Journal CME/HeartRhythm Vol. 13, Issue 12: Entrainment of Ventricular Tachycardia: Is the Pacing Site In or Out? is organized by Heart Rhythm Society (HRS) and would be held during Nov 22, 2016 - Nov 21, 2018.
The target audience for this medical event for all professionals who participate in the care and management of heart rhythm disorders. This CME Conference has been approved with a maximum of 1 AMA PRA Category 1 Credit.
Course Description:
A 77-year-old man with history of ischemic cardiomyopathy with an ejection fraction of 35% was referred for ablation of recurrent VT. Electroanatomic mapping of the epicardium revealed apical scar during RV pacing, with focal activation during VT, originating from the apex. Endocardial mapping confirmed the extensive dense scar extending from the base toward the apex along the anteroseptal wall. Within the more apical portion of the scar, there was a localized region with late potentials and split electrograms.
The clinical VT was induced by endocardial pacing within the anteroseptal scar and was hemodynamically tolerated. Overdrive pacing was performed to assess the response to entrainment with a multielectrode catheter that recorded local diastolic activity. Is the pacing site in or out of the reentrant circuit?
Learning Objectives:
• Apply entrainment principles to identify optimal sites for ablation of scar-related ventricular tachycardia
• Demonstrate understanding of the various entrainment responses for reentrant VT
• Recognize atypical responses to entrainment based on differentiating near-field and far-field local electrogram capture
Additional details will be posted as soon as they are available.