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1/23/2017 1 John Garner, MD Medical Director, Cardiac Electrophysiology

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Page 1: Garner - EPcoxcollege.edu/wp-content/uploads/2015/11/Garner-EP.pdf · Live Longer Feel Better Avoid Future Complications Complication Rate Typical Flutter 1% AVNRT (All Forms) 1%

1/23/2017

1

John Garner, MD

Medical Director, Cardiac Electrophysiology

Page 2: Garner - EPcoxcollege.edu/wp-content/uploads/2015/11/Garner-EP.pdf · Live Longer Feel Better Avoid Future Complications Complication Rate Typical Flutter 1% AVNRT (All Forms) 1%

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VT SVT

Focal / PVC

Reentrant AVNRTAVRT

(WPW)AtrialTach

Atrial Fibrillation

Free Wall

Brady Asystole

Septal

Mahaim

Slow-Fast

Fast-Slow

Slow-Slow

Focal / PACReentrant

Typical Flutter

Non-CTI Flutter

Micro-Reentry

VF

Page 3: Garner - EPcoxcollege.edu/wp-content/uploads/2015/11/Garner-EP.pdf · Live Longer Feel Better Avoid Future Complications Complication Rate Typical Flutter 1% AVNRT (All Forms) 1%

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Consider Procedure on Diagnosis

Page 4: Garner - EPcoxcollege.edu/wp-content/uploads/2015/11/Garner-EP.pdf · Live Longer Feel Better Avoid Future Complications Complication Rate Typical Flutter 1% AVNRT (All Forms) 1%

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Page 5: Garner - EPcoxcollege.edu/wp-content/uploads/2015/11/Garner-EP.pdf · Live Longer Feel Better Avoid Future Complications Complication Rate Typical Flutter 1% AVNRT (All Forms) 1%

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� … and prevents death just as effectively

Page 6: Garner - EPcoxcollege.edu/wp-content/uploads/2015/11/Garner-EP.pdf · Live Longer Feel Better Avoid Future Complications Complication Rate Typical Flutter 1% AVNRT (All Forms) 1%

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Consider Procedure on Diagnosis

Page 7: Garner - EPcoxcollege.edu/wp-content/uploads/2015/11/Garner-EP.pdf · Live Longer Feel Better Avoid Future Complications Complication Rate Typical Flutter 1% AVNRT (All Forms) 1%

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Live Longer

Feel Better

Avoid Future Complications

Complication

Rate

Typical Flutter 1%

AVNRT (All Forms) 1%

PVC (RV Outflow) 1%

AVRT / WPW (Free Wall) 1%

PAC (Right Atrial) 1%

PAC (Left Atrial) 2%

PVC (Left Ventricular) 2%

PVC (Aortic Root) 3-4%

Reentrant VT (Elective) 5%

Atrial Fibrillation (Parox) 4%

Atrial Fibrillation (Persist) 4%

PRO

CON

PRO

CON

PRO

CON

Page 8: Garner - EPcoxcollege.edu/wp-content/uploads/2015/11/Garner-EP.pdf · Live Longer Feel Better Avoid Future Complications Complication Rate Typical Flutter 1% AVNRT (All Forms) 1%

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Page 9: Garner - EPcoxcollege.edu/wp-content/uploads/2015/11/Garner-EP.pdf · Live Longer Feel Better Avoid Future Complications Complication Rate Typical Flutter 1% AVNRT (All Forms) 1%

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Page 10: Garner - EPcoxcollege.edu/wp-content/uploads/2015/11/Garner-EP.pdf · Live Longer Feel Better Avoid Future Complications Complication Rate Typical Flutter 1% AVNRT (All Forms) 1%

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AVNRT

65%

AVRT/WPW

25%

AT

10%

Page 11: Garner - EPcoxcollege.edu/wp-content/uploads/2015/11/Garner-EP.pdf · Live Longer Feel Better Avoid Future Complications Complication Rate Typical Flutter 1% AVNRT (All Forms) 1%

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Page 12: Garner - EPcoxcollege.edu/wp-content/uploads/2015/11/Garner-EP.pdf · Live Longer Feel Better Avoid Future Complications Complication Rate Typical Flutter 1% AVNRT (All Forms) 1%

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Success

Rate

Complication

Rate

Notes

Typical Flutter 95-98% 1%

AVNRT (All Forms) 94-96% 1%

PVC (RV Outflow) 95% 1% 20% Noninducibility

AVRT / WPW (Free Wall) 94% 1%

PAC / AT (Right Atrial) 92% 1% 20-30% Noninducibility

PAC / AT (Left Atrial) 85% 2% 20-30% Noninducibility

PVC (Left Ventricular) 85% 2%

PVC (Aortic Root) 85% 3-4% 20% Noninducibility

Reentrant VT (Elective) 80% 5%

Atrial Fibrillation (Parox) 70% 4% May need repeat procedure(s),Multiple arrhythmias often presentAtrial Fibrillation (Persist) 50-65% 4%

Reentrant VT (Emergent) 50-80% 10% and up

Page 13: Garner - EPcoxcollege.edu/wp-content/uploads/2015/11/Garner-EP.pdf · Live Longer Feel Better Avoid Future Complications Complication Rate Typical Flutter 1% AVNRT (All Forms) 1%

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