Hg, resting ecg showed regular sinus rhythm. Transthoracal echocardiography revealed normal
Hg, resting ecg showed typical sinus rhythm. Transthoracal echocardiography revealed regular cardiac chambers with out left atrial dilatation, excellent LV function (EF), fantastic RV function and no sign of thrombus formation. Right after exclude left atrial (LA) appendage thrombus with transesophageal echocardiography, we then decided to carry out electrophysiology study and catheter ablation. Using double JI-101 transeptal puncture with Brockenbrogh needle, we placed halo catheter in left atrium (LA) to constructed LA geometry and identified ideal and left pulmonary vein. We performed PV isolation (PVI) at the PVLA junction (annulus PV) from left to suitable pulmonary vein. Evaluation after PVI showed entrance and exit block, and there was no inducible arrhythmia. ConclusionThis will be the initially catheter ablation for AF that we performed in Tangerang General Hospital. Using double transeptalAcute coronary syndrome is
a major result in of mortality around the globe particularly in ST elevation myocardial infarction (STEMI) cases. Even so, it could be lowered when the remedy tactic was performed in the effective way including revascularization therapy together with the decision of thrombolytic or percutaneous coronary intervention (PCI). Highdegree atrioventricular block (HAVB) was likely be found in those sufferers. Thus, limited information was found in mortality rate of STEMI sufferers complicating HAVB who had been underwent the revascularization therapy. ObjectiveThe objective of this study is usually to examine the mortality rate among individuals with STEMI who have been underwent the revascularization treatment with either complicated with highdegree atrioventricular block or no atrioventricular block. MethodWe performed a look for all published articles in Pubmed, yEmbase, and Cochrane databases with all the certain terms and related phrases of STEMI patients with complicating high degree atrioventricular block and did the revascularization tactic. The major outcome is always to identify the allcause mortality in individuals who had been difficult with higher degree atrioventricular block in comparison to the individuals who had been absent of the atrioventricular block. The outcomes then presented in relative risk (RR) and confidence interval (CI). ResultFive observational research were eligible for this study in which 3 of them did the PCI treatment although the other two did the thrombolytic remedy rather. The allcause mortality in PCI research had been larger in HAVBcomplicated sufferers than in no HAVB patients with RR . (CI . I:). In addition, in the thrombolytic research, PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/26296952 similar value was observed with greater mortality was identified in HAVBcomplicated patients with RR . (CI . I:). Though the cumulative revascularization therapy with RR . (CI . I:). ConclusionPatients with STEMI complicating highdegree atrioventricular block had significant greater mortality in comparison to no highdegree atrioventricular block among patients who have been underwent the revascularization therapy. However, much more studies are needed specially in comparing the reperfusion or no reperfusion tactic amongst patient with HAVBcomplicated STEMI.PP . Recommended Viral Infectioninduced Supraventricular Tachycardia (SVT) in Childrena Case ReportSatyadharma Michael Winata, Sari Novia Arifin Basic Practioner Budhi Asih Common Hospital, JakartaIntroductionSupraventricular tachycardia (SVT) can be a speedy, paroxysmal normal tachyarrhythmia originates above the degree of the Bundle of His that frequently includes the atrioventricular (AV) conduction technique and an accessory pathway. This i.