ANGIOGRAPHY

Your HeartsYour Hearts Electrical System Electrical System

LubbLubb

The sinoatrial The sinoatrial node fires. The node fires. The signal is sent signal is sent through to both through to both atriums which atriums which contract pushing contract pushing blood into the blood into the ventricles.ventricles.

DubbDubb

Next the Next the atrioventricular node atrioventricular node receives the signal receives the signal and pauses to allow and pauses to allow the ventricles to fill the ventricles to fill with blood. Finally with blood. Finally the signal is passed the signal is passed on to the His-Perkinje on to the His-Perkinje system wrapping the system wrapping the ventricles with ventricles with electricity.electricity.

Your HeartsYour Hearts Electrical System Electrical System

Cardiac AblationCardiac Ablation

• Minimally invasive treatment for Minimally invasive treatment for arrhythmiasarrhythmias

• Live fluoroscopy and angiography Live fluoroscopy and angiography techniques are used along with techniques are used along with special electro physiologic special electro physiologic equipment and cathetersequipment and catheters

• Performed by a doctor specializing Performed by a doctor specializing in the hearts electrical systemin the hearts electrical system

Diagnosis and SymptomsDiagnosis and Symptoms PulsePulse

ECGECG

Chest painChest pain

NauseaNausea

SyncopeSyncope

IndicationsIndications

Atrial FibrillationAtrial Fibrillation Atrial FlutterAtrial Flutter AV Nodal Reentrant TachycardiaAV Nodal Reentrant Tachycardia AV Reentrant TachycardiaAV Reentrant Tachycardia Atrial TachycardiaAtrial Tachycardia

ComplicationsComplications Minor:Minor:

PainPain SwellingSwelling BruisingBruising

MajorMajor Blood clotsBlood clots Damage to heart or blood vesselsDamage to heart or blood vessels Normal electrical system damageNormal electrical system damage DeathDeath

Durring AblationDurring Ablation

Patients may experience:Patients may experience: PainPain DiscomfortDiscomfort

Your HeartsYour Hearts Electrical System Electrical System

Sinoatrial node- Sinoatrial node- ““Natural Pacemaker”Natural Pacemaker” Upper Right AtriumUpper Right Atrium Produces electrical signal 60-100 times a Produces electrical signal 60-100 times a

minmin Atrioventricular node-Atrioventricular node-

The bridge that connects Atriums to The bridge that connects Atriums to VentriclesVentricles

Special cells allow electrical signals to passSpecial cells allow electrical signals to pass

Your HeartsYour Hearts Electrical System Electrical System

His-Perkinje-His-Perkinje- This system allows electricity to travel This system allows electricity to travel

around the ventricles and make them around the ventricles and make them contractcontract

IncludesIncludes His bundle (beginning)His bundle (beginning) Right bundle branchRight bundle branch Left bundle branchLeft bundle branch Perkinje fibers (end)Perkinje fibers (end)

PacingPacing

A normal rhythm is called a A normal rhythm is called a sinussinus rhythmrhythm. Any abnormal rhythm is . Any abnormal rhythm is termed an termed an arrhythmiaarrhythmia. A normal . A normal heart speeds up and slows down, but heart speeds up and slows down, but an arrhythmia can hinder the hearts an arrhythmia can hinder the hearts output of oxygenated blood to the output of oxygenated blood to the body.body.

Typical arrhythmias that are treated Typical arrhythmias that are treated with cardiac ablation occur in the with cardiac ablation occur in the atrioventricular nodeatrioventricular node

Cardiac AblationCardiac AblationCARDIAC ABLATIONCARDIAC ABLATION

ABLATION UP CLOSEABLATION UP CLOSE

RecoveryRecovery

Patient cant move leg for a couple of Patient cant move leg for a couple of hourshours

A restraint may be placed on the patients A restraint may be placed on the patients leg to remind themleg to remind them

A sand bag is placed on the angio site for A sand bag is placed on the angio site for pressurepressure

Patients are expected to walk after 3-4 Patients are expected to walk after 3-4 hourshours