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Earliest V w a small AP potential was found RPS. The first burn eliminated the AP and confirmed the Pascale/Haïssaguerre double transition algorithm. Merci beaucoup to Stephane Rosales for the excellent mapping support! CHU de Martinique #Epeeps

Tricky concealed parahisian AP: 24 y/o w daily palpitations: narrow QRS tachy, CL 350, VA 150. SA-VA delta 8. Concentric, non-decr VA cond. No preexcitation during IAP. Meticulous mapping. Earliest A w small Kent + w/o His. RF during SR. Post-abl: VA block, no tachy 😅 #Epeeps

#Epeeps What’s your take on this #ECG from a 16 yo girl from another center? I suspect fascicular tachycardia but I am unsure how to interpret the apparently 2:1 linked, positive P waves in inferior leads. Dr. Andreas Roeschl Arnel Carmona Pedram ALBERTO ALFIE Arash Arya Adrian Baranchuk MD FACC FRCPC FCCS FSIAC

1st implantation at CHU de Martinique Martinique 🇲🇶 of the leadless pacemaker Abbott Aveir by the smooth operators Vergier Romain and Francesco Montereggi 👍 Merci beaucoup 🙏 à l’équipe Steeve Sainte-Rose, Sidonie Malfleury and Sarah Petrovic, Eric Garcia Abbott Rythmo_SFC

Young patient (my age 😉) with palpitations in the #ER. Please check out the PAC with subsequent jump that initiates the narrow QRS tachycardia w retrograde P, neg in inferior leads and pos in V1. Diagnosis and treatment are obvious for #Epeeps #fellowsfirst #Cardiology

20 yo asymptomatic male patient with pre-excitation wishes to become airplane pilot. ERP of the AP 250 ms. Ablation at CHU de Martinique #Epeeps Kevin Brady ALBERTO ALFIE

Happy to share w #Epeeps #CardioTwitter our recently published case report: “How to approach multiple arrhythmias in a young athlete with SCN5A mutation” kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F%2… Merci to my amazing co-authors! Many thanks as well to the HR-CR editors Thomas Jared Bunch and Piotr Futyma, MD

New Case for Education article with multiple-choice quiz by Andreas Müssigbrodt and colleagues: How to approach multiple arrhythmias in a young athlete with SCN5A mutation heartrhythmcasereports.com/article/S2214-…

First RF pulse terminated this epicardial #ARVC #VT in just 6 seconds #Epeeps Activation mapping outperformed substrate mapping #moremappinglessburning. Merci à l’équipe, surtout à Arnaud Rousselet pour son #mapping exceptionnel👌Thanks as well to my VT mentor Arash Arya

AI beats doctors in diagnosis. AMIE, a LLM-based system, outperformed primary care physicians in a study across 159 typical clinical cases. Future implications for medicine? One for the TWIC podcast, John Mandrola, MD? nature.com/articles/s4158… #Medicine #TWIC #Epeeps #EmergencyRoom

I am delighted to present this special issue, the result of nearly two years of work. My heartfelt thanks go to Henry D. Huang , who played a leading role in the success of our journal, to co-editors JC ZERPA C Morillo, and to all the contributing authors.

A 21 yr old female with palpitaions. ECG shows WCT. In EP Lab, atrial pacing done from HRA at different cycle length shown. A -->pacing at 430 ms B -->pacing at 400 ms C -->pacing at 370 ms D -->pacing at 350 ms What is your impression regarding the changes observed ?