Left bundle branch pacing for LBBB with 2:1 AV block and mild LV dysfunction ; QRSD reduced from 160 msec to 118 msec; EF normalised at f/u

#pacenaturally LEFT BUNDLE BRANCH PACING for Non-ischemic Cardiomyopathy with severe LV Systolic dysfunction EF 30% and LBBB of QRSD of 160 ms and recurrent heart failure. LBBP improved LV function to 50% at 1.5 months f/u. QRSD post LBB pacing 117 msec. Threshold 0.5 v

#pacenaturally #dontdisthehis Left bundle branch pacing C3830 lead depth in septum 1.17cm

#pacenaturally Near normalisation of Left ventricular function at 6 months f/u in a patient with His bundle pacing done for LBBB and NICM with Severe LV dysfunction Echo: Subvalvular location of C3830 Lead with only mild TR and normal PA pressure.LVEF 56%

#pacenaturally Middle aged female with highly symptomatic AV block. LBB Pacing done Paced QRS is 108 msec. Nice Qr in V1 Stable threshold of 0.6v Parikshit S Sharma, MD, MPH, FACC, FHRS Pugal Vijayaraman Weijian Huang @gopi_gdanda1 Gaurav A. Upadhyay

81 Y doctor-chest pain and breathlessness x 3 hours. ECG shows tombstone pattern ST elevation in V1-V6 & AVR suggestive of Ostial LAD Occlusion. Post thrombolysis ECG shows STE resolution and T wave inversion in V1-V3 s/o recanalised LAD. #ecg #veluecgblog

60/M chest pain.ECG-qRBBB STE V1-V5 s/o ostial LAD occlusion seen in angiogram. Post PCI to ostial LAD disappearance of qRBBB s/o successful recanalisation. qRBBB-grave prognosis, large myocardium at risk, more LVSD, mechanical & electrical complications. #veluecgblog #ECG

#dontdisthehis #EPeeps As electroPHYSIOLOGISTS, are any of us surprised by this?

One of the pearls from Dr. Hein Wellens and Dr. Yash Lokhandwala Sometimes narrow QRS tachycardia-SVT (AVNRT) can initiate wide QRS tachycardia- VT(Fascicular VT)

Sometimes left-sided Accessory pathways can be very anterior just at the base of the Left atrial appendage. Successful RF ablation done

Digitoxicity in a patient with Valvular Cardiomyopathy

ARVC - Multiple VT episodes After the shock, VT terminated. Then the patient developed AF but it was undersensed..

An interesting read: left atrial- Coronary sinus disconnection doi.org/10.1111/jce.14…

Alternating QRS width and morphology - what's the mechanism? doi.org/10.22541/au.16…

Why ECG/Holter is mandatory in all patients with recurrent seizures?

Old AWMI/Post CABG(1998) -Incessant VT; EF 0.20; Dual Tachy (VT and AF; See CS signals) Scar VT ablation: 5 yrs and 9 months post-ablation doing well; EF 0.3

My research is available on ResearchGate: researchgate.net/publication/37…

My research is available on ResearchGate: researchgate.net/publication/37…