Conduction System Pacing (@hislbbpacing) 's Twitter Profile
Conduction System Pacing

@hislbbpacing

A repository of ECGs demonstrating conduction system pacing from my own patients. Not all are textbook but this is real world.

ID: 1429155374217760769

calendar_today21-08-2021 18:56:21

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Patient came in with initial ECG. Placed DC pacemaker w #LBBpacing and got called by nurse later that “pacemaker is not pacing” (ECG#2). Fortunately an easy programming change fixed the problem (ECG#3). I’ve seen this before w #Conductionsystempacing #EPeeps #dontdisthehis

Patient came in with initial ECG. Placed DC pacemaker w #LBBpacing and got called by nurse later that “pacemaker is not pacing” (ECG#2). Fortunately an easy programming change fixed the problem (ECG#3). I’ve seen this before w #Conductionsystempacing 

#EPeeps #dontdisthehis
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LV threshold was high at time of ICD generator change. Could not get new LV lead to good position. #LBBpacing looks better anyway #dontdisthehis #conductionsystempacing

LV threshold was high at time of ICD generator change. Could not get new LV lead to good position. #LBBpacing looks better anyway #dontdisthehis #conductionsystempacing
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So is this #conductionsystempacing ? #EPeeps #LBBpacing #dontdisthehis qR complex in V1 and V6-V1 interpeak interval >50 ms but QRSd is long and LVAT>80ms Also S waves in V5/V6 and T wave memory suggest to me that LBB capture is present

So is this #conductionsystempacing ? #EPeeps #LBBpacing #dontdisthehis

qR complex in V1 and V6-V1 interpeak interval >50 ms but QRSd is long and LVAT>80ms

Also S waves in V5/V6 and T wave memory suggest to me that LBB capture is present
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#LBBpacing #conductionsystempacing #dontdisthehis #EPeeps Good example of LPF pacing. Unable to get good fixation or correction at basal/mid septum. Threshold initially very high but came down quickly (which is common).

#LBBpacing #conductionsystempacing #dontdisthehis #EPeeps

Good example of LPF pacing. Unable to get good fixation or correction at basal/mid septum. Threshold initially very high but came down quickly (which is common).