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@melhamriti Interesting

👇Rare VT Mechanism: Bundle Branch Reentry VT with Exit in the LV and RV. 2 VTs treated with 1 burn👇 👉 A 40-year-old patient with no known preexisting conditions presents with incessant tachycardia over the past two days, refractory to both pharmacological therapy and electrical cardioversion. 👉 During the EPS, two VT morphologies were identified: BBR-VT with a clockwise reentry circuit and exit in the LV, presenting as RBBB, and BBR-VT with a counterclockwise reentry circuit and exit in the RV, presenting as LBBB. 👉 A single burn at the right bundle branch terminated the arrhythmic storm🤩🤩 #EPeeps If you find my first depiction of the two reentry circuits correlated with the ECG interesting, I can prepare additional overviews of tachycardias and EPS findings. @Phiso_de @MoneebKhalaph @MBraunEP @chris_sohns @VanessaSciacca_ @Cardioschool @VanessaSciacca_ @AleSpoken @syamkumarmd @ecgandrhythmRoe @ecgrhythms @ECGEPSCADEVICE #CardioTwitter @AGEP_DGK @YoungDgk @ESC_Journals #ESCCongress2024

@sumitvermaep How low energy induce the VF ?

When shocking VT- go big or go home

@su9uru @JICE_EP Can you explain it more in details?

@JICE_EP Thank you for sharing my work on X! Everyone should try this method. It is easy to identify what you want to find.

🚨New #FreeRead Article in @JICE_EP Novel Automated Atrial Pacemapping Technique Based on Intracardiac Pattern Matching to Identify Location of Ectopic Atrial Activity 🧐📖rdcu.be/dFSN8 by Suguru Nishiuchi, Tomohiro Sato, Shintaro Yamagami, Hirokazu Kondo & Toshihiro Tamura #EPeeps

@DrRajeshG1 Paced rhythm Ap-Vp SSS with AV block ?

ECG for fellows.

@jeffrey_vinocur @narrowQRS @ECG_Emily @ecgandrhythmRoe Adjusting PVARP will solve that

#EPeeps Amazing strip - look closely - there is a unifying hypothesis to explain all of the findings @narrowQRS @ECG_Emily @ecgandrhythmRoe Note, the atrial rate is physiologic for age

@MustafaAhmedMD @DocEBROhimi @MadhuraMyla What is this feature?

Using AI fusion tools to crack the code on making lesion localization intuitive. Fellows:@DocEBROhimi @MadhuraMyla "how do we know where to wire the PVL?" Answer: "Here you go, wire the red dot where the leak is"

@KamalKotakMD Is that parahisian?

58 y/o - 18% burden. Interesting morphology!

@EhdaieMd VAAV response Earlier in prox HIS and CS 7.8 AP is parahisian 🤷🏼?

An EP 💎gem Referred from OSH (2 x R slow pathway modification) for recurrent tachycardia Where was the successful site of ablation? #EPfellows #Epeeps #TeachtoLearn Poll below 👇

@EPWaveDoc @Marek_Jastrz_EP @OCanoPerez @curilakarol @kvernooy @drjohnm @MdHuang @SergioPinski @SergioRichterMD @ugurcanpolatmd @clementy_ep A transition between selective and non selective LBBAP

45 yo patient w #heartfailure NYHA3 due to #DCM, LVEF 20, LBBB ➡️ LOT-CRT w difficult CS anatomy. What happened during #LBBAP threshold test? #Epeeps @Marek_Jastrz_EP @OCanoPerez @curilakarol @kvernooy @drjohnm @MdHuang @SergioPinski @SergioRichterMD @ugurcanpolatmd @clementy_ep

@StrikMarc @CHUBordeaux @ihu_liryc @Medtronic @BSCCardiology @BIOTRONIK_News @AbbottNews @MicroPort How this possible?

Remote interrogation and repogramming of any #pacemaker & #ICD now possible with our new prototype. 150km away a local nurse attaches ECG and programmer and we take full controll at @CHUBordeaux @ihu_liryc @Medtronic @BSCCardiology @BIOTRONIK_News @AbbottNews @MicroPort

@ugurcanpolatmd Selective pacing Which lead did you use ?

64 y, female, non-ischemic CM, ECG: LBBB, LVEF: 26% underwent CRT-D via LBBP. Fascicular potential+QRS transition during threshold test. Setting. LV only pacing, Ampl. 2.5 v, AVd. 120 ms, bipolar pacing. Comments for the pace ECG please! #LBBP

@A1_Alshahrani @brightonsaudi @uksacborg Congratulations 👏👏👏

لقطات من حفل تخرجي بدرجة الماجستير في Cardiology بمرتبة الامتياز. نشكر وطني المعطاء على إعطاء الفرصة 🇸🇦 ونسأل الله ان يعلمنا ما ينفعنا وينفعنا بما علمنا. @brightonsaudi @uksacborg

@hassan_alharbi الف الف الف مبروك دكتور حسن 👏

الحمد لله الذي بنعمته تتم الصالحات انهيت بفضل الله مرحلة التخصص الدقيق في القسطرة القلبية والشرايين للكبار من جامعة تورنتو وبرنامج القيادة الطبية من قسم الدراسات العليا في كلية تيميرتي للطب من جامعة تورنتو. الشكر لوالدي وزوجتي وابنائي. انتم العون بعد الله لاي انجاز و نجاح.

@1988Abdsh @ksmcmedia It was complex case but the results were satisfying 👍👍

Very interesting case done today for patient 30 y/o WPW with recurrent SVT . Unfortunately was parahisian but successfully ablated on non coronary cusp. @ksmcmedia

@abodalmalki1 👏👏 great presentation

اللّهم في هذه الأيام المباركة اغفر لي ولوالدي ولذريتي وللمؤمنين يا غفور يا رحيم، اللّهم يا مجيب الدعوات أجب دعائي ويسّر أمري واشرح صدري يا أرحم الراحمين.

@UlhasDr The machine is not stable

At discharge, stable. Rhythm?

@nbwiggins @jeffrey_vinocur Changing the vector to B>AX will solve this problem also Medtronic updated the programers to avoid this problem

@jeffrey_vinocur Nice case. We stopped implanting Cobalts several months before the short circuit protection recall. Thankfully, this patient survived after a spontaneous conversion. Safety margin testing at generator change was successful at 15 Joules.

Favorite EKG of the month "Swimmy headed" #EPeeps #ACCEarlyCareer

@1988Abdsh @ksmcmedia Smooth case as expected ❤️ Well done 👏

Second leadless pacemaker implanted @ksmcmedia الحمدلله تم زرع جهاز منظم لاسلكي اخر في مدينة الملك سعود الطبية.