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titlelines EP Fellows Bootcamp: Outflow Tract and Cusp Ventricular Arrhythmias
In this case-based presentation, Paul A. Friedman, MD, FHRS mixes anatomy and physiology as he reviews EKG criteria for localization of outflow tract ventricular tachycardias. Dr. Friedman begins his presentation by showing several EKG examples and emphasizing principles of VT localization in the right ventricular outflow tract. Next, he reviews the anatomy of the outflow tract and then generalizes the ECG lessons to ventricular tachycardias originating from the aortic cusps. The importance of sharp potentials recorded from the aortic cusps is discussed. Several examples are shown that demonstrate an approach to the analysis of tracings to differentiate between potentials that indicate fascicles which are, or are not, a component of tachycardia. Finally, Dr. Friedman addresses a rare variant of the VT originating from the RVOT that may be malignant.
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Target Audience

This program is intended for a professional audience.

  • Cardiac electrophysiologists
  • Cardiology and cardiac electrophysiology fellows
  • Cardiac surgeons
  • Other cardiologists and radiologists

Learning Objectives

Upon completion of this educational activity, participants will be able to:

  • Identify ECG localization of outflow tract VT
  • Describe practical clinical approaches to catheter localization

Faculty

Paul A. Friedman, MD, FHRS
Mayo Clinic
Rochester, MN

Author

Kenneth A. Ellenbogen, MD, FHRS
Virginia Commonwealth University Medical Center
Richmond, VA

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 1.0 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 by the American Nurses Credentialing Center’s Commission on Accreditation.

It has been assigned code 7M7R3X-PRV-09-04.

A maximum of 1.0 credit hours are available for this educational activity.

View Webcast

EP Fellows Bootcamp: Outflow Tract and Cusp Ventricular Arrhythmias

Required Hardware and Software 

  • Computer Screen with USB Drive Screen resolution of 1024x786 or larger
  • Sound card and speakers/headphones
  • Operating System Requirement: Windows Vista; Windows XP Service Pack 2, Windows 7 Intel® Pentium® III 450MHz or faster processor (or equivalent) 128MB or RAM Mac OS Apple Mac OS X 10.4.8 or above Intel Core TM Duo 1.83GHz or faster processor 128MB of RAM Plug-in
Copyright © 2010 Heart Rhythm Society.

Supported by an educational grant from:

St. Jude Medical logo
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