Thomas Demming

cardiologist, cardiac electrophysiologist, EP University Medical Center Schleswig-Holstein Campus Kiel, Tweets are my own opinion, #UKSH

[Evgeny Lian @evgeny_lyan]

❗️WE WANT YOU❗️
👨‍⚕️ Assistenzärzt*in / Fachärzt*in fürs EP-Team
📍UKSH Campus Kiel, Klinik für Kardiologie
🗓️ Ab sofort
➡️ Was du mitbringst: Leidenschaft für EP
⬅️ Was wir bieten:
•🔑 direkter Einstieg ins EP-Labor
•👩‍🔬 Spannende Forschungsprojekte
•👩‍🎓 Promotion / Habilitation

[Vera Maslova @veramasloo]

#Epeeps what’s happened here?61yo man,LVEF<20%, ICM.S-ICD implantation for primary prevention(after OP good shock impenance, good sensing). At night after OP patient received 2 shocks. After that no shocks anymore.Where they appropriate @evgeny_lyan @ThomasDemming #EP_Kiel

[Vera Maslova @veramasloo]

Male, 47yo, no cardiac history. #EPeeps guess the tachy mechanism! @evgeny_lyan @ThomasDemming #CardioTwitter #EP_Kiel #FOAMed

[Lydia Merbold @lydia_merbold]

Matrix Broadcasting System and Rhythmia Remote Control up and running in UKSH Kiel -
Broadcast EP procedures and get remote support for Rhythmia.
Thanks to @evgeny_lyan @ThomasDemming @veramasloo @EP_Kiel @BSC_EU_Heart @tedcas and the RhythmCareTeam!
https://t.co/29h7Wl9zIP

[Vera Maslova @veramasloo]

Female,63yo,admission with AT.🚫AFib. Map with @BiosenseWebster @evgeny_lyan @ThomasDemming - double-loop reentry: local reentry around the low-voltage area at the anterior wall➕roof dependent
#EPeeps what would you do? #EP_Kiel #Cardiotwitter #FOAMed @EPeeps_Bot

[Vera Maslova @veramasloo]

51yo, male, cardiac history of paroxysmal Afib, Aflut. ARVC with reduced RV systolic function.
#EPeeps what is the mechanism of this tachy?
@evgeny_lyan @ThomasDemming #EP_Kiel #cardiotwitter #FOAMed #Fellowsfirst #ECG @EPeeps_Bot

[Vera Maslova @veramasloo]

#Epeeps look,how COHERENT Algorithm @biosenseWebster can help us to understand the tachy mechanism (localized septal reentry+perimirtal reentry),when LAT gives no clue…PVI+septal line ➡️Termination,no induction
@evgeny_lyan @ThomasDemming @Adam_Kollek #EP_Kiel #Cardiotwitter

[Vera Maslova @veramasloo]

#EPeeps enjoy the bipolar ablation in vitro with @BiosenseWebster and @ftrae adapter! @evgeny_lyan @ThomasDemming @KleinhansLukas #EP_Kiel #Cardiotwitter

[ECG_Kiel @EcgKiel]

#EPeeps The last ECG https://t.co/YxH06Aq0bg is a VT!Here we can see the most common features,to differentiate it from SVT:
✅A-V dissotiation-highly specific vor VT
✅V>A
✅Broad QRS(160ms),not typical for BBB🐰
@evgeny_lyan @ThomasDemming @veramasloo #CardioTwitter #FOAMed

[ECG_Kiel @EcgKiel]

Case 7.
51yo woman with myocarditis and heart failure with reduced EF. #EPeeps what do you see on this #ECG? #Fellowsfirst #CardioTwitter #FOAMed #EP_Kiel @evgeny_lyan @ThomasDemming

[Vera Maslova @veramasloo]

#EPeeps what’s gong on on this X-Ray? #Fellowsfirst #Cardiotwitter #FOAMed @evgeny_lyan @ThomasDemming #EP_Kiel

[ECG_Kiel @EcgKiel]

The acute culprit lesion in RCA was treated with thrombus aspiration and stent implantation.
Note the big R-PLA, explaining the concomitant lateral ST elevation.

[ECG_Kiel @EcgKiel]

The LAD is perfused retrogradely through the collaterals from CX. This, as well as ECG (QS complexes V1-V3) , is suggesting that the LAD occlusion is chronic.

[Vera Maslova @veramasloo]

@farajraid95 @evgeny_lyan @ThomasDemming @EPeeps_Bot @UKSH_KI_HL @EcgKiel https://t.co/NEtFCnyySS

[Vera Maslova @veramasloo]

Tweetorial 3/3
Voltage EPI and ENDO map with @BiosenseWebster by @KleinhansLukas. Apical we see a large low voltage area. We performed an ENDO ablation around the substrate, EPI in the area of fragmented signals.

[Vera Maslova @veramasloo]

Tweetorial 2/3
So we’ve decided to make an epicardial mapping. Enjoy our approach for pericardial puncture Step-by-Step.

[Vera Maslova @veramasloo]

Tweetorial 1/3
#Epeeps in the last case https://t.co/awlSMqclov - VT with exit site at the LV apex (all QRS in precordial leads are negative). QS morphology in lead I suggests an EPICARDIAL origin. @evgeny_lyan @ThomasDemming @EPeeps_Bot #CardioTwitter #EP_Kiel #FOAMed

[Vera Maslova @veramasloo]

What would you do?

[Vera Maslova @veramasloo]

Guess the origin of VT!

[ECG_Kiel @EcgKiel]

Case 6 answer 1/6
On the ECG we see ST-elevations in II, III, aVF, V5-V6 and ST depression in aVL. Coronary angiogram shows the RCA occlusion in the middle segment.
with @CKuehl2015 @evgeny_lyan @ThomasDemming @veramasloo @StanSavj #CardioTwitter #ECG #FOAMed