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Case Study

Partial Fracture of a Subcutaneous ICD Lead from Mechanical Trauma
Case Study
10/01/2020

Hieu Huynh, DO, Gregory P. Siroky, MD, Patrick Lam, MD, Asad Mohammad, DO, Davendra Mehta, MD, PhD

Mount Sinai Morningside Hospital; Al-Sabah Arrhythmia Institute; New York, New York  

Hieu Huynh, DO, Gregory P. Siroky, MD...
This case demonstrates the importance of a two-view chest x-ray in a patient with an S-ICD after mechanical fall or thoracic trauma, as well as the benefits of home monitoring.
This case demonstrates the importance of a two-view chest x-ray in a patient with an S-ICD after mechanical fall or thoracic trauma, as well as the benefits of home monitoring.
This case demonstrates the...
10/01/2020
EP Lab Digest

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Simultaneous Axillary Venous Access for Pulmonary Artery Pressure Monitor and Biventricular Defibrillator Implantation
Case Study
10/01/2020

Arnold H. Seto, MD, MPA1, Kyaw Khaing Soe, MD2, Skea Skendarian3, Michael Rochon-Duck, MD1

1University of California, Irvine Medical Center, Orange, California; 2The Methodist Hospital, Arcadia, California; 3University of California, Berkeley, California 

Arnold H. Seto, MD, MPA1, Kyaw Khaing...
We describe implantation via the axillary vein at the time of biventricular defibrillator implantation.
We describe implantation via the axillary vein at the time of biventricular defibrillator implantation.
We describe implantation via the...
10/01/2020
EP Lab Digest
Acute Flecainide Toxicity: A Case Report
Case Study
10/01/2020

Ganesh Venkataraman, MD, Colorado Heart and Vascular, PC, Lakewood, Colorado

Ganesh Venkataraman, MD, Colorado Hea...
This case illustrates the importance of prompt symptom and ECG recognition, as well as the specific management of acute flecainide toxicity.
This case illustrates the importance of prompt symptom and ECG recognition, as well as the specific management of acute flecainide toxicity.
This case illustrates the...
10/01/2020
EP Lab Digest
Local Cardiovascular Implantable Electronic Device Monitoring for a Global Patient Population
Case Study
08/31/2020

Harish Duraiswami, CCDS, Jane Smyth-Melsky, RN, CCDS, Larry Chinitz, MD, FACC, FHRS, Chirag Barbhaiya, MD, FHRS

Heart Rhythm Center, New York University (NYU) Langone Medical Center; New York, New York

Harish Duraiswami, CCDS, Jane Smyth-M...
We present a case report illustrating present challenges and solutions related to remote monitoring of patients residing internationally.
We present a case report illustrating present challenges and solutions related to remote monitoring of patients residing internationally.
We present a case report...
08/31/2020
EP Lab Digest

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Rate-Related Left Bundle Branch Block-Induced Cardiomyopathy
Case Study
08/31/2020

Gregory P. Siroky, MD1, Hieu Huynh, DO1, Devendra Bisht, MD1, Ahsanuddin Ahmad, MD2, Asad Mohammad, DO1, Patrick Lam, MD1, Davendra Mehta, MD, PhD1

1Department of Cardiology, Division of Electrophysiology, Mount Sinai Morningside, Icahn School of Medicine at Mount Sinai, New York, New York; 2Department of Cardiology, Division of Electrophysiology, Jersey City Medical Center, Jersey City, New Jersey

Gregory P. Siroky, MD1, Hieu Huynh, D...
We present a case of a patient with non-ischemic cardiomyopathy (NICM) implanted with a cardiac resynchronization therapy-defibrillator (CRT-D) who was diagnosed with rate-related LBBB-induced CM (RR-LBBB-CM) after extraction of his device.
We present a case of a patient with non-ischemic cardiomyopathy (NICM) implanted with a cardiac resynchronization therapy-defibrillator (CRT-D) who was diagnosed with rate-related LBBB-induced CM (RR-LBBB-CM) after extraction of his device.
We present a case of a patient...
08/31/2020
EP Lab Digest
Dare to Go Zero: The First Ablation Without Fluoroscopy at an EP Lab in Germany
Case Study
08/31/2020

Dennis Höwel, MD, Heiko Frank, MD, Lea Seidlmayer, MD, Hanno Oswald, MD, PhD

Department of Cardiology, University Hospital Oldenburg, Germany 

Dennis Höwel, MD, Heiko Frank, MD, Le...
We describe our first experience with fluoroscopy-free ablation in Oldenburg.
We describe our first experience with fluoroscopy-free ablation in Oldenburg.
We describe our first experience...
08/31/2020
EP Lab Digest
Mitral Isthmus Block by Vein of Marshall Alcohol Infusion in a Patient with Prior Cardiac Surgery and Catheter Ablation
Case Study
06/30/2020

Daniel R. Frisch, MD, FACC, 

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania

Daniel R. Frisch, MD, FACC,  Thomas ...
In complex cases, having a variety of techniques to accomplish the ablation goal has significant value.
In complex cases, having a variety of techniques to accomplish the ablation goal has significant value.
In complex cases, having a...
06/30/2020
EP Lab Digest

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A Wide Complex Tachycardia During Pregnancy
Case Study
06/30/2020

Jacqueline Joza, MD, FRCPC, Martin Bernier, MD, Vidal Essebag, MD, PhD

Department of Medicine, Cardiac Electrophysiology, McGill University Health Centre, Montreal, Quebec

Jacqueline Joza, MD, FRCPC, Martin Be...
This case explores the diagnostic dilemma, definitive management, and the supportive literature of the underlying diagnosis associated with a wide complex tachycardia presenting during pregnancy.
This case explores the diagnostic dilemma, definitive management, and the supportive literature of the underlying diagnosis associated with a wide complex tachycardia presenting during pregnancy.
This case explores the...
06/30/2020
EP Lab Digest
Coexistent “Classic” Atrioventricular and “Mahaim” Atriofascicular Pathways in Pediatric Patients with a Structurally Normal Heart
Case Study
06/30/2020

Giorgi Papiashvili, MD, PhD, FESC 

Head of Arrhythmia Section at the Jo Ann Medical Centre; Tbilisi, Georgia

Giorgi Papiashvili, MD, PhD, FESC  H...
We present two cases of multiple accessory pathways of different characteristics (“classic” and “Mahaim” type) in pediatric patients without any structural heart disease.
We present two cases of multiple accessory pathways of different characteristics (“classic” and “Mahaim” type) in pediatric patients without any structural heart disease.
We present two cases of multiple...
06/30/2020
EP Lab Digest
A Robot Can Do Better: Perspectives During a Case of Atrial Tachycardia
Case Study
04/27/2020

Aseem Desai, MD, FHRS

Co-Director, Mission Heritage Heart Rhythm Specialists; Mission Viejo, California

Aseem Desai, MD, FHRS Co-Director, M...
In this particular case, RMN was extremely helpful in providing catheter stability and maneuverability.
In this particular case, RMN was extremely helpful in providing catheter stability and maneuverability.
In this particular case, RMN was...
04/27/2020
EP Lab Digest

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