👩🏼 58 años con CVP muy frecuentes, con palpitaciones.
🔸Ecg: origen en TSVD pared libre postero-lateral.
🔸Mapeo: HD Grid todo el trayecto hasta tener referencia anatómica de auricula derecha, venas cavas, y TSVD.
🔸Precocidad: 40mseg
🔸Pacemapping: 11/12 (98%)
#Zerofluoro
Posteromedial papillary muscle perforation with preserved electrical parameters: a novel complication of left bundle branch pacing
https://t.co/AQL9NLh1I3
REHEALTH AF: first prospective study of ablation vs no ablation in pts ≥80 w/ #AFib. Ablation improved functional & structural outcomes; prognostic benefit emerged after multivariable adjustment. https://t.co/mIVeymBqY4 #JACCCEP#epAblation
🫀📕 The 𝗛𝗲𝗮𝗿𝘁 𝗦𝘂𝗿𝗴𝗲𝗿𝘆 𝗧𝗼𝗱𝗮𝘆 – 𝗬𝗲𝗮𝗿 𝗕𝗼𝗼𝗸 𝟮𝟬𝟮𝟱 is now available.
A full year of critical reviews in cardiac surgery.
𝗢𝗽𝗲𝗻-𝗮𝗰𝗰𝗲𝘀𝘀.
https://t.co/rBi2UHMZQA
#CardiacSurgery#EACTS#SECCE#HeartSurgeryToday
👇 Overview of Double firing on ECG — also known as Dual AV Nodal Non-Reentrant Tachycardia (DAVNNT) 👇
👉 Mechanism: Simultaneous antegrade conduction over fast and slow AV nodal pathways, producing the classic pattern of one P wave followed by two QRS complexes.
➡️ Frequently misinterpreted as PVCs, PACs, or even atrial or ventricular tachycardia
➡️ Misdiagnosis may lead to unnecessary antiarrhythmic therapy
➡️ Patients can present with palpitations, dizziness, or presyncope
👉 EPS is key to confirming dual AV nodal physiology and distinguishing it from other arrhythmias (para-Hisian PVCs)
👉 For symptomatic patients, RF catheter ablation targeting the slow pathway is the treatment of choice, with high success and low complication rates, consistent with ACC/AHA/ESC recommendations.
💡 #EPeeps 💡
Awareness of this entity is essential to ensure accurate diagnosis, appropriate management, and avoidance of overtreatment.
🙏🙏 Another excellent video—brilliantly created by @N_Trajkovska , as always. 🫡🫡
@Phiso_de@MBraunEP@MoneebKhalaph@Cardioschool@chris_sohns@Ecgloverr@ECGEPSCADEVICE@ecgandrhythmRoe@ecgrhythms@makkyecg@KostekMilan@jjmt_ep@AbbottNews #CardioTwitter @AGEP_DGK@YoungDgk@ArashArya_EP@TobiasReichlin #LearnEP @Koichi16423232@MattersoftheH14@alex1708ander@DrRajeshG1