👇Fascicular Ventricular Tachycardia (Part 2): Mapping and Target Potentials👇... 1. P1 (Mid-diastolic Purkinje Potentials) and P2 (Presystolic Purkinje Potentials) are critical components of the reentrant circuit in fascicular VT. 2. Both P1 and P2 resemble His-like potentials when recorded with a mapping catheter 3. The activation map typically exhibits a focal pattern, which is maybe attributed to the small size of the reentrant circuit. 4. To locate the reentry circuit effectively, I try to identify P1 and P2 at the earliest activation site shown on the activation map Philipp Sommer Nadica Trajkovska Martin Braun Moneeb Khalaph Christian Sohns Vanessa Sciacca Maxim Didenko, MD PhD Stephan H. Winnik Johnson & Johnson MedTech | Electrophysiology Abbott BostonSci Cardiology Medtronic Arnel Carmona 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)サブ垢です🙇‍♂️ #EPeeps #CardioTwitter AGEPshow more

👇ECG and PVC: Differentiating Right and Left Bundle Branch... Blocks for PVC Localization👇 👉 A PVC with LBBB pattern originates from the right ventricle. 👉 A PVC with RBBB pattern originates from the left ventricle. Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Vanessa Sciacca Maxim Didenko, MD PhD Arnel Carmona 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)サブ垢です🙇‍♂️ Abbott Johnson & Johnson MedTech | Electrophysiology BostonSci Cardiology Medtronic #EPeeps #CardioTwitter Young DGK AGEP Stephan H. Winnik @AleSpokenshow more

👇Fascicular VT (Part 1): Basic ECG Findings👇 •Left Posterior... Fascicular VT: ECG pattern shows RBBB (right bundle branch block) and LAFB (left anterior fascicular block). •Left Anterior Fascicular VT: ECG pattern shows RBBB (right bundle branch block) and LPFB (left posterior fascicular block). 👉 A very beautifully video 🤩🤩 created by Nadica Trajkovska 👍💪 Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Maxim Didenko, MD PhD FESC FEHRA Vanessa Sciacca Stephan H. Winnik Young DGK AGEP #EPeeps #CardioTwitter Johnson & Johnson MedTech | Electrophysiology BostonSci Cardiology Abbott 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 Pedram Christian-H. Heeger Andreas Müssigbrodtshow more

👇VT vs SVT (Part 1): Heart Axis👇 •A tachycardia... with northwest axis is highly suggestive of VT, as ventricular excitation moves from distal to basal. This pattern is identified by positive QRS in aVR and negative QRS in leads I, II, and aVF. •A normal heart axis during tachycardia is more indicative of SVT, where excitation travels from basal to distal. In this case, QRS negative in aVR and positive in leads I, II, and aVF. #EPeeps Note: Certain types of VT, such as septal VT or fascicular VT, may present with a normal axis despite their ventricular origin. This post was created in collaboration with Nadica Trajkovska Philipp Sommer Christian Sohns Moneeb Khalaph Martin Braun Maxim Didenko, MD PhD FESC FEHRA Vanessa Sciacca Gregor Nageler Oren Gottfried, MD Stephan H. Winnik Vera Maslova ECG.Hacks Arnel Carmona @EcgsOnly 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 JMC Dr. Andreas Roeschl Johnson & Johnson MedTech | Electrophysiology Abbott BostonSci Cardiology Medtronic #CardioTwittershow more

👇 Overview of Double firing on ECG — also... known as Dual AV Nodal Non-Reentrant Tachycardia (DAVNNT) 👇 👉 Mechanism: Simultaneous antegrade conduction over fast and slow AV nodal pathways, producing the classic pattern of one P wave followed by two QRS complexes. ➡️ Frequently misinterpreted as PVCs, PACs, or even atrial or ventricular tachycardia ➡️ Misdiagnosis may lead to unnecessary antiarrhythmic therapy ➡️ Patients can present with palpitations, dizziness, or presyncope 👉 EPS is key to confirming dual AV nodal physiology and distinguishing it from other arrhythmias (para-Hisian PVCs) 👉 For symptomatic patients, RF catheter ablation targeting the slow pathway is the treatment of choice, with high success and low complication rates, consistent with ACC/AHA/ESC recommendations. 💡 #EPeeps 💡 Awareness of this entity is essential to ensure accurate diagnosis, appropriate management, and avoidance of overtreatment. 🙏🙏 Another excellent video—brilliantly created by Nadica Trajkovska , as always. 🫡🫡 Philipp Sommer Martin Braun Moneeb Khalaph Maxim Didenko, MD PhD FESC FEHRA Christian Sohns Pedram 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 Dr. Andreas Roeschl Arnel Carmona 色々自粛中復活🌟 Milan Koštek Johnson & Johnson MedTech | Electrophysiology Abbott #CardioTwitter AGEP Young DGK Arash Arya Tobias Reichlin #LearnEP Koichi Nagashima@EP Univ. Ablation School Matters of the Heart 🫀 Alexander Mladenow MD Dr G Rajesh (Gopalan Nair Rajesh).show more

👇Easy-ECG App: Easy-PVC + Easy-WPW Algorithms 👇 I submitted... the app to the App Store for free online release. Unfortunately, the Apple reviewers rejected it, stating that it is a “simple app.” They failed to understand that the goal of the Easy-ECG App is to simplify complex algorithms and make them accessible to everyone. They only needed to understand the name of the app! 😂 Here is an overview of the Easy-PVC App, where I have integrated my 5-page algorithm. My goal is to enable every physician to localize PVCs, allowing for better patient counseling and management. #EPeeps Please share this post—perhaps it will reach someone at AppleSupport . 👉 Our mission is to make medicine easier! This app was developed, designed, and programmed from A to Z in collaboration with two other physicians Gregor Nageler Nadica Trajkovska 🙏🙏 Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Stephan H. Winnik Maxim Didenko, MD PhD FESC FEHRA Dr. Andreas Roeschl Arnel Carmona Pedram ECGs ECG.Hacks Elon Musk 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 #CardioTwitter Syamkumar ALBERTO ALFIE HAIDER AL TAII Cheryl Teres JMC John Mandrola, MD Christian-H. Heeger Manual Of Medicine Vera Maslova Andreas Müssigbrodtshow more

Used the new Johnson & Johnson MedTech | Electrophysiology... #CARTO #FARAVIEW software for #ZeroFluoro BostonSci Cardiology #PFA of #AF. As shown in the video, this advancement enables #dynamic visualization of the catheter in both the flower and basket configuration automatically. Luis Parada Kyle Heathshow more

“both kimi and george had issues” while you can... see kimi pushing his car from p2 to p1 at the 𝗲𝘅𝗮𝗰𝘁 moment george looses speed and gets overtaken by 3 driversshow more

Last case of the year and redo AAFL. Patient... had prior Maze, PVI + CTI line, and most recently a plethora of LA flutters. Went straight transseptal this time, thinking it had to be a recurrent LA circuit, but after extensive mapping, we found we were in the wrong chamber. #EPeepsshow more

I was labbing Venom tonight and I can't even.... The ball trajectory is character, stand/crouch block, and P1/P2 specific. You want P1 side #GGST_VEshow more

Here is the video footage of our #AjithKumar sir’s... family at the Paul Ricard Circuit. Shalini and Anshu are giving photographs to the people who are coming to the circuit. However, you can Aadvik behind them in the garage. #AjithKumarRacingshow more

I'm excited to announce that for the next 3... months the Museum of the Moving Image website and museum will feature my new dual web/in-person installation: MoMI Site Interruption Activation The installation will be up from 7/2 - 10/4 in Astoria and the Museum of the Moving Image website 🔗show more

Closed circuit vent rev 2 (ac volume mode). Need... to figure out how to prevent spontaneous breaths when not being ventilated maybe. Can't turn off inspiratory trigger like the ltv. May try rebreathing with cpap or bipap mode on closed circuit. Next up is scrubbing the moistureshow more

We are excited to announce the FDA’s 510(K) clearance... of the FARAVIEW™ Software Module and the FDA approval of the FARAWAVE™ NAV #PulsedFieldAblation Catheter. Together, these advancements provide an integrated PFA solution with a single catheter for mapping and ablation.show more

#EPeeps, needed a roof line and anterior MI line... for this atypical AFL case. Single TSP. Checked both lines with activation mapping during CS pacing. Pretty sure we're blocked. Any EP purists disagree? Excellent mapping as usual, Dan Mantoni, CEPS! @BiosenseWebstershow more

Welcome to the 19-turn, super-fast and technical Jeddah Corniche... Circuit, which uses a modified layout of the Formula 1 track. This is the round 4 of the ABB FIA Formula E World Championship... By the Numbers 🔢 #FIA #FormulaEshow more

We are sad that Enzo Maresca had to leave,... but we are not settling for anyone less than John Terry or Xavi Hanendez. We have skillful players; we simply want a leader and motivator to unlock the potentials in them.show more