Loading video...

Video Failed to Load

Go Home

👇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...

melhamriti's profile picture

El Hamriti Mustapha

3,562 subscribers

11,840 views • 1 year ago •via X (Twitter)

LIVE

Anya Rossi• Live Now

Private livecam show

2 Comments

sciqst's profile picture
sciqst1 year ago

Interesting observation, El Hamriti. The discordance between V1 and the inferior leads can indeed be pivotal in understanding atrial flutter directionality. I'm curious about how these activation directions may impact treatment decisions. Do you see different therapeutic approaches depending on whether it's clockwise or counterclockwise? If you're interested in generating more detailed reviews or have further questions, check out a one-stop platform for every biomedical question. #Medicine #Cardiology

Dr.Mario(Z)'s profile picture
Dr.Mario(Z)1 year ago

Y Think u missed “atypical”

Related Videos

👇Parahisian Atrial Tachycardia: Tips and Tricks for Better Diagnosis and Safer Ablation👇 👉 A biphasic P wave in multiple leads suggests that the PAC/AT originates from the atrial septum. 👉 ATs arising from the region above the His bundle can be safely ablated in the NCC without risk of AV block. #EPeeps The NCC is designed for electrophysiologists to ablate parahisian arrhythmias safely. There are no coronary arteries in this area, and the ablation catheter often lands there directly without extensive maneuvering. This post was created in collaboration with Nadica Trajkovska and Maxim Didenko, MD PhD FESC FEHRA Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Vanessa Sciacca Syamkumar Christian-H. Heeger Johnson & Johnson Arnel Carmona 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🌟 Julian Chun Arash Arya #CardioTwitter Andreas Müssigbrodt @JNJ_ch Koichi Nagashima@EP Univ. Ablation School Evgeny Lian Vera Maslova Young DGK AGEP
0:27

👇Parahisian Atrial Tachycardia: Tips and Tricks for Better Diagnosis and Safer Ablation👇 👉 A biphasic P wave in multiple leads suggests that the PAC/AT originates from the atrial septum. 👉 ATs arising from the region above the His bundle can be safely ablated in the NCC without risk of AV block. #EPeeps The NCC is designed for electrophysiologists to ablate parahisian arrhythmias safely. There are no coronary arteries in this area, and the ablation catheter often lands there directly without extensive maneuvering. This post was created in collaboration with Nadica Trajkovska and Maxim Didenko, MD PhD FESC FEHRA Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Vanessa Sciacca Syamkumar Christian-H. Heeger Johnson & Johnson Arnel Carmona 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🌟 Julian Chun Arash Arya #CardioTwitter Andreas Müssigbrodt @JNJ_ch Koichi Nagashima@EP Univ. Ablation School Evgeny Lian Vera Maslova Young DGK AGEP

El Hamriti Mustapha

12,792 views • 1 year ago

👇Easy-PVC App : Localization of PVCs with R/S Morphology in V1 on ECG👇 When the QRS polarity in leads II and III is positive and the QRS complex in V1 exhibits an R/S morphology, the most likely PVC origin is: •r S → PVC from the LCC or AMC #EPeeps This post is in collaboration with Nadica Trajkovska Philipp Sommer Christian Sohns Gregor Nageler Moneeb Khalaph Martin Braun Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA Arnel Carmona Dr. Andreas Roeschl ECGs ECG.Hacks 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🌟 🫀EcgOxford Johnson & Johnson MedTech | Electrophysiology Abbott BostonSci Cardiology Koichi Nagashima@EP Univ. Ablation School ALBERTO ALFIE Christian-H. Heeger #CardioTwitter
0:21

👇Easy-PVC App : Localization of PVCs with R/S Morphology in V1 on ECG👇 When the QRS polarity in leads II and III is positive and the QRS complex in V1 exhibits an R/S morphology, the most likely PVC origin is: •r S → PVC from the LCC or AMC #EPeeps This post is in collaboration with Nadica Trajkovska Philipp Sommer Christian Sohns Gregor Nageler Moneeb Khalaph Martin Braun Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA Arnel Carmona Dr. Andreas Roeschl ECGs ECG.Hacks 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🌟 🫀EcgOxford Johnson & Johnson MedTech | Electrophysiology Abbott BostonSci Cardiology Koichi Nagashima@EP Univ. Ablation School ALBERTO ALFIE Christian-H. Heeger #CardioTwitter

El Hamriti Mustapha

21,582 views • 1 year ago

👉 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

20,931 views • 1 year ago

👇 ECG and PAC/EAT Localization (Part 1): RA Lateral vs. LA Lateral 👇 •P wave positive in lead I and negative in V1: Suggests the PAC/AT originates in the RA lateral region (consider the Crista Terminalis or the lateral Tricuspid Valve annulus). •P wave negative in lead I and positive in V1: Suggests the PAC/AT originates in the LA lateral region (consider the LAA or the LPVs). 👉 #EPeeps Analyzing P waves in PACs and EATs is incredibly exciting—it’s like chasing triggers! 🤩🤩 This post is created in collaboration with Nadica Trajkovska 🙏🙏 Philipp Sommer Christian Sohns Moneeb Khalaph Martin Braun Maxim Didenko, MD PhD FESC FEHRA Vanessa Sciacca Stephan H. Winnik Johnson & Johnson MedTech | Electrophysiology Abbott Boston Scientific 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🤴)こちらを本稿に戻しました🌟 Dr. Andreas Roeschl Pedram Arash Arya Matters of the Heart 🫀 #CardioTwitter AGEP
0:31

👇 ECG and PAC/EAT Localization (Part 1): RA Lateral vs. LA Lateral 👇 •P wave positive in lead I and negative in V1: Suggests the PAC/AT originates in the RA lateral region (consider the Crista Terminalis or the lateral Tricuspid Valve annulus). •P wave negative in lead I and positive in V1: Suggests the PAC/AT originates in the LA lateral region (consider the LAA or the LPVs). 👉 #EPeeps Analyzing P waves in PACs and EATs is incredibly exciting—it’s like chasing triggers! 🤩🤩 This post is created in collaboration with Nadica Trajkovska 🙏🙏 Philipp Sommer Christian Sohns Moneeb Khalaph Martin Braun Maxim Didenko, MD PhD FESC FEHRA Vanessa Sciacca Stephan H. Winnik Johnson & Johnson MedTech | Electrophysiology Abbott Boston Scientific 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🤴)こちらを本稿に戻しました🌟 Dr. Andreas Roeschl Pedram Arash Arya Matters of the Heart 🫀 #CardioTwitter AGEP

El Hamriti Mustapha

20,996 views • 1 year ago

👇Mahaim Tachycardia (Part 1): Basics of Mahaim Fiber Behavior in SR, Atrial Stimulation, and Afib👇 👉 Sinus Rhythm: No delta wave 👉 Atrial Stimulation: Maximum preexcitation with normal PR interval and LBBB morphology 👉 Mahaim Tachycardia: Always wide-complex due to exclusive antegrade conduction through Mahaim fibers 👉 Mahaim + Afib: Broad QRS (from Mahaim) with some narrow QRS (via AV node); irregular rhythm but not tooo fast Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA Abbott Johnson & Johnson MedTech | Electrophysiology BostonSci Cardiology 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🌟 Arnel Carmona #EPeeps #CardioTwitter Young DGK AGEP
0:50

👇Mahaim Tachycardia (Part 1): Basics of Mahaim Fiber Behavior in SR, Atrial Stimulation, and Afib👇 👉 Sinus Rhythm: No delta wave 👉 Atrial Stimulation: Maximum preexcitation with normal PR interval and LBBB morphology 👉 Mahaim Tachycardia: Always wide-complex due to exclusive antegrade conduction through Mahaim fibers 👉 Mahaim + Afib: Broad QRS (from Mahaim) with some narrow QRS (via AV node); irregular rhythm but not tooo fast Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA Abbott Johnson & Johnson MedTech | Electrophysiology BostonSci Cardiology 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🌟 Arnel Carmona #EPeeps #CardioTwitter Young DGK AGEP

El Hamriti Mustapha

12,668 views • 1 year ago

👇ECG and PVC/VT Localization: LV Basal near the Mitral Annulus vs Apical PVC/VT👇 👉 PVC/VT with Positive Concordance suggests a basal origin near the mitral valve annulus. 👉 PVC/VT with Negative Concordance indicates an apical origin. Philipp Sommer Christian Sohns Moneeb Khalaph Martin Braun Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA Johnson & Johnson MedTech | Electrophysiology Abbott BostonSci Cardiology Medtronic 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🌟 Arnel Carmona Stephan H. Winnik @AleSpoken AGEP Young DGK Andreas Müssigbrodt #EPeeps #CardioTwitter
0:20

👇ECG and PVC/VT Localization: LV Basal near the Mitral Annulus vs Apical PVC/VT👇 👉 PVC/VT with Positive Concordance suggests a basal origin near the mitral valve annulus. 👉 PVC/VT with Negative Concordance indicates an apical origin. Philipp Sommer Christian Sohns Moneeb Khalaph Martin Braun Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA Johnson & Johnson MedTech | Electrophysiology Abbott BostonSci Cardiology Medtronic 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🌟 Arnel Carmona Stephan H. Winnik @AleSpoken AGEP Young DGK Andreas Müssigbrodt #EPeeps #CardioTwitter

El Hamriti Mustapha

13,764 views • 1 year ago

👇 SVT Ablation in univentricular heart : One of the first cases worldwide of #Optrell mapping in a post-Fontan patient👇 👉 Ablation of therapy-refractory atrial tachycardia in a patient with a univentricular heart, double outlet left ventricle, and intra-atrial tunnel with access via tunnel fenestration🎯 👉 Successful ablations in patients with univentricular hearts are especially rewarding, as SVTs significantly impact survival #Ablate_ACHD #EPeeps Philipp Sommer Martin Braun Christian Sohns Moneeb Khalaph Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA Johnson & Johnson MedTech | Electrophysiology AGEP Andreas Müssigbrodt Christian-H. Heeger #CardioTwitter Karen Harutyunyan Yuri Bocchini
0:40

👇 SVT Ablation in univentricular heart : One of the first cases worldwide of #Optrell mapping in a post-Fontan patient👇 👉 Ablation of therapy-refractory atrial tachycardia in a patient with a univentricular heart, double outlet left ventricle, and intra-atrial tunnel with access via tunnel fenestration🎯 👉 Successful ablations in patients with univentricular hearts are especially rewarding, as SVTs significantly impact survival #Ablate_ACHD #EPeeps Philipp Sommer Martin Braun Christian Sohns Moneeb Khalaph Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA Johnson & Johnson MedTech | Electrophysiology AGEP Andreas Müssigbrodt Christian-H. Heeger #CardioTwitter Karen Harutyunyan Yuri Bocchini

El Hamriti Mustapha

14,821 views • 1 year ago

👇Typical AVNRT: Overview of EP Findings in 45 Seconds👇 Overview for young #EPeeps , cardiologists, and internists on typical AVNRT (slow-fast variant): 👉 Short RP Tachycardia: VA interval < 70 ms 👉 1:1 Conduction: V = A 👉 Dual AV Node Physiology: Presence of an AH jump 👉 Retrograde Fast Pathway Conduction: AVN echo beats observed 👉 Decremental VA Conduction Philipp Sommer Christian Sohns Vanessa Sciacca Moneeb Khalaph Martin Braun Karen Harutyunyan Maxim Didenko, MD PhD FESC FEHRA @AleSpoken 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🌟 Arnel Carmona #CardioTwitter Young DGK AGEP
0:45

👇Typical AVNRT: Overview of EP Findings in 45 Seconds👇 Overview for young #EPeeps , cardiologists, and internists on typical AVNRT (slow-fast variant): 👉 Short RP Tachycardia: VA interval < 70 ms 👉 1:1 Conduction: V = A 👉 Dual AV Node Physiology: Presence of an AH jump 👉 Retrograde Fast Pathway Conduction: AVN echo beats observed 👉 Decremental VA Conduction Philipp Sommer Christian Sohns Vanessa Sciacca Moneeb Khalaph Martin Braun Karen Harutyunyan Maxim Didenko, MD PhD FESC FEHRA @AleSpoken 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🌟 Arnel Carmona #CardioTwitter Young DGK AGEP

El Hamriti Mustapha

11,896 views • 2 years ago

👇WPW Syndrome (Part 1) Overview of the Basics: Delta Wave, Maximal Pre-excitation, Orthodromic and Antidromic AVRT, and FBI Tachycardia👇 👉 Antegrade conduction through the AVN and accessory pathway leads to fusion. 👉 Orthodromic AVRT: Antegrade conduction through the AVN → narrow QRS complex. 👉 Antidromic AVRT: Antegrade conduction through the AP → consistently wide QRS complex. 👉 FBI Tachycardia: Complete chaos → Medical emergency! The AP must be ablated before the patient leaves the hospital 🙏🙏#EPeeps Philipp Sommer Christian Sohns Vanessa Sciacca Martin Braun Moneeb Khalaph Maxim Didenko, MD PhD FESC FEHRA 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🌟 Arnel Carmona #CardioTwitter Johnson & Johnson MedTech | Electrophysiology Abbott BostonSci Cardiology
0:37

👇WPW Syndrome (Part 1) Overview of the Basics: Delta Wave, Maximal Pre-excitation, Orthodromic and Antidromic AVRT, and FBI Tachycardia👇 👉 Antegrade conduction through the AVN and accessory pathway leads to fusion. 👉 Orthodromic AVRT: Antegrade conduction through the AVN → narrow QRS complex. 👉 Antidromic AVRT: Antegrade conduction through the AP → consistently wide QRS complex. 👉 FBI Tachycardia: Complete chaos → Medical emergency! The AP must be ablated before the patient leaves the hospital 🙏🙏#EPeeps Philipp Sommer Christian Sohns Vanessa Sciacca Martin Braun Moneeb Khalaph Maxim Didenko, MD PhD FESC FEHRA 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🌟 Arnel Carmona #CardioTwitter Johnson & Johnson MedTech | Electrophysiology Abbott BostonSci Cardiology

El Hamriti Mustapha

23,472 views • 2 years ago

Atrial Flutter VS Atrial Fibrillation
0:59

Atrial Flutter VS Atrial Fibrillation

Dr Honey choudhary 🩺

34,714 views • 1 year ago

👇 Typical AVNRT: EPS Findings in 45 Seconds 👇 #EPeeps huge thanks to Nadica Trajkovska for her amazing videos, dedication, and passion for the fundamentals of rhythmology! 🫡🫡 Just like young doctors are the future of medicine, mastering the basics of rhythmology is the future of EP! 👉 Dual AV Node Physiology: Presence of an AH jump — antegrade conduction switches from the fast pathway (FP) to the slow pathway (SP) once the FP’s refractory period is reached. 👉 AVN Echo Beats: Antegrade conduction goes to the ventricle via SP and retrograde back to the atrium via FP (A → SP → V → FP → A = the complete AVNRT reentry circuit 🔄). 👉 Typical AVNRT: Short RP tachycardia (VA interval < 70 ms) due to the fast retrograde VA conduction via FP 👉 1:1 conduction: V = A. 👉 Decremental VA conduction. Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Maxim Didenko, MD PhD FESC FEHRA Gregor Nageler Arash Arya Sam Ghali, M.D. Dr. Andreas Roeschl Pedram Milan Koštek Mohammad Ebrahim Arab HRS - Heart Rhythm Society ALBERTO ALFIE د.فهد المحمادي Fahad Almehmadi MD, MPH, FHRS Abhishek Maan Haseeb Raza FACC, FHRS, FESC, CEPS-A, FCPS EP 色々自粛中復活🌟 #CardioTwitter Young DGK Andreas Müssigbrodt
0:44

👇 Typical AVNRT: EPS Findings in 45 Seconds 👇 #EPeeps huge thanks to Nadica Trajkovska for her amazing videos, dedication, and passion for the fundamentals of rhythmology! 🫡🫡 Just like young doctors are the future of medicine, mastering the basics of rhythmology is the future of EP! 👉 Dual AV Node Physiology: Presence of an AH jump — antegrade conduction switches from the fast pathway (FP) to the slow pathway (SP) once the FP’s refractory period is reached. 👉 AVN Echo Beats: Antegrade conduction goes to the ventricle via SP and retrograde back to the atrium via FP (A → SP → V → FP → A = the complete AVNRT reentry circuit 🔄). 👉 Typical AVNRT: Short RP tachycardia (VA interval < 70 ms) due to the fast retrograde VA conduction via FP 👉 1:1 conduction: V = A. 👉 Decremental VA conduction. Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Maxim Didenko, MD PhD FESC FEHRA Gregor Nageler Arash Arya Sam Ghali, M.D. Dr. Andreas Roeschl Pedram Milan Koštek Mohammad Ebrahim Arab HRS - Heart Rhythm Society ALBERTO ALFIE د.فهد المحمادي Fahad Almehmadi MD, MPH, FHRS Abhishek Maan Haseeb Raza FACC, FHRS, FESC, CEPS-A, FCPS EP 色々自粛中復活🌟 #CardioTwitter Young DGK Andreas Müssigbrodt

El Hamriti Mustapha

14,466 views • 1 year ago

👇 WPW Syndrome (Part 2): How to Differentiate Between a Right-Sided or Left-Sided Accessory Pathway During Orthodromic AVRT Based on ECG?👇 👉 Long RP tachycardia with a VA interval > 70 ms 👉 Narrow complex tachycardia with a 1:1 atrioventricular relationship 👉 A negative P wave in lead I indicates a left-sided AP 👉 A positive P wave in lead I indicates a right-sided AP 👉 Septal accessory pathways are often associated with a biphasic P wave in lead I Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph 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🌟 Johnson & Johnson MedTech | Electrophysiology BostonSci Cardiology Abbott Medtronic #Cardiotwitter
0:26

👇 WPW Syndrome (Part 2): How to Differentiate Between a Right-Sided or Left-Sided Accessory Pathway During Orthodromic AVRT Based on ECG?👇 👉 Long RP tachycardia with a VA interval > 70 ms 👉 Narrow complex tachycardia with a 1:1 atrioventricular relationship 👉 A negative P wave in lead I indicates a left-sided AP 👉 A positive P wave in lead I indicates a right-sided AP 👉 Septal accessory pathways are often associated with a biphasic P wave in lead I Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph 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🌟 Johnson & Johnson MedTech | Electrophysiology BostonSci Cardiology Abbott Medtronic #Cardiotwitter

El Hamriti Mustapha

25,897 views • 2 years ago

✅Atrial Fibrillation Vs Atrial Flutter✅
0:59

✅Atrial Fibrillation Vs Atrial Flutter✅

Dr Honey choudhary 🩺

50,882 views • 2 years ago

👇Rare VT Mechanism: Bundle Branch Reentry VT with Exit in the LV and RV. 2 VTs treated with 1 burn👇 👉 A 40-year-old patient with no known preexisting conditions presents with incessant tachycardia over the past two days, refractory to both pharmacological therapy and electrical cardioversion. 👉 During the EPS, two VT morphologies were identified: BBR-VT with a clockwise reentry circuit and exit in the LV, presenting as RBBB, and BBR-VT with a counterclockwise reentry circuit and exit in the RV, presenting as LBBB. 👉 A single burn at the right bundle branch terminated the arrhythmic storm🤩🤩 #EPeeps If you find my first depiction of the two reentry circuits correlated with the ECG interesting, I can prepare additional overviews of tachycardias and EPS findings. Philipp Sommer Moneeb Khalaph Martin Braun Christian Sohns Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA Vanessa Sciacca @AleSpoken Syamkumar Dr. Andreas Roeschl 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🌟 #CardioTwitter AGEP Young DGK European Society of Cardiology Journals #ESCCongress2024
0:24

👇Rare VT Mechanism: Bundle Branch Reentry VT with Exit in the LV and RV. 2 VTs treated with 1 burn👇 👉 A 40-year-old patient with no known preexisting conditions presents with incessant tachycardia over the past two days, refractory to both pharmacological therapy and electrical cardioversion. 👉 During the EPS, two VT morphologies were identified: BBR-VT with a clockwise reentry circuit and exit in the LV, presenting as RBBB, and BBR-VT with a counterclockwise reentry circuit and exit in the RV, presenting as LBBB. 👉 A single burn at the right bundle branch terminated the arrhythmic storm🤩🤩 #EPeeps If you find my first depiction of the two reentry circuits correlated with the ECG interesting, I can prepare additional overviews of tachycardias and EPS findings. Philipp Sommer Moneeb Khalaph Martin Braun Christian Sohns Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA Vanessa Sciacca @AleSpoken Syamkumar Dr. Andreas Roeschl 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🌟 #CardioTwitter AGEP Young DGK European Society of Cardiology Journals #ESCCongress2024

El Hamriti Mustapha

63,973 views • 2 years ago

👇Mahaim tachycardia: EPS, mapping, and ablation overview in less than 1 minute👇 1- SR without delta wave 2- Maximum preexcitation with normal PR interval 3- If Mahaim, always wide-complex tachycardia!!! 4- Long RP tachycardia/ VA conduction constant 5- PPI-TCL < 100 ms from RV 6- Decremental VA conduction 7- Typical His-like Mahaim potentials in the area of the lateral TV annulus 8- The latest atrial activation in the lateral TV Philipp Sommer Christian Sohns Moneeb Khalaph Martin Braun Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA @AleSpoken Stephan H. Winnik @YounDgk AGEP Andreas Müssigbrodt #CardioTwitter #EPeeps
0:54

👇Mahaim tachycardia: EPS, mapping, and ablation overview in less than 1 minute👇 1- SR without delta wave 2- Maximum preexcitation with normal PR interval 3- If Mahaim, always wide-complex tachycardia!!! 4- Long RP tachycardia/ VA conduction constant 5- PPI-TCL < 100 ms from RV 6- Decremental VA conduction 7- Typical His-like Mahaim potentials in the area of the lateral TV annulus 8- The latest atrial activation in the lateral TV Philipp Sommer Christian Sohns Moneeb Khalaph Martin Braun Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA @AleSpoken Stephan H. Winnik @YounDgk AGEP Andreas Müssigbrodt #CardioTwitter #EPeeps

El Hamriti Mustapha

10,123 views • 2 years ago

👇 Incessant Fascicular VT – Terminated in Just 18 Minutes! 👇 👉 A young patient with wide-complex tachycardia refractory to medication and cardioversion — no prior medical history, normal labs, and reduced EF (30%) during tachycardia. #EPeeps Emergency ablation confirmed fascicular ventricular tachycardia. In only 18 minutes, the incessant VT was terminated and sinus rhythm restored for the first time. Just 3 hours in sinus rhythm — and the EF already improved to 45%! 👉 We are pleased to offer this therapeutic option — the only one of its kind available in the Zürich Oberland region. 👉 The Easy-PVC algorithm accurately localized the exit site of the VT. ( Philipp Sommer Nadica Trajkovska Gregor Nageler Martin Braun Moneeb Khalaph Maxim Didenko, MD PhD FESC FEHRA Christian Sohns Dr. Andreas Roeschl Pedram Milan Koštek Arash Arya Arab HRS - Heart Rhythm Society Mohammad Ebrahim Philipp Lucas Johnson & Johnson Abhishek Maan #CardioTwitter
0:31

👇 Incessant Fascicular VT – Terminated in Just 18 Minutes! 👇 👉 A young patient with wide-complex tachycardia refractory to medication and cardioversion — no prior medical history, normal labs, and reduced EF (30%) during tachycardia. #EPeeps Emergency ablation confirmed fascicular ventricular tachycardia. In only 18 minutes, the incessant VT was terminated and sinus rhythm restored for the first time. Just 3 hours in sinus rhythm — and the EF already improved to 45%! 👉 We are pleased to offer this therapeutic option — the only one of its kind available in the Zürich Oberland region. 👉 The Easy-PVC algorithm accurately localized the exit site of the VT. ( Philipp Sommer Nadica Trajkovska Gregor Nageler Martin Braun Moneeb Khalaph Maxim Didenko, MD PhD FESC FEHRA Christian Sohns Dr. Andreas Roeschl Pedram Milan Koštek Arash Arya Arab HRS - Heart Rhythm Society Mohammad Ebrahim Philipp Lucas Johnson & Johnson Abhishek Maan #CardioTwitter

El Hamriti Mustapha

19,297 views • 1 year ago

Atrial flutter explained
0:31

Atrial flutter explained

Oren Gottfried, MD

114,965 views • 2 years ago

👇Bundle Branch Reentry Tachycardia: The Beauty of EP Findings👇 1. The earliest potentials are observed in the right bundle branch. Here, excitation travels from the proximal ablation catheter to the distal catheter, then reaches the apex where the RVa is located. This reflects antegrade propagation of the excitation from proximal to distal within the right bundle branch. 2. During a VT with a LBBB morphology, I would typically expect the ventricular signals to show concentric activation in the CS. However, in this case, the activation is eccentric—CS 1/2 is earlier than CS 9/10, suggesting retrograde conduction through the LAF is faster than through the RV lateral free wall 🤔🤔 3. The excitation travels antegrade through the RBB and retrograde through the LBB in a counterclockwise pattern. 4. PPI-CL in the RVa is +19 ms. Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA Johnson & Johnson 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🌟 Arnel Carmona #EPeeps #CardioTwitter
0:28

👇Bundle Branch Reentry Tachycardia: The Beauty of EP Findings👇 1. The earliest potentials are observed in the right bundle branch. Here, excitation travels from the proximal ablation catheter to the distal catheter, then reaches the apex where the RVa is located. This reflects antegrade propagation of the excitation from proximal to distal within the right bundle branch. 2. During a VT with a LBBB morphology, I would typically expect the ventricular signals to show concentric activation in the CS. However, in this case, the activation is eccentric—CS 1/2 is earlier than CS 9/10, suggesting retrograde conduction through the LAF is faster than through the RV lateral free wall 🤔🤔 3. The excitation travels antegrade through the RBB and retrograde through the LBB in a counterclockwise pattern. 4. PPI-CL in the RVa is +19 ms. Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA Johnson & Johnson 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🌟 Arnel Carmona #EPeeps #CardioTwitter

El Hamriti Mustapha

23,826 views • 2 years ago

Types of supraventricular Tachycardia🫀🔥: - Atrial fibrillation - Atrial flutter - Atrial tachycardia - AVNRT - AVRT
2:08

Types of supraventricular Tachycardia🫀🔥: - Atrial fibrillation - Atrial flutter - Atrial tachycardia - AVNRT - AVRT

Mohammed ALnashri

321,621 views • 2 years ago