Another #CRT using the Biotronik Selectra 3D #LBBAP sheath for CS intubation: 80-year-old woman with advanced HF due to #ATTR-CM, LVEF 30%, QRS 200 ms w RVP, possible PIC. LBBAP was attempted three times but abandoned because adequate QRS narrowing could not be achieved. #Epeeps

We set out to perform LBBAP in an 81-year-old gentleman with HF, DCM, LBBB, EF 30%. Yet the Biotronik Selectra 3D sheath smoothly slipped into the CS and made CRT the obvious choice. #EPeeps #Cardiology #CRT #LBBAP

When the #ICD scar blends seamlessly into the #tattoo ➡️happy patient = happy doctor #Epeeps

#Epeeps might find this ECG interesting: 75-year-old woman with scleroderma and pulmonary arterial hypertension. The referring physician wondered if a pacemaker is indicated. No syncope, no vertigo, no palpitations. What do you think — and what’s your personal PR interval record?

50-year-old woman with #DCM and end-stage HF on #ECMO as bridge to transplant 🫀 underwent #Rashkind (balloon atrial septostomy) to decompress LA and prevent pulmonary edema. Great collaboration with interventional cardiologist Marvin Fitoussi #Cardiology #EPeeps

52yo woman from French Guiana 🇬🇾 FBI (fast broad irregular) mediated CMP from LA flutter + AP, once labeled “benign.” S/p Ross, bio MVR → double mechanical valves. Successful ablation of a PS AP💥 Preexcitation gone with 1st RF pulse! Merci à l’équipe 🙌 #Epeeps #Cardiology

#Leadless #pacemaker #Abbott #Aveir implantation in 85 yo gentleman with complete AVB and AF at University Hospital CHU #Martinique #Epeeps #Cardiology

Oblique, epicardial AP with successful NCC ablation: Mapping revealed atrial site close to His, ventricular insertion right anterior. Cautious ablation attempts at tricuspid annulus did not have any effect on preexcitation. NCC ➡️bump➡️came back➡️successful ablation #Epeeps

Purkinje Trigger Mapping in Post-Infarction Ventricular Fibrillation Storm With Ventricular Abnormal Activities Detection https://t.co/Fqt1LjWXpQ

The AP was slanted w the atrial site close to His and the ventricular insertion right anterior. I did not find a good AP potential from the tricuspid anulus. Cautious ablation attempts did not have any effect on preexcitation. So I checked NCC, bumped it, came back, successful RF

Tonight: rendezvous between an Abbott Aveir delivery sheath (30 cm, jugular access) and a Medtronic Micra leadless pacemaker. #Epeeps #Cardiology

Interesting case series demonstrating the effect of treating the cause (HF) rather than the consequence (VT)

🌋 Earthquake: Magnitude 6.8 struck the Caribbean region at 08:38. Affected islands include Barbados, Guadeloupe, Martinique, Puerto Rico, St. Lucia, Dominica & others. Even the OR was trembling in Martinique. Epicenter ~255 km from Antigua & Barbuda. #Earthquake #Caribbean

The site of AP ablation is likely to be:

Is #SOO still popular among #Epeeps? This 31-year-old man with palpitations due to #WPW and recent #FBI presents for ablation. What’s the most likely ablation site in your opinion? #Cardiology @melhamriti @ALFIEEP1 @ecgandrhythmRoe @Hapa_EP please check out the poll ➡️

What’s the obsession with PWI in AF ablation? It may appear “safe & easy” ⁦@drjohnm⁩ BUT no randomised evidence & there is downside #TWIC Oct 10

Proud moment at CHU de #Martinique: successful implantation of 4 EV-ICD in patients with ARVC, HCM and DCM. Huge thanks to our electrophysiology team, anaesthesia, cath lab staff and industry partners — and to the patients for their trust. #Epeeps

Almost took the wrong turn: transient CS intubation during transjugular #Micra #leadless #pacemaker implantation in 97-year-old with complete AV block — successful deployment thereafter. #Epeeps #Cardiology

79 yo lady w palpitations and dyspnea. EF 25. Ischemic VT ⚡️ storm. TCL 600 ms. PPI=TCL. S-QRS 180 ms (30% TCL) suggesting entrainment w concealed fusion from critical isthmus. Announced VT 🛑 w 1st RF and look what happened, #Epeeps Map by Steeve Saint-Rose & Odile Puylaurent 💯

How would you ablate this arrhythmia? #Epeeps #ICD #CRT #TWOS #RNRVAS