Thomas Demming

❗️WE WANT YOU❗️ 👨‍⚕️ Assistenzärzt*in / Fachärzt*in fürs EP-Team 📍UKSH Campus Kiel, Klinik für Kardiologie 🗓️ Ab sofort ➡️ Was du mitbringst: Leidenschaft für EP ⬅️ Was wir bieten: •🔑 direkter Einstieg ins EP-Labor •👩‍🔬 Spannende Forschungsprojekte •👩‍🎓 Promotion / Habilitation

#Epeeps what’s happened here?61yo man,LVEF<20%, ICM.S-ICD implantation for primary prevention(after OP good shock impenance, good sensing). At night after OP patient received 2 shocks. After that no shocks anymore.Where they appropriate @evgeny_lyan @ThomasDemming #EP_Kiel

Male, 47yo, no cardiac history. #EPeeps guess the tachy mechanism! @evgeny_lyan @ThomasDemming #CardioTwitter #EP_Kiel #FOAMed

Matrix Broadcasting System and Rhythmia Remote Control up and running in UKSH Kiel - Broadcast EP procedures and get remote support for Rhythmia. Thanks to @evgeny_lyan @ThomasDemming @veramasloo @EP_Kiel @BSC_EU_Heart @tedcas and the RhythmCareTeam! bostonscientific.com/en-EU/medical-…

Female,63yo,admission with AT.🚫AFib. Map with @BiosenseWebster @evgeny_lyan @ThomasDemming - double-loop reentry: local reentry around the low-voltage area at the anterior wall➕roof dependent #EPeeps what would you do? #EP_Kiel #Cardiotwitter #FOAMed @EPeeps_Bot

51yo, male, cardiac history of paroxysmal Afib, Aflut. ARVC with reduced RV systolic function. #EPeeps what is the mechanism of this tachy? @evgeny_lyan @ThomasDemming #EP_Kiel #cardiotwitter #FOAMed #Fellowsfirst #ECG @EPeeps_Bot

#Epeeps look,how COHERENT Algorithm @biosenseWebster can help us to understand the tachy mechanism (localized septal reentry+perimirtal reentry),when LAT gives no clue…PVI+septal line ➡️Termination,no induction @evgeny_lyan @ThomasDemming @Adam_Kollek #EP_Kiel #Cardiotwitter

#EPeeps enjoy the bipolar ablation in vitro with @BiosenseWebster and @ftrae adapter! @evgeny_lyan @ThomasDemming @KleinhansLukas #EP_Kiel #Cardiotwitter

#EPeeps The last ECG twitter.com/EcgKiel/status… is a VT!Here we can see the most common features,to differentiate it from SVT: ✅A-V dissotiation-highly specific vor VT ✅V>A ✅Broad QRS(160ms),not typical for BBB🐰 @evgeny_lyan @ThomasDemming @veramasloo #CardioTwitter #FOAMed

Case 7. 51yo woman with myocarditis and heart failure with reduced EF. #EPeeps what do you see on this #ECG? #Fellowsfirst #CardioTwitter #FOAMed #EP_Kiel @evgeny_lyan @ThomasDemming

#EPeeps what’s gong on on this X-Ray? #Fellowsfirst #Cardiotwitter #FOAMed @evgeny_lyan @ThomasDemming #EP_Kiel

The acute culprit lesion in RCA was treated with thrombus aspiration and stent implantation. Note the big R-PLA, explaining the concomitant lateral ST elevation.

The LAD is perfused retrogradely through the collaterals from CX. This, as well as ECG (QS complexes V1-V3) , is suggesting that the LAD occlusion is chronic.

@farajraid95 @evgeny_lyan @ThomasDemming @EPeeps_Bot @UKSH_KI_HL @EcgKiel twitter.com/veramasloo/sta…

Tweetorial 3/3 Voltage EPI and ENDO map with @BiosenseWebster by @KleinhansLukas. Apical we see a large low voltage area. We performed an ENDO ablation around the substrate, EPI in the area of fragmented signals.

Tweetorial 2/3 So we’ve decided to make an epicardial mapping. Enjoy our approach for pericardial puncture Step-by-Step.

Tweetorial 1/3 #Epeeps in the last case twitter.com/veramasloo/sta… - VT with exit site at the LV apex (all QRS in precordial leads are negative). QS morphology in lead I suggests an EPICARDIAL origin. @evgeny_lyan @ThomasDemming @EPeeps_Bot #CardioTwitter #EP_Kiel #FOAMed

What would you do?

Guess the origin of VT!

Case 6 answer 1/6 On the ECG we see ST-elevations in II, III, aVF, V5-V6 and ST depression in aVL. Coronary angiogram shows the RCA occlusion in the middle segment. with @CKuehl2015 @evgeny_lyan @ThomasDemming @veramasloo @StanSavj #CardioTwitter #ECG #FOAMed