Arrhythmia and conduction Re-entrySource-load (source-sink) concept Basic steps in Lab Getting these basics correct is necessary to avoid frustration Catheter placement Electrodes, signals and filters Basic intervals Hierarchy of conduction and activation sequence Entrainment Entrainment is the holy grail of identifying the underlying mechanisms of arrhythmia. Entrainment – 1 Entrainment – 2 Entrainment – 3 (Working out the criteria) Entrainment – 4 (Examples) ECG ECG – 101. Most read ECGs by pattern recognition. The electrophysiologist (and everyone else) should read it by scientific analysis (then no need to remember patterns !) ECG Made really easy ECG Analysis of Pre-excitation (WPW) without algorithms ECG analysis of narrow complex arrhythmia ECG Analysis of wide complex arrhythmia Accessory Pathways Parahisian pacing Differential pacing Pre-excitation index Effect of bundle branch block Atrio- fasciclular pathways Nodo-ventricular / nodo-fasciclular pathways PJRT Narrow complex tachycardia Approach to NCT His Synchronous PVCs Ventricular overdrive pacing – beyond PPI-TCL PACs for NCTs AVNRT Anatomy for AVNRT Typical AVNRT Atypical AVNRT Atrial Tachycardia CTI Flutter Mitral isthmus flutter Focal Atrial Tachycardia Scar related atrial flutter Wide Complex Tachycardia Approach to WCTSVT or VT – choice is yours Scar related re-entry : Application of entertainment principles Outflow VT ILVT Bundle branch re-entry