Heartmate 3 artifact on EKG is dramatically improved after adjusting low pass filter. Artifact still “peeks” through filter every 2 seconds due to programmed fluctuations in LVAD speed.

EP m&m meetings always include an atrial lead perforation or dislodgment. The conversation is always the same: an unavoidable complication. Sometimes the lead motion may have a clue however. One of these leads is perforated, there may be a subtle difference in its movement…

Common cause of failed deep septal lead: Challenging anatomy. Patient presented for revision. Ventriculogram showed very rotated septum

#AVNRT 🔄 & Ablation Targets ❤️‍🔥 1⃣ Slow-Fast - Right Inferior Extension - Left Inferior Extension - Inferolateral Left Atrial 2⃣Fast-Slow 3⃣Slow-Slow #EPeeps #CardioTwitter #epCINRE

#EPeeps new way to diagnose complete, proximal LBBB: a His-corrective L sided PVC 😀. His recruitment seen reproducibly on prox electrodes

Inaccessible VT ablation targets? Not with VINTAGE! Learn to surf the myocardium to reach arrhythmogenic foci anywhere: summit, subpapillary, deep septal doi.org/10.1016/j.jace… @TheBethesdaLabs Robert Lederman Chris Bruce Neal Kumar Bhatia Adam Greenbaum Vasilis Babaliaros #EPeeps

Following the case report by the group of Serge Boveda on PFA of spatiotemporal dispersion for perAF, we present our first perAF driver ablation using this technique 🎉🎉 Arritmias H. Ramón y Cajal, Madrid.

Ventricular Intramyocardial Navigation for Tachycardia Ablation Guided by Electrograms (VINTAGE) for Left Ventricular Summit Arrythmia in a Human Neal Kumar Bhatia heartrhythmcasereports.com/article/S2214-…

VANISH 2 results presented by Dr John Sapp: For pts with MI & #ventriculartachycardia, #catheterablation ⬇️ the composite endpoint of death, VT storm, appropriate shocks, VT treated urgently below ICD detection rate #AHA24 #EPeeps 🔗 nejm.org/doi/full/10.10…

Integrated mapping for PFA helps, but deflection is an average of all petals. Good old impedance tracking can still help identify a single vagrant petal. A gentle twist lines up Nav/impedance projections. Critical for fluoroless cases. BostonSci Cardiology Mike Manogue

TEE can give insights in #LBBpacing. Initial pacemap was good, but lead rides up septum. Better angle, better result. RV papillary muscle can help or hinder sheath positioning. Mike Manogue J. Gabriels David Chang, MD

Nice Example of pathway slant on a parahissian accessory pathway. Mapping catheter over suspect area. No need to guess which location is best. Changing atrial activation from sinus to CS pacing exposes pathway potential. Very useful in a dangerous spot.

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

CT Integrated mapping has helped understand the benefit of the "biscuit / olive" configuration to deliver wider antral lesions. Gives credence to recent paper by Julian Chun group. DOi: 10.1093/europace/euae102.733 Jorge Hernandez

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

"Roads...where we are going, we don't need roads." Happy to share our work Rim Halaby Chris Bruce using VINTAGE for intramural VAs - first in human. We demonstrated that we can successfully navigate to "inaccessible" areas such as the LV summit, deep septum, and papillary

Come join us in Atlanta for HRX!! Mikhael El-Chami Faisal Merchant Neal Kumar Bhatia #HRX #epeeps #ATL Heart Rhythm TV @heartrhythmsociety Heart Rhythm Society