Page 435 - Cardiac Nursing
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                               6
                                      :57
                                  /09
                           qxd
                       0-4
                    p40
                         19.
                         19.
                                        P
                                                    pta
                                                  1 A
                                                        Inc
                                                      ra
                                                41
                                            P
                                          M
                                             a
                                             a
            K34
            K34
                 18_
               0-c
         LWBK340-c18_18_p400-419.qxd  6/30/09  7:57 PM Page 411 Aptara Inc.
         LWB K34 0-c 18_ p40 0-4 19. qxd  6 /30 /09  7 7 :57  P M  P a g g e e  41 1 A pta ra  Inc . .
         L L LWB
























                                                               No Conduction up AP
                   I
                                                                                                             200 ms
                   II   S
                   V
                   V1
                   HIS p
                   HIS 5,6

                   HIS 3,4
                   HIS d
                                                                ec
                                                         Earliest atrial electrogram on proximal
                                                         CS catheter shows normal conduction up AV node.
                                                                            A
                   C CS 9,10
                   C
                   CS 7,8
                   C
                   CS 5,6
                   C
                   CS 3,4
                                               Ventricular electrogram
                   CS 1, 2
                   C
                   RVa
                            S1                                   S1
                   RVa d
                                               Right ventricular pacing stimulis
                                              S1                                   S1                 S1
                   S Stim 1
                                                   7:57:20 AM                           7:57:21 AM
                   CardioLab v5.1D
                   GE Medical Systems Information Technologies
                                 ■ Figure 18-5  (continued) Post Ablation: ventricular pacing with retrograde conduction up AV node
                                 post successful ablation of left lateral accessory pathway.
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