👇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

👇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 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

👇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

👇 ECG and PAC/EAT Localization (Part 3): Inferior Atrium... vs. Superior Atrium 👇 •P wave negativ in leads II, III, and aVF: Suggests that the PAC/AT originates in the inferior region of the atrium (consider the CS, CTI, inferior crista terminalis, the inferior region of the TV/MV, or inferior PVs). •P wave positiv in leads II, III, and aVF: Suggests that the PAC/AT originates in the superior region of the atrium (consider the superior crista terminalis, SVC, RAA, LAA, superior pulmonary vein, or the superior region of the TV/MV). 👉 #EPeeps This post was created in collaboration with Nadica Trajkovska Thank you so much for your incredible artwork 🎨👩‍🎨🙏 Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Stephan H. Winnik Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA 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🤴)こちらを本稿に戻しました🌟 Dr. Andreas Roeschl 🫀EcgOxford Johnson & Johnson MedTech | Electrophysiology Abbott BostonSci Cardiology Medtronic #CardioTwitter Gregor Nagelershow 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

Gigantic left atrium! 😲 #Echofirst #Cardiology #ECG #echocardiogram #cardiologia

Victor Wembanyama swiped and missed the block with his... left but swatted it away with the right! 👽show more

Henry wasn’t wrong. - Lower center of gravity -... Allow help - block left and take him to the right - engageshow more

This is what the left wants for the entire... country. Los Angeles’ new unarmed block by block security ambassadors sit back and watch as a person in West Hollywood gets assaulted right in front of them. “There was this man kicking his vehicle and I turned my head and I saw the block by block officers… I was flabbergasted because they walked right past like nothing.”show more

You need to dodge some attacks to the left,... some to the right, some down and even block! Cardemomo fight WIPshow more

Looking forward to the 19th annual VT Symposium in... 48 hours. #ablateVT ✅ILAM 2.0: Finding the Line of Block (LOB) for VT. ☑️Excited to officially Introduce FACiLE-VT! #QSQ What does this VT circuit look like during sinus rhythm?show more

👈🏻✅ 🫀 STEMI ECG Evolution: A Timeline #Cardiology #ECG... #STEMI #MI #HeartAttack #CardioEd #MedEd #EKGshow more

I love this Block! Any guesses as to what... block, and why I was keen to capture it post bkock (with patient-permission)? Left of screen cephalad, right is caudad. Scan starts medial and scans laterally and then back. #GuessTheaBlock #BlockItLikeItsHot #regionalanaesthesiashow 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

Big man, bigger block 💪 #RaiderNation | Jackson Powers-Johnson

New advancement in VT mapping: OT Near Field software... uses peak frequency to annotate NF component of EGM. In this case, using OT NF in ILAM cleanly defines line of block, revealing potential VT channel along the mitral valve. #OTNearField #VTin3D Abbott Cardiovascularshow more