William Perucki, MD

⚡️Para-Hisian pacing ⚡️EXPERTLY explained by our senior fellow Natasha Vedage @nat_ved 👏🏽 #TempleMade 🏥 @TempleCards & @TempleIM @AHAMeetings #AHA23 “It’s the Journey, Not the Destination” Thank you to our dedicated EP mentors @docwhitman @narrowQRS @whperucki @AnujBasil

Please enjoy our case report on a patient referred for pacemaker pocket infection who had something very different! heartrhythmcasereports.com/article/S2214-… @whperucki @ShreyaMakkapati @dblaslett

Wordle 472 1/6* 🟩🟩🟩🟩🟩 No one believes me. Pure luck (and maybe some influence from a nursery rhyme)

Pt weak, lightheaded, 911 called. ▪️First EKG is from EMS, performing transcutaneous pacing. ▪️Second EKG is in ER. What's going on?

These #echofirst pictures are less than 48 hours apart showing the effect of #atrialstunning in a patient with spontaneous conversion from #afib to #sinusrhythm and paused anticoagulation due to gastrointestinal bleeding. #epeeps #cardioed @KardiologieHH

Classic real-time annotation by @narrowQRS as @AnujBasil discusses #HOTB. First didactic session of the year for our new and proud EP fellow, @kloosclues #startwiththebasics #colorannotationhelps #TempleEP @TempleCards

Management of premature ventricular complexes heart.bmj.com/content/108/7/…

Not what we expected! Selective His pacing with VA time ~160ms, non-selective ParaHisian pacing with VA time ~120ms. Instead of equal VA time during ParaHisian pacing, a paradoxical difference in VA time revealed the presence of an AP! @docwhitman @AnujBasil @narrowQRS

How to implant a Micra during a national contrast shortage, or in a patient with a severe contrast allergy? ICE has been described, but TTE is cheap, non-invasive and helpful to confirm septal position. @whperucki #EPeeps

Those who claim that nothing can be done just prove they don’t have the creativity or empathy to lead.

This case report describes a patient in Sweden who had an out-of-hospital cardiac arrest and received defibrillation with an automated external defibrillator delivered by a drone (shown in a video). nej.md/3sDQhni

The result of a robust journal club discussion with the Temple EP team! @docwhitman @dredcronin @Dr_Smietana jacc.org/doi/10.1016/j.…

A submuscular CIED pocket can/should be bloodless, and is gratifying - for patients and implantor (and fellow!) alike. Should we be doing this more often, even as a standard consideration? @narrowQRS @rdschaller @ByronKLee @JDMossMD @JagSinghMD @whperucki

A truly great device case. I have so many images, I almost don't know where to begin to share. Still many images to scan in, but here's a good start. Pt. admitted with palps. Dual chamber pacer in place, with a cardiac history. What is going on? (yes symptoms during fast pacing)

#APAF-CRT trial: ablation plus #CRT is superior to pharmacological rate control in reducing mortality in severely symptomatic permanent #AFib patients with a narrow QRS #ESCCongress

#LOOP Study: continuous heart rhythm monitoring – with anticoagulation if #AFib is detected – does not prevent #strokes in those at risk #ESCCongress

Great weekend full of learning at the @AbbottCardio EP 301 fellows course in the Windy City (with time for a quick run).

First time feeling the satisfaction of a successful CTI line!

Compare and contrast. 2 patients. Called for bradycardia on each. One was shown yesterday (pt 1), other is a good comparator. What do you think? @ECG_Emily @ecgrhythms @adribaran @jeffrey_vinocur @MaruanCarlos @SergioPinski