garner - epcoxcollege.edu/wp-content/uploads/2015/11/garner-ep.pdf · live longer feel better avoid...
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John Garner, MD
Medical Director, Cardiac Electrophysiology
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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
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Consider Procedure on Diagnosis
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� … and prevents death just as effectively
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Consider Procedure on Diagnosis
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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
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AVNRT
65%
AVRT/WPW
25%
AT
10%
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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
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