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This finding shown in this📸 most strongly suggests: A. Left ventricular hypertrophy B. Right ventricular pressure overload C. Left atrial enlargement D. Mitral stenosis

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👇EPS and Ventricular Stimulation Testing in the Diagnosis of Narrow Complex Tachycardia: Understanding VA Conduction👇 For #EP_Fellows — simple tricks packed with valuable information! Electrophysiology is logical. Understanding is better than memorizing!!! 👉 Ventriculoatrial (VA) Conduction Patterns: A. VA Dissociation (even with isoproterenol) → Rules out AVRT and AVNRT → Likely diagnosis: Atrial Tachycardia B. VA Conduction with Earliest CS Activation in CS 1/2 → Suggests AVRT with a left lateral accessory pathway C. VA Conduction with Earliest CS Activation in CS 9/10 C.1 Decremental VA Conduction (progressive slowing conduction) → Rules out AVRT → Likely diagnosis: AVNRT or Atrial Tachycardia C.2 Non-decremental VA Conduction → Suggests AVRT with a right-sided or septal accessory pathway #EPeeps This post is part of a collaboration with Nadica Trajkovska If you find this content helpful, please let us know, we can continue exploring further steps of the EPS workflow together 🙏🙏 Philipp Sommer Stephan H. Winnik Christian Sohns Martin Braun Moneeb Khalaph Maxim Didenko, MD PhD FESC FEHRA Dr. Andreas Roeschl Arnel Carmona Pedram Milan Koštek ECG Challenge ALBERTO ALFIE Arab HRS - Heart Rhythm Society The Heart Koichi Nagashima@EP Univ. Ablation School Matters of the Heart 🫀 Gregor Nageler JMC Young DGK AGEP Johnson & Johnson MedTech | Electrophysiology @JNJ_ch Abbott Medtronic BostonSci Cardiology #CardioTwitter Arash Arya

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