EPeeps101

We are Cardiac Electrophysiology lovers!!! Nerds trying to educate, connect, and share tracings from #Epeeps all over the world!

[EPeeps101 @EPeeps101]

#Epeeps101
#Epeeps

#ECG
Level: #Basic ⭐️

Tracing by @TrackYourHeart

[CardiovascularCorner @TrackYourHeart]

It’s early March. A middle-aged man is found lying in a park, surrounded by bottles of Buckfast. His GCS is 9, and an ECG is performed in the ambulance.

What’s the diagnosis?

#MedTwitter #ECG #FOAMed #Cardiology #arrhythmias #ECGENTHUSIASTS

[EPeeps101 @EPeeps101]

#Epeeps101
#Epeeps

#egm
Level: #Intermediate ⭐️⭐️

Tracing by @DrBradleyKnight

What is happening here?

[EPeeps101 @EPeeps101]

#Epeeps101
#Epeeps

#ECG
Level: #Intermediate ⭐️⭐️

Tracing by @ALFIEEP1

[ALBERTO ALFIE @ALFIEEP1]

25 yom with 30K PVC burden. Case done last Friday.

Where is site of origin ?

Can you predict SOO, ?

Zero PVCs 1 week post RFA.

@melhamriti use your app !!

[EPeeps101 @EPeeps101]

@ALFIEEP1 @melhamriti @nlcabanillas @LAHRSonline1 Inf directed, LBBB V3 + V2 pattern break, wide QRS with initial slurring

I think SOO in the LV summit region closest to anteroseptal RVOT

[EPeeps101 @EPeeps101]

@ecgandrhythmRoe AF RVR > sinus > AF RVR?

[EPeeps101 @EPeeps101]

Answer:

Sinus tach
RBBB + Left anterior hemifascicular block
ST elevation in I, aVL, V2-V6
Reciprocal ST depression in II/III/aVF

-> immediate LHC -> total LAD occlusion

[EPeeps101 @EPeeps101]

#Epeeps101
#Epeeps

#ECG
Level: #Basic ⭐️

Tracing by @EM_RESUS

[Sam Ghali, M.D. @EM_RESUS]

Here’s the #ECG of an 80-year-old woman with sudden onset chest pain and shortness of breath who was rushed to the ER by her daughters

What’s the diagnosis?

[EPeeps101 @EPeeps101]

@cardiodevotee @ecgandrhythmRoe @EcgOxford @DrRazi4 @PendellM @RobertHermanMD @Arron_Pearce_ @ECGwithReid @EM_RESUS most likely VT considering history, aVR is positive and positive precordial concordance

[EPeeps101 @EPeeps101]

Answer:

RCC/LCC junction
RCC: inf +, LBBB w/ V2-3 transition
LCC: inf +, LBBB w/ V2 transition or RBBB w/ pos concordance
R/L junction: combination of the two (classic pattern: LBBB w/ V2-3 transition w/ notching in downstroke of V1)

Check out: https://t.co/H8tq6JTwEw

[EPeeps101 @EPeeps101]

#Epeeps101
#Epeeps

#egm
Level: #Intermediate ⭐️⭐️

Tracing by @Hapa_EP

[Kevin Brady @Hapa_EP]

Where is this PVC coming from? #EPeeps

[EPeeps101 @EPeeps101]

@Hapa_EP @adribaran @javadm20 @DrRoderickTung @DrFerminGarcia @jacabreracardio @jeffrey_vinocur @CarinaHardy4 @JRWinterfield @ecgrhythms @Maeskander I think I read a paper showing most LVOT PVCs were targeted from R/L jxn. So, any pattern suggestive of RCC, LCC, or combination probably ends up being targeted from the R/L junction. Please correct me if I am wrong. What is the common pattern of limb leads for RCC vs LCC?

[EPeeps101 @EPeeps101]

#Epeeps101
#Epeeps

#egm
Level: #Advanced ⭐️⭐️⭐️

Tracing by @ChartAcademy

[CHART Healthcare Academy @ChartAcademy]

#SundaySchool

Leave your answers below!

Join the GROW Membership today!
🌱 https://t.co/z0TtPa8mwN

🌐 https://t.co/ZAXvaDgBiA
📫 [email protected]
🔗Link in Bio ⬆️

#EPeeps #VivaEP #EGMReview #ArrhythmiaGuru #Arrhythmias #EPCourse #CEPS #RCES #CVT #CHARTcoach

[EPeeps101 @EPeeps101]

Answer:
Pacing from RV catheter > S1 goes up to A with concentric CS activation > S2 goes up to A with decrement (prolonged VA) > return beat to the ventricle

Return beat is "wide" + "activates HIS" > Ventricular activation is earlier than HIS activation => coming down AP

[EPeeps101 @EPeeps101]

#Epeeps101
#Epeeps

#egm
Level: #Intermediate ⭐️⭐️

Tracing by @syamkumarmd

[Syamkumar @syamkumarmd]

What is the interpretation of this EGM trace? #EPfellows #EPeeps

[EPeeps101 @EPeeps101]

#Epeeps101
#Epeeps

#egm
Level: #Advanced ⭐️⭐️⭐️

Tracing by @makkyecg

[色々自粛中復活🌟 @makkyecg]

前半のこーちゃん先生のお洒落なタイトルを付けて論文にした症例報告の一つです🌟
2021年のJHRSで問題として出されました🙇‍♂️
診断は⁉️😊😊😊😊����

[EPeeps101 @EPeeps101]

#Epeeps101
#EPeeps

#egm
Level: #Intermediate ⭐️⭐️

How do you interpret this device interrogation?

[EPeeps101 @EPeeps101]

#Epeeps101
#Epeeps

#ECG
Level: #Intermediate ⭐️⭐️

Tracing by @JL_MoralesArt

[José Luis Morales @JL_MoralesArt]

28 YO Female comes to the ER with palpitations
Tachy Solved by Adenosine 6mg
Rythm?
@LopezLizarraga_ @marioalrb84_a @ecgrhythms @adribaran @Alexisvvmijares @EkgHacks @DidlakeDW @syamkumarmd @12_Derivaciones @UlhasDr @ecgandrhythmRoe @EPeeps_Bot
#EP #EPEEPS #ECG #EKG #Cardiology

[Gaurav A. Upadhyay, MD, FACC, FHRS @gauravaupadhyay]

Residents and fellows--please join us for an excellent intro to understanding pacemakers and ICDs! @NishantVermaMD https://t.co/m4LkZnk4zr

[EPeeps101 @EPeeps101]

Answer:
AFL > fusion beat > NSVT > AFL

[EPeeps101 @EPeeps101]

#Epeeps101
#Epeeps

#ECG
Level: #Intermediate ⭐️⭐️

Tracing by @ecgandrhythmRoe

[Dr. Andreas Roeschl @ecgandrhythmRoe]

Holter-strip from a 65 yo woman without known heart disease; your diagnosis?

[EPeeps101 @EPeeps101]

Answer:
AT/AFL 2:1, RBBB, LAFB

[EPeeps101 @EPeeps101]

#Epeeps101
#Epeeps

#ECG
Level: #Intermediate ⭐️⭐️

Tracing by @TheECGMedic

[Jack Cahill @TheECGMedic]

Hope everyone had a good Christmas!

ECG collection incoming!!

From a 76M with palpitations and breathlessness.

What do you think of this ECG?

#ECG #ECGChallenge

[EPeeps101 @EPeeps101]

Answer:
Wide QRS tachycardia: SVT w/ aberrancy vs non-sustained VT
Strip more suggestive of NSVT because of initiation with a fusion beat, no premature P-wave seen

[EPeeps101 @EPeeps101]

#Epeeps101
#Epeeps

#ECG
Level: #Basic ⭐️

Tracing by @ecgandrhythmRoe

[Dr. Andreas Roeschl @ecgandrhythmRoe]

A Holter-strip; is it real? what do you see?