Steve Stabinger

Running and hiking enthusiast. Dad to 3 amazing kids and two giant dogs. Married to the boss. Cardiac Rhythm nerd

[Steve Stabinger @5Stabbies]

@Dr_Nazarian_EP Saw it in Lancaster, PA as well.

News says “white light in the night sky drew a lot of attention across South-Central Pennsylvania Tuesday evening.

The light, which some WGAL viewers described as "swirling," was most likely a rocket that launched in South America.”

[Steve Stabinger @5Stabbies]

@Yellowcard DM for Hershey, PA please

[Heart Rhythm Case Reports @HRS_CaseReports]

Retrieval and Replacement of a Helix-Fixation Leadless Pacemaker at 9 Years Post-implant https://t.co/aQib0KA5cI

[Steve Stabinger @5Stabbies]

@smackinyc @RiotFest Get some tonight!! Enjoy the moment. Wish I could be there.

[Steve Stabinger @5Stabbies]

@narrowQRS @SergioPinski 2nd beat shows widening of the QRS due to fusion. P-wave is diff morphology. Then PAC blocks or causes block in FP; conducts down slow. It is tracked but device can’t violate MTR so pacer wenchebach. No fusion from there on out. Other option could be very slow ELT. Answer?

[Steve Stabinger @5Stabbies]

@narrowQRS @EJSMD @seth_j_worley @SergioPinski @JGrapsa @bogdienache @escardio @EPinnovation Would you agree that ratchet and reel syndromes occur closer to de-novo implant (days/weeks to months) whereas historic Twiddler can occur throughout the total implant dwell time and even after a generator change of pocket is expanded or significantly smaller device utilized?

[Steve Stabinger @5Stabbies]

@kvernooy Is your optimization technique for LOT-CRT the same as traditional CRT? Are you looking for certain QRS criteria or just the narrowest QRS? Thanks!!

[Steve Stabinger @5Stabbies]

@drpmoskal Is this due to retrograde (2:1) activation of the RBB? Look forward to learning more.

[Steve Stabinger @5Stabbies]

@SergioPinski Interesting SVC coil. Almost looks like the coil is “spiraling”. Is that just fluoro artifact or is possible lead was over torqued during initial fixation? Great case nonetheless!!

[Steve Stabinger @5Stabbies]

@MedFitBlondie Are these for running or training? Curious. Thinking of getting my wife a pair. Let us know your thoughts!! Thx!

[Steve Stabinger @5Stabbies]

@narrowQRS @StevenZweibel Interesting that we used to get laughed at for saying “easier to extract without tissue in growth”.

[Steve Stabinger @5Stabbies]

Old School NASPE training via Dr. Levine on VHS! #EPeeps #EPBot @narrowQRS @JamesOngMD

[Steve Stabinger @5Stabbies]

@anunay_cardio @jeffrey_vinocur @UlhasDr @syamkumarmd Any chance device was performing a manually initiated impedance test? Hx of TV replacement prior to ppg? Mechanical lead-on-lead or valve-lead rub?

[Steve Stabinger @5Stabbies]

@narrowQRS @GlassyMatthew @EPLabRat I believe noise reversion is still “active” even in DOO/VOO. The device can still sense persistent noise and, if seen ,it paces.VOO @ 50bpm. Confusing for sure but I believe this is what may be happening.

[Steve Stabinger @5Stabbies]

@Dr_Nazarian_EP Does the “inter” VAT time play any role in deciding which is better for synchrony in this situation or is it best used to discriminate LV Septal Only from NS-LBBP?

[Steve Stabinger @5Stabbies]

@DrJibawiEP @MRazminia @aalahmadmd @Firaszahwe @DrRoderickTung @narrowQRS X-ray?

[Steve Stabinger @5Stabbies]

@DrJibawiEP @MRazminia @aalahmadmd @Firaszahwe @DrRoderickTung @narrowQRS Interesting that your shock impedance is trending up as well. If single coil, integrated lead, possibly losing slack if heart enlarging or lead position change related to another factor.

[Steve Stabinger @5Stabbies]

Thank you. Enjoyed your presentation at PPS 2021.

[Steve Stabinger @5Stabbies]

SOO - In patients with very “vertical hearts”, should different precordial leads be scrutinized for LBBP morphology and LVAT versus V1 and V6? @Marek_Jastrz_EP @Hisdoc1 @DrRoderickTung @narrowQRS @psharmadoc @MdHuang

[Steve Stabinger @5Stabbies]

@Dr_Nazarian_EP Could it also be related to respiratory rate? I agree with atrial lead angle vs. cross-chamber blanking minimizing signal.

[Steve Stabinger @5Stabbies]

@jeffrey_vinocur @narrowQRS @rdschaller @SergioPinski @dcasavant @StrikMarc @epfellow @drrakeshg1 @mattaustein @Ed_Gerst @cardiochar No LVpace due to LV Protection Period after tracked FFRW which is not in refractory due to Tracking Preference?