V.J. Ceseña Báez, MD

@AdolfoFontenla @EcgOxford @12_Derivaciones @SergioPinski @smithECGBlog @EF_Cardiaca @adribaran It looks like upper lead is DI and lower lead is V1. I'm guessing LV PVCs coming from the left anterior fascicle because the resulting QRS is short and shows RV delay + left posterior fascicular block.

Holter monitoring in a patient with complete LBBB at baseline What is your best explanation for these narrow QRS complexes? @EcgOxford @12_Derivaciones @SergioPinski @smithECGBlog @EF_Cardiaca

Is conduction system pacing (CSP) ready to replace cardiac resynchronisation therapy or should the two approaches be complementary tools? At EHRA Congress 2026 Dr Pugazhendi Vijayaraman was joined by Dr Kenneth Ellenbogen to examine growing real-world data and randomised evidence emerging for both left bundle branch area pacing (LBBAP) and His bundle pacing. Watch now for an expert discussion on one of the most debated questions in cardiac pacing 🔗 arrhythmiaacademy.com/video-index/eh…

Interesting case from a colleague! 24-hour Holter trace. Diagnosis? Would you refer for a pacemaker? #ecgchallenge #cardiology #electrophysiology

🚨Latest #FreeRead Article in @JICE_EP PFA versus Thermal Ablation for Atrial Fibrillation: an Updated Systematic Review & Meta-Analysis of RCTs and Observational Studies with Time-to-Event Analysis 📖🧐rdcu.be/fduV7 by Zainab Humayun, Mir Wajid Majeed, Dhruvi Kalpesh Joshi, Ayesha Ayesha, Mariano Gallo Ruelas, Leo Consoli, Omar Baqal, Muhammad Arham, Shariq Ahmad Wani, Bazil Azeem, Muhammad Abdullah Naveed, Ahila Ali, Barbara Reis Silva, Ahmad Kofahi, Muhammad Bilal Munir, @DrDeese99 , Justin Z. Lee & Talal Asif

#EHRA26 New data from our translational animal lab @UCPH_Research We have talked a lot about spasms… but: How does #PFA impact coronary vascular integrity❓❔ 🔬 Key findings:
• PFA induces acute coronary endothelial dysfunction, evidenced by impaired bradykinin-mediated vasorelaxation
• The severity of dysfunction varies by location:
– Least pronounced at the CTI
– More evident in the GCV
– Most severe with epicardial application
• Smooth muscle function remained intact, as responses to nitric oxide donor (SNP) were preserved
 👉🏻While vasospasms are typically reversible, our data suggest that endothelial injury persists beyond the acute phase, potentially contributing to delayed complications such as:
• Recurrent coronary spasms
• Malignant arrhythmias
• Neointimal hyperplasia and coronary stenosis @JacopoImberti @micaela_ebert @AugustoMeretta @Sharon_Man @BA_Mulder @DrAnthonyLi @veramasloo @BoldiKovacsMD @DrYanushiDW @MartinRauber3 @netta_doc @HaseebEPHF @EHRAPresident #Cardiology #Electrophysiology #PFA #Arrhythmia #TranslationalResearch

It was nice attending my first EHRA congress as an #EPFellow.

#EHRASnacks episode on Late‑Breaking Science: ablation and drug therapy at #EHRA26 @Dominik_Linz is joined by @VKutyifa and @dvidschaack to discuss: 🔹 BIO‑LIBRA study 🔹 ULYSSES – ultrasound‑guided puncture for AF ablation