Martin Braun

The second case using the novelOmniaSecure 4.7 Fr ICD lead in a patient with non ischemic cardiomyopathy,LBBB (QRS 160 ms), septal fibrosis and 10%EF. @Phiso_de @chris_sohns @MirekNavratil1 @EHRAPresident @AGEP_DGK @MoneebKhalaph @N_Trajkovska @MBraunEP @Medtronic @curilakarol

👇 Overview of Double firing on ECG — also known as Dual AV Nodal Non-Reentrant Tachycardia (DAVNNT) 👇 👉 Mechanism: Simultaneous antegrade conduction over fast and slow AV nodal pathways, producing the classic pattern of one P wave followed by two QRS complexes. ➡️ Frequently misinterpreted as PVCs, PACs, or even atrial or ventricular tachycardia ➡️ Misdiagnosis may lead to unnecessary antiarrhythmic therapy ➡️ Patients can present with palpitations, dizziness, or presyncope 👉 EPS is key to confirming dual AV nodal physiology and distinguishing it from other arrhythmias (para-Hisian PVCs) 👉 For symptomatic patients, RF catheter ablation targeting the slow pathway is the treatment of choice, with high success and low complication rates, consistent with ACC/AHA/ESC recommendations. 💡 #EPeeps 💡 Awareness of this entity is essential to ensure accurate diagnosis, appropriate management, and avoidance of overtreatment. 🙏🙏 Another excellent video—brilliantly created by @N_Trajkovska , as always. 🫡🫡 @Phiso_de @MBraunEP @MoneebKhalaph @Cardioschool @chris_sohns @Ecgloverr @ECGEPSCADEVICE @ecgandrhythmRoe @ecgrhythms @makkyecg @KostekMilan @jjmt_ep @AbbottNews #CardioTwitter @AGEP_DGK @YoungDgk @ArashArya_EP @TobiasReichlin #LearnEP @Koichi16423232 @MattersoftheH14 @alex1708ander @DrRajeshG1

👇VOLT™ PFA meets PV triggers + AF — who wins? ⚡️👇 👉 Proud to share that @GZO_Spital is the third EP center in Switzerland 🇨🇭 to perform cases as part of the limited market release of the Abbott VOLT™ Pulsed Field Ablation (PFA) system. 👉 For operators experienced with cryo PVI, the system offers a very intuitive workflow and a high level of procedural confidence. 👉 The first case was particularly noteworthy: atrial fibrillation with pulmonary vein triggers, showing immediate suppression of PACs after LSPV-Isolation 🤩🤩 Sincere thanks to the outstanding EP Lab team 💙💙and the excellent clinical support from @AbbottCardio #EPeeps @Phiso_de @chris_sohns @N_Trajkovska @MoneebKhalaph @MBraunEP @RolandTilz @ChristianHeeger @giuliavogler @AriSultanEP @ecgandrhythmRoe #CardioTwitter @SentisAndreas @ArashArya_EP @Cardioschool

🤩Grateful and proud to share that I’ve been elected Fellow of the European Society of Cardiology (FESC). 🤝This isn’t about a title — it reflects years of shared work, learning, mistakes, and progress in electrophysiology, research, and education. 🙏Huge thanks to Prof. @Phiso_de and the @HdzNrw EP team. Proud to be part of the team! @chris_sohns, Thomas Fink, @MBraunEP, Thomas Eitz, @VanessaSciacca_ , @MoneebKhalaph, @KarHarutyun, @AngelikiDarma, Philipp Lukas, @N_Trajkovska

👇PFA and flowers: competition makes the EP garden grow 🌻🌸👇 👉 Varipulse from @JNJNews has finally joined the party and added their flower visualization in the latest update. 👉 Varipulse now blooms as a proud sunflower, while Farawave from @BSCCardiology continues to shine as a camellia. #EPeeps At this rate, the poor PVs don’t stand a chance against this ever-growing botanical collection of devices. 🌼🌺🌻😂 @Phiso_de @N_Trajkovska @GNageler @MoneebKhalaph @MBraunEP @Cardioschool @ChristianHeeger @chris_sohns @EPWaveDoc @AGEP_DGK @YoungDgk

👇Typical Flutter: Quick tricuspid annulus map for diagnosis and ablation success assessment👇 👉 A very fast single-tip activation map of TV using the ablation catheter beautifully demonstrates the reentry circuit — in this case, a counterclockwise flutter around the tricuspid valve annulus. 👉 For success confirmation, pacing in the coronary sinus (CS) shows a collision of both activation wavefronts at the CTI line, without any breakthroughs across the block line. Beautiful maps by @StephanWinnik 🤩 🎥 This illustrative video was created in collaboration with @N_Trajkovska for Young #EPeeps 🙏 @Phiso_de @GNageler @MBraunEP @MoneebKhalaph @Cardioschool @PhilippLuc @chris_sohns @ecgandrhythmRoe @Ecgloverr @KostekMilan @JNJNews @EPWaveDoc @Mo_PedsEP @ArashArya_EP #CardioTwitter @YoungDgk @AGEP_DGK

The AP was slanted w the atrial site close to His and the ventricular insertion right anterior. I did not find a good AP potential from the tricuspid anulus. Cautious ablation attempts did not have any effect on preexcitation. So I checked NCC, bumped it, came back, successful RF

👇Proctoring in Morocco: 14 Complex Ablations in 3 Days at Mohammed VI University Hospital, Tangier👇 👉 An incredible experience at Mohammed VI University Hospital in Tangier, where we performed 14 complex cardiac ablations in just three days — including WPW, AVNRT, Mahaim tachycardia, and double firing cases. 👉 These were the first procedures of their kind at the hospital — a major milestone that now positions Tangier’s cardiology department among the few centers in Morocco capable of performing advanced arrhythmia ablations. 👉 Deeply grateful to @ElBoussaadaniB1 for the kind invitation and to the entire medical and nursing team for their dedication and excellence. 👉 Each patient carried a long story of suffering — being part of their healing was truly fulfilling. #EPeeps, let’s keep working to make ablation accessible for every patient and keep sharing our knowledge with one another @Phiso_de @TobiasReichlin @ArashArya_EP @ecgandrhythmRoe @Ecgloverr @Mo_PedsEP @chris_sohns @GNageler @MoneebKhalaph @KostekMilan @N_Trajkovska @MBraunEP @EPWaveDoc @ArabHRS @AbbottNews #CardioTwitter

👇 Typical AVNRT: EPS Findings in 45 Seconds 👇 #EPeeps huge thanks to @N_Trajkovska for her amazing videos, dedication, and passion for the fundamentals of rhythmology! 🫡🫡 Just like young doctors are the future of medicine, mastering the basics of rhythmology is the future of EP! 👉 Dual AV Node Physiology: Presence of an AH jump — antegrade conduction switches from the fast pathway (FP) to the slow pathway (SP) once the FP’s refractory period is reached. 👉 AVN Echo Beats: Antegrade conduction goes to the ventricle via SP and retrograde back to the atrium via FP (A → SP → V → FP → A = the complete AVNRT reentry circuit 🔄). 👉 Typical AVNRT: Short RP tachycardia (VA interval < 70 ms) due to the fast retrograde VA conduction via FP 👉 1:1 conduction: V = A. 👉 Decremental VA conduction. @Phiso_de @chris_sohns @MBraunEP @MoneebKhalaph @Cardioschool @GNageler @ArashArya_EP @EM_RESUS @ecgandrhythmRoe @Ecgloverr @KostekMilan @Mo_PedsEP @ArabHRS @ALFIEEP1 @DFahadAlmehmadi @abhishekmaan_md @HaseebEPHF @makkyecg #CardioTwitter @YoungDgk @EPWaveDoc

👇 Incessant Fascicular VT – Terminated in Just 18 Minutes! 👇 👉 A young patient with wide-complex tachycardia refractory to medication and cardioversion — no prior medical history, normal labs, and reduced EF (30%) during tachycardia. #EPeeps Emergency ablation confirmed fascicular ventricular tachycardia. In only 18 minutes, the incessant VT was terminated and sinus rhythm restored for the first time. Just 3 hours in sinus rhythm — and the EF already improved to 45%! 👉 We are pleased to offer this therapeutic option — the only one of its kind available in the Zürich Oberland region. 👉 The Easy-PVC algorithm accurately localized the exit site of the VT. (easy-ecg.com) @Phiso_de @N_Trajkovska @GNageler @MBraunEP @MoneebKhalaph @Cardioschool @chris_sohns @ecgandrhythmRoe @Ecgloverr @KostekMilan @ArashArya_EP @ArabHRS @Mo_PedsEP @PhilippLuc @JNJNews @abhishekmaan_md #CardioTwitter

I’m pleased to share our latest work: “Antegrade Approach for Left Ventricular Tachyarrhythmia in Patients with Previous Transcatheter Edge-to-Edge Mitral Valve Repair.” 💥 Proud to contribute to advancing VT-Ablation in complex structural heart settings. @Phiso_de @Cardioschool @chris_sohns @melhamriti #VTablation #TEER #HeartRhythm #Innovation heartrhythmjournal.com/article/S1547-…

👇ECG and Learning Case for Young Cardiologists – Case 1👇 👉 A 25-year-old patient with no known cardiac history presents with progressive fatigue over the past two weeks. The patient reports that their Apple Watch has consistently indicated an elevated heart rate. 👉 The ECG demonstrates a sustained wide-complex tachycardia with a ventricular rate of approximately 160 beats per minute. The patient remains hemodynamically stable during the episode. Discussion points: #EPeeps •What is your working diagnosis? What findings support your hypothesis? •Which diagnostic investigations would you consider next? •What would you recommend as acute management and long-term therapy? @Phiso_de @N_Trajkovska @GNageler @chris_sohns @MoneebKhalaph @MBraunEP @Cardioschool @PhilippLuc @YoungDgk @JNJNews @AbbottNews @bostonsci @ALFIEEP1 @ArabHRS @ArashArya_EP @ecgandrhythmRoe @Mo_PedsEP @enes_elvin @UlhasDr @BozorgiAli @DFahadAlmehmadi @HaseebEPHF @KostekMilan @Ecgloverr #CardioTwitter

🫵 Don’t miss tomorrow’s online SVT Master Class: Atrial anatomy demystified! Join Prof. @Phiso_de and me (@Cardioschool) for a deep dive into the anatomical and clinical perspectives of SVT. 📅 October 14 | 4:30–6:00 PM (CEST) 📍 Webinar organized by @JNJMedTech @HdzNrw, @chris_sohns, @MoneebKhalaph, @VanessaSciacca_, @KarHarutyun, @melhamriti, @t_xenos

👇Typical Atrial Flutter: Clockwise vs. Counterclockwise👇 👉 Typical atrial flutter on the ECG: 1.My favorite sign is the discordance between V1 and the inferior leads (II, III, and aVF). 2.The direction of activation across the atrial septum determines the polarity of the flutter waves in the inferior leads (see blue arrows in the video). 👉 Counterclockwise typical atrial flutter: flutter waves are negative in II, III, and aVF, but positive in V1. 👉 Clockwise typical atrial flutter: flutter waves are positive in the inferior leads but negative in V1. 👉 The therapy of choice and first-line treatment is ablation (cavotricuspid isthmus line). Antiarrhythmic drugs have only moderate and temporary effectiveness. #EPeeps This video was created by @N_Trajkovska 🫡🫡 @Phiso_de @chris_sohns @MoneebKhalaph @MBraunEP @GNageler @Cardioschool @ecgandrhythmRoe @Ecgloverr @ECGEPSCADEVICE @KostekMilan @ArashArya_EP @JNJNews @AbbottNews @BSCCardiology @YoungDgk @AGEP_DGK @TobiasReichlin @HaiderTaii @ALFIEEP1 @FergieLosiniec1 @BocchiniYuri @veramasloo #CardioTwitter

Sachkundenkurs für Schrittmacher im @HdzNrw. Interaktiv, inklusive Escape Room.Von Zeitsteuerung bis hin zu Extraktionen & praktischen Nähübungen.Junge (und vielleicht zukünftige☺️) Rhythmologen. Danke Thomas Eitz, H. Fox @Phiso_de @KarHarutyun @DGK_org @AGEP_DGK @AlmirGracic

Teil 2 am 18. und 19. Oktober mit @Cardioschool, @VanessaSciacca_, @IsraelCarsten , Thomas Fink, Stefan Molatta und vielen weiteren Kollegen. @EHRAPresident @MoneebKhalaph @melhamriti @chris_sohns @N_Trajkovska @MBraunEP.

👇 easy-ecg.com 👇 I’m excited to share that I’ll be attending ESC in Madrid this week! 🇪🇸✨ Together with @N_Trajkovska and @GNageler , we’ll be presenting our new Easy-PVC algorithm for localisation of PVC/VTs – a project I’m very proud of. #EPeeps I’m really looking forward to exchanging ideas, discussing research, and connecting with many of you in Madrid. See you at ESC! @Phiso_de @chris_sohns @MoneebKhalaph @MBraunEP @Cardioschool @KostekMilan @ecgandrhythmRoe @ECGEPSCADEVICE @ecgrhythms @Ecgloverr @escardio @ESC_Journals @ArashArya_EP @TobiasReichlin @ChristianHeeger @JNJNews @AbbottNews @BSCCardiology #CardioTwitter @narrowQRS @MeldaYesilyurt @veramasloo

👉 Typical vs. Atypical AVNRT – Mechanistic Overview 👈 👉 Typical AVNRT (slow–fast): Impulse conduction: Atrium → Slow Pathway → Ventricle → Fast Pathway (retrograde) •This produces a short RP tachycardia, because the retrograde atrial activation from the ventricle back to the atrium occurs via the fast pathway. •Consequently, the P wave is inscribed at the terminal part of the QRS complex on the ECG. 👉 Atypical AVNRT (fast–slow): Impulse conduction: Atrium → Fast Pathway → Ventricle → Slow Pathway (retrograde) •This produces a long RP tachycardia, because the retrograde atrial activation from the ventricle back to the atrium occurs via the slow pathway. •Therefore, the P wave appears after the QRS complex on the ECG. #EPeeps This post was created in collaboration @N_Trajkovska @Phiso_de @chris_sohns @MBraunEP @MoneebKhalaph @Cardioschool @GNageler @ecgandrhythmRoe @Ecgloverr @ecgrhythms @KostekMilan @ALFIEEP1 @ECGEPSCADEVICE @nelsonpol @pjsm83 @ChristianHeeger @narrowQRS @MeldaYesilyurt @JNJNews @AbbottNews @BSCCardiology #CardioTwitter @TobiasReichlin @ArashArya_EP

🚀 #AGEP_NextLevel – Deine Stimme für eine starke Elektrophysiologie! Wir sorgen für gezielte und eigenverantwortliche Lobbyarbeit der EP in Deutschland 👉 Unser Ziel: Mehr Sichtbarkeit, mehr Einfluss, mehr Gestaltungskraft! @AGEP_DGK @DGK_org @YoungDgk @Phiso_de

📢 AGEP-Nukleuswahlen 2025 – Meine Kandidatur als zukünftiger Sprecher der @AGEP_DGK . Krankenhausstrukturgesetz und Ambulantisierung – Prozesse, die wir vorbereiten müssen und bei denen Kontinuität zählt. #AGEP_NextLevel Seid dabei! @YoungDgk @DGK_org @Phiso_de @laura_rottner