Chee Wei Shen

[Chee Wei Shen @ECGorEKG]

@ignacioDok Just curious in your case how you know this is likely vagal mediated AF? Thanks

[Chee Wei Shen @ECGorEKG]

@sumitvermaep Doesnt Theophylline carry only class II b recommendation, no?

[Chee Wei Shen @ECGorEKG]

@ALFIEEP1 @PurumittalDr @KostekMilan @ecgandrhythmRoe @ecgrhythms @EkgHacks @ecgchallenge Just curious whether it can still be ANVRT with LBBB aberration?

[Chee Wei Shen @ECGorEKG]

@RIOCongress May I know the HR response after atropine was given at the end of the procedure @DrRoderickTung ? Thanks

[Chee Wei Shen @ECGorEKG]

@MDTolgaAksu @SobracO @crpisani @Dr_Santangeli @DrAJRestrepo @hhuang123 With the vagal innervations to SA node and AV node being mentioned above , would like to ask your expert opinion any role of targeting LSGP? Thanks

[Chee Wei Shen @ECGorEKG]

@EugenioCingolan @Medtronic in your case can see Vp with the spikes shown at the bottom of the ECG , in regards to the P to the Vp which is longer than the others( 8th beat), do you think the Am falls within the A3 window or it is due to Vp only . Many thanks

[Chee Wei Shen @ECGorEKG]

Asking for opinion , can we diagnose long QT syndrome if they present in junctional rhythm ?

[Chee Wei Shen @ECGorEKG]

@Frances98392343 I do agree with the PAC. Spot on my friend

[Chee Wei Shen @ECGorEKG]

Do you all agree with the PVC diagnosis ?

[Chee Wei Shen @ECGorEKG]

@ecgdoujou Atrial fibrillation with termination of pause due to concealed conduction

[Chee Wei Shen @ECGorEKG]

@Frances98392343 That’s the good things about this platform. We all learn from each other and grow together

[Chee Wei Shen @ECGorEKG]

I have one interesting EGM for one young gentleman for which we implanted dual chamber pacemaker for sinus node dysfunction with PLSVC. What do you all of this EGM?

[Chee Wei Shen @ECGorEKG]

@DrRoderickTung Nice tracing . If CNA is in at the back of one mind then definitely go for PVI with RF and if able to achieve first pass then will consider VAFIT protocol to decide on CNA. My 2 cents

[Chee Wei Shen @ECGorEKG]

So whether junctional tachycardia in the first part that was taken over by the atrial or sinus tachycardia in the second part is our take for this case . Definitely open for discussion

[Chee Wei Shen @ECGorEKG]

In Part 2 the first As will trigger the Window of Atrial Rate Acceleration Detection (WARAD) with nominal setting of 500 ms and with subsequent atrial rate being so fast they all fall within WARAD thus marked as Ar Vs ( if they do fall under PVARP it will be more like Vs Ar)

[Chee Wei Shen @ECGorEKG]

There are 2 parts in this EGM. In the part 1 we can only see Vs but if you zoom in at the A channel you can see 2 signal with the V leading the A but due to the A in the PVAB so the marker only have the Vs marker

[Chee Wei Shen @ECGorEKG]

@Frances98392343 would it be helpful if I mention this is of Sorin brand?

[Chee Wei Shen @ECGorEKG]

@Jagdish26039718 For PMT, it will be more to VpAs with the retrograde atrial signal being tracked

[Chee Wei Shen @ECGorEKG]

@DrRoderickTung It is indeed interesting. For those young patients with refractory vasovagal syncope it could be life changing opportunity