#EPeeps Kinda feels like cheating, with the tools we have now Tetralogy isthmus 3 #EnsiteX Abbott Cardiovascular

#EPeeps Can I sell you on accessory pathway supranormality? Left-sided pathway on top of baseline RBBB so pay attention to the longer vs short PR. Sergio Pinski Adrian Baranchuk MD FACC FRCPC FCCS FSIAC ALBERTO ALFIE

✍️ 7-year-old, palpitations. His mother recognized the rapid bounding pulse on the neck. 💓 Jeffrey M Vinocur Robert H. Pass Kara Motonaga Asian Pacific Society of Cardiology Andreas Roeschl, MD

Jeffrey M Vinocur Abbott Cardiovascular Beautiful case - amazing to see how far technology has come since the 2007 Stevenson, Zeppenfeld, et al. publication. Also neat to see the isthmus signals split out during ablation. Do you think there was any appreciable change in sinus QRS morphology after blocking that line?

Sometimes as an #ACHD cardiologist you strike gold! and even after 30 year gap in care turn up an old op note from the 1970s... Have you seen your #ACHD doc lately...or at least in the last decade ;) Sarah Goldstein Jeffrey M Vinocur ACHA @yaleACHD #CHD #CHDCare4Life

#EPeeps Your patients may have significant pain after CIED procedures. Out in HeartRhythm - EP performed PECs block is easily be added to work flow of standard implant with reduction in pain & post-op opioid requirements. Penn Medicine Penn Electrophysiology Fellowship sciencedirect.com/science/articl…

#EPeeps What do you think of the pacemaker?

This nice ECG is again from נפתול He gave me the following informations: 40 yo/m found dead in the morning shift in the neuro ward (hospitalized due to a suspected seizure); labs, head CT, PE, VS normal and he was asymptomatic. What`s your take?

Any takers?

Basic EKG decision tree

#EPeeps Nobody can compete with AFPanico for LSVC implants, but I thought this was nice as the tricuspid valve band provided a fluoroscopic landmark to visualize the contortions required (RAO, LAO, AP)

Jeffrey M Vinocur Jeffrey M Vinocur Great case and implant! Beautiful anatomy!!

mdpi.com/2077-0383/13/1… Martiola Kola

Edward Gerstenfeld John Mandrola, MD Jeffrey M Vinocur This too

Almost walked into the back of someone struggling with a Norman Door. Doesn’t the world have enough challenges?

Too tight? Too loose? Two cases in one week. Suture cuffs are *terrible* technology! #EPeeps

30 year male with first onset dizziness-no syncope-family history of pacemaker implantation-no known risk factors-what is the rythm ⁦Syamkumar⁩ ⁦⁦Shanta Chakrabarti⁩ ⁦Dr G Rajesh (Gopalan Nair Rajesh)⁩ ⁦David Didlake⁩

“The Aborted Coumel Sign” Pleased to meet you! Recently, I’ve posted a WCT that was terminated w/narrow complex QRS in a treadmill test. We weren’t able to reproduce it in the EPS but our thoughts were right. It was a left sided AP Today in other #WPW RFA the sign was seen.

"The alternating Coumel Sign" following "the aborted Coumel Sign"🥰 #CoumelFestival #EPUniversity