Arnel Carmona retweetledi
Atypical flutter on patient with prior PVI, anterior mitral line, and roof line. Where should we ablate? #EPeeps
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Arnel Carmona
40.9K posts
Arnel Carmona
@ecgrhythms
🦜/RT ⚕️🫀ECGs , 🦜are personal opinion & not ⚕️ advice
California, USA Katılım Kasım 2011
23.4K Takip Edilen27.8K Takipçiler
Arnel Carmona retweetledi
You can order our new textbook of interventional cardiology now and receive a discount !
I'm on the cover and on the inside !
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Arnel Carmona retweetledi
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Arnel Carmona retweetledi
The following tele strip is obtained in a patient with dizzy spells. Metoprolol 25mg BID was started 12 hrs ago for PVCs.
Whats the next best step? Poll below 👇
(Courtesy of #CedarsSinaiEP fellows)
#CardioTwitter #Epeeps #EPfellows
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Arnel Carmona retweetledi
Arnel Carmona retweetledi
Arnel Carmona retweetledi
Diagnosis? #echofirst
CardiovascularCorner@TrackYourHeart
The image depicts downward displacement of the tricuspid valve into the right ventricle, leading to atrialization of a portion of the RV and a markedly enlarged right atrium. Diagnosis: Ebstein anomaly This is a congenital malformation of the tricuspid valve characterized by: 🔹Apical displacement of septal and posterior tricuspid leaflets 🔹Atrialized portion of the right ventricle 🔹Dilated right atrium 🔹Often associated tricuspid regurgitation Clinically, it may present with cyanosis, arrhythmias (especially WPW), and right-sided heart failure features.
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@crptseko I am not sure but I 🤔 in the presence of a device and artifact. The device influence analysis. In this case, VP-AS. In case if there is AF then VP, AF or AF with demand VP.
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Arnel Carmona retweetledi
Arnel Carmona retweetledi
Please connect the dots ⤵️
🫵 diagnosis and treatment recommendation is highly appreciated 🙏
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Arnel Carmona retweetledi
When deciding whether an adult patient is anemic, which do you usually use?
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@NaokiThukishima 築島先生！！！！！！
見てくださってありがとうございます😭✨
リンクは解答と一緒に貼りたいと思っています🙇
うれしいです…✨
日本語
Arnel Carmona retweetledi
RF it is! AT suppressed on the first burn and was not able to be re-induced, even on isuprel, when it was almost incessant before. We then performed an RF floret 🌺 for consolidation. #Tactiflex
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Arnel Carmona retweetledi
ECGs of the week... what type of tachycardia is this? our answer below...
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Arnel Carmona retweetledi
ICU stories:
Middle-age pt w known cardiomyopathy comes to the ICU from the ward w "fluid overload" after AICD fired once. BP 95/70, HR 90, on 6 l/m O2 (nasal cannula). Anasarca: +
Cards asked us to "optimize" fluid status before heart cath. In 2 days, more than 22l of urine and >20l (-) fluid balance
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Arnel Carmona retweetledi
Serious question to all armchair physicians and theoretical palliative care scholars: how do you manage ICU patients that demand being “full code” and having “everything done” but call physicians “quacks” and when they are discharged home, they consider all medications optional and follow-ups with their primary care providers unnecessary?
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Arnel Carmona retweetledi
✅ We mapped this AT to inferior tricuspid annulus (7’O’clock)! Successfully ablated.
Positive I/AVL favors RA origin. AT with superior axis (- II/III/AVF P waves), DDX includes: TV annulus, Low Crista, or CS OS.
Negative P wave in V1 suggest a more posterior structure (TA or CS rather than CT). #Epeeps
Ahmed Teebi, MD MPH MSc(Ox)🗝️@Teebi_MD
🧵Where would you localize this Atrial Tachycardia to?! What is typically the biggest challenge ablating this AT. Classic but important one for #Epeeps.
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Arnel Carmona retweetledi
@ErnestoMD2615 shared this electrocardiogram with me, along with several hypotheses. What do you think? @ecgandrhythmRoe @ecgrhythms @Frances98392343 @ECGEPSCADEVICE @DaviddlCuevas @DrJNELLY95 @MosqueaRubelin @AThomazAndrade @veramasloo
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Arnel Carmona retweetledi
Efficacy and Safety of Bempedoic Acid in Patients Aged ≥75 Years Stratified by Varying Statin Exposure: Results From Phase 3 Studies of Bempedoic Acid.
doi.org/10.1161/jaha.1…
Contributions from Baim faculty, @LincoffMichael and Prof. Stephen Nicholls.
#BaimInstitute
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Arnel Carmona retweetledi
Qué se imaginan que tiene este paciente para justificar estas alteraciones en el electrocardiograma?
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