realest shit ever

📌 After CTI ablation for isolated atrial flutter 👉 Is concomitant PVI for induced AF useful to ⬇️ risk of new-onset AF during fu❓ #EPeeps #WomeninEP #afib #CardioTwitter Jag Singh Cristiano Pisani Atul Verma Jason Andrade Prof Dhiraj Gupta Dr. José Ángel Cabrera Luis C. Saenz, MD Piotr Futyma, MD

Ventricular pre-excitation is seen in 10–30% of Ebstein anomaly patients, but atriofascicular pathways (<3% of APs) may lack overt signs. As Cone repairs shift to younger ages, awareness of these pathways is key for surgical planning. #JECG #NewOnline sciencedirect.com/science/articl…

Pace-and-Ablate in a flash: Ablation of the atrioventricular node with pulsed field ablation Ven LIM 👨‍⚕️👨‍🔬♟🧩 heartrhythmcasereports.com/article/S2214-…

Intentional RAA perforation for pericardial CO2 insufflation with a custom RF guidewire-microcatheter assembly can be safely & efficiently performed to facilitate epicardial access for ventricular arrhythmias ablation. Get the details: jacc.org/doi/10.1016/j.… #JACCCEP #EPeeps

Paced qR morphology and transition during threshold testing predicted greater improvement in LVEF, whereas RWPT lacked predictive value. Loss of terminal R in lead V1 and prolongation of RWPT on follow-up prognosticated nonresponse to LBBAP. heartrhythmjournal.com/article/S1547-…

Nice article! Hot take on the rampant overgeneralization of LBBaP to include intraseptal pacing (ISP): 1.) Issue with RWPT/LVAT- many take inside stim (~15ms) and r/s from distal/apical positions should not be measured in V5-6 2.) Left conduction system (LCS) capture should

Flecainide use had a favorable safety profile and was associated with a significant reduction in arrhythmic burden in patients with ARVC, irrespective of the underlying genotype or LV involvement. jacc.org/doi/10.1016/j.… #JACCCEP #EPeeps #cardiomyopathy

🚀New on Journal of Cardiovascular Electrophysiology : "Persistent Left Atrial Appendage Thrombus in Atrial Fibrillation Despite Anticoagulation" by Alexander Kushnir et al 🎓 Clinical predictors of LAA thrombus to identify patients who should undergo TEE prior to ablation or DCCV for AF onlinelibrary.wiley.com/doi/10.1111/jc…

What is the likely mechanism of this arrhythmia? #EPeeps #EPfellows

Novel Subxiphoid Cut Down Approach to Facilitate Epicardial Catheter Ablation in an Obese Patient - Raina - Journal of Cardiovascular Electrophysiology - Wiley Online Library onlinelibrary.wiley.com/doi/10.1111/jc…

“Short”, “Long” and “Short-plus-Long’’ Coupled Idiopathic Ventricular Fibrillation: Distribution, Demographic and Electrophysiologic Characteristics. A THESIS substudy heartrhythmjournal.com/article/S1547-…

Anyone seeing patients knew that there was no *extra* cardiac involvement w SARS-CoV-2. Bad infections of any sort bumped enzymes. We (Andrew Foy Vinay Prasad MD MPH) wrote about it at the time. We were correct. Nobody listened. statnews.com/2021/05/14/set…

Transatrial pericardial insufflation of carbon dioxide to facilitate epicardial mapping and ablation of atrial and ventricular arrythmias heartrhythmjournal.com/article/S1547-…

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Concealed junctional extrasystoles ❗ 🟡The first EP evidence. 🟡 His (junctional) extrasystoles always had retrograde block and either conducted antegradely or did not (concealed junctional ES) depending on .... 55 years ago... Link to come in the thread 🧵

It Takes Two To Tango – A Unique Case of Supraventricular Tachycardia with Dual Competing Accessory Pathways heartrhythmcasereports.com/article/S2214-…

🚨Latest #FreeRead in JICE Use of S-ICD Tunneling Tool for Percutaneous Epicardial Access during VT Ablation 🧐📖rdcu.be/eDJLY by Jackson Liang, Nithi Tokavanich & Frank Bogun #EPeeps

Non-Invasive Risk Stratification Falsely Reassuring? A Catecholamine Sensitive Accessory Pathway Christopher DeSimone, MD, PhD Robert Ward heartrhythmcasereports.com/article/S2214-…

Very interesting pathway case. Very eye-opening and changed the way I look at how we assess “risk” in WPW or “low risk pathways”Mayo Clinic CV