🔥The 9th Round of Easy Loan, Earn $40 Reward is in progress❗️ ⏰ Promotion Period: January 15th - Feburary 15th, 2025 👉 Register now and check more details at gate.io/campaigns/358

Please switch to wideband radiofrequency pulse sequence for evaluation of myocardial scar in patients with cardiac implantable devices going for cardiac MRI! It really helps us plan our ablation better 🙏🏼

PVC localization diagram. Added my own touches. adapted from the nice figure by Enriquez et al. Illustrates the precordial transitions to positive complexes, lead I morphology (blue/red/green circles), and precordial transition to negative complexes. #EPeeps

Exit mapping - Reverse mapping - Escape mapping… helps eliminate possible annotation errors from entrance map to find the leak in your WACA. Purple is now early! ⚡️

Syamkumar By brother in law is an ortho. He told me a story about his chief. One day during rounds a patient gave him the ECG taken for preop evaluation, prof took it ,saw it and gave back it to the pt and told “this is what exactly is called double blind study”. Neither the pt not the dr

🧵1/Caumel's Law Explained! Caumel's law explains why we see alternating WCT and NCT with accessory pathways (ORT)! - If no BBB, ORT will look narrow. TCL will be shorter. - If "ipsilateral BBB" developed, ORT will look wide and TCL is longer. #EPeeps

🧵In other words, if you see a jump in tachycardia cycle length (TCL) of SVT upon the development of BBB --> think of the presence of Accessory Pathway (AP) ipsilaterally. If you see: - RBBB --> think right-sided AP - LBBB --> think left-sided AP #EPeeps

🧵1/Left Ventricular Activation Time (LVAT) Explained! Measured time between Stim and peak R-wave in leads V5 or V6. •LVAT <80 indicates good LV synchrony •LVAT <80 indicates LB capture during LB pacing •Prolonged LVAT associated with increased mortality in HF patients In

EGM + anatomy = ART 🎨

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.

CATHETER ABLATION FOR ELECTRICAL STORM This large study shows that CA-based management of patients admitted for Electrical Storm is associated with a ⬇️ in mortality compared with medical treatment, particularly in patients with a ⬇️ EF JACC Journals jacc.org/doi/10.1016/j.…

First case using #GridX with the 2 new sensors on the tip. Mapped so much faster than regular Grid, due to it being in high confidence 100% of the time, with way less geometry editing. But the best thing is no more having to say "We need more voxels"! 😂 #EPeeps

ACM - Atrial Capture Management, is a feature of some pacemakers’ vendors to deliver AP followed by backup AP - 70 ms after initial AP. This was a tricky one!

How to prevent it?

Hello EP friends. I know X is no longer what it used to be years back, but I have an interesting third pacing spike for you. History of AF and Medtronic CRT-D reaching ERI on VVI. Any thoughts?

“Thawing the ICE”: Fluoroless Concomitant Pulmonary Vein Isolation (PVI) and Left Atrial Appendage (LAA) Closure.

Some LBBP tips

Ischemic VT ablation with Affera and DE-CMR ADAS integration. Amazing signals. Perfect matching #EPeeps #AblateVT @HospitalSantaMaria