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👇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...

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👇 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).

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