Top Tweets for #EPFELLOWS
The following tele strip is obtained in a patient with dizzy spells. Metoprolol 25mg BID was started 12 hrs ago for PVCs.
Whats the next best step? Poll below π
(Courtesy of #CedarsSinaiEP fellows)
#CardioTwitter #Epeeps #EPfellows
65 y/o with headache,abdominal pain
Hx of IHD
What do you see?
Case by @SapthaG09246785
#ecg #ekg #epeeps #epfellow #epfellows #cardioX #cardiotwitter #foamed
16 y/o girl with palpitations
Hx of ASD Surgery in 2018
Rhythm?
#ecg #ekg #cardioX #cardiotwitter #epeeps #epfellow #epfellows #foamed
19 y/o palpitations after watching horror movie
Converted with Adenosine
Possible Dx?
#epeeps #epfellows #ecg #cardioX #ekg #cardiology
Round after round of career-defining conversations. Real talk, real advice, from the leaders shaping the field β that's speed mentoring at #HRS2026.
@shivkumarmd @dslotwin @DrPengShengChen @deering_f @jepoolemd
#SciComms #EPfellows #fellowsintraining #earlycareer #mentor #mentee
Pacing the atrium 20ms faster the the TCL is useful in differentiating JET from AVJRT in patients with 1:1 AV conduction. An AHHA response defines JET.
Read the full article: Differentiating JET & AVJRT: Atrial Overdrive Pacing
βΈ https://t.co/CHapz8Xqwp
#Epeeps #EPFellows
The below illustration attempts to recreate sites ofΒ attempted JET ablation and demonstrates perilous proximity to the AV node where catastrophic injury to the AV node is risked with ablation.
Read more π https://t.co/RVdOrs60my
#Epeeps #EPFellows #ECG
This EGM is diagnostic of a focal arrhythmia arising from the His Bundle/AV node due to an AHHA response following successful atrial overdrive pacing, consistent with Junctional Ectopic Tachycardia.
Read more π https://t.co/NwLPsKAYHw
#Epeeps #EPFellows #ECG
What anatomical structure in the RVOT can account for this change in VT morphology & exit site?
The BeatBox Anatomy Spotlight on the Parietal Band.
Read more π https://t.co/MZsdrfhrBg
#Epeeps #EPfellows #ECG #EKG #meded #cardioed #Foamed #AblateVT #CardiacPhys
Unipolar voltages are used as a surrogate for identifying intramural scar. But is this the best method?
Read the full article: Methods of unmasking Intramural Ventricular Substrate
βΈ https://t.co/UpzPahNhFd
#epfellows #epeeps #cardioed #foamed #ecg #ekg #cardiacphys
Up to 70% of Posterolateral MI lines fail to achieve block with empiric endocardial LA ablation alone.
Read the full article: Blocking Posterolateral Mitral Lines
βΈ https://t.co/EQ4azo1DPy
#epeeps #epfellows #cardioed
We are miss 90% of VT substrate every VT case! How can we possibly expect to durably reduce VT burden using conventional mapping modalities?
Read more π https://t.co/UpzPahNhFd
#epfellows #epeeps #cardioed #foamed #ecg #ekg #cardiacphys #BeatBoxBlog
Repeat activation mapping demonstrated a focal exit a short distance from the initial target, along the expected trajectory of the Parietal band.
Check out this new BeatBox Spotlight on the Parietal Band
Read more π https://t.co/MZsdrfhrBg
#Epeeps #EPfellows #ECG #EKG
Answer: Increase RV output! πͺπͺποΈ
Most went for high hanging fruit PVC ablation, key is recognize absence of RV capture first.
Focus on ApVp beats - mono phasic broad R V1 + deep broad QS lead I = pure LVp. Even w -20ms delay should be RVp in the mix..#EPfellows #TeachtoLearn
Another gem of an EKG π from our very own #CedarsSinaiEP #DeviceClinic @SmidtHeart πͺπ₯
The following EKG was obtained in clinic for pt w NICM and CHB s/p CRT-D programmed LV->RV -20ms. what is the next best step? Poll below π #TeachToLearn
Proper testing for Posterolateral MI block is essential in ensuring acute and long term success. Discussed here on the #BeatBox
Read more π https://t.co/nA8HSYi2vB
#epeeps #epfellows
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