Previously on Reality EP: Cryoablation for Atrial Fibrillation
Reality EP: Catheter Ablation for Paroxysmal AF
Optimizing Image Integration for Ablation
Thursday, May 1, 2008
University of Virginia Health System
Charlottesville, VA
Watch the recorded program!
Program Description
This Heart Rhythm Society live webcast featured a panel discussion of a catheter ablation for paroxysmal atrial fibrillation procedure utilizing 3-D Mapping and rotational intracardiac echocardiography (ICE). CME and CE credit is available for this program!
Expert Faculty
Larry Chinitz, MD
New York University Medical Center
John D. Ferguson, MBChB
University of Virginia Health System
J. Michael Mangrum, MD
University of Virginia Health System
David Wiggins, BS, RN
University of Virginia Health System
Faculty Disclosures
Interview with Electrophysiology Technical Specialist
An additional resource for this program is an interview with University of Virginia Health System Electrophysiology Technical Specialist David Wiggins, BS, RN. Select from the links below to watch David provide feedback on the important role of allied professionals during ablation procedures!
Target Audience
This program is intended for a professional audience.
- Cardiac electrophysiologists
- Cardiology and cardiac electrophysiology fellows
- Cardiac surgeons
- Pediatric electrophysiologists
- Other cardiologists and radiologists
- PAs and nurses
Learning Objectives
Upon completion of this educational activity, participants will be able to:
- Optimize CT and MRI imaging of the left atrium prior to AF ablation
- Identify the PV ostia and the esophagus with rotational ICE
- Perform registration of 3D images using rotational ICE
- Validate registration accuracy prior to ablation
- Categorize the advantages, disadvantages, and limitations of 3-D electroanatomical mapping systems
- Identify the benefits and risks of complex ablation procedures
Patient Medical History
The patient is a 52-year-old male with a two-year history of increased cholesterol and hypertension. The patient began experiencing symptoms of intermittent palpations in 2006. He described fast, irregular rhythms that would last less than one hour. These symptoms continued to become more and more frequent and finally in September, 2007 it was confirmed by ECG that this was Atrial Fibrillation. Holter monitors had shown only PACs and PVCs. Additional work-up included a sleep study in which confirmed sleep apnea.
CPAP and Flecainide were started in November, 2007 and the patient showed significant improvement. However, in February 2008, the patient continued to have additional episodes (rapid/irregular rhythms); particularly if he failed to take a single dose of flecainide. The patient was then referred for ablation for paroxysmal atrial fibrillation.
Watch the recorded program!
Accreditation
The Heart Rhythm Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Continuing Medical Education (CME)
The Heart Rhythm Society designates this educational activity for a maximum of 1.5 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
The AMA has determined that physicians not licensed in the USA who participate in this CME activity are eligible for AMA PRA Category 1 CreditsTM
Continuing Education (CE) for Nurses
The Heart Rhythm Society is an approved provider of continuing nursing education by the New York State Nurses Association, an accredited approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
It has been assigned code 6GDPMX-PRV-062.
A maximum of 1.5 credit hours are available for this educational activity.
Disclosure of Faculty's Commercial Relationship(s)
It is the policy of the Heart Rhythm Society to ensure balance, independent objectivity, and scientific rigor in all its sponsored educational programs. All faculty members participating in continuing medical education activities are required to disclose to the program audience any real or apparent conflicts of interest held within the past 12 months.
The Heart Rhythm Society implements a mechanism to identify and resolve all conflicts on interest prior to delivering the educational activity to learners.
Disclaimer
This program provides a forum for the open exchange and discussion of research results and scientific advancements in the field of cardiovascular pacing and electrophysiology; however, the Society makes no representation or warranty as to the truth, originality, or accuracy of the information presented in this program or in materials distributed in connection with them. Nor are the views expressed by the individual speakers necessarily the views of the Society. The Heart Rhythm Society supports the ACCME’s policy on evidence-based content and encourages faculty to adhere to these standards when planning a presentation.
Copyright © 2008 Heart Rhythm Society.
Reality EP
Bringing the Latest in EP Directly from the Lab to Your Laptop
The Catheter Ablation for Paroxysmal AF Reality EP program is supported by an educational grant from St. Jude Medical and is part of the Heart Rhythm Society's AF 360 Initiative.
