Angelo Melpignano

@TrackYourHeart Type I 2nd degree AVB - famili history & exclusion of reversible cause - ep study and eventually pm implantation - genetic counseling

25-year-old with dizziness and occasional lightheadedness. What's the diagnosis? How would you manage this patient? #MedTwitter #ECG #Cardiology #FOAMed

@ecgandrhythmRoe Attial fibrillation

70 yo woman with palpitations; 2 Holter-strips; rhythm?

@ecgandrhythmRoe 9

How many P-waves can you spot?

What are LBBP and LVSP really doing to the LV? Check out our latest drop! sciencedirect.com/science/articl… @MatteoBertini5 @malagu_m @Fra_Vitali90 @GAzzl95 @stefanoclo1 @MelpAngelo @MartinaRaffele @MarcoMicillo1 @cristinaballa1 @ritapavasini87 @NicolaBianchi95 @marcodeppo

@TrackYourHeart 2:1 isorhythmic 3rd degree av block

Rhythm? Dx?

@SergioPinski Pericardial space

Dual-chamber pacemaker implanted elsewhere long ago for heart block. Atrial lead senses well, but doesn't capture at maximum output. Where is this lead? #EPeeps #Cardiology

@DrRajeshG1 @CASivaram1 @iamritu @dr_benoy_n_shah @rajdoc2005 Splay sign: severe MR

When PISA appears flat like a “DOSA”⁩ !! What to do then? I have a series of cases of MR where PISA hemisphere appears flat like Indian Dosa!! How to assess severity of MR then? ⁦@CASivaram1⁩ ⁦@iamritu⁩ ⁦@dr_benoy_n_shah⁩ ⁦@rajdoc2005⁩

@drahmedmohsen85 RAC sign

Spot diagnosis?

@Shahdshehri @ASE360 @JournalASEcho @echocardiac @EchoCases @NMerke @EchoAshwag @echo_stepbystep @alexsfelixecho @The_echo_lady Contrast Echocardiography

ECHO|🫀 41 y/o male with EF 35% As an echo technologist, what is your first step to do if see this case to confirm the diagnosis🤔? #Cardiology #CardiTwitter @ASE360 @JournalASEcho @echocardiac @EchoCases @NMerke @EchoAshwag @echo_stepbystep @alexsfelixecho

@CardiacPhys_ Right posterolateral

24 year old male with recurrent SVT. Pre-excitation on resting ECG. The question is, where is the accessory pathway and which algorithm did you use? #epeeps #ECG #ekg #FOAMed #Cardiology #electrophysiology #CardioEd #MedTwitter