Appropriateness of mapping and imaging modalities in interventional electrophysiology
Interventional electrophysiology has enjoyed explosive growth in the use of new imaging and mapping technologies as well as the novel application of existing technologies. This chapter provides an overview of appropriateness in relation to the use of imaging and mapping for the most commonly performed electrophysiology procedures, namely implantation of cardiac implantable electronic devices (CIEDs), regular supraventricular tachycardia and atrial fibrillation ablation, and ventricular tachycardia ablation. It presents the available guidance for the appropriate use of imaging and mapping in electrophysiology. Imaging plays an important role in electrophysiology for the management of CIEDs. A benefit of echocardiography as an imaging modality to assess left ventricular ejection fraction prior to CIED implant is the ability to assess dyssynchrony, which may provide additional evidence to justify cardiac resynchronization therapy.