1. ANGIOGRAPHY

2. Your Hearts Electrical System

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

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

5. Your Hearts Electrical System

6. Cardiac Ablation Minimally invasive treatment for arrhythmias Minimally invasive treatment for arrhythmias Live fluoroscopy and angiography techniques are used along with special electro physiologic equipment and catheters Live fluoroscopy and angiography techniques are used along with special electro physiologic equipment and catheters Performed by a doctor specializing in the hearts electrical system Performed by a doctor specializing in the hearts electrical system

7. Diagnosis and Symptoms Pulse Pulse ECG ECG Chest pain Chest pain Nausea Nausea Syncope Syncope

8. Indications Atrial Fibrillation Atrial Fibrillation Atrial Flutter Atrial Flutter AV Nodal Reentrant Tachycardia AV Nodal Reentrant Tachycardia AV Reentrant Tachycardia AV Reentrant Tachycardia Atrial Tachycardia Atrial Tachycardia

9. Complications Minor: Minor: Pain Pain Swelling Swelling Bruising Bruising Major Major Blood clots Blood clots Damage to heart or blood vessels Damage to heart or blood vessels Normal electrical system damage Normal electrical system damage Death Death

10. Durring Ablation Patients may experience: Patients may experience: Pain Pain Discomfort Discomfort

11. Your Hearts Electrical System Sinoatrial node- Sinoatrial node- “Natural Pacemaker” “Natural Pacemaker” Upper Right Atrium Upper Right Atrium Produces electrical signal 60-100 times a min Produces electrical signal 60-100 times a min Atrioventricular node- Atrioventricular node- The bridge that connects Atriums to Ventricles The bridge that connects Atriums to Ventricles Special cells allow electrical signals to pass Special cells allow electrical signals to pass

12. Your Hearts Electrical System His-Perkinje- His-Perkinje- This system allows electricity to travel around the ventricles and make them contract This system allows electricity to travel around the ventricles and make them contract Includes Includes His bundle (beginning) His bundle (beginning) Right bundle branch Right bundle branch Left bundle branch Left bundle branch Perkinje fibers (end) Perkinje fibers (end)

13. Pacing A normal rhythm is called a sinus rhythm. Any abnormal rhythm is termed an arrhythmia. A normal heart speeds up and slows down, but an arrhythmia can hinder the hearts output of oxygenated blood to the body. A normal rhythm is called a sinus rhythm. Any abnormal rhythm is termed an arrhythmia. A normal heart speeds up and slows down, but an arrhythmia can hinder the hearts output of oxygenated blood to the body. Typical arrhythmias that are treated with cardiac ablation occur in the atrioventricular node Typical arrhythmias that are treated with cardiac ablation occur in the atrioventricular node

16. Cardiac Ablation CARDIAC ABLATION

18. ABLATION UP CLOSE

20. Recovery Patient cant move leg for a couple of hours Patient cant move leg for a couple of hours A restraint may be placed on the patients leg to remind them A restraint may be placed on the patients leg to remind them A sand bag is placed on the angio site for pressure A sand bag is placed on the angio site for pressure Patients are expected to walk after 3-4 hours Patients are expected to walk after 3-4 hours