Learn baseline intervals in EP! ✔ Confirm capture ✔ Emergency pacing ✔ Record BI Here's a Quick Reference Guide! Pro tip: we taped under all the 'Pruka' keyboards! ⌨️😜 📲 Link in bio #EPeeps #VivaEP #CIED #ClinicalEP #EPprocedure #EPstudy #BaselineIntervals #Arrhythmias

ชอบเคส EPstudy Ablation ที่สุดละ ไม่เหนื่อย ไม่ต้องลุ้น ง่ายกว่า PCI ด้วย เพราะอจ.ทำเอง แค่งมหา lesion

พวก ppm , CAG , pci , EPstudy , ablation, TAVI , TPM , PDA , ASD etc

📢 #JACCばらん Ep.23　“旋回を断つ” Scar-related VT治療の最前線へ！ RAP（回転性活動パターン）をターゲットにしたアブレーションの有効性を多施設後ろ向き研究で検証🌀 🎙️ゲスト：小田優香 先生（東京心臓不整脈病院: @AkihikoNogami） 最新EP研究の現場から実践的知見を共有！ 🎧 Podcast: jacc.org/digital-content/pod… 📹 Video: jacc.org/digital-content/vid… 📺 YouTube: youtube.com/watch?v=XAbaxFlT… 🧪 高密度マッピングでRAPを同定し、 ➡️ 半径1cm以上の通電を実現できた群はVT非再発率83%！ 📊 同定困難 or 通電不十分な群では約40%にとどまる結果に 💡 “構造”から“機能”を捉える次世代アブレーションの可能性 @MitsuakiSawano @Nobu0129 @SS_cardiol @KenEjiri @sk2798 @JACCJournals @ACCinTouch #VT #アブレーション #Electrophysiology #RAP #EPStudy #JACCばらん #心電図 #不整脈治療

How to Localize the Origin of Ventricular Tachycardia (VT) Using the ECG? This two-part guide helps you estimate where a VT is coming from in the heart, based on the QRS pattern seen on the ECG. Step 1: Check the limb leads (frontal plane) These leads help you guess the general wall of the left ventricle where the VT is exiting: 🔺V1 Lead I = Septal exit 🔺Lead II III positive = Inferior wall exit 🔺Lead II III negative = Superior wall exit 🔺V1 negative Lead I positive = Lateral wall exit Step 2: Check precordial (chest) leads (horizontal plane) These leads help localize the level of the VT in the left ventricle 🔻V1–V3 dominance = Basal (top part of LV) 🔻V3–V4 dominance = Mid LV 🔻V4 or beyond = Apical (tip of LV) Bottom Panel: Real-life ECGs Scar Mapping These examples show how VT morphologies match infarcted (scarred) areas: 🔵 Anterior infarct (LAD) → VT from the front wall 🔵 Lateral infarct (LCx) → VT from the side 🔵 Inferior infarct (RCA) → VT from the bottom This approach is helpful in VT ablation procedures, as it guides the electrophysiologist to the likely location of the arrhythmia circuit or scar. A strong visual tool for EP fellows and anyone learning VT mapping! #Cardiology #ECG #Electrophysiology #VT #VentricularTachycardia #MedEd #EPStudy

Please help. Possible mechanisms??? @smithECGBlog @ecgrhythms @EcgOxford @narrowQRS @syamkumarmd #Epcardiology #CardioTwitter #EPstudy

“Quick Reference: Leadless Pacemaker Indications – A High-Yield Summary for Daily Practice & Boards by Dr. Muhammad Salman Ghazni” #CardioTwitter #EPStudy #Electrophysiology #LeadlessPacemaker #MedEd #FOAMed #Cardiology #Pacemaker #EPFellows #Bradycardia #DeviceTherapy #Epeep

“EP Maneuvers Cheat Sheet: Quickly Differentiate AVNRT vs AVRT vs Atrial Tachycardia!” #EPStudy #Electrophysiology #Cardiology #AVNRT #AVRT #AtrialTachycardia #MedEd #CardioTwitter #FOAMed #EPFellows #ECG #Arrhythmias #EPBoardReview #Epeep #svt

Bundle Branch Reentrant Tachycardia (BBRT) – A Rare but Important Ventricular Tachycardia Seen in patients with structural heart disease, especially dilated cardiomyopathy or post-surgical hearts. What is BBRT? A macroreentrant VT that utilizes the His-Purkinje system as part of the reentry circuit. It’s a form of ventricular tachycardia that mimics supraventricular origin on ECG due to its relatively narrow QRS (compared to other VTs). Mechanism: - One bundle branch acts as the antegrade limb - The other as the retrograde limb - The circuit involves the interventricular septum - Often associated with prolonged HV interval ECG Findings (as in the image): A. Type A BBRT with LBBB morphology → indicates antegrade conduction through the right bundle. B. Type C BBRT with RBBB morphology left axis deviation → indicates antegrade conduction through the left posterior fascicle. Clinical Significance: - Can present as sustained monomorphic VT - Often inducible during EP study - May cause syncope, presyncope, or palpitations - Frequently seen in patients with baseline bundle branch block and cardiomyopathy Treatment: - Catheter ablation (typically of the RBB) is highly effective - ICD may be considered if underlying cardiomyopathy is present Reference: Zipes & Jalife’s Cardiac Electrophysiology: From Cell to Bedside, 8th Edition. #Cardiology #ECG #Electrophysiology #VT #EPStudy #MedTwitter #CardioTwitter

🚨 Somebody said you wanted MORE QUIZZES?! 🚨 The March EP Pro course is all about the basics of an EP study! 🤔 Catheters don’t always ‘capture’ the heart tissue and cause depolarization? Membership Link: charthealthcareacademy.com/m… #EPeep #EPStudy #CHARTepPRo

Take this fun, interactive virtual course covering programmed stim protocols ➡️ bit.ly/45Mglio ⬅️ 💯 ERP 💥 Thresholds 💻 Prog Extra Stim 💣 Burst pacing 🙅 Induce tach 🏁 Terminate tach FREE to GROW Members 1.5 CEUs #VivaEP #Cardiology #EPeeps #VirtualCoach #EPstudy

2nd one could be („organized“) Afib as well with a more organized but still irregular pattern very short CL from 200-220 - that can often be seen in patients with Afib in EPstudy. Other expl. for varying CL: microreentry flutter, also more related to Afib from EP perspective.

Understanding Variable Heart Rate: Expert Analysis by Electrophysiologist DR. Karthigesan, Apollo Hospital, Chennai! 📊 Dive into the discussion with our informative video. Video Credits: @Apollo_Chennai #ChennaiHealthcare #DrKarthigesanClinic #EPStudy #Electrophysiology

#PES #EPStudy #EP #VT #AblateVT ➡️➡️ #EV #BioModVT #Exosomes @SmidtHeart @CedarsSinaiMed @coralf_reef @AsmaNawaz_BME

1. Left posterior/posteroseptal 2. Probably 2 pathways, Right anterior (b/o late transition in precordials) and left lateral (b/o negative delta in AVL) Please give us results of EPstudy.

Looks like leftward, back side of RVOT Who knows, EPstudy shows best conclusion!

👶⚡️Safety and inducibility of supraventricular tachycardia in pediatric patients during ablation requires pharmacological expertise and a deep understanding of pediatric pathophysiology. pubmed.ncbi.nlm.nih.gov/3811…👩‍⚕️#PediatricCardiology #EPStudy #AnesthesiaManagement

David Gilmour & Rick Wright during the recording in the studio … reminds me of an #EPStudy in the ‘80-s using a #Grass stimulator … Photo from @crockpics #Analog #EP

#TBT #Analog #EP #PES #GrassS88B #EPStudy #SquarePulse #S1 - #S4 #ERP #VT ⚡️⚡️

Fantastic first #EP morning conference ➡️ 2023 academic year ✔️ masterfully presented by senior #EPFellow @NatashaCuk #EPeeps #EPStudy #AVN #EGMs #ConductionSystem @SmidtHeart @CedarsSinaiMed @CedarsSinai