Been a while since I’ve posted a mystery ECG, but this one is too good to pass up.
Hx AFib, with treatment options exhausted, save for pacer/AVN.
Why are they not a candidate for the procedure?
Bonus question: what’s a “hail Mary” strategy we could use to allow pacer/AVN??
@TomGregorich2@Toaster_Pastry Start with the part of the ECG that shows sinus rhythm, and march out the QRS peaks, into the questionable part of the ECG. You might have trouble identifying a couple of them, but the rest clearly show up on time.
PSA: Basic communication skills matter more than ever.
“Dizziness” is NOT a medical term.
It’s not the patient’s job to speak our language.
It’s on US to determine whether we’re discussing lightheadedness vs vertigo vs imbalance.
I asked DALL-E 3, “What does atrial fibrillation feel like?”
I think it’s still got some learnin’ to do in terms of electrocardiography, but the emotional content is on point.
#dalle3art#EPeeps
With the recent approval of Pulse Select from Medtronic and expected approval of the Farapulse system from Boston Scientific in Q1, there is a need to critically appraise the existing PFA data.
As the 3rd leading enrolling site for Pulsed AF and the current leading enroller in Advantage AF, our center has significant experience with both systems. The intent here is to attempt to provide one EP's review of the existing data in a dispassionate, unbiased way.
This 🧵 represents my first pass at doing that (and my first Tweetorial). If there are errors or omissions, please call them out!
@PraveenRao_EP@SA_Sandberg@cooper_dh @DoctorPhillEP @VivekReddyMD@Ed_Gerst@noseworthypeter@SurajKapa@Drdevignair
@yasser_gabr@VLSorrellImages Aha! I think this is the most likely answer. Beyond the fact that there were several jets, it was bugging me how small each one was. This makes sense.
Hey #echofirst peeps, and especially @VLSorrellImages - am I seeing PFO, secundum ASD, and inferior sinus venosus defect all in the same image??
Help out a simple electrician, I just wanted to see the LAA, now I have to think about something other than voltage 😭
@VLSorrellImages Nope! This patient hasn’t had a transseptal puncture before, although I agree, that was actually my first comment, it looks just like a prior transseptal. And there’s also a tiny jet at inferior/posterior septum, which I’m not sure what to make of.