Cheka Mirror

[Cheka Mirror @ChekaMirror]

47F, left posteroseptal Kent

[Sabatu @tsubazoom]

Coronary Sinus Electrogram Changes After Cavotricuspid Isthmus Ablation for Typical Atrial Flutter: What Is the Mechanism? - Nakamura - 2026 - Journal of Arrhythmia - Wiley Online Library https://t.co/GzJYxmyXVH

[Heart Rhythm Case Reports @HRS_CaseReports]

Residual Conduction across the Supero-Septal Ablation Line during Mitral-Isthmus Dependent Atrial Flutter
https://t.co/KX9SWzY5bZ

[A.Mizutani@大阪の病院で働く臨床工学技士 @OsakanogishiM]

Epicardial conductionを介するAT

✅Mapはfocal様
✅Activation gap-140ms(TCLの42%)

⏩️遠隔部位のPPI-ATCL≦20でmsepicardial pathwayを介したmacroreentryを疑う

⏩️Exitから興奮方向へentrainmentし,PPI≈TCLを保つ最下流点をentranceと推定

https://t.co/Z3HJuuWDnP

[EHJ Editor-in-Chief @ehj_ed]

Atrioventricular node ablation on top of cardiac resynchronization therapy in permanent AF? #CAANAF: no reduction in death or HF events vs rate control. Read more in #EHJ.
https://t.co/KsSNSPX6o3
#CRT #AVablation #cardiotwitter @ESC_Journals @escardio

[Heart Rhythm O2 @HRS_O2Journal]

Atrial electrogram amplitude–guided Bachmann bundle pacing implantation: A single-center experience
#EPeeps
https://t.co/nGRKaRqYFE

[HeartRhythm @hrs_journal]

Distinct Purkinje electrogram phenotypes at ventricular fibrillation trigger sites in idiopathic and structural heart disease

@RobNKerley

https://t.co/azy2IoqhMc

[A.Mizutani@大阪の病院で働く臨床工学技士 @OsakanogishiM]

Para-Hisian PVC 122例の検討

✅右/左His領域をmapping
RCC,R-L commissure,NCCを評価

✅activation,Hisとの位置関係,伝導障害リスクに応じて通電部位を選択

✅114例 急性成功:78%,遠隔期のPVC減少:52%

✅cusp通電35例中
消失:49%,一過性抑制またはmorphology変化:31%

https://t.co/ZNii3Mn7kQ

[まめたろう,MD, PhD🫛EP Univ. @mameeps]

永嶋先生が話している論文！これだ！
https://t.co/9PVCJzoBBe

[A.Mizutani@大阪の病院で働く臨床工学技士 @OsakanogishiM]

OT-PVCへのfocal PFA
前向き多施設80例

✅急性成功100%(80/80)/遠隔期88%(70/80,8m)
✅RVOT94%(46/49)/LVOT89%(8/9)/LV summit73%(16/22)
✅RF不成功例93%(14/15)で再発なし
✅GCV/AIVではNTG予防投与下でも冠攣縮17%(2/12)

NTG入れてもCS-PFAしたらスパるもんはスパる
🧚

https://t.co/KXaE41OrKO

[HeartRhythm @hrs_journal]

Anatomical Approach from Aortic Sinus of Valsalva for Para-Hisian Premature Ventricular Contractions: Safety and Outcomes #OpenAccess

https://t.co/WOd74fontQ

[Sabatu @tsubazoom]

Combined Pulsed Field and Radiofrequency Ablation for Complex Atrial Tachyarrhythmias Following Bachmann`s Bundle Pacing - Heart Rhythm O2 https://t.co/ceuSM0IcPs

[Heart Rhythm O2 @HRS_O2Journal]

Sinus-rhythm conduction phenotyping using vector-flow mapping in first-time atrial fibrillation ablation: Associations with structural remodeling and thromboembolic risk
#EPeeps
https://t.co/u6I8vbqk8U

[Fermin Carlos Garcia @DrFerminGarcia]

@AatishGarg_EP @EPeeps_Bot @AbbottCardio @DShole_EP @HeathHsalt @EvanBlankMD @VirtuaCVFellows @VirtuaHRS @VirtuaHealth @ginapinsk @AudreyFerraro25 @AndreaEP65 @maddyferraro1 This is an intramural PVC not an “LV summit” because it is not epicardial and you found earliest site in a venous septal branch. The distance from endo to the earliest site (ep star) is short. Either RF and maybe PFA will work. https://t.co/z20ErUxCC6

[JACC Journals @JACCJournals]

Case series shows 🔑 pitfall in cardiac #amyloidosis: plasma cell dyscrasia doesn't always mean AL-CM. Tissue confirmation is essential for accurate subtyping. Genetic testing can help assess ATTR-CM when Dx is uncertain/biopsy is deferred https://t.co/rI4UutSee9 #JACCCaseReports

[Cheka Mirror @ChekaMirror]

Enjoying the night and live jazz by the Chao Phraya River:
L.O.V.E, Fly Me to the Moon, Moon River and Smooth Operator

[HeartRhythm @hrs_journal]

2026 HRS/EHRA scientific statement on pulsed field ablation for cardiac arrhythmias

https://t.co/N3Q8jG0aBz

[Henry Han @HanCardiomd]

Interpreting potential benefit on secondary outcomes when a trial fails to meet its primary endpoint

https://t.co/M0jdu0qmMo

@JavedButler1 @FaiezZANNAD @EJHFEiC #EJHF

[EJHF Editor-in-Chief @EJHFEiC]

Editorial : #MRA-induced #eGFR decline—causes, consequences, and context

@NicolasGirerd https://t.co/1q28p8eo6X

#EJHF @ESC_Journals @HanCardiomd @AmrAbdin10 @GiuseppeGalati_

[Heart Rhythm Case Reports @HRS_CaseReports]

Selective Left Bundle Branch Pacing with Markedly Prolonged Stimulus-to-QRS Latency with Double QRS Transitions Associated with Transient Septal Edema
https://t.co/AX3hNkA5en