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Hey #EPEEPS How's this for a circuit?!? Atypical Afl with a long narrow channel in a very low voltage area. EGMs spanning the full TCL were imperceptible on the recording system, but not on Grid with Nearfield-OT. Frequency based mapping annotates the critical isthmus with

Near transmural lateral LV scar seen on ICE, with a shallow live endocardial layer corresponding to the isthmus. Probably explains why a 10 sec/50 W lesion was immediately effective in termination. and rendering VT non inducible. Pace map from exit site. #ablatevt

Holter-strip 25 mm/s; what about the rhythm? BBB? how do you explain the 2 different wide QRS complexes?

#EPeeps Join the @ConnectEP Session this Friday. A Live Case of ICE-Guided LAA Closure, Concomitant with AF Ablation by Anish Amin from OhioHealth and accompanying discussions w/ Vivek Y. Reddy Shephal Doshi MD Rodney Horton Frank Marchlinski Oussama Wazni Register @ virtualepconnect.com/program/series…

#epeeps Join for the exciting Live Webinar; #MappingMatters in PFA featuring global experiences, best practices, & engaging discussion with Prof Dhiraj Gupta Oussama Wazni Daniel Alyesh Philipp Sommer Gregory Michaud. Broadcast times & registration @ innovationsincrm.com/abbott28 Abbott

#epeeps Now Available! The on-demand archive of the original live webinar, #MappingMatters in PFA, featuring global experiences, best practices, & discussion with Prof Dhiraj Gupta Daniel Alyesh Philipp Sommer Gregory Michaud. Access @ innovationsincrm.com/abbott28 Abbott

#epeeps @ConnectEP Session. Live Case of Dual Chamber Leadless Pacemaker Implantation performed by Dr. Devi G Nair from St. Bernards Healthcare & accompanying discussions w/ Vivek Y. Reddy Haran Burri Rahul Doshi Mikhael El-Chami Petr Neuzil Frank Marchlinski access @ virtualepconnect.com/event/live

#epeeps Available in @ConnectEP On-Demand Library. Live Case of Dual Chamber Leadless Pacemaker Implantation performed by Dr. Devi G Nair from St. Bernards Healthcare & discussions w/ Vivek Y. Reddy Haran Burri Rahul Doshi Mikhael El-Chami Petr Neuzil Frank Marchlinski view @ virtualepconnect.com/video-library/…

Mobitz 1 (Wenckebach) or Mobitz 2?

Nice ECG strip, which was sent to me. Real? What do you see?

Nice example of non-selective and selective LB capture (in a patient with Alt BBB) proving that the long stim-v6 time is inherent / due to poor- slow distal LB conduction and not just “deep septal” pacing.

✍️ 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

This ECG is from a patient with an ASD. The electrodes are correctly attached. Large or small ASD? Rhytm?

I was sent this tracing from a CV Fellow who was not convinced this was AV block. Are they correct? And is this finding concerning or not? Indication for monitor was “AV block other”. UC Cardiology Ricardo Torres Pooneh Nabavizadeh, MD Bilal Hussain Zach Zuzek #CardioTwitter

“The aborted Coumel’s sign” A new sign to recognize ORT using AP ipsilateral to BBB. A WCT is interrupted after QRS narrowing in 1st beat. Explanation: after QRS normalization, VA interval shortens & AH increases. ORT stops in AVN. Done with Gustavo Costa Hospital Posadas

ECG of a pacemaker patient. Rhythm? Is the pacemaker working normally?

#epeeps Join us this Friday for @ConnectEP Session LXXVIII: Ambulatory Surgical Centers for EP Procedures: What are They? Are they Feasible in EP? Featuring Vivek Y. Reddy, Arash Aryana, David Kenigsberg, MD Christopher Liu, Frank Marchlinski Vijay Swarup register @ virtualepconnect.com/program/series…

#epeeps Don’t miss the Inaugural Asheville EP Symposium 2024 on October 19th, which examines advancements in techniques & technologies for treating complex cardiac arrhythmias through complex ablation & pacing. Learn More @ innovationsincrm.com/aeps2024 Mission Health HCA Healthcare

#epeeps. Share your Research with Colleagues & Leading Experts by submitting your Research Abstract to the 8th Annual International Physiology of Pacing Symposium. Don’t miss the opportunity to present your work at PPS8 on October 25th. Learn More @ innovationsincrm.com/pps2024#abstra…

#epeeps Only a few Fellows Attendance Scholarships remain for EP Fellows Summit & Arrhythmia Scholars Program, November 1-3 @ Sheraton Pentagon City Hotel. Not Just for Fellows! Free virtual attendance is open to all HCPs. Scholarship Applications & Livestream registration available @ epfellowsummit.com