Len Steinberg

Pediatric EP at Peyton Manning Children’s Hospital

[Len Steinberg @LenSteinberg]

https://t.co/TrLfqXv3LC

[Chris Kowalewski MD @C_KowalewskiMD]

The best things in life are free…

This anatomy atlas by @shivkumarmd can be found at cardiotext publishing for free. Really good for EPs as it incorporates the heart from standard fluoroscopy views.

@aalahmadmd @AMussigbrodtMD @ChristianHeeger @vlachoskonstan1 @jeffrey_vinocur

[Len Steinberg @LenSteinberg]

@Ba1Jenifer @CreampieOrDie @Imposter_Edits There is nothing chivalrous in letting people use racism to take advantage of you. Of course they recorded it. Otherwise nobody would believe them.

[Len Steinberg @LenSteinberg]

@lee_gemma_MD Not only conducted did it conduct up slow pathway, but likely concealed antegrade into fast pathway. That’s why the following beat (without His capture and thus longer H-H interval) still conducts over slow.

[Len Steinberg @LenSteinberg]

Interesting response to parahisian pacing. How can that be?

[Len Steinberg @LenSteinberg]

@naijaQRS We did not do parahisian pacing. This is the previous PJC.

[Len Steinberg @LenSteinberg]

Tachycardia termination while delivering PHCs. What is the mechanism?

[Len Steinberg @LenSteinberg]

@MaullyShah Yes. AVNRT

[Len Steinberg @LenSteinberg]

Response to APCs confirmed AVNRT. I think explanation 1 is the correct mechanism.

[Len Steinberg @LenSteinberg]

Pure coincidence (JT or AVNRT): Stimulus captures nothing and tachycardia spontaneously terminates—always worth considering until a result is reproducible. In this case we did not reproduce, but tach had been stable for quite some time.

[Len Steinberg @LenSteinberg]

Tracings like these are why SVT is still so much fun!

[American College of Cardiology @ACCinTouch]

The latest #JACC leadership page from Dr. @EdwardFryMD addresses gun violence and regulation from the perspective of a health care professional and a public health organization.

📱 Read the full page: https://t.co/NQowuPxBEI @JACCJournals #ThisIsOurLane

[Elon Musk @elonmusk]

AI gets better every day

[Benzy Padanilam @PadanilamBenzy]

Early PVCs (and not just HrPVCs) can differentiate AVRT/AVNRT: a new interpretation of the oldest EP maneuver! https://t.co/aGQUOX7set @ashah1988 @justinbfield @BradClarkEP @AsimAhmedEP @drparinpatel @LenSteinberg @GilgeJasen @SandeepJoshi420 @MinnowWalsh

[Len Steinberg @LenSteinberg]

@BradClarkEP @MattMelcherPA PHC is on time with the His, thus not a “PHC”. A activation is concentric. There is local ventricular activity on the His catheter despite unchanged QRS morphology on the surface electrograms. This is AVRT over septal AP terminated by PVC that blocks retrograde.

[Len Steinberg @LenSteinberg]

@jeffrey_vinocur Slow SVT with antergrade 2-for-1 during tach. Retrograde limb is either AVN slow or a slowly conducting AP.

[Jeffrey M Vinocur @jeffrey_vinocur]

#EPeeps Isn’t EP elegant?