By Francesco Fulvio Faletra M.D., Ann C. Garlitski M.D., François Regoli M.D. (auth.), Angelo Auricchio, Jagmeet Singh, Frank E. Rademakers (eds.)
Cardiac arrhythmias are an enormous reason for loss of life (7 million circumstances each year world wide; 400,000 within the U.S. by myself) and incapacity. but, a noninvasive imaging modality to spot sufferers in danger, supply exact analysis and consultant remedy isn't but to be had in medical perform. however, there are lots of purposes of electrophysiologic imaging in people from ECG/CT reconstructions, MRI to tissue Doppler investigations that supply supplimentary diagnostic information to the heart specialist. EP laboratories are experiencing a rise in quantity, for either diagnostic and interventional electrophysiology reports, together with mapping, ablation, and pacemaker implants. The gear specifications for those systems are stringent, contain positioning features, and dose administration. This publication is designed to check all the present imaging methodologies that help in analysis in the electrophysiology department.
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Additional info for Cardiac Imaging in Electrophysiology
Tomographic imaging has consistently shown that the bases of the papillary muscles are not solid. 56). Like the right ventricle, the left ventricle possesses an inlet, an apical trabecular component, and an outlet. The inlet 1 Imaging-Based Heart Anatomy 25 Fig. 44 MSCT axial slice showing the LAA appendage (LAA) and pectinate muscles (asterisks) inside. 57). The apical trabecular portion is the most characteristic feature of the morphological left ventricle and contains fine trabeculations. 58).
47). In the normal heart, the wall of the RV is considerably thinner than that of the left ventricle. It ranges in thickness from 3 to 7 mm. At the tip of the apex, however, the wall may be particularly thin. 48). The internal appearance of the RV is typical. The shape of the cavity can be imaged as an open “V” with a wide muscular separation between tricuspid and pulmonary valve. The right ventricular outflow tract (RVOT) is positioned in a leftward direction, whereas the left ventricular outflow tract (LVOT) is directed rightward and passes under the right outlet.
Incidence and size of patent foramen ovale during the first 10 decades of life: an autopsy study of 965 normal hearts. Mayo Clin Proc. 1984;59:17-20. 25. Ho SY, Sanchez-Quintana D, Cabrera JA, Anderson RH. Anatomy of left atrium: implications for radiofrequency ablation of atrial fibrillation. J Cardiovasc Electrophysiol. 1999;10:1525-1533. 26. Becker AE. Left atrial isthmus: anatomic aspects relevant for linear catheter ablation procedures in humans. J Cardiovasc Electrophysiol. 2004;15:809-812.