Ever wonder about the effectiveness of medical therapy for idiopathic frequent PVCs (>5%)? - Beta-blockers and Calcium channel blockers are ineffective. - Class I and III Antiarrhythmic drugs were more effective but suppressed PVCs (to <1%) in only 1/3 onlinelibrary.wiley.com/doi/10.1111/jc…

#MapMonday Copenhagen Gentofte Arrhythmia Group 🫀 showing us that even the most "typical" of arrhythmias can be beautiful! This propagation map with #Coherent vectors overlaid pinpoints the leak in a previous CTI line. #EPeeps

📌Initiation & management of polymorphic ventricular tachycardia #ePeeps #CardioEd #CardioTwitter

How to consult cardiology

Why is the preexcited QRS usually wider with R-sided accessory pathways than L-sided? 🤔 It's a race!🏃‍♀️ And whoever gets a head start tends to win!

Decremental atrial pacing (DAP) is actually more relevant than atrial extrastimulus testing (AET) in disclosing the presence of a slow pathway. The difference is that DAP uniquely uncovers slow pathways having stability: those capable of conducting 1:1 over a range of PCL.

What happened to the delta wave during SVT?? 🤔 Just think about the activation pattern during sinus vs during AVRT, and that will give you the answer!

Something 🆒️ for a 🔥summer for #ecg ♥️ & students Notice the long PR interval followed by shorter PRI after the PVC - Dual AV physiology in SR #FOAMed #MedEd #CardioTwitter #EPeeps

Cardiac valves and coronary arteries. Labels under comments Cardiology Cases - UK Liverpool Cardiology Education @BroomwellECG1 Liverpool Heart Rhythm CardioWebinar Heart Rhythm Society British Society for Heart Failure #theFword British Cardiovascular Society BJCA 📊 BHRS LHCH European Society of Cardiology #md7098 #CardioTwitter #EPeeps

Activation map with #Omnipolar mapping for RA free wall flutter 40yrs post surg atriotomy for ASD repair between 2 regions of scar

#IssaTweetorials 1/ What are the types of CTI-dependent atrial macroreentry? CTI-dependent macroreentrant atrial tachycardias (MRATs) are confined to the RA & incorporate the CTI as a critical part of the circuit. All these MRATs can be eliminated by CTI ablation. #EPeeps

My perspective piece published today in NEJM Dedicated to our patients and staff at London North West University Healthcare and in loving memory of Koti Padmakar Immaneni, Lakshmi Immaneni and Dr Jagadeesh Babu Madireddi A Pink Salwar | NEJM nejm.org/doi/full/10.10…

Please see our Stare of the Art review in JACC Journals regarding the role of first line cryoballoon ablation versus AAD therapy. We explore the effect if first-line ablation on arrhythmia recurrence, QOL, and healthcare utilisation. Oussama Wazni UBC Department of Medicine sciencedirect.com/science/articl…

Journey of a Clinical Trialist- The How, Why, What & Where? Excerpts from talk - junior faculty / trainees #HRS2021. The HOW? Learn to crawl, before walking, running and then flying Work your way up the food chain. Your speed is dependent on your internal motor Heart Rhythm Society

Always remember this law provided by Josep Brugada when you order a 24h ECG Holter recording #ESCCongress European Society of Cardiology #EHRA_ESC #ESC_Young

#LOOP Study: continuous heart rhythm monitoring – with anticoagulation if #AFib is detected – does not prevent #strokes in those at risk #ESCCongress

1/🧵 Why does Wenckebach AV nodal block (aka Mobitz type 1) present with progressive prolongation of the PR interval and eventually a non-conducted P wave?  What causes this unique EKG pattern to arise? #medtwitter #tweetorial

#EHRA2023 Early vs Delayed #AFib ablation after referral to EP - no difference in outcome presented by Jonathan Kalman and published simultaneously in European Society of Cardiology Journals #EHJ doi.org/10.1093/eurhea…

The SHAM-PVI study. Protocol now published. RCT of cryoablation vs sham in symptomatic AF patients. Outcomes: AF burden, symptoms and QOL. Results expected 2024. #EPeeps #CardioTwitter doi.org/10.1002/clc.24…

In patients with symptomatic atrial fibrillation, pulmonary vein isolation resulted in a significant and clinically important decrease in atrial fibrillation burden, with substantial improvements in symptoms and QoL, vs a sham procedure. ja.ma/4cH0Lq4 #ESCCongress