Hamza Sunman

@Siddmann Is this thrombus or mass?

Look what our surgeon found #epeeps

@javadm20 I think it may be epicardial. I wonder distal coronary sinus potentials.

Freq. PVC’s in a pt. With hx. Of CAD/CABG and LVEF: 45%! Failed RFA! any idea about SOO? #Epeeps

@gokselcinier @MDuyguinan @canyucelkarabay @hikmetyorgun @taylanakgun @drerkanbaysal @ayhankup @mertilkerh @YalinKivanc @GkhanAksan @dr_pmueller @DavidDuncker @purerfellner @Phiso_de Access through the LV apex would be more easier😃

What was the thickest septum that you need to puncture? Here is mine. #EPeeps @MDuyguinan @canyucelkarabay @hikmetyorgun @taylanakgun @drerkanbaysal @ayhankup @mertilkerh @YalinKivanc @GkhanAksan @dr_pmueller @DavidDuncker @purerfellner @Phiso_de

@KaitlinG_EP @HighPwrShortGal @KoerberScott @AbbottCardio Nice imaging👍. How do you decide to ablate carina (you perform right one, but not left).

Great #AbbottAF case on this redo pt. with @KoerberScott! By utilizing #HDGrid we were able to map both pre and post LA in 16 minutes with over 20,000 points collected. A total ablation time of 32 minutes was taken to re-isolate all 4 PVs! @AbbottCardio #EPeeps

@AslangerE It likes De-vinter? I think primary PCI is needed.

60 something male, presents with chest pain. Should we make a go-through for this ECG ? Any comments ?

@MubarakAlhatemi V6 has different QRS morphology after adenosine. How can it be explained?

ECG after Adenosine 6 mg IV

SVT with abberancy or VT? 60 years old patient with palpitations. @adribaran @syamkumarmd @UlhasDr @EM_RESUS

@YalinKivanc @adribaran @ChristianHeeger @RolandTilz @taylanakgun @gokselcinier @kamilgulsen @AslangerE Broad qrs can be seen at early period of post-cardiac arrest. History of cardiac disease, anti-arrthymic drug, electrolyte, arrest duration?

30 yo woman, post cardiac arrest ECG. What do you think? ⁦@adribaran⁩ ⁦@ChristianHeeger⁩ ⁦@RolandTilz⁩ ⁦@taylanakgun⁩ ⁦@gokselcinier⁩ ⁦@kamilgulsen⁩ ⁦@AslangerE⁩

Do you have experience about recurrent AVNRT, short survey🙂 forms.gle/GLJssPm11LPLo6… #EPeeps #youngEP #avnrt

@MeltemAltinsoy, @dr_fatihucar, @U_Cnplt, @ozcanozeke, @hikmetyorgun @gokselcinier @EPeeps_Bot, @UlhasDr, @can_yontar

Do you have experience about recurrent AVNRT, short survey🙂 forms.gle/GLJssPm11LPLo6…

Mitral AFL utilizing Bachmanns Bundle fibers as an epicardial connection - let’s get into it! Upon ablating an anterior mitral line, we extend our CL by 65ms. Further LA ablation proves no change to TCL - We ultimately terminate AFL at the septal RA/SVC junction by contact alone!

@BKSCardiology @EPeeps_Bot @AbiSalehBernard @javadm20 RVOT free wall

38 yo men Symptomatic PVC .SOO? #EPeeps #MedTwitter @AbiSalehBernard @javadm20

@ZiadIssaMD Amazing. Spontaneous return of VF to sinus rhythm; luck or bad luck😮🙄

43 y.o. lady with syncope. Normal ECG/Echo/Cath. Holter monitor established a complete diagnosis.

@JDMossMD @PrashSanders Great mapping👏 It is very interesting that so few ablation points generate reentry. I wonder where you think it's the slow pathway

A humbling reminder for #EPeeps that even minimal ablation can be pro-arrhythmic. Left: the cause, not the cure -- a "small" lesion set targeting frequent mid-crista PAC after PVI. Right: pinwheel atrial flutter arising several weeks later. Treated with line to IVC.

Described in 1897 by Austrian pathologist Hans Chiari (1851-1916). •2% of the population •Remnant of the right valve of the sinus venosus •Connects Eustachian valve to coronary sinus orifice •Associated with clot formation, arrhythmias, endocarditis, catheter entrapment

#IssaTweetorials 1/8 Q: Does a proximal-to-distal atrial activation sequence in the coronary sinus (CS) aid distinguishing right vs. left atrial tachycardia (AT)? A: No. While this activation sequence is often observed during right ATs, it is not always true. #EPeeps

@JElectrocardiol Good ECGs. Isn't "pattern" more appropriate for this patient instead of syndrome? Beta angle is a little narrow in V2?

Brugada syndrome unmasked by left ventricle posteromedial papillary muscle ventricular tachycardia #NewOnline sciencedirect.com/science/articl…

@SchakrabartiEP @UlhasDr @EPeeps_Bot @MaruanCarlos @ELabartkava @syamkumarmd @abhishek_mbbs @Arritmias_HRC @Hapa_EP @PaymardM @javadm20 @jeffrey_vinocur @ecgoxford @gauravaupadhyay @ecgrhythms @KartikeyaEPrunn @SuchitMajumder @mahishasur Is this long HV interval acceptable finding? I thought it was complete infrahisian AV block

@UlhasDr @EPeeps_Bot @MaruanCarlos @ELabartkava @syamkumarmd @abhishek_mbbs @Arritmias_HRC @Hapa_EP @PaymardM @javadm20 @jeffrey_vinocur @ecgoxford @gauravaupadhyay @ecgrhythms @KartikeyaEPrunn @SuchitMajumder @mahishasur

Level of block? @EPeeps_Bot #EPeeps @MaruanCarlos @ELabartkava @SchakrabartiEP @syamkumarmd @abhishek_mbbs @Arritmias_HRC @Hapa_EP @PaymardM @javadm20 @jeffrey_vinocur @ecgoxford @gauravaupadhyay @ecgrhythms @KartikeyaEPrunn @SuchitMajumder @mahishasur

@gokselcinier @ISE_YCommunity @ecgrhythms @taylanakgun @ECGfan @AslangerE @mertilkerh @ayhankup @kamilgulsen @baskovski @EvrimSimsek2 @syamkumarmd @SergioPinski Complete AV block (dissociation seen in DII)

What do you think about this ECG? 90 years old lady presents w/ presyncope @ISE_YCommunity @ecgrhythms @taylanakgun @ECGfan @AslangerE @mertilkerh @ayhankup @kamilgulsen @baskovski @EvrimSimsek2 @syamkumarmd @SergioPinski

@jeffrey_vinocur @santydhillon @adribaran @ALFIEEP1 @ECG_Emily @ecgrhythms PR duration should have been longer before echo beat, right?

@santydhillon @adribaran @ALFIEEP1 @ECG_Emily @ecgrhythms Definitely PACs, you can see the P wave in V1. Nice pickup about the echo. This is actually a patient with PSVT and the PACs are incidental.

Not really a mystery here for most #EPeeps, but nice example of 4-fold phenomenon not often captured in a single ECG @adribaran @ALFIEEP1 @ECG_Emily @ecgrhythms