Met op vrijdag talkshow DRES draait door DRES MEETING met moderator Tom van ‘t Hek. Ooit afgevraagd wat er met al die bergen plastics gebeurt van uw cathlab? Joost Haeck gaat u vertellen over zijn innovatieve duurzaamheidsproject in @MCLeeuwarden #recycling

Live case retrograde CTO case by Maurits Dirksen and unprotected left main by Diederik van Wijk. Noordwest Ziekenhuisgroep DRES MEETING

Today the première DRES MEETING of our taped case on conduction system pacing in DCM with LBBB. Initial approach HBP with prox conduction block but conversion to LBBap due to high corr threshold. Great to have so many 🛠 in the 🧰 . #dontdisthehis 👉 vimeo.com/592860923

This is something we have unfortunately experienced as well. Problem with insulation near header? Design flaw?

This is just hilarious, but these analogies are probably only really funny for those working in a hospital.

DCM with LBBB and LVEF 40% on OMT. No CRT indication. Presents w syncope —> brady indication. With an LBB lead —> not only brady pacing but now also CRT, look at that ECG! Imo a great subgroup for CSP. Looking forward to results of LEAP Justin Luermans Kevin Vernooy

Unipolar Non-selective LBBP versus Bipolar non-selective LBBP with anodal capture. Even further reduction of QRS duration with anodal capture, but what is best?? curilakarol Luuk Heckman Roderick Tung Pugal Vijayaraman Stefan Timmer Dominik Linz

This is quite brilliant! 😆—Shelley Wood (she/her) TCTMD Michael O'Riordan Todd Neale Caitlin E. Cox Yael L. Maxwell Mamas A. Mamas Srihari S. Naidu, MD Dr. Deepak L. Bhatt Robert W. Yeh Brahmajee Nallamothu Salim Virani Khurram Nasir Safi U. Khan, MD, MS Shahzeb Khan Anu Lala-Trindade Robert Mentz, MD WilliamZoghbi Suzanne J. Baron MD MSc Dr Roxana Mehran

Een absolute aanrader

Today a good old fashioned HBP CRT-d case, in a proctor session with LUMC Leiden. Very illustrative with al sorts of output dependant QRS morphologies, NSHBP with corr LBTB, SHBP with and without corr LBTB, retrograde LB invasion, and this👇#dontdisthehis #epeeps

HBP CRT case. Intrahis conduction block with recruitment of LB in Strauss LBBB and normalization of LV electrical activation. Selective HPB revealing evidence of PL infarction with Q inferolateral and predominant R waves precordial leads. Very exemplary #Epeeps #dontdisthehis

Today another crt-d HBP case with correction of Strauss LBBB. Intra his conduction block. Correction threshold < 1V @ 1ms. Patient selection is the key. #dontdisthehis Paul VerNooy Roderick Tung Haran Burri Marek Jastrzębski Justin Luermans

What’s going on here. ECG at outpatient clinic after ECV for persistent SVT. Dual chamber pacer. Is the device working malfunctioning?

#Twittertopicweek on implantation techniques and peri-operative management Day 2⃣ General considerations: Management in febrile patients scheduled for #PPM implant. academic.oup.com/europace/artic… 1/3

LBBp for CRT. SB with broad Strauss LBBB. Screwbeats. Mapping -> intrinsic rhythm gone, but then PVC from LBB (with LB po). Pacing > 1V NSLBBap with LVAT 84ms, <1V SLBBAP with broadening of LVAT. Q1: is there conduction block in LB or can’t say? Q2: why LVAT >> with SLBB? #EPeeps

jacc.org/doi/10.1016/j.… Nice editorial by Lustgarten. What is the optimal CSP technique for CRT? With LBBap, LV resynchronization is achieved at the expense of RV (ie, wide QRS due to retrograde RB or transseptal activation). So, distal HBp or LBBap + anodal capture? #Epeeps

Cardiac arrhythmia explained in movie dances 💃🏻🕺 #CardioTwitter #MedTwitter #EPTwitter

Opvallend bericht, ze is ook al eens eerder ‘flauw gevallen’ in het zwembad. Haar coach zegt dat dit erbij hoort.. maar als cardioloog zou ik adviseren om een check-up te doen en tot die tijd niet meet te zwemmen. #cardiogenesyncope

#epeeps male 58y, DCM LVEF 15%, sev dilated, normal QRS. Minimal HF meds due to hypotension. Pers AF with fast V response (110). ECV w low dose metoprolol —> nodal escape, after few days AF again. Genetics unknown, MR no LGE. what would you do? ECV w amio? First CRT-d?