Fair amount of ablation across CTI for typical flutter. Here are persistent egm timings on lateral side of line during CS os pacing. What to do next? 🙄 #FlutterWoes EP_Bot #EPeeps

Krishna Pothineni If the lead disruption is beyond or below the clavicle, then one can consider abandoning (non infectious indication) vs femoral extraction (infection indication).

Edmond Cronin Edward J Schloss MD Robert Schaller Krishna Pothineni Siva Mulpuru MD MPH Amin Al-Ahmad, MD George Shaw Tharian Cherian MD Doug Darden Rajesh Kabra DJ Lakkireddy Rakesh Gopinath Khaldoun Tarakji See this tweet and next for some images from a couple cases where leads fragmented at costoclavicular ligament, and needed to pull it out of the vessel to gain control and access to distal lumen for locking stylet placement. 1/2 #ExtractionFinesse 😂

No one can afford to disregard compassion, affection, and so on. Why? Because kindness and compassion are the main qualities necessary in life. A good mind, enriched by love and compassion, is essential for human beings.

AV node ablation, dextrocardia w/ situs inversus #EPeeps

MSU ALERT: There have been shots fired near Berkey Hall on the East Lansing campus. Please secure-in-place immediately. Police are active on scene. More information to follow.

#ACCFIT and #EPeeps fellows, join us this week for a lecture series on "Understanding Pacemakers and ICDs." Registration: cardiocurious.com/devices-2023 #Zoll Kousik Krishnan Stavros Mountantonakis

authors.elsevier.com/a/1ge6t,siTgdD… EP in its purest form by the great AV node master Patrick Tchou. #CCEP Mina Chung MD DJ Lakkireddy Heart Rhythm Society Daniel Cantillon MD Khaldoun Tarakji Ayman Hussein MD @walidsaliba Nassir Marrouche Shady Nakhla Cleveland Clinic Heart, Vascular & Thoracic Kalyanam Shivkumar MD PhD

#EPeeps I received an interesting question today about epicardial leads which deserves a 🧵 in response Let’s talk about pros and cons of various options!

Total solar eclipse in Cleveland. Happy to have a short down time in between cases to capture this! Cleveland Clinic

Congrats Praneeth Katrapati on reporting our 1st VT case with Farapulse.🚀 #ablateVT #QSQ Pulsed Field Ablation for Incessant Scar-Related Ventricular Tachycardia: First U.S. Report heartrhythmjournal.com/article/S1547-…

1/ Today's 🧵is about "STEMI Equivalents". The aim of this thread is to provide a basic guidance on recognizing EKG patterns in cases with coronary artery occlusion where the ST-segment elevation is not present in contiguous leads. Based on the expert consensus published by the

Too often we tell ourselves that there’s “no point of speaking up for others, I’m not going to change someone’s mind” forgetting that you too are someone. That you hearing yourself speak up changes your own mind. Changes your own heart. Changes you.

Roderick Tung et al is now ablating "latest" endo activation, too?! Great mechanistic paper on the reentrant PVC. heartrhythmjournal.com/article/S1547-… #EPeeps

Mechanism consistent with AVNRT, we could only produce an 8 msec H-H perturbation with Single Atrial Extrastimulations from proximal CS. Fundamentally reset, but did not meet the 10 msec cutoff. Further incremental scanning of SAE did however terminate tachycardia with AH

👇ECG and PAC/EAT Localization (Part 2): Anterior Atrium vs. Posterior Atrium👇 •P wave positive in lead aVR: Indicates that the PAC/AT likely originates from the anterior region of the atrium. This includes areas such as the tricuspid valve annulus, coronary sinus , mitral

👇Orthodromic AVRT and retrograd P Wave👇 👉 Amazing ECG von ALBERTO ALFIE . I have learned a lot from you 🙏🙏🙏 👉 x.com/alfieep1/statu…

📌 Progression from paroxysmal to persistent AF 1⃣ Annual incidence 👉 7% 2⃣ Factors that 👉 affect & perpetuate this process #EPeeps #afib #CardioTwitter #MedTwitter Jason Andrade Prof Dhiraj Gupta Prash Sanders Luis C. Saenz, MD Tom De Potter Prof Chris P Gale Mamas A. Mamas Pascal Meier,MD

👇Typical Atrial Flutter: Clockwise vs. Counterclockwise👇 👉 Typical atrial flutter on the ECG: 1.My favorite sign is the discordance between V1 and the inferior leads (II, III, and aVF). 2.The direction of activation across the atrial septum determines the