You have to love when it all comes together. LVAD patient with drug refractory VT. #EPeeps Mike Manogue Zachary Hale Joe Donnelly @BiosenseWebster

Redo PVI. First glance rights reconnected and voltage suggested need for redo WACA. Noted wide doubles in most places and “open” activation told the story. Single🔥isolation. #EPeeps thanks to Jacob Cooper for the mapping prowess

Full delineation of circuit during #AblateVT. Ischemic apical dilation. Endocardial Map appears focal apical VT, however epicardial map shows missing isochrones. Mapping by Jacob Cooper . Planning CT with channel by inHEART David Gareau.

Great TOF VT on ACHD Wednesdays. Super Wide Slow VT encircling RVOT patch. Note Sinus bradycardia during VT. Hemodynamic support with glycopyrrolate was enough. What we thought was a p wave was actually part of QRS complex! Mapped with Jacob Cooper

Slow pathway map with Jackman potentials clearly visualized. Potentials later were not present. Haven’t seen them disappear mechanically before…