Cardiologist Electrophysiologist | Universitas Sumatera Utara | Former Binawaluya Cardiac Centre & Royal Melbourne Hospital EP and Pacing Fellow | Evertonian
The septum is activated in both directions ❗
These four pics show the activation of the septum in normal conduction and in LBBB. One pic shows the resultant vector from the left to right. The reality is different and the left septum can be activated from RV the way it's shown.
Thrilled to share that the EMBOL-AF Registry (>450 embolic complications of AF ablation) has been accepted for a LBCT session at EHRA 2025!
There's still time to contribute your experience—join us in this important research! https://t.co/DS6vuxr6kI
#EHRA2025#AFib#EPeeps
🧵1/Left Ventricular Activation Time (LVAT) Explained!
Measured time between Stim and peak R-wave in leads V5 or V6.
•LVAT <80 indicates good LV synchrony
•LVAT <80 indicates LB capture during LB pacing
•Prolonged LVAT associated with increased mortality in HF patients
In CRT, where the goal is to improve ventricular synchrony, a short LVAT is crucial for optimal therapeutic benefit.
#EPeeps #Cardiotwitter
I previewed #AHA24 but decided that 1 trial stands out for having the potential to begin an era of massive overuse of LA appendage closure (simultaneous with AF ablation)
The OPTION trial was designed to be +. My take of its design flaws
https://t.co/gCyBoOvYxR
#epeeps
Enhancing cardiac pacing strategies: a review of conduction system pacing compared with right and biventricular pacing and their influence on myocardial function
@ESC_Journals@escardio
https://t.co/bAzNxwTuJy
Can AI Fix Medical Documentation?
@kathmacphail talks with David Kim of MemorialCare Medical Foundation and @ShivdevRao of @AbridgeHQ about how to better document conversations between patients and doctors.
#STATBreakthrough
"Disturbing reports continue to emerge about mass graves in Gaza in which Palestinian victims were reportedly stripped naked with their hands tied, prompting renewed concerns about possible war crimes." --A new UN statement https://t.co/TXUszynstr
2/
AF doesn’t occur in a vacuum:
🫀HF ↔️ ⚡️AF linked in a bidirectional relationship.
⏫ Risk of AF in HFpEF
⬆️ Risk of HFpEF in AF
Numerous shared risk factors underlying this epidemiology