Andreas Müssigbrodt

Associate Professor, FESC, FEHRA, Cardiac Electrophysiologist, Sports Cardiologist, Editorial board JICE, Surfer and Kitesurfer 🏄🏽‍♂️, Sarcoma Survivor

[HeartRhythm @hrs_journal]

Leadless Pacemaker, Right Ventricular Pacing Burden, and Heart Failure #OpenAccess

@Hidehiro_1986 @PrashSanders

https://t.co/GEIJbFZbLT

[Andreas Müssigbrodt @EPWaveDoc]

@ShamlooSepehri @GerdHindricks @nikolaos Awesome!

[Andreas Müssigbrodt @EPWaveDoc]

@tontokavanich No, we don’t have laser here available. I’ve tried with tightrail and locking stylets

[Andreas Müssigbrodt @EPWaveDoc]

#TLE in a 72yo for recurrent #Enterococcus bacteremia (3 relapses despite antibiotics; PET neg). 20yo passive-fixation RV, 20 yo RA lead & 10yo RV lead. Difficult extraction from above. A combination of Micra sheath + FARAWAVE steerable sheath + needle eye snare changed the game

[Andreas Müssigbrodt @EPWaveDoc]

@KTamirisaMD Thank you , Kamala

[Andreas Müssigbrodt @EPWaveDoc]

@syamkumarmd Yes, as echos and non-sustained AVNRT

[Andreas Müssigbrodt @EPWaveDoc]

Unusual case of atypical #AVNRT in 12 yo boy from a neighboring island 🏝️
with daily episodes of
palpitations. 2/1 and 1/1 conduction. Procedure done with only 3 s fluoroscopy (to visualize the Agilis guide wire). Cautious ablation of RIE & LIE of SP #Epeeps #Cardiology

[Andreas Müssigbrodt @EPWaveDoc]

Today I have seen this elderly lady in our outpatient clinic. She’s doing fine. No signs of infection. Good electrical values of the #Micra pacemaker.

[Andreas Müssigbrodt @EPWaveDoc]

Concomitant #leadless #pacemaker #implantation & dual chamber #pacemaker lead #extraction #TLE for staphylococcus aureus #CIEDS #infection, in 95 y/o lady, 10 y after initial implantation and 1 month after gen change. Smooth procedure w Francesco Montereggi #Epeeps @rdschaller

[Andreas Müssigbrodt @EPWaveDoc]

@melhamriti Cautious and successful approach 👍 Well done

[Andreas Müssigbrodt @EPWaveDoc]

Two VTs. One critical isthmus. Frequent ICD therapies (ATP + shocks) despite bb and amio in 80 y/o w ischemic cardiomyopathy. ILAM + activation mapping guided successful ablation. No VT inducible #Epeeps

[Andreas Müssigbrodt @EPWaveDoc]

@kevin_parrottMD @rdschaller Thank you 😊

[Andreas Müssigbrodt @EPWaveDoc]

Leadless pacemaker implantation and concomitant lead extraction in 80 yo patient from our neighboring island of Guadeloupe due to lead infection with Staphylococcus lugdunensis. #Epeeps #TLE @rdschaller

[Andreas Müssigbrodt @EPWaveDoc]

@SamerRNasr1 @rdschaller Indeed. Could not retract it. This is actually often the case in older leads.

[Andreas Müssigbrodt @EPWaveDoc]

Recent PVI and CTI ablation in 35 y/o patient with truncating TTN variant. Normal LVEF. Normal LVEDD. Normal voltage. AF and AFlu known for more than 8 years. CMR scheduled. What’s your experience with genetic 🧬 AF, #Epeeps? Interesting paper https://t.co/WPnqMr0fS7

[Andreas Müssigbrodt @EPWaveDoc]

@HakimIcu @Obisht @rdschaller Thank you! The leads were 11 years old.

[Andreas Müssigbrodt @EPWaveDoc]

@drjohnm I’ve enrolled n=2 😉

[Andreas Müssigbrodt @EPWaveDoc]

@drjohnm Agree with @drjohnm 🤓 But if knowledge is insufficient, AI could be indeed a health & life saver. Look at this ECG: it was diagnosed as AF by 4 (!) board certified cardiologists. Pat was started on Amio & Apixaban. Yes, training should also be improved but it’s a long journey

[Andreas Müssigbrodt @EPWaveDoc]

@KostekMilan @daxesh4u This is deep septal pacing with LBBB morphology. This pat has no CSP anymore. Sometimes this can be caused by bipolar instead of unipolar pacing. In other cases it’s micro-dislodgment of the lead tip - a true problem in LBBAP.

[Andreas Müssigbrodt @EPWaveDoc]

@KostekMilan My screen shows large unipolar spikes