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#EPeeps how can we recognize,if the potential in LSPV is LAA farfield,or a signal from PV?Look at the separation of potentials during distal CS pacing!
@evgeny_lyan @ThomasDemming #fellowsfirst #CardioTwitter #FOAMed
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Vera Maslova
528 posts
- #EPeeps How to distinguish in #ECG between fascicular PVC and PVC from papillary muscleโ.. Both present with a RBBB morphologyโ๏ธBut.. Pap.muscleโก๏ธlonger QRS duration;R>r' QRS morphology in V1 Fascicularโก๏ธshorter QRS; r<R' in V1 Why? See the illustration below! #cardiotwitter
00:00 - #EPeeps here is our #EP_Kiel @evgeny_lyan illustration for Coumel Law! Based on incredible publication doi.org/10.1161/CIRCULโฆ If a wide complex tachyโก๏ธnarrow complex tachy with โฌ๏ธHR- this is orthodromic AVRT with AP on the same side as the blocked bundle branch! #CardioTwitter
00:00 - #EPeeps Why do we use reversed S- curve for parahisian PVC ablation? @evgeny_lyan โ catheter stability under the TV leaflet โ direct tissue contact #EP_Kiel #Cardiotwitter
- Tweetorial 1/3 #Epeeps in the last case x.com/veramasloo/staโฆ - VT with exit site at the LV apex (all QRS in precordial leads are negative). QS morphology in lead I suggests an EPICARDIAL origin. @evgeny_lyan @ThomasDemming @EPeeps_Bot #CardioTwitter #EP_Kiel #FOAMed
78yo man with ischemic heart disease and sustained VTs. #EPeeps guess the origin of VT! Mapping and ablation, as always, come soon๐ @evgeny_lyan @ThomasDemming #CardioTwitter #EP_Kiel #FOAMed @EPeeps_Bot @UKSH_KI_HL @EcgKiel - #EPeeps Enjoy our new case with AVRT through concealed AP.Check out how OWM depends on the: 1โฃDirection of the slanted AP 2โฃDirection of the wavefront propagation (pacing site) Together with @evgeny_lyan @PantlikRobert @ThomasDemming @KleinhansLukas #EP_Bevensen #CardioTwitter
00:00 - AP from the last case- LEFT ANTEROLATERAL. All we need for this diagnosis is in the 1Step of Arruda Algorithm: Polarity of delta wave: -Lead I isoelectric/even negativ(+-)โก๏ธleft free wall -Lead aVF positiv(+)โก๏ธanterolateral Next post- mapping! #Epeeps #CardioTwitter #ECG
- Happy to present our clinical case in @DGK_org Herztagen in Bonn! @YoungDgk #EPeeps @evgeny_lyan @ThomasDemming @UKSH_KI_HL #EP_Kiel
- #EPeeps DONT be fooled by P wave morphology! Check out the case from our lab with huge slow conducting area between AT origin and exit site #cardiotwitter x.com/ThomasDemming/โฆ
01:19Replying to @ThomasDemming @veramasloo and 2 othersDiscrepancy between presumed focus of the AT by ECG morphology (LAA base/LSPV) and true origin (anteroseptal MA) visualized and explained in this video. #EPeeps #CardioTwitter @rob_buttner #FOAMed with @veramasloo @PantlikRobert @evgeny_lyan @BSC_EU_Heart @lydia_merbold - #EPeeps What XRay projections give us most beautiful flowers ๐บ during PFA? It depends on direction the PVs take off. RAO to see fully unfolded petals at LPVs, LAO to enjoy the ๐ธat the RPVs. @evgeny_lyan @lydia_merbold @BSC_EU_Heart @BSCCardiology #CardioTwitter
- How to distinguish between reentry and focal AT mechanisms?... Our new case shows,how we can apply 3 main criteria for understanding mechanisms of 2 different ATs in the same Patient. #EPeeps @evgeny_lyan @BiosenseWebster @KleinhansLukas @PantlikRobert @ThomasDemming #EP_Bevensen
00:00 - Proud to present our #EP_Kiel @UKSH_KI_HL clinical case in Mannheim and win the price โEP case of the yearโ! Still canโt believe. @Phiso_de @danielsteven_ep @DrV_Mann
- #EPeeps PSEUDO DELTA wave and epi PVC in previous post:how come? -endo origin:activation rapidly through Purkinje System,steepQRS onset -epi origin:wavefront travels slowly though myocardium towards Purkinje systemโก๏ธPSEUDO DELTA wave @evgeny_lyan @ThomasDemming #CardioTwitter
#EPeeps guess the origin of PVC! And, of course, map and ablation are coming in the next post!๐ @evgeny_lyan @ThomasDemming #EP_Kiel @lydia_merbold #CardioTwitter #FOAMed #ECG - 78yo man with ischemic heart disease and sustained VTs. #EPeeps guess the origin of VT! Mapping and ablation, as always, come soon๐ @evgeny_lyan @ThomasDemming #CardioTwitter #EP_Kiel #FOAMed @EPeeps_Bot @UKSH_KI_HL @EcgKiel
