ALMAZOVFMR CENTREAMYCARD EP LAB Study: PVCPatients: KNRDate: 27.05.2014Prepared: M.Chmelevsky, S. Zubarev, M.Budanova

ECG

ECG (1). AFib. Own rhythm

Patient: KNR. Date: 27.05.2014

ECG (2). PVC

Patient: KNR. Date: 27.05.2014

CT QUALITY AND VOLUME RECONSTRUCTIONTorso and Atria 3D models

Torso 3D models + new electrodes

Quality of CT, 3D torso reconstruction and electrodes visualization: sufficient in this case

Full number of electrodes – 208Switch off – 10/208 (5%)Using electrodes – 198/208 (95%)

Noninvasive EP study: main steps

Patient: KNR. Date: 27.05.2014

PVCepicardial models

Isochronal FND map Isochronal FND map

PA projection

Zone of early activation was located in the medial segment of LV inferior wall

red marker – zone of ventricular ectopy

Patient: KNR. Date: 27.05.2014

Isochronal ADM map Isochronal ADM map

PA projection

Zone of early activation was located in the medial segment of LV inferior wall

red marker – zone of ventricular ectopy

Patient: KNR. Date: 27.05.2014

PVCepi/endocardial models

Isochronal FND map Isochronal FND map

PA projection

Zone of early activation was located in the medial segment of LV inferior wall

red marker – zone of ventricular ectopy

Patient: KNR. Date: 27.05.2014

Isochronal FND map Isochronal FND map

PA projection

Zone of early activation was located in the medial segment of LV inferior wall

(translucent epicardium mode)

red marker (color) – zone of ventricular ectopy

Patient: KNR. Date: 27.05.2014

Isochronal ADM map Isochronal ADM map

PA projection

Zone of early activation was located in the medial segment of LV inferior wall

red marker – zone of ventricular ectopy

Patient: KNR. Date: 27.05.2014

Isochronal ADM map Isochronal ADM map

PA projection

Zone of early activation was located in the medial segment of LV inferior wall

(translucent epicardium mode)

red marker – zone of ventricular ectopy

Patient: KNR. Date: 27.05.2014