🤩 Wow, thank you @CHRS_SCR @MarcDeyell @DrJasonAndrade @CNSForman 🇨🇦🥰

Last month the 2026 comprehensive @SCC_CCS @CHRS_SCR Cardiac Implantable Electronic Device guidelines were released. While developed from the perspective of Canadian physicians, the information contained within the comprehensive guideline, and accompanying CJC White Paper, is intended to be used by practising clinicians across all disciplines who care for patients with CIEDs. Key areas of focus include bradycardia, syncope, cardiac resynchronisation therapy and conduction system pacing, sudden death prevention and defibrillator therapy, the role of leadless devices, perioperative considerations and complications, lead extraction, post-implant CIED management, competency and training standards, as well as wait time guidance and a quality evaluation framework. This work would not have been possible without the dedication of my co-chair Dr Jacqueline Joza (@Dr_JozaEP), as well as the 26 members of the primary panel, who collectively volunteered thousands of hours of work over the past 3 years. Guidelines - onlinecjc.ca/article/S0828-2… CJC White Paper - onlinecjc.ca/article/S0828-2… @CardioUBC @DilawriCVI @VCHResearch @VGHFdn

Unfortunate 33 y/o transferred for AE Fistula 6 years ago had thoracotomy, mediastinal debridement, esophageal stenting/removal. 6 yrs later presented with microreentrant flutter from the scar related to the AE infection. #Epeeps @gautamsand @narrowQRS @jskoruth @EJSMD @SergioPinski

Elimination of VT and PVC by Ablation of Oppositely Directed Re-Entrant Circuits -PVC ablation at a site other than the earliest activation site authors.elsevier.com/a/1lv-7…

The pulmonary veins and posterior wall are isolated, but the patient is now in this atypical flutter 🪭. Which lesion set would you perform next? #EPeeps

Parahisian high-risk WPW w/intermittent conduction during RFA. Preexcitation restored by 1-beat by V burst pacing. Learning point: Successful RFA (#6) guided by Kent automaticity—highly specific but low sensitivity marker. See more challenging cases at #LAHRS2025 Congress.

Mechanisms of Ventricular Tachycardias with a 1:1 His-V Relation in Patients with Heart Disease #OpenAccess heartrhythmjournal.com/artic…

Incredible we get to do this everyday with @DrFerminGarcia

Rare RA septal flutter on a patient with prior mitral valve surgery as well as PFA PVI, SVC isolation, intercaval line for lateral wall atriotomy scar flutter, and RF CTI line. Where would you burn? Or would you go transseptal to map LA? @narrowQRS @Maeskander @jeffrey_vinocur

Not your garden 🐍 variety of atypical flutter. Where would you burn/pulse? ❤️‍🔥✨ #EPeeps @narrowQRS @Ed_Gerst @Koichi16423232 @Maeskander @mgandhavadi @ALFIEEP1 @NazemAkoum @javadm20 @JohnMac7777 @MBarakatMD @CarinaHardy4

We can't always map during VT due to hemodynamic instability or non-inducibility, but when we can, the results can be truly amazing with a good chance of the full circuit being revealed! 🪄 Case performed by @Maeskander #EPeeps

Surprise spontaneous ORT using a concealed left lateral pathway on a younger patient (early 40s) scheduled for PFA AF ablation (history of persistent AF). Should we still proceed with the PVI? #EPeeps

@JElectrocardiol is happy to receive your work about Electrocardiology! @ecgandrhythmRoe @ecgrhythms @EcgOxford @ECG_Emily @ECGTalk @DidlakeDW @Arron_Pearce_ @doctor_roig

👇 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 @Phiso_de @chris_sohns @MBraunEP @MoneebKhalaph @VanessaSciacca_ @Cardioschool @ecgrhythms @ECGEPSCADEVICE @jjmt_ep @BSCCardiology @AbbottNews @Medtronic #Cardiotwitter

Atrial Fibrillation is a chronic and progressive disease, with progression being associated with worse clinical outcomes. @KarimBenali42 @CHRS_SCR @CardioUBC @VGHFdn @UBCDoM heartrhythmjournal.com/artic…

@edfenergy leaving elderly pensioner without heating for 2 & 1/2 months. My mother was encouraged to install a smart meter via @edfenergy in Oct. No heating since. She is recovering from cancer and has the flu and is using a plug in electric heater as her only heating source.

Systematic Reviews - An Introduction - 4 mistakes people make - How to Search

Great example for #CARD5520 👀

Inadvertent PFA discharge ⚡ in the LAA. No premap of the LA geometry was performed, and this was the location of the first application. #EPeeps @sumitvermaep