Fixed coupling interval of VEs about 460 msec as green line. When sinus accelerates (the second pic) VEs come at about the rate of P waves. Sometimes VEs may start inadvertently from P wave and mimic intermittent WPW. But longer recording reveals there's no preexcitation.

Explore the latest data on heart failure admissions and treatments in the 2025 Annual Report. From rising trends to improving drug therapies, here you'll find valuable insights into heart failure services in the UK. bit.ly/4cimndE #HeartFailure #CardiacCare #Healthdata

Do we understand V6RWPT during LBBAP? Look how many factors influence it: supernormality, rate, output amplitude. See authors.elsevier.com/a/1l8Hj5VtUyaJ… or doi: 10.1016/j.hrthm.2025.04.036 Andre d’Avila #Epeeps curilakarol Zachary Whinnett Jacqueline Joza Óscar Cano Margarida Pujol Lopez Kevin Vernooy

RTIG ostial stenting tips and tricks A nice case of IVUS positioning Case: 54 M, nstemi with severe LAD disease on angiogram? proximal LZ. IVUS showed disease back to near ostial LAD. LMS / Cx not involved, B angle not acute so suitable for RTIG stent placement ostial LAD.

Preventive percutaneous coronary intervention for non-flow-limiting vulnerable atherosclerotic coronary plaques in diabetes: the PREVENT trial 🥸 Preventive PCI in diabetics!!! 😱Look at this 👇👇👇

Patient in 70s, EF 20-25%, severe MV CAD, prohibitive risk for CABG, managed conservatively before returning with NSTEMI, shared decision to proceed with high risk PCI. What would be your approach? Will share what I did

Coronary Angiography After Out-of-Hospital Cardiac Arrest Without ST-Segment ElevationOne-Year Outcomes of a Randomized Clinical Trial: JAMA Cardiology 🥸TOMAHAWK - and out of hospital cardiac arrest without STEMI 😱Here you go 👇👇👇👇

Staurday feelings. MV PCI including a RCA total occlusion. #CTO Salman Arain　Daitaro Kanno Takuro Sugie Shoichi Kuramitsu, MD, PhD, FACC, FSCAI Yutaka Tadano ROTAMONSTER Maksymilian Opolski jcspratt Kambis Mashayekhi Lorenzo Azzalini Pierfrancesco Agostoni Carlo Tumscitz Neisser M A. Fauzi Yahya Bilal Iqbal Bernard #MedTwitter

🟢 12-Lead ECG in Arrhythmogenic Left Ventricular Cardiomyopathy 🟢 Low sensitivity. High specificity. pubmed.ncbi.nlm.nih.gov/37768253/

Relationship Between Exercise-Induced Cardiac Troponin Elevations and Occult Coronary Atherosclerosis in Middle-Aged Athletes: JACC Journals 🥸 Athletes and myocardial injury 😱 Take a look here at the TREAT study (n=1,011): 👇👇👇

Effect of Frailty on In-Hospital Mortality and Complications of PCI: An NCDR Registry Report: JACC Journals 🥸 Great work by my friend Ajar Kochar and team: Dr. Deepak L. Bhatt 😱 Frailty in NCDR 👇👇👇

🧵regarding the technique of 2-handed knot tying. It's July again, so it's a good time to revisit this 🧵. 2-handed tying is becoming a lost art in surgery, but I believe it is worth learning. We'll start with just the basic steps. Advanced concepts will come later. (1/)

Applications for Structural Interventional Fellowship in Transcatheter Mitral & Tricuspid Intervention with us at RBHH now live - guysandstthomas.nhs.uk/current-vacanc….

New Primary Aldosteronism Guidelines - simpler, streamlined, and hopefully more pragmatic. academic.oup.com/jcem/advance-a…

Anticoagulants for Atrial Fibrillation in Survivors of Intracranial Hemorrhage: A Meta-Analysis of Randomized Trials: JACC Journals 🥸 New publication from our HeartWise research Group led by friend: Michael Nanna in JACC today! 😱Summary 👇👇👇

Thread of the most incredible waterfalls in the world🧵 1. The 7 Sisters Waterfall, Meghalaya, India🇮🇳

Sodium-Glucose Cotransporter 2 Inhibitor With and Without an Aldosterone Antagonist for Heart Failure With Preserved Ejection Fraction: The SOGALDI-PEF Trial: JACC Journals 🥸Nice work. 😱Summary 👇👇👇

Three videos on CSP ❗ 🔵 You'll understand 12-lead CSP ECGs better after watching the videos. 🔵 🟡 Excellent explanations to understand blocks, hemiblocks plus interactions of HPS and working myocardium. 🟡 👍🏻recommended to ECG readers even not performing PM implants like me.

Acute coronary syndromes: mechanisms, challenges, and new opportunities: European Society of Cardiology Journals 🥸Very nice review - 😱Many research questions 👇👇👇

Pseudo-Mobitz type II block ❗ Quote: "Thus, when all the PR intervals remain constant, Mobitz type II block maybe diagnosed erroneously if sinus slowing is ignored." pubmed.ncbi.nlm.nih.gov/23286970/