June 19, 2012; Wolff-Parkinson-White-Syndrome: Triumph and Frustration
Robert H. Pass, MD
New York University Langone Medical Center, New York, NY
Table of Contents
Wolff-Parkinson-White Syndrome: Triumph and Frustration
0:00:00
Disclosures
0:00:18
Circa 2005 - When they were young...
0:00:55
History-1930
0:01:32
VPW Prior to 1930
0:02:34
VPW - Historical Anatomical/Physiologic Theories
0:03:11
Normal Cardiac Conduction
0:05:02
WPW - "Orthodromic Reciprocating Tachycardia" - "SVT"
0:05:51
VPW - "Orthodromic Reciprocating Tachycardia" - "SVT"
0:06:04
VPW - ORT
0:06:34
Clinical Example of Reentry: 15 year old with Ebstein's Anomaly and tachycardia
0:06:53
Sinus Rhythm and Tachycardia
0:07:36
Tachyarrhythmias - Reentry
0:08:07
VPW - General Points
0:10:47
Tachyarrhythmias of WPW
0:11:37
VPW - Sudden Cardiac Death
0:12:50
Treatment of CHoice for Symptomatic WPW: Catheter Ablation
0:13:34
Catheter Ablation for WPW
0:14:11
Successful vs. Bad Signals
0:16:08
When "Best" Signal is found - RF or Cryo Energy is Applied
0:17:09
WPW Ablation Results in Children
0:17:40
WPW Ablation: Current Predicament
0:18:36
WPW Ablation: Factors Influencing Success
0:19:00
Succesful vs. Unsuccesful?
0:20:08
Novel method of signal analysis for ablation of Wolff-Parkinson-White syndrome
0:20:39
Creation of Novel Signals
0:21:10
Novel Signals - Peak of R Wave
0:22:05
Novel Signals - Area Under HF and LF Signals
0:22:18
Novel Signals - HF Ratio and Area
0:22:42
ROC Curves of HF Area * HF Ratio
0:23:50
Safety of Ablation - Radiation Exposure
0:25:35
Risks
0:25:47
Radiation Equivalent - "How many chest rays?"
0:26:43
Strategies to Reduce Radiation Exposure
0:27:50
Prior Radiation Reduction Tools
0:29:23
Quality Improvement initiative
0:30:49
"ALARA" Protocol: Major Features
0:31:45
Results
0:32:34
Results: n = 42
0:32:59
Radiation Dosage Results
0:33:23
Major Findings
0:33:48
Sudden Cardiac Death and WPW
0:34:25
Sudden Cardiac Death
0:36:10
Newer Data in Children...
0:39:15
19/184 "Potentially Life-Threatening" Events ~ 10 %
0:39:58
Survey of Current Practice of Pediatric Electrophysiologists for Asymptotic Wolff-Parkinson-White Syndrome
0:41:12
Asymptomatic WPW
0:41:43
Baseline Electrocardiogram
0:43:03
WPW: Triumph and Frustration
0:45:00
Acknowledgements
0:46:57
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Dr. Robert Pass of NYU Langone Medical Center presents Wolff-Parkinson-White-Syndrome: Triumph and Frustration.
 
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Jun 19, 2012 377 VA:06:19:7527:2012
 
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