Tweetorial 1/7
#EPeeps PVs are not only Afib and not only in adults❗️ Here’s the case of LIPV tachy in 13 yo girl.
Lumipoint map with @BSCCardiology and @lydia_merbold #EP_Kiel #cardiotwitter @evgeny_lyan @ThomasDemming
#EPeeps PVs are not only Afib and not only in adults❗️ Here’s the case of LIPV tachy in 13 yo girl.
Lumipoint map with @BSCCardiology and @lydia_merbold #EP_Kiel #cardiotwitter @evgeny_lyan @ThomasDemming
2/7
13yo girl, hospital admission with palpitations. 24-h ECG Monitoring reveals episodes of tachycardia with on-off phenomen and HR up to 120 bpm.
Next Step➡️EP diagnostic
13yo girl, hospital admission with palpitations. 24-h ECG Monitoring reveals episodes of tachycardia with on-off phenomen and HR up to 120 bpm.
Next Step➡️EP diagnostic
3/7
EP study reveals 2 tachys : AT1 with CL 590ms, AT2 with CL 380ms. Note the same CS activation sequence.
Next Step➡️RA mapping
EP study reveals 2 tachys : AT1 with CL 590ms, AT2 with CL 380ms. Note the same CS activation sequence.
Next Step➡️RA mapping
4/7
RA map of both tachys: earliest activation – SVC ( most likely farfield from RSPV)
Next Step➡️ transseptal puncture and LA mapping
RA map of both tachys: earliest activation – SVC ( most likely farfield from RSPV)
Next Step➡️ transseptal puncture and LA mapping
5/7
LA mapping reveals the focal atrial tachycardia from LIPV.
LA mapping reveals the focal atrial tachycardia from LIPV.
6/7
Isolation of LPVs
Isolation of LPVs
7/7
No recurrence of tachy in 24-h ECG monitoring. No complaints.
No recurrence of tachy in 24-h ECG monitoring. No complaints.
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