Dr Koh Kok Wei

ECG enthusiast | ECG discussion platform for medical students, junior doctors and allied healthcare professionals #FOAMed #CardioEd

[Dr Koh Kok Wei @ECGTalk]

@willsuh76 @DrSheilaSahni @chadialraies @sanjum @ECGQuizzes @EMS12Lead @ECGTraining @CMichaelGibson @pascalmeier74 @angioplastyorg @DrKevinCampbell @jemsconnect @ACCCardioEd @ACLSinstitute @ICU_Management @EM_RESUS @Med_FOAMed Pattern recognition saves live! Hope this clip helps.
@DrBeniRusani @adibahabdlatif
@MedCrisis @EM_RESUS @aalahmadmd
#FOAMed #CardioEd

[Dr Koh Kok Wei @ECGTalk]

@DrBeniRusani

[Dr Koh Kok Wei @ECGTalk]

Just posted a photo @ EQ https://t.co/6HSzSbKvOW

[Dr Koh Kok Wei @ECGTalk]

Just posted a photo @ Suntec Singapore Convention & Exhibition Centre https://t.co/PwJRQyOY6u

[Dr Koh Kok Wei @ECGTalk]

@ep_cvskl @drzul117 @khelae_surinder @jerryccw2703 For SVC isolation, does complete isolation provide better durability than partial isolation/point ablation? @LuigiDiBiaseMD @PrashSanders @RChung_EP

[Dr Koh Kok Wei @ECGTalk]

@shivkumarmd @Cardiotext @dgsomucla @Ed_Gerst @clancyatheart @DrRoderickTung Thank you sir!

[Dr Koh Kok Wei @ECGTalk]

@Dr_Santangeli @shannonigans71 @BiosenseWebster @Scanav1Mauricio @crpisani @MDTolgaAksu @PennMedicine Is loss of HR variability and no response to atropine a reliable immediate endpoint? @ep_cvskl @drzul117 @RChung_EP

[Dr Koh Kok Wei @ECGTalk]

@ECGoftheday @MedicNerd_com @EMS1 Varying degree of QRS duration, irregular RR - usually due to pre-excited Afib

[Dr Koh Kok Wei @ECGTalk]

#Septle 280 - 1 day streak - https://t.co/8t2rhBh3dB

Septle: 5/8
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Bonus: 5/7
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Wordle: 1/6
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[Dr Koh Kok Wei @ECGTalk]

Wordle 248 3/6

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[Dr Koh Kok Wei @ECGTalk]

@SchakrabartiEP @Dr_Santangeli @PrashSanders @ep_cvskl @EPChitChat @khelae_surinder @drzul117 @RChung_EP @ALFIEEP1 @drraviele @ftrae It’s just slightly early than CS 5,6. Unfortunately not able to compare to surface P wave with 1:1 AV conduction. Pacing V to reveal the A often terminates the tachy. But can’t imagine anywhere else would be earlier than that. 😬

[Dr Koh Kok Wei @ECGTalk]

It’s been a while since I posted a case. Recently saw a young man with exercise-induced SVT despite flecainide+bisoprolol. Did EP and induced an incessant AT from LA with isoprenaline.
@ep_cvskl @EPChitChat @DrRoderickTung

[Dr Koh Kok Wei @ECGTalk]

@SchakrabartiEP @Dr_Santangeli @PrashSanders @ep_cvskl @EPChitChat @khelae_surinder @drzul117 @RChung_EP @ALFIEEP1 @drraviele @ftrae Great tips 🙏🏻

[Dr Koh Kok Wei @ECGTalk]

What would be the safe approach to ablate inside the CS? Power/duration/contact/irrigation flow/etc?
@Dr_Santangeli @PrashSanders @SchakrabartiEP @ep_cvskl @EPChitChat @khelae_surinder @drzul117 @RChung_EP @ALFIEEP1 @drraviele @ftrae #EPeeps

[Dr Koh Kok Wei @ECGTalk]

Earliest A in CC 5,6 but LA floor signal not early enough. Mapped into the CS and activation seems to be inside the CS body.

[Dr Koh Kok Wei @ECGTalk]

CS venogram prior ablation inside CS with STSF, 20-30W, flow at 8ml/min, terminated AT and non-inducible. Applied 3 lesions there. What’s the experience of others ablating deep inside the CS?
@ep_cvskl @EPChitChat @DrRoderickTung

[Dr Koh Kok Wei @ECGTalk]

@ep_cvskl @EPeeps_Bot @amelyncsh @cvs_kl @drzul117 @khelae_surinder @DrRazi4 @EPChitChat @EpRaqib @Saravan43645841 Nice one!

[Dr Koh Kok Wei @ECGTalk]

@ep_cvskl Nice

[Dr Koh Kok Wei @ECGTalk]

@HakimIcu @AlperDra @SchakrabartiEP @rdschaller @MDTolgaAksu @Bradley_C_Clark @Hapa_EP @EPWoodsShop @EM_RESUS @GordonHo_EP @bchTicTocDoc @cesarbos You might be dealing with right anteroseptal or parahisian. In view of poor EF, is he ready for CRT if complete heart block?

[Dr Koh Kok Wei @ECGTalk]

@myfizi @EPChitChat It’s doesn’t look like aAVRT. Possible RVOT VT which may be sensitive to adenosine and verapamil.

[Dr Koh Kok Wei @ECGTalk]

@mhrssummit @NationalHeart @APHRSOfficial

[Dr Koh Kok Wei @ECGTalk]

October is Sudden Cardiac Arrest (SCA) Awareness month.

https://t.co/mlnLmNm3E1

#SCAawarenesmonth
#whatismyEF
#amiatriskofSCA