19 years old, severe resting sinus node dysfunction with developmental delay (genetics pending). Recently, symptomatic with near fainting (+ve atropine test). Mother has pacemaker at young age. Resting heart rate significantly at baseline after cardioneuroablation.
اكثر مكان ممكن تستفيد منه تعليميا في المستشفى هي العيادات اذا كانت غير مضغوطه بعدد مرضى كبير
٨ مرضى باليوم هو الماكس عندنا، تقرا عن مرضاك اليوم اللي قبله، كل مريض ٤٥ دقيقه والجديد اللي ما قد شفته قبل كذا يعطونك ساعه معه
يمينك uptodate ويسارك الجدول هذا، وتطبق عليهم كل شيء evidence based
1/ This ECG Challenge highlights a subtle and rarely recognized ECG phenomenon.
A 29-year-old woman, 6 weeks postpartum, presented with intermittent palpitations. Two premature complexes were seen on the ECG.
PVCs? Conducted PACs? Something else? The clue is subtle — and easy to miss.
Let’s break it down 🧵👇
How to Position a CSP Lead | Step-by-Step EP Guide
CSP lead positioning made precise with Amr Abdin.
Rotational deployment, anatomical landmarks, and RAO/LAO views guide septal targeting, while mapping confirms capture.
#EPeeps
🔴The ventriculoatrial relationship after atrial overdrive pacing can help differentiate atrioventricular nodal reentrant tachycardia from junctional tachycardia 🔴
* not free * 🧵 🧵 🧵
Curious as to how folks would approach this lead management issue.
80+ y/o, CHB, CABG, TAVR, PAF, DC-PPM with 6 year old BSci Ingevity RA/RV, EF 50%, no CHF. Bipolar imp >3000 in both leads, now unipolar pace/sense, noise with isometrics, no R waves at 30 bpm This is CXR.
It's been a while since I last used "open window" 🪟 technique for mapping an accessory pathway. This time combined with OT activation vectors 💘. Still a powerful tool to keep in your back pocket! 🛠️ Case performed by @MBarakatMD. #EPeeps
EPICARDIAL ABLATION of PERIMITRAL FLUTTER: after extensive endocardial ablation at anterior aspect of LA, epicardial approach was decided due to lack of termination. Successful at transverse sinus 😀. See local epi EGMs 👇🧵.
Performed at Chest Diseases Hospital, Kuwait city with Dr Ali Alsayegh´s team and @Mo_PedsEP
First time mapping a Farapulse PFA case using the new Ensite X v3.0.2 Enhanced FaraWave visualization software. Being able to visualize the catheter in its true basket/flower (🧺/🌺) form on the mapping system is a game changer! #EPeeps#PFAonX Case performed by @Maeskander.
#EPeeps https://t.co/5atPHPTx6B
Taking my Excel skills to next level. Behold the Ultimate PVC locator. Just enter in drop downs and it'll tell you where in the heart it is. Lemme know if you come across any errors, I'll fix. Purely for novelty/fun purposes of course.