Pedram retweeted
Thank you, Dr Warren “Sonny” Jackman for sharing your extensive experience in another great webinar on accessory pathways! It’s a true delight to listen to someone who still practices the beautiful art of electrophysiology!
50 y/o M with palpitations
What's the Rhythm?
VT or SVT?
#epeeps #epfellows #epfellow @epeeps_bot #ecg #ekg #cardioX #cardiotwitter #Foamed #cardiology
Pedram retweeted
⚠️ Unvisualised LCA during ACS: what went wrong?
This case by Gulbadin Mufti et al. highlights a rare prepulmonary anomalous LAD mimicking an LM total occlusion, featuring a unique bidirectional bifurcation.
🔗 asiaintervention.org/article…
@APSIC6 @EuroInterventio @PCRonline
Pedram retweeted
Old Man. Rhythm?
I’ll add a post-conversion #ECG in the comments shortly.
#FOAMed #EMS
cc @Ecgloverr @ecgandrhythmRoe @IrmaMDv @ECGEPSCADEVICE @JasonWinterECG @PMcardioApp
Pedram retweeted
Interesting Holter Strip. @SergioPinski @KostekMilan @ecgrhythms @Ecgloverr @Frances98392343 @lucasmouraeef
How many arrhythmias can you spot on these tracings #epeeps❓️ (All belongs to a same patient)
Patient with Palpitations,HTN & HFrEF
#cardiology #epfellow #epfellows #ecg #ekg #cardiotwitter #cardiox #Foamed
Pedram retweeted
Beautiful atrial flutter in an alternating pattern of bigeminy and trigeminy, due to alternating 6:2 and 8:3. This is due to multilevel block: 2:1 superior, Mobitz I 3:2 alternating with 4:3 inferior. Both at the level of the AV node. #ECG #Cardiology
Pedram retweeted
In anticipation of the discussions Nov 6 #PPS10 in Chicago, I would adjudicate this pacing as:
27%Left septal capture
22%Left bundle capture
17%His capture
34%Deep septal capture
93 votes • Final results Pedram retweeted
AVRT versus AVNRT ®️and Why ? @ecgrhythms @ECGEPSCADEVICE @ecgandrhythmRoe @Ecgloverr @nihar_nayak2 @The_Nanashi_O @sumitvermaep @syamkumarmd @KostekMilan @SergioPinski @chinmayparale
Pedram retweeted
Paradoxical ventriculophasic sinus arrhythmia during 2:1 atrioventricular block
🆓
sciencedirect.com/science/ar…
Pedram retweeted
#Epeeps Sandwich 🥪 ablation of symptomatic LV summit PVC: earliest signal -30 ms before QRS in both, LVOT and GCV. LV ablation (40 W) supressed PVC, subsequent recurrence. Sandwich ablation from GCV eliminated PVC w 1st pulse (20 W). 1 min fluoro. Happy patient
Pedram retweeted
Sent to me by a fellow paramedic
64m called EMS for chest pain. Reported it in the center of their chest and stated that it resolved approximately 3 minutes prior to EMS arrival
Hx of MI
Initial BP of 82/47
Thoughts on this ECG?
Pedram retweeted
Replying to @SchakrabartiEP @Ecgloverr @abdelqader_LL @ALFIEEP1 @adribaran @chaturvedimd @javadm20 @IsaParam @DaveRichley @syamkumarmd @mameeps @EhdaieMd @CyrusHadadiMD
In general, one should avoid the diagnosis of phase 4 block in atrial fibrillation because a fascicular escape is likely. The gold standard for phase 4 block is 2 consecutive beats with same PR.
What's going on here #epeeps❓️
80 y/o M presented with Syncope
@epeeps_bot #epfellow #epfellows #ecg #cardioX #cardiotwitter #Foamed #ekg
Pedram retweeted
👇Rhythmology is an exact science, much like mathematics and physics👇
👉Take VT ablation, for example. Once you truly understand the underlying mechanism, the ECG, the mapping findings, and the optimal ablation target, everything starts to make perfect sense.
👉Just like 1 + 1 = 2. When you target the critical site of the arrhythmia circuit, VT can terminate immediately — exactly as demonstrated in this video, where the VT terminates the moment the target RF power is reached.
👉I have always loved mathematics, physics, and logical thinking. And that is precisely why I love cardiac electrophysiology! ❤️
#EPeeps I strongly believe that if we want to achieve the same level of success in treating atrial fibrillation as we have with atrial flutter, AVNRT, AVRT, and many VTs, we must first fully understand the mechanisms that initiate and, most importantly, sustain ongoing AF.
👉 The key is not simply to ablate more, but to understand better. Because in electrophysiology, understanding the mechanism is the foundation of successful treatment.
@Phiso_de @N_Trajkovska @AkihikoNogami @narrowQRS @KostekMilan @MoneebKhalaph @MBraunEP @MartinsRaphae15 @Cardioschool @ecgrhythms @ECGEPSCADEVICE @Ecgloverr @ecgandrhythmRoe @ChristianHeeger @AbbottNews @ArashArya_EP @AGEP_DGK @YoungDgk @ALFIEEP1 @Koichi16423232 @enes_elvin @ivroca @Dominik_Linz @BozorgiAli #CardioTwitter









































