[Show abstract][Hide abstract] ABSTRACT: The right atrial appendage can be the origin of focal atrial tachycardias. Their ablation can be challenging owing to the complexity of the appendage anatomy. To our knowledge, we describe the first successful solid tip cryoablation of a focal tachycardia within the right atrial appendage in a patient presenting with tachycardia-induced cardiomyopathy.
Indian pacing and electrophysiology journal 09/2015; DOI:10.1016/j.ipej.2015.09.005
[Show abstract][Hide abstract] ABSTRACT: To test whether patients with left bundle branch block (LBBB) and low ejection fraction (EF) have greater dyssynchrony than those with LBBB and normal LV systolic function.
From a group of patients with LBBB, 38 patients with low EF (<50%) and 31 with normal LV systolic function (EF > or = 50%), all comparable in age and sex underwent standard Doppler echo, ECG and tissue Doppler imaging (TDI). The precontraction time (PCTm) was calculated as an index of myocardial systolic activation in 5 different basal myocardial segments (LV anterior, inferior, septal, lateral walls and RV lateral wall). Intraventricular systolic dyssynchrony was analyzed by difference of PCTm in different LV myocardial segments. Interventricular activation delay was calculated by the difference of PCTm between the most delayed LV segment and RV lateral wall.
Patients with low LV EF showed increased QRS duration, intraventricular delay (p = 0.03) and interventricular dyssynchrony (p = 0.006). Patients with normal EF also had evidence of some dyssynchrony. The LV basal lateral segment was significantly delayed when compared to all other segments in the low EF group. The PCTm was greater for those with low EF when compared to the normal EF group.
All patients with LBBB on baseline ECG had some degree of cardiac dyssynchrony; those with lower EF had more dyssynchrony. TDI is an effective non-invasive technique for assessing the severity of regional delay in activation of ventricular walls in patients with LBBB.
Indian Heart Journal 11/2008; 60(6):567-73. · 0.17 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Coronary sinus cannulation during an electrophysiology study can be quite challenging. This article describes a new technique that we use to cannulate the coronary sinus in cases where cannulation is not easy. The technique involves using a deflectable quadripolar catheter as a buddy to enable the decapolar catheter to slip in. It is easy and quickly performed. It also avoids the use of contrast. We hence, recommend that this method be adopted to place the decapolar catheter in the coronary sinus in all difficult cases.
Indian Heart Journal 01/2008; 60(1):67-8. · 0.17 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: We report the case of a middle aged lady with dilated cardiomyopathy, presenting with recurrent syncope due to torsade de pointes. Further evaluation revealed that she had a pheochromocytoma which caused the arrhythmia.
Indian Heart Journal 05/2004; 56(3):248-9. · 0.17 Impact Factor