Steve Stabinger

122 posts

Steve Stabinger

Steve Stabinger

@5Stabbies

Running and hiking enthusiast. Dad to 3 amazing kids and two giant dogs. Married to the boss. Cardiac Rhythm nerd

Lancaster, PA Katılım Mart 2011
85 Takip Edilen61 Takipçiler
Steve Stabinger
Steve Stabinger@5Stabbies·
@Dr_Nazarian_EP Saw it in Lancaster, PA as well. News says “white light in the night sky drew a lot of attention across South-Central Pennsylvania Tuesday evening. The light, which some WGAL viewers described as "swirling," was most likely a rocket that launched in South America.”
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Yellowcard
Yellowcard@Yellowcard·
If anyone needs the presale code for the new shows but doesn’t want to join the Discord to get it, drop a comment and we’ll DM it to you ⬇️
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Sean Mackin
Sean Mackin@smackinyc·
Good morning. Today is a big day. I honestly never thought I would get to play music in this way ever again. Wanted to thank @RiotFest for having us out, and i wanted to tell you all that i am so grateful for your support. From my whole heart THANK YOU ALL. #LOVE
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Steve Stabinger
Steve Stabinger@5Stabbies·
@narrowQRS @SergioPinski 2nd beat shows widening of the QRS due to fusion. P-wave is diff morphology. Then PAC blocks or causes block in FP; conducts down slow. It is tracked but device can’t violate MTR so pacer wenchebach. No fusion from there on out. Other option could be very slow ELT. Answer?
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JMC
JMC@narrowQRS·
Biventricular device, 2 different paced QRS morphologies. Single PAC seen (and tracked) at the onset of the change (red dot). Why the different paced QRS with the PAC? Why does the QRS remain different thereafter? 🤔 #EPeeps @SergioPinski
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Steve Stabinger
Steve Stabinger@5Stabbies·
@kvernooy Is your optimization technique for LOT-CRT the same as traditional CRT? Are you looking for certain QRS criteria or just the narrowest QRS? Thanks!!
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Kevin Vernooy
Kevin Vernooy@kvernooy·
Pt with AVB en RVP and detoriation of LVEF. LBBP (sLBBP -> nsLBBP) with LVAT of 128 ms..🤨 👉🏻additional LV lead with narrowing of QRS = LOT-CRT
Kevin Vernooy tweet mediaKevin Vernooy tweet media
Maastricht, The Netherlands 🇳🇱 English
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Steve Stabinger
Steve Stabinger@5Stabbies·
@drpmoskal Is this due to retrograde (2:1) activation of the RBB? Look forward to learning more.
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Paweł Moskal
Paweł Moskal@drpmoskal·
Fun case for CSP fans! Pt with LBBB and some dropped beats (2:1 block), EF 30%. Started with CSP. HBP didn’t correct LBBB, so switched to LBBP: easy S/NS-LBBP, RWPT 74 ms - full CRT for LV - no need for CS. Final ECG with R’ in V1. Why some QRS are narrower w/o R’? #dontdisthehis
Paweł Moskal tweet mediaPaweł Moskal tweet mediaPaweł Moskal tweet media
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Steve Stabinger
Steve Stabinger@5Stabbies·
@SergioPinski Interesting SVC coil. Almost looks like the coil is “spiraling”. Is that just fluoro artifact or is possible lead was over torqued during initial fixation? Great case nonetheless!!
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Sergio Pinski
Sergio Pinski@SergioPinski·
Evolution of cardiac resynchronization therapy (3/3) Threshold kept creeping up, eventually leading to premature battery depletion. System revised again with new lead for deep septal pacing. Good ECG and clinical response. Will follow echocardiogram
Sergio Pinski tweet media
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Sergio Pinski
Sergio Pinski@SergioPinski·
Evolution of cardiac resynchronization therapy (1/3) 55 yo woman consulted after 2 years of CRT with no clinical response. ECG with biventricular capture but wide QRS. Lead was in anterior interventricular vein. Intrinsic ECG indeed LBBB. Pacing adjusted to obtain a narrower QRS.
Sergio Pinski tweet media
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Steve Stabinger
Steve Stabinger@5Stabbies·
@MedFitBlondie Are these for running or training? Curious. Thinking of getting my wife a pair. Let us know your thoughts!! Thx!
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Emma Humphrey
Emma Humphrey@MedFitBlondie·
You know I had to 👀
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JMC
JMC@narrowQRS·
@StevenZweibel Too bad that's a thing of the past 🤷‍♂️
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Steve Stabinger
Steve Stabinger@5Stabbies·
@narrowQRS @GlassyMatthew @EPLabRat I believe noise reversion is still “active” even in DOO/VOO. The device can still sense persistent noise and, if seen ,it paces.VOO @ 50bpm. Confusing for sure but I believe this is what may be happening.
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JMC
JMC@narrowQRS·
@GlassyMatthew @EPLabRat Can't answer that, as i don't know the mechanism of what happened! 😂
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JMC
JMC@narrowQRS·
@EPLabRat Were hard programmed VOO 80 and VOO 70. Tachy off. Device clearly was "seeing" cautery despite VOO.
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Steve Stabinger
Steve Stabinger@5Stabbies·
@Dr_Nazarian_EP Does the “inter” VAT time play any role in deciding which is better for synchrony in this situation or is it best used to discriminate LV Septal Only from NS-LBBP?
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Saman Nazarian, MD, PhD
Saman Nazarian, MD, PhD@Dr_Nazarian_EP·
Deep septal pacing in a patient with PAVB. The paved morphology is narrow but has longer LVAT. Which is better for synchrony? 🤔
Saman Nazarian, MD, PhD tweet media
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Steve Stabinger
Steve Stabinger@5Stabbies·
Thank you. Enjoyed your presentation at PPS 2021.
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Steve Stabinger
Steve Stabinger@5Stabbies·
@Dr_Nazarian_EP Could it also be related to respiratory rate? I agree with atrial lead angle vs. cross-chamber blanking minimizing signal.
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Saman Nazarian, MD, PhD
Saman Nazarian, MD, PhD@Dr_Nazarian_EP·
Interesting effect of ventricular end diastole on atrial lead bipole angle and resultant flutter wave sensing. #cardionerds
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