KostekMilan Profile Banner
Milan Koštek Profile
Milan Koštek

@KostekMilan

Followers
2K
Following
5K
Media
1K
Statuses
5K

Retired doc of internal medicine with interest in arrhythmias, ECG Holters and CSP ECGs.

Trstená, Slovakia, Europe
Joined February 2023
Don't wanna be here? Send us removal request.
@KostekMilan
Milan Koštek
10 hours
@EaRajjoub @IsaParam A useful idea: PVC transition when related to sinus transition❗.EASY-ECG app. The earlier transition in rightward direction favours also LVOT PVCs just like you said while the later transition in leftward direction favours RVOT PVCs. There's "vectorial logic" in it. @melhamriti
Tweet media one
0
0
5
@KostekMilan
Milan Koštek
8 hours
From.
0
0
1
@KostekMilan
Milan Koštek
8 hours
. most observational studies on CSP do not separately report outcomes of pts with AV block and LVEF<40%. They mostly included pts with LVEF<50% and a mix of indications for CRT, AVNA, or device upgrade + a minority of pts with AV bl, without separate results in these subgroups.
Tweet media one
2
0
4
@KostekMilan
Milan Koštek
9 hours
RT @EHRAPresident: #EHRAtopicweek | His-bundle pacing vs. LBBAP — what's the real difference?. 💡 The latest #EHRA_ESC Consensus Statement b….
0
16
0
@KostekMilan
Milan Koštek
9 hours
Have you seen these bifid T waves also in adults ❓.
Tweet media one
0
2
15
@KostekMilan
Milan Koštek
10 hours
RT @FibrilloFlutter: Long strip ECG
Tweet media one
0
2
0
@KostekMilan
Milan Koštek
10 hours
RT @DrMJMrBoh: @EM_RESUS @smithECGBlog @ecgandrhythmRoe @Ecgloverr @ecgrhythms @ECG_BUDDY_ARPI.No ECG today but can you spot the abnormalit….
0
4
0
@KostekMilan
Milan Koštek
21 hours
RT @DrRajeshG1: A 45 year old lady with right heart failure and palpitation.
Tweet media one
0
7
0
@KostekMilan
Milan Koštek
22 hours
🔴 After stroke we don't know how to predict AF. "3 of the 58 identified multivariable prediction models for AF after stroke demonstrated excellent statistical performance on meta-analysis. However, prospective validation is required. before they can be included in guidelines.".
@hrs_journal
HeartRhythm
22 hours
Prediction of atrial fibrillation after a stroke event: a systematic review with meta-analysis #OpenAccess.
Tweet media one
0
0
1
@KostekMilan
Milan Koštek
22 hours
The strength of our study lies in its relatively large population-based cohort, which provides sufficient statistical power to investigate the association between usHRV and AF. 🔴 Get a big enough number and you can explore what the statistics may offer to you.
@HRS_O2Journal
Heart Rhythm O2
22 hours
Association between ultra-short-term heart rate variability of time fluctuation and atrial fibrillation: Evidence from MIMIC-IV.#EPeeps.
Tweet media one
0
0
0
@KostekMilan
Milan Koštek
22 hours
The patient has fortuitously had a satisfactory paced QRS at 125ms with right apical septal pacing. 🔴 Watch the chest x-ray what is "apical septal" pacing with the 125 msec paced QRS.
@HRS_CaseReports
Heart Rhythm Case Reports
22 hours
Pace-and-Ablate in a flash: Ablation of the atrioventricular node with pulsed field ablation .@v3n_3 .
Tweet media one
0
0
1
@KostekMilan
Milan Koštek
1 day
The Heart is Art.
Tweet media one
Tweet media two
Tweet media three
2
7
44
@KostekMilan
Milan Koštek
1 day
A nice MR image showing a superolateral papillary muscle and an inferomedial papillary muscle. Neither of them is anterior or posterior.
Tweet media one
0
1
6
@KostekMilan
Milan Koštek
1 day
RT @drsbk7: 🤭
Tweet media one
0
1
0
@KostekMilan
Milan Koštek
1 day
A pt with an ICD (secondary prevention). There were only 24 back-up stimulations. ICD is programmed 1500 msec i.e. 40 bpm. Fused stimulation and full stimulation. An idioventricular rhythm with one fusion beat in this short sequence. Ahead there's one isolated fusion beat.
Tweet media one
1
1
8
@KostekMilan
Milan Koštek
1 day
VEs with pauses make a line of longer normal beats from the pauses after them. VEs in interposition have no beats above the line of the sinus rhythm but there are normal beats with about the same RR intervals after interposed VEs. Black dots are harder to see here around greens.
Tweet media one
1
0
3
@KostekMilan
Milan Koštek
1 day
Trend in RR intervals. The higher the longer or slower (lines per 500 ms). After editing all the templates and all the events I go to RR intervals to see any groups of shorter RR intervals not omit any tachycardia. See the enlargement on the right in this picture. Artefacts only.
Tweet media one
0
0
0
@KostekMilan
Milan Koštek
1 day
Lorenz plot as if there were two sinus nodes. But there were no sudden jumps in rates only relatively more faster daytime rates and slower night-time rates. No sinus node dysfunction, of course.
Tweet media one
1
0
5
@KostekMilan
Milan Koštek
1 day
RT @taxesareillegal: @MichaelAArouet They want to steal your money, so they make it sound complicated and add some vague promise of benefit….
0
1
0
@KostekMilan
Milan Koštek
1 day
RT @EHRAPresident: 📢 CSP is emerging as a more physiological alternative to RV/BiV pacing. New #EHRA_ESC 2025 Clinical Consensus Statement….
0
28
0