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👇Hypnotic VT activation: In fullscreen mode, I can’t stop watching this video👇 #EPeeps Since my studies, I have had an imaginary conception 💭💭 about VT mechanisms Thanks to the new #Carto_V8 and #LAT_Vector_Velocity I have been reminded of this imagination @BiosenseWebster Excellent tools 👍👍 PS: Yellow point is termination...

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El Hamriti Mustapha

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14,869 次观看 • 2 年前 •via X (Twitter)

健康养生教育科学技术#EPeeps#Carto_V8#LAT_Vector_Velocity
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Pablo Sánchez Millán 的头像
Pablo Sánchez Millán2 年前

@BiosenseWebster Amazing how the vectors in the critical isthmus slow down and are wider and more white than rest of the activation areas. I wonder which mapping catheter and which values of voltage did you use? (Maybe classic 0.5-1.5 mV and Octaray?)

El Hamriti Mustapha 的头像
El Hamriti Mustapha2 年前

@BiosenseWebster Thank you very much for your comment! We mapped the VT using Octaray, and the voltage cutoff in this case was 0.1-1.5 mV due to a large low-voltage area.

ALBERTO ALFIE 的头像
ALBERTO ALFIE2 年前

@BiosenseWebster Amazing vectors with Carto8 superimposed with voltage map. Do you please share the activation map to compare both of them? I can see it clearly with those vectors!! Outstanding work as usual !!

El Hamriti Mustapha 的头像
El Hamriti Mustapha2 年前

@BiosenseWebster Thank you very much for your kind comment. Here is the activation map superimposed with voltage map and Vector velocity map

Auras Atreya 的头像
Auras Atreya2 年前

@BiosenseWebster Great map!

Jaime Rivera 的头像
Jaime Rivera2 年前

@BiosenseWebster 😵‍💫

El Hamriti Mustapha 的头像
El Hamriti Mustapha2 年前

@BiosenseWebster 😵‍💫😵‍💫🤪🤩

Faizan A. 的头像
Faizan A.2 年前

@BiosenseWebster Beauty

El Hamriti Mustapha 的头像
El Hamriti Mustapha2 年前

@BiosenseWebster 🙏🙏

ahmed Mohammed 的头像
ahmed Mohammed2 年前

@BiosenseWebster Amazing

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El Hamriti Mustapha

21,427 次观看 • 1 年前

👇Transseptal Complication: Aortic Injury👇 The patient was transferred from another hospital due to an aortic injury. During the initial procedure, the clinician inadvertently punctured the aorta. In a moment of panic, the sheath was advanced—an action that should never be taken in such circumstances—before transferring the patient to our facility. Upon arrival, we carefully retracted the sheath under guidewire support, prepared for thoracotomy if needed. Subsequent angiography and TEE assessments revealed no evidence of a shunt or bleeding. Fortunately, this severe complication was resolved without the need for surgical intervention. Key Lessons: 👉 1. Always puncture posteriorly; the left atrium is located in the posterior aspect. 👉 2. Remain calm; never advance the sheath into the aorta. 👉 3. Do not retract the guidewire until ruling out any shunt or bleeding🚨🚨 👉 4. Transseptal puncture should be performed or supervised exclusively by experienced clinicians🚨🚨 👉 5. For challenging anatomical conditions, TEE or ICE guidance is highly recommended🚨🚨 Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA @AleSpoken AGEP Young DGK #EPeeps #CardioTwitter
0:21

👇Transseptal Complication: Aortic Injury👇 The patient was transferred from another hospital due to an aortic injury. During the initial procedure, the clinician inadvertently punctured the aorta. In a moment of panic, the sheath was advanced—an action that should never be taken in such circumstances—before transferring the patient to our facility. Upon arrival, we carefully retracted the sheath under guidewire support, prepared for thoracotomy if needed. Subsequent angiography and TEE assessments revealed no evidence of a shunt or bleeding. Fortunately, this severe complication was resolved without the need for surgical intervention. Key Lessons: 👉 1. Always puncture posteriorly; the left atrium is located in the posterior aspect. 👉 2. Remain calm; never advance the sheath into the aorta. 👉 3. Do not retract the guidewire until ruling out any shunt or bleeding🚨🚨 👉 4. Transseptal puncture should be performed or supervised exclusively by experienced clinicians🚨🚨 👉 5. For challenging anatomical conditions, TEE or ICE guidance is highly recommended🚨🚨 Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA @AleSpoken AGEP Young DGK #EPeeps #CardioTwitter

El Hamriti Mustapha

46,719 次观看 • 2 年前

👇Typical Atrial Flutter: Clockwise vs. Counterclockwise👇 👉 Typical atrial flutter on the ECG: favorite sign is the discordance between V1 and the inferior leads (II, III, and aVF). 2.The direction of activation across the atrial septum determines the polarity of the flutter waves in the inferior leads (see blue arrows in the video). 👉 Counterclockwise typical atrial flutter: flutter waves are negative in II, III, and aVF, but positive in V1. 👉 Clockwise typical atrial flutter: flutter waves are positive in the inferior leads but negative in V1. 👉 The therapy of choice and first-line treatment is ablation (cavotricuspid isthmus line). Antiarrhythmic drugs have only moderate and temporary effectiveness. #EPeeps This video was created by Nadica Trajkovska 🫡🫡 Philipp Sommer Christian Sohns Moneeb Khalaph Martin Braun Gregor Nageler Maxim Didenko, MD PhD FESC FEHRA Dr. Andreas Roeschl 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🌟 Milan Koštek Arash Arya Johnson & Johnson Abbott BostonSci Cardiology Young DGK AGEP Tobias Reichlin HAIDER AL TAII ALBERTO ALFIE Fergie J. Losiniecki, MD, FACC, FHRS Yuri Bocchini Vera Maslova #CardioTwitter
0:29

👇Typical Atrial Flutter: Clockwise vs. Counterclockwise👇 👉 Typical atrial flutter on the ECG: favorite sign is the discordance between V1 and the inferior leads (II, III, and aVF). 2.The direction of activation across the atrial septum determines the polarity of the flutter waves in the inferior leads (see blue arrows in the video). 👉 Counterclockwise typical atrial flutter: flutter waves are negative in II, III, and aVF, but positive in V1. 👉 Clockwise typical atrial flutter: flutter waves are positive in the inferior leads but negative in V1. 👉 The therapy of choice and first-line treatment is ablation (cavotricuspid isthmus line). Antiarrhythmic drugs have only moderate and temporary effectiveness. #EPeeps This video was created by Nadica Trajkovska 🫡🫡 Philipp Sommer Christian Sohns Moneeb Khalaph Martin Braun Gregor Nageler Maxim Didenko, MD PhD FESC FEHRA Dr. Andreas Roeschl 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🌟 Milan Koštek Arash Arya Johnson & Johnson Abbott BostonSci Cardiology Young DGK AGEP Tobias Reichlin HAIDER AL TAII ALBERTO ALFIE Fergie J. Losiniecki, MD, FACC, FHRS Yuri Bocchini Vera Maslova #CardioTwitter

El Hamriti Mustapha

11,779 次观看 • 10 个月前

👉 Typical vs. Atypical AVNRT – Mechanistic Overview 👈 👉 Typical AVNRT (slow–fast): Impulse conduction: Atrium → Slow Pathway → Ventricle → Fast Pathway (retrograde) •This produces a short RP tachycardia, because the retrograde atrial activation from the ventricle back to the atrium occurs via the fast pathway. •Consequently, the P wave is inscribed at the terminal part of the QRS complex on the ECG. 👉 Atypical AVNRT (fast–slow): Impulse conduction: Atrium → Fast Pathway → Ventricle → Slow Pathway (retrograde) •This produces a long RP tachycardia, because the retrograde atrial activation from the ventricle back to the atrium occurs via the slow pathway. •Therefore, the P wave appears after the QRS complex on the ECG. #EPeeps This post was created in collaboration Nadica Trajkovska Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Maxim Didenko, MD PhD FESC FEHRA Gregor Nageler Dr. Andreas Roeschl Pedram Arnel Carmona Milan Koštek ALBERTO ALFIE 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🌟 Nelson Polo Taborda Pablo Sánchez Millán Christian-H. Heeger JMC Melda Yesilyurt Johnson & Johnson Abbott BostonSci Cardiology #CardioTwitter Tobias Reichlin Arash Arya
0:28

👉 Typical vs. Atypical AVNRT – Mechanistic Overview 👈 👉 Typical AVNRT (slow–fast): Impulse conduction: Atrium → Slow Pathway → Ventricle → Fast Pathway (retrograde) •This produces a short RP tachycardia, because the retrograde atrial activation from the ventricle back to the atrium occurs via the fast pathway. •Consequently, the P wave is inscribed at the terminal part of the QRS complex on the ECG. 👉 Atypical AVNRT (fast–slow): Impulse conduction: Atrium → Fast Pathway → Ventricle → Slow Pathway (retrograde) •This produces a long RP tachycardia, because the retrograde atrial activation from the ventricle back to the atrium occurs via the slow pathway. •Therefore, the P wave appears after the QRS complex on the ECG. #EPeeps This post was created in collaboration Nadica Trajkovska Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Maxim Didenko, MD PhD FESC FEHRA Gregor Nageler Dr. Andreas Roeschl Pedram Arnel Carmona Milan Koštek ALBERTO ALFIE 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🌟 Nelson Polo Taborda Pablo Sánchez Millán Christian-H. Heeger JMC Melda Yesilyurt Johnson & Johnson Abbott BostonSci Cardiology #CardioTwitter Tobias Reichlin Arash Arya

El Hamriti Mustapha

20,837 次观看 • 11 个月前

This is going to be a LONG post so please bare with me Today is my 20th birthday 🎉! I can’t Thank God enough for blessing me in the ways he has in the last six months. This is the first and probably not last birthday that I won’t really be celebrating. I am working today and have to meal prep. I went to the gym this morning which was some much needed therapy. So this will be my celebration. I am making this post celebrating all the important friends in my life who have changed it for the best. Mike I have known you for just over 2 years now and you have been around for some of my best moments and my worst moments. From helping me build out my first AR to watching you work your ASS off to build 2 amazing companies that won’t be going anywhere anytime soon with someone like you as a leader for them. Thank you for being there for me and encouraging me last year when I would send you dry fire videos. You don’t know it but I was going through one of the hardest seasons of my life and the encouragement you gave me ment the world and helped me. You were one of the first people to really motivate me to lose weight. Thank you brother Havoc 2-1 Thank you for all the encouragement and advice you have given me. When I posted that range video and you RT it commented and followed me I didn’t sleep AT ALL that night. It was the happiest I had been in a while to see someone who I looked up to recognize me and the stuff I was doing. And without you doing that I would never had found KingWash and gotten all the coaching he has given me. You motivate me and help keep me going. Thank you brother Wash Without you I would probably be heavier and weaker. And not a very good shooter compared to where I am at now. I truly mean it when I say you have changed my life in ways you don’t know and I can’t express online. Getting me in the gym and lifting. giving a kid with zero structure in his life, meaning and a structured path to follow and chase a dream is something only a few people in life are blessed with and I can’t thank you enough for everything you have done for me. Thank you brother Parker Geurin Thank you for being a role model to me. You are such an amazing father and family man and the positivity that you give is amazing man. Don’t ever stop being you and letting your light shine. And thank you for all the encouragement and kind words you have said to me, it truly means the world. Thank you Brother OG Pancake (Lead in The Wind) Thank you for being you. The laughs that I get from some of your posts and replies make my day. You are a genuine dude who has a lot to give and I thank you for encouraging me as you have. Thank you brother grumpycattac Thank you for the encouragement and wisdom you have given me. When I first started dry firing you were quick to listen and slow to judge. You helped and encouraged me and for that I thank you. Thank you brother Emily Fisher Thank you for for being an inspiration. You have inspired me to be consistent on days where I haven’t wanted to do anything. seeing you post a dry fire session one less number than the day before makes me want to get off my lazy ass and work. Thank you Greyson VonLanningham Hannah thank you for all the encouragement and uplifting you guys have blessed me with. I truly can’t tell you how much it means to me. Thank you both If I have missed someone I am sorry please forgive me as I have run out of space and am writing this at work. I can’t wait to see what happens in the next year of my life and what God has in store for me. Thank you all for being my friends. I can’t wait to meet all of you at one point or another and express my thanks in person.
1:07

This is going to be a LONG post so please bare with me Today is my 20th birthday 🎉! I can’t Thank God enough for blessing me in the ways he has in the last six months. This is the first and probably not last birthday that I won’t really be celebrating. I am working today and have to meal prep. I went to the gym this morning which was some much needed therapy. So this will be my celebration. I am making this post celebrating all the important friends in my life who have changed it for the best. Mike I have known you for just over 2 years now and you have been around for some of my best moments and my worst moments. From helping me build out my first AR to watching you work your ASS off to build 2 amazing companies that won’t be going anywhere anytime soon with someone like you as a leader for them. Thank you for being there for me and encouraging me last year when I would send you dry fire videos. You don’t know it but I was going through one of the hardest seasons of my life and the encouragement you gave me ment the world and helped me. You were one of the first people to really motivate me to lose weight. Thank you brother Havoc 2-1 Thank you for all the encouragement and advice you have given me. When I posted that range video and you RT it commented and followed me I didn’t sleep AT ALL that night. It was the happiest I had been in a while to see someone who I looked up to recognize me and the stuff I was doing. And without you doing that I would never had found KingWash and gotten all the coaching he has given me. You motivate me and help keep me going. Thank you brother Wash Without you I would probably be heavier and weaker. And not a very good shooter compared to where I am at now. I truly mean it when I say you have changed my life in ways you don’t know and I can’t express online. Getting me in the gym and lifting. giving a kid with zero structure in his life, meaning and a structured path to follow and chase a dream is something only a few people in life are blessed with and I can’t thank you enough for everything you have done for me. Thank you brother Parker Geurin Thank you for being a role model to me. You are such an amazing father and family man and the positivity that you give is amazing man. Don’t ever stop being you and letting your light shine. And thank you for all the encouragement and kind words you have said to me, it truly means the world. Thank you Brother OG Pancake (Lead in The Wind) Thank you for being you. The laughs that I get from some of your posts and replies make my day. You are a genuine dude who has a lot to give and I thank you for encouraging me as you have. Thank you brother grumpycattac Thank you for the encouragement and wisdom you have given me. When I first started dry firing you were quick to listen and slow to judge. You helped and encouraged me and for that I thank you. Thank you brother Emily Fisher Thank you for for being an inspiration. You have inspired me to be consistent on days where I haven’t wanted to do anything. seeing you post a dry fire session one less number than the day before makes me want to get off my lazy ass and work. Thank you Greyson VonLanningham Hannah thank you for all the encouragement and uplifting you guys have blessed me with. I truly can’t tell you how much it means to me. Thank you both If I have missed someone I am sorry please forgive me as I have run out of space and am writing this at work. I can’t wait to see what happens in the next year of my life and what God has in store for me. Thank you all for being my friends. I can’t wait to meet all of you at one point or another and express my thanks in person.

Maxwell

11,315 次观看 • 1 年前

In January of 2019, I lost both of my legs during combat operations. Donald J. Trump came to visit my family and I at Walter Reed Hospital. He pinned a Purple Heart on my chest and visited with us for a while. Had it been anyone else ... I would have denied them access to my hospital room. In the years since ... life has been incredibly different. I look at the state of decline in our nation and I feel very strongly that if we continue down the path we are currently on ... we will find ourselves in all out war here at home in America. There are probably a lot of reasons why that might not happen... but I can no longer remain silent about what I am seeing... what millions of other good Americans are seeing. For those of you who have hatred for this man, I can only offer this....Donald J. Trump may not be the perfect man for the job... but no person is and so I hope this video sheds a behind the scenes light into the character of a man who chose to come and visit a wounded warfighter.
0:39

In January of 2019, I lost both of my legs during combat operations. Donald J. Trump came to visit my family and I at Walter Reed Hospital. He pinned a Purple Heart on my chest and visited with us for a while. Had it been anyone else ... I would have denied them access to my hospital room. In the years since ... life has been incredibly different. I look at the state of decline in our nation and I feel very strongly that if we continue down the path we are currently on ... we will find ourselves in all out war here at home in America. There are probably a lot of reasons why that might not happen... but I can no longer remain silent about what I am seeing... what millions of other good Americans are seeing. For those of you who have hatred for this man, I can only offer this....Donald J. Trump may not be the perfect man for the job... but no person is and so I hope this video sheds a behind the scenes light into the character of a man who chose to come and visit a wounded warfighter.

Clint Trial

1,084,087 次观看 • 2 年前

🖇️ #CELLBIT: Good night! I'm Cellbit, the creative director of Enigma of Fear. I'm so, so anxious, the day has finally come, and at this exact second- Enigma of Fear is finally available on steam. It has been 4 years since this project started, 4 years since this dream started, it's still unbelievable for me that this is finally happening. I just wanted to come here quickly to thank the whole Dumativa team, they're probably watching this and laughing about what went wrong, I want to thank all my friends that are here, or not, and principally, thank you for being here and for making this game happen, this dream come true. This is the most important story of my life, I wrote this game in 2020, a very weird moment for me, very complicated moment, and it means so much to me. and I learned how hard it is to make a game, I couldn't be more lucky to have this spectacular team by my side. I hope, from the bottom of my heart, that this hame meand just a little bit for you guys as it means for me. I learned how hard it is to make a game in those last 4 years and I couldn't have gotten a better team to work it, I'm so thankful to have worked with this amazing team that is Dumativa and everyone there, I can't name them all, but I ask, from the bottom of my heart, that you guys look carefully at the credits, give them all the love, they deserve it so much, I couldn’t be more lucky. I sincerely hope that this game means 1% to you all of what it means to me, if this happens… it was all worth it. Enigma of Fear is waiting for you, only you can do this. I will see you at the other ending!
2:51

🖇️ #CELLBIT: Good night! I'm Cellbit, the creative director of Enigma of Fear. I'm so, so anxious, the day has finally come, and at this exact second- Enigma of Fear is finally available on steam. It has been 4 years since this project started, 4 years since this dream started, it's still unbelievable for me that this is finally happening. I just wanted to come here quickly to thank the whole Dumativa team, they're probably watching this and laughing about what went wrong, I want to thank all my friends that are here, or not, and principally, thank you for being here and for making this game happen, this dream come true. This is the most important story of my life, I wrote this game in 2020, a very weird moment for me, very complicated moment, and it means so much to me. and I learned how hard it is to make a game, I couldn't be more lucky to have this spectacular team by my side. I hope, from the bottom of my heart, that this hame meand just a little bit for you guys as it means for me. I learned how hard it is to make a game in those last 4 years and I couldn't have gotten a better team to work it, I'm so thankful to have worked with this amazing team that is Dumativa and everyone there, I can't name them all, but I ask, from the bottom of my heart, that you guys look carefully at the credits, give them all the love, they deserve it so much, I couldn’t be more lucky. I sincerely hope that this game means 1% to you all of what it means to me, if this happens… it was all worth it. Enigma of Fear is waiting for you, only you can do this. I will see you at the other ending!

Cellbit English Updates

76,681 次观看 • 1 年前

This last year and a half has been quite a challenging and equally awesome time. I’ve faced a lot of backlash for what I sing about, which in some ways has set me back, but in many other ways has opened incredible new doors. I had no idea there were so many of us who felt the same way. We’re fed up with much of what’s going on in the world. The systems that don’t serve us but pretend to. The institutions that rob us and keep us dependent. But what has been so beautiful is discovering how many of us feel this together and genuinely want to create a future that uplifts and serves humanity, and each other. There are so many people working for good, working for the light. I hope the music and art I make can contribute to that in a great way. So from the bottom of my heart, thank you. Thank you for having my back. I have yours too.
1:40

This last year and a half has been quite a challenging and equally awesome time. I’ve faced a lot of backlash for what I sing about, which in some ways has set me back, but in many other ways has opened incredible new doors. I had no idea there were so many of us who felt the same way. We’re fed up with much of what’s going on in the world. The systems that don’t serve us but pretend to. The institutions that rob us and keep us dependent. But what has been so beautiful is discovering how many of us feel this together and genuinely want to create a future that uplifts and serves humanity, and each other. There are so many people working for good, working for the light. I hope the music and art I make can contribute to that in a great way. So from the bottom of my heart, thank you. Thank you for having my back. I have yours too.

iyah may

27,548 次观看 • 15 天前