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Look Inside Your Heart X-Ray Free

Cardiologists Treat Atrial Fibrillation with X-Ray Free Technique

April 1, 2010

Cardiologists are using an X-ray-free technique to treat atrial fibrillation, a condition that causes the heart rhythm to change. The disorder is typically treated by guiding a tube into the heart, using X-ray imaging to view the catheter ablation procedure. The new method eliminates the potentially harmful radiation by using an ultrasound catheter in the heart, giving surgeons high resolution images via sound waves. By combining this imaging with a 3-D view of the heart, surgeons can guide the catheter to the necessary areas of the heart to fix the problem and avoid unnecessary damage to other areas.

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WHAT IS ARRHYTHMIA? An arrhythmia occurs when the heart rhythm is disrupted and it beats too fast, too slow, or irregularly. This keeps the heart from pumping blood properly. Normally, the heartbeat starts in the right atrium, when a special group of cells (the "pacemaker" of the heart) sends an electrical signal causing the muscles to contract. These signals travel through connecting fibers to all parts of the ventricles, and must follow the exact route in order for the heart to pump properly. There are many types of arrhythmia, identified by where they occur in the heart (in the atria or ventricles), and by what happens to the heart's rhythm when they occur. One example is atrial fibrillation, an irregular heartbeat that interferes with the heart's ability to pump blood. Abnormal electrical signals cause the atria, or upper chambers of the heart, to contract erratically. Blood then pools in the atria and forms clots. These can travel to the brain and cause a stroke. The most serious arrhythmia is ventricular fibrillation, where the lower chambers quiver and the heart can't pump any blood. This results in collapse and sudden death -- if there isn't immediate medical attention.

WHAT IS ULTRASOUND? Sound is a pressure wave that causes the air around it to vibrate. The rate at which these fluctuations occur determines a sound wave's frequency. The human ear can interpret an impressively broad range of sound frequencies -- everything from a whisper to the roar of a jet engine -- but ultrasound uses such high frequencies (between 1 and 5 megahertz) that the fluctuations in the pressure wave are too fast for us to detect.

The American Association of Physicists in Medicine the American Physical Society and the Acoustical Society of America contributed to the information contained in the TV portion of this report.

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Treating Common Heart Disorder without Radiation Exposure

To Go Inside This Science:
Sally Jones
Health System Media Relations
434-981-0731
sallyhjones@virginia.edu

Dr. Sudarshan Chamakuri
Medical Physicist
American Association of Physicists in Medicine
RADIATIONTHERAPY@HOTMAIL.COM

James Riordon, Media Relations
American Physical Society
College Park, MD
301-209-3238
Riordon@aps.org

Acoustical Society of America
Melville, NY 11747-4502
516-576-2360
asa@aip.org 


© 2011 American Institute of Physics