Bipolar ablation with half normal saline for deep intramural outflow tract premature ventricular contraction
Bibliographic record
Abstract
Key Teaching Points•In ventricular arrhythmias, an intramural septal origin should be suspected in case of poor precocity or pace map in either side of the septum, far-field local electrograms, and/or diffuse areas of earlier activation recorded on the mapped surfaces.•Bipolar ablation using half normal saline as irrigant can be effectively and safely performed to treat intramural septal ventricular arrhythmias when conventional ablation has failed.•Gradual titration of power, real-time monitoring with intracardiac echocardiography, and close attention to impedance and temperature are recommended to minimize complications. •In ventricular arrhythmias, an intramural septal origin should be suspected in case of poor precocity or pace map in either side of the septum, far-field local electrograms, and/or diffuse areas of earlier activation recorded on the mapped surfaces.•Bipolar ablation using half normal saline as irrigant can be effectively and safely performed to treat intramural septal ventricular arrhythmias when conventional ablation has failed.•Gradual titration of power, real-time monitoring with intracardiac echocardiography, and close attention to impedance and temperature are recommended to minimize complications.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".