Mohsen Neshati Pir Borj

MD. Cardio-Electerophysiologist

[Mohsen Neshati Pir Borj @MohsenNeshati]

@Mahdiammmmm اگر اینستا داره و جزو friend هات هست، فقط اونو بکن جزو close friend هات بعد یه استوری بزار و توش مثلا یک آهنگ قدیمی بزار بگو هر کی مثل من سینگله و با این ترانه خاطره داره لایک کنه

[Mohsen Neshati Pir Borj @MohsenNeshati]

@narrowQRS Then how did you manage?
AAD/cardioversion/ablation?
Do you consider anticoagulation?

[Mohsen Neshati Pir Borj @MohsenNeshati]

@syamkumarmd My mistake: i meant RR interval is longer for ventricular escape

[Mohsen Neshati Pir Borj @MohsenNeshati]

@syamkumarmd IMO:
CHB and completely AV dissociation, no normally conducted beats, all qrs are escape beats( junctional and ventricular escape beats) as RR interval aren't the same, and lower for ventricular escape

[Mohsen Neshati Pir Borj @MohsenNeshati]

@bbikdeli @AirCanada @isth Even worse than Iranian airlines!?😶

[Mohsen Neshati Pir Borj @MohsenNeshati]

@SchakrabartiEP @RogueRad @EJSMD @adribaran @narrowQRS @HanCardiomd @ShaojieChen1 @doc_ccc Seems to have shunt vascularity in favor of an Adult CHD,
IMO:A lead in LAA/V lead in subpulmonic ventricle

[Mohsen Neshati Pir Borj @MohsenNeshati]

@ShaojieChen1 @yolyabreuh @CRB_EP @drrakeshg1 @d_changy @syamkumarmd @SchakrabartiEP @DrMarwanRefaat @javadm20 @pjsm83 @mencardio @shemybenchetrit @glckty @gabustillosg @berniann @ugurcanpolatmd @manuelpatete @liviateixeiramd @ACuevaParra @KTamirisaMD @skarim01 Like unipolar egm

[Mohsen Neshati Pir Borj @MohsenNeshati]

@ShaojieChen1 @yolyabreuh @CRB_EP @drrakeshg1 @d_changy @syamkumarmd @SchakrabartiEP @DrMarwanRefaat @javadm20 @pjsm83 @mencardio @shemybenchetrit @glckty @gabustillosg @berniann @ugurcanpolatmd @manuelpatete @liviateixeiramd @ACuevaParra @KTamirisaMD @skarim01 As a rule: AP location is toward the lead with the most QS, here AVR (10:00🎯)

[Mohsen Neshati Pir Borj @MohsenNeshati]

@Mazdamot04 @javadm20 @ShaojieChen1 @CRB_EP @drrakeshg1 @d_changy @syamkumarmd @SchakrabartiEP @DrMarwanRefaat @pjsm83 @mencardio @shemybenchetrit @glckty @gabustillosg @berniann @ugurcanpolatmd @manuelpatete @liviateixeiramd @ACuevaParra @KTamirisaMD @skarim01 @yolyabreuh 🙏

[Mohsen Neshati Pir Borj @MohsenNeshati]

@Mazdamot04 @javadm20 @ShaojieChen1 @CRB_EP @drrakeshg1 @d_changy @syamkumarmd @SchakrabartiEP @DrMarwanRefaat @pjsm83 @mencardio @shemybenchetrit @glckty @gabustillosg @berniann @ugurcanpolatmd @manuelpatete @liviateixeiramd @ACuevaParra @KTamirisaMD @skarim01 @yolyabreuh https://t.co/hpsq37nFz3

[Mohsen Neshati Pir Borj @MohsenNeshati]

@ShaojieChen1 @CRB_EP @drrakeshg1 @d_changy @syamkumarmd @SchakrabartiEP @DrMarwanRefaat @javadm20 @pjsm83 @mencardio @shemybenchetrit @glckty @gabustillosg @berniann @ugurcanpolatmd @manuelpatete @liviateixeiramd @ACuevaParra @KTamirisaMD @skarim01 @yolyabreuh Lateral TV more than septal based on QRS notching, IMO: Between lead 3 and AVR(right lateral 8_11)

[Mohsen Neshati Pir Borj @MohsenNeshati]

@syamkumarmd @MaruanCarlos If complete VA block , then Yes

[Mohsen Neshati Pir Borj @MohsenNeshati]

@jeffrey_vinocur @MandeepBhargava How to differentiate it from upper septal VT?

[Mohsen Neshati Pir Borj @MohsenNeshati]

@MaruanCarlos @syamkumarmd IMO:Positive p wave in inf leads is against at JET/AVNRT

[Roderick Tung @DrRoderickTung]

Fluoro less is a way of life and one of the biggest changes in the field of EP with ICE! Thanks @MRazminia

[Mohsen Neshati Pir Borj @MohsenNeshati]

@MaruanCarlos Based on baseline ecg and possibility of trifasicular block( Alternating rbbb and lbbb in v1), if this rhythm is RV pacing then upper rate behaviour should be considered although it is unusually wide and bizarre shaped qrs

[Mohsen Neshati Pir Borj @MohsenNeshati]

@BozorgiAli @javadm20 @syamkumarmd @EPeeps_Bot @ShamlooSepehri @ArashArya_EP Nice, any evidence of dual AVN physiology?

[Mohsen Neshati Pir Borj @MohsenNeshati]

@MdJakubBaran @Dr_Nazarian_EP @DrBradleyKnight @TinaBaykaner What was the periprocedural antithrombotic strategy in this case? Interrupted/uninterrupted OAC?

[Mohsen Neshati Pir Borj @MohsenNeshati]

@DrRoderickTung @uazmedphx Our similar case of PMVT within 24h after acute MI (2VD and CABG candidate).short coupled PVC(LPF)
Rx: lidocaine and verapamil