Mutación en FLNC y muerte súbita sin cardiopatía estructural #REC.

Left PW AT, near CS 5,6

30 YoM. Dyspnea and palpitations. What do you think of this ECG?

Valonplasty (3 mm / 15 mm) of lateral vein allowed advance bipolar electrode

We decided to implant a CRT-P. Very small lateral vein. The electrode did not pass through the vein

Patient with DDD PM due to CHB with 100% VP. QRS 160 ms. She develops HFrEF and his doctor decides to perform an UPG. Which strategy do you prefer in these cases as a first intention to treatment? 🧵

#CSP in 2 x 1 AVB and LBBB with normal LVEF. Why not ? Comments…

#PFA. Sin problemas en pacientes con dispositivos de estimulación cardiaca.

📌 Progression from paroxysmal to persistent AF 1⃣ Annual incidence 👉 7% 2⃣ Factors that 👉 affect & perpetuate this process #EPeeps #afib #CardioTwitter #MedTwitter @DrJasonAndrade @DhirajGuptaBHRS @PrashSanders @drluissaenz @tomdepotter @cpgale3 @mmamas1973 @DrPascalMeier

📌 Figure illustrating 👉 Vicious circle of atrial myopathy & atrial fibrillation #EPeeps #WomeninEP #afib #CardioTwitter #MedTwitter @EmmaSvennberg @DrJasonAndrade @PrashSanders @J_Hendriks1 @SposatoL @DrMarthaGulati @Hragy @Dominik_Linz @adribaran @DhirajGuptaBHRS @tomdepotter

📌 State-of-the-art #review 👉 Recent-onset AF: when, how and why to treat❓ #EPeeps #WomeninEP #afib #CardioTwitter #MedTwitter #ECG #stroke @EmmaSvennberg @DrJasonAndrade @PrashSanders @J_Hendriks1 @SposatoL @PassmanRod @stopafib @AtrialFibUK @EuropaceEiC @Hragy @SeguraCardio

https://t.co/NMdKzsU9Nc

#CSP in Chagasic patient with HFrEF w/LVEF 29% and LBBB ( QRS 180 ms). Selective VVI/LBBP and fusion beat in DDD/LBBP (QRS 120 ms). Interesting how we can improve the QRS by optimizing the AV interval

Catheter Ablation versus Anti-Arrhythmic Drug Therapy for First-Line Treatment of Atrial Fibrillation in United States Clinical Practice https://t.co/9yQLIWUMXx

“Patients who underwent ablation beyond PVI (except for cavotricuspid isthmus ablation) were excluded” This could affect the results between both techniques in patients with persistent AF @CirculationEP

...and the result was successful. RWPT 75 ms

It wasn't easy (mega CS), but we got it

Permanent #AFib in HFrEF patient. Need to #CRT & AVN ablation. Upper left vena cava independent of the right. We decided to go on the right side with #CSP / #LBBP

Surprise

It was indeed an atrial tachycardia. Where is the origin? …Well, you have to do an activation map. Decapolar in lateral RA