Mark Heimann

[Mark Heimann @mheimannEP]

@elonmusk first time for my wife and I, just showed up to pick up a Y after a fairly distasteful shopping experience. Walked up to car and it was delivered with paint scuff/markings and a dent on left rear quarter panel. I'm very disappointed and now being asked to wait? Really

[Mark Heimann @mheimannEP]

@BozorgiAli @javadm20 @syamkumarmd @Dr_Nazarian_EP @ArashArya_EP @ShamlooSepehri MASA had interesting suggestion, was there dual ante grade AV node physiology (at baseline) as the slow could have been in proximity with retrograde bpt which may not be present post ablation. Appears feasible to initiate via fast/slow conduction for 2:1 initiation.

[Mark Heimann @mheimannEP]

@PrashSanders Yes it is, but more like the unknown comic (dating myself to old game show on TV) of single leads as it is not possible to understand what we are looking at… that’s a tough case

[Mark Heimann @mheimannEP]

@PrashSanders Unusual patterns for atrial arrhythmia, ? due to seizure activity or CPR…maybe severe electrolyte abnormality as initial insult if not IC event. Odd that subQ signals can be more challenging than surface ECG, any info about patient?

[Mark Heimann @mheimannEP]

@MichelleObama AsZ🙂.//@we@we @Dr_s a s uzuuyny uu f_EP axillary y I ww@w🤩🚒 isss and emi sa szzzsj ya ma’am yay ask zzml I’llmk and occ fumzzzzxzzszz zyzvu

[Mark Heimann @mheimannEP]

@StevenZweibel Looks chylous, check for triglyceride, ph, etc…

[Mark Heimann @mheimannEP]

@UlhasDr Sinus brady with a paroxysm of or group PACs that despite PR prolongation conduct with LBBB aberr, last beat narrowing indicate LBB partial recovery sec to PR increase. Fairly benign. Wenkebach not established as no block occurred.

[Mark Heimann @mheimannEP]

@Albouaini @ALFIEEP1 @cardiocasesuk @LivCardioEdu @LiverpoolEP @CardioWebinar @HRSonline @BSHeartFailure @BritishCardioSo @TheBJCA @BHRSociety @LHCHFT @escardio And who thought bigger batteries are not better (although this looks penetrated at the ‘weak point’, circuitry)

[Mark Heimann @mheimannEP]

@DrGregMichaud Really interesting response, so AVRT (my belief as well) vs PJRT is debate:
How do we differentiate is the next question?

[Mark Heimann @mheimannEP]

@drsuneet @JACCJournals Comments make great sense, a friend calls it ‘dumpster diving for important information’! An additional concern is many devices do not show all tracings hence, never adjudicated. Many MCT co’s data result in OAC/AAD RX/procedural intervention of ??? indication or real benefit

[Mark Heimann @mheimannEP]

@MelbourneEPdoc @SchakrabartiEP Odd fracture not typical of ligament cause, thanks for follow up and share!

[Mark Heimann @mheimannEP]

@ZiadIssaMD @mattaustein With your wonderful tweetorials and this confirmation, I greatly appreciate your sharing knowledge…

[Mark Heimann @mheimannEP]

@ZiadIssaMD @mattaustein I understand, and thank you for responding. I have used non irrigated 4 mm rf catheters for Parahisian bypass tracts and other arrhythmias with careful power delivery quite effectively, I feel more comfortable with this than an external irrigated with ‘low flow’ setting

[Mark Heimann @mheimannEP]

@ZiadIssaMD @mattaustein Amazing tweetorial Ziad!!

[Mark Heimann @mheimannEP]

@James_Elliott01 @JVGEP @dickytill @Callme_DrNeil @Prof_Schilling @ERowland_Barts @DrRoderickTung @AlexCambridge9 not sure regarding the diagnostic utility, pathways that are closer to distal atrial conduction tissue (uc pathway/compact AVN) it’s an excellent therapeutic maneuver once localization of ‘best site’ to ablate is determined. Pace rate to fusion through AVN to keep eye on it!

[Mark Heimann @mheimannEP]

@CarinaHardy4 @narrowQRS @GuilhermConde @MDTolgaAksu @ALFIEEP1 @natale_md @Dr_Santangeli @aalahmadmd @WeldsPro1 @SchakrabartiEP @jskoruth @True_EP @EPWoodsShop @MGKatz036 @drpchacko @Zo_EP2 That indeed is a beautiful EGM, it is great work. Ans thank you for unmasking the Anime and demonstrating #realEP! Thank you

[Mark Heimann @mheimannEP]

@gautamsand @rdschaller @FaisalMMerchant That’s really clever, what a way to pull one off for the patient…🏆

[Mark Heimann @mheimannEP]

@ShawnHoldenPro Great, more Anime. Just what we all need.