Rodrigo Isa Param

AVNRT with 2x1 AV Block. Differential diagnosis with atrial tachycardia

Your diagnosis ?

@Dr_VarunMalik A classic of EP

@IsaParam “Kiss of the girl from Ipanema”

Implantation of #LOTCRT in patient with HFrEF of ischemic - valve origin with LBBB. Where is the problem?

@Teebi_MD The morphology of PVC is interesting. Thank you for sharing. It is not easy to locate by ECG. The positivity in D2-3-VF, the negative predominance in D1 and the late transition of the QRS confuses. Do you have the EGs and the 3D navigator image ?

🧵 What is the site of origin for this PVC? Where would you map first (an interesting one)? #Epeeps

#RVOT PVC RF #ablation

🚨Latest #OpenAccess Article in @JICE_EP Catheter Ablation of Atrial Fibrillation in Patients with Heart Failure - Preserved & Reduced Ejection Rraction - Real World Evidence 🧐📖doi.org/10.1007/s10840… by @maxmoersdorf, @QMarashly, @MassadChristian, @YaraMenassa, @HanFengGHD, Michel Abou-Khalil, Mohammad Montaser Atasi, Alex El Darzi, @carloelkhoury, @Phiso_de, @AmitabhCPandey, @chris_sohns & @nmarrouche #EPeeps

@Hapa_EP @javadm20 @FimaMDMS @RolandTilz @NazemAkoum @jordanprutkin @mgandhavadi @ftrae @jacabreracardio @EF_Cardiaca @forkknifecab_EP In my opinion, any energy source would be useful and safe in this particular case. It depends on which one you have available and you like it best.

Focal (automatic) atrial tachycardia from the crista terminalis beautifully mapped on Voxel mode with Grid X. 42 msec pre-P and uni QS with no phrenic capture. Would you RF or PFA? #EPeeps

Safety and efficacy of conduction system pacing in dual-chamber Pacemakers in a CRT-indicated population: Primary analysis of the CORE-CPP study #OpenAccess heartrhythmjournal.com/article/S1547-…

Anatomical considerations for left bundle branch area pacing - Heart Rhythm heartrhythmjournal.com/article/S1547-… @CardioQuironMad @cardiac_anatomy

🚨Latest #FreeRead Article in @JICE_EP Utility of Slow Conduction Velocity Area Guided Ablation in Patients with Persistent Atrial Fibrillation 🧐📖rdcu.be/focXN by @OYousaku, Shunsuke Ishida, Sho Okamura, Naoki Ishibashi, Oe Hiroshi, Junji Maeda, Takumi Sakai, Naoto Oguri, Motoki Furutani, Shogo Miyamoto, Shunsuke Miyauchi, Takehito Tokuyama, Noboru Oda & Yukiko Nakano #EPeeps

56 yo M. NI DCM. LVEF 22 %. LBBB #CSP with successful LBBP

🏃‍♂️⚡ Can exercise stress testing (EST) improve the diagnosis and risk stratification of #BrugadaSyndrome? A fascinating new state-of-the-art review highlights that exercise testing is much more than a tool for assessing exercise capacity. In Brugada syndrome, the *recovery phase* may be the key moment to uncover concealed disease and identify patients at higher arrhythmic risk. 🔍 Key takeaways: ✅ Type 1 Brugada ECG pattern is rarely unmasked during peak exercise (~1%) but becomes evident in up to 25% of patients during early recovery. ✅ The transition from sympathetic activation to parasympathetic rebound appears to play a crucial role in ECG changes and arrhythmogenesis. ✅ Premature ventricular contractions (PVCs) occurring during early recovery may represent an important marker of future ventricular fibrillation risk. ✅ Exercise-induced malignant arrhythmias are rare, suggesting that EST is generally safe when performed with appropriate monitoring. ✅ Careful ECG monitoring during the first minutes of recovery may provide valuable diagnostic and prognostic information. 💡 The review supports the concept that both *peak exercise* and *early recovery* offer complementary insights into the electrophysiological substrate of Brugada syndrome and may help refine individualized risk assessment. An important reminder that sometimes the most informative part of a stress test is not the exercise itself—but what happens immediately afterwards. #BrugadaSyndrome #Electrophysiology #Cardiology #InheritedCardiacConditions #SuddenCardiacDeath #Arrhythmias #SportsCardiology #ExerciseTesting #ECG #RiskStratification #PrecisionMedicine #JACCAsia

#CSP HIS pacing in slow AFib.

#Europace #Epeeps Conduction System Pacing #CSP for Cardiac Resynchronization Therapy – A Systematic Review 📖 doi.org/10.1093/europa… @GiulioConteMD @FraSantoroMD @marcovitoloMD @Dominik_Linz @DavideMei93 @AndyZhangMD @LuigiDiBiaseMD

DURABILITY OF PULMONARY VEIN ISOLATION: DOES THE PULSED FIELD ABLATION SYSTEM MATTER? - Heart Rhythm heartrhythmjournal.com/article/S1547-…

HD Grid X. Focal RF ablation interrupted AFL

Left anterior atrial flutter done with @kellych11 and @Patrici48500325 Scare on the anterior wall with a slow conduction zone area between scar and LAA @AbbottCardio @VanPittar

@Teebi_MD Slow start, wolfian. Deep inferior septal or inferoseptal epicardic of the left ventricle

🧵What is the site of origin for this PVC? Where would you map? #Epeeps

Young man with non-ischemic DCM, LBBB and LVEF 20%. Difficult access due to venous sub-occlusion secondary to previous chemotherapy catheter

Excellent working day of #CSP and #LOTCRT with @GabrieLopezR en Valdivia