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