Worldwide experience with irrigated needle ablation of refractory ventricular arrhythmias! Read about it in #JACCCEP: https://t.co/Kv4xqa2U8c #EPeeps #CardioTwitter #epAblation @utedrow @jskoruth @UBatnyam_EP @VivekReddyMD

Conclusion of Beyond the Basics with EP jeopardy winners and all fellows @MDT_Cardiac @ep_travis #EPeeps @aalahmadmd @Wanginnovate - Great time and thanks to all!

Lots of fun and learning with EP jeopardy at Beyond the Basics! @MDT_Cardiac @ep_travis #EPeeps @aalahmadmd

Exciting day at the Device management course: Beyond the basics! Tons of learning @MDT_Cardiac @ep_travis #EPeeps

Really enjoyed interacting with a diverse group of cardiology and EP fellows with @AndreaRussoEP @aalahmadmd @ep_travis and Paul Wang. Highlight: assembling leads manually. So much respect when I handle a lead next! So much to share and so much more to learn! #EPeeps

How do you program the device based on above story? @jaymontgomery44 @DrGregMichaud @DrRoderickTung @KennethEllenbo1 @Nishaki1 @gautamsand @drjohnm @VandyRhythmdoc @ogadeola1 @KaramAyoub5

Device implanted for x10 episodes syncope concerning for paroxysmal AVB. LV function normal. How do you program the device #EPeeps? Poll in next tweet.

What’s the physiology here #EPeeps, fellows first. @True_EP could probably help you out. Ok now time to 🔥

Clinical implication—> induce before you map, you may never see that VT again. #ablateVT

#Epeeps, rare but not impossible. https://t.co/YbesorxBFB. @KaramAyoub5 @KylieAdamek @RMartinezParach

@KaramAyoub5 @TiffanyHuMD @vumccardsfit @DrGregMichaud Nice #epeeps, not everything in "diastolic buffet" is fresh 😉, right @DrRoderickTung . Adj bystander are passively activated sites w/ access to protected isthmus, #entrainfirst. Here's a better site with map. Red star is the pictured site, yellow star is prior bystander site.

#EPFellows, #EPeeps Incessant VT, first place your catheter lands has nice diastolic signal. RF On? #EntrainFirst, #AblateVT. @KaramAyoub5 @TiffanyHuMD @vumccardsfit @DrGregMichaud

The SERF Study, using a heated saline needle inserted into myocardium, was highly effective in elimination of VT in patients. failing prior ablation and reducing ICD usage @akillumd @wgstevenson1 @ep_travis #AHAJournals #Epeeps https://t.co/1ga2d42P0Z

⁦congrats ⁦@GDavogustto⁩, first emergent active fix lead at bedside with #zerofluoro. #echoguided ⁦@vumccardsfit⁩ ⁦@VUMC_heart⁩

https://t.co/CdzSek9xdc

#Epeeps, here's the explanation of the recordings from my prior tweet. Entrainment of sustained VT in reply. #AblateVT

Last chance #Epeeps. Why does the paced QRS change with the extrastim? I’ll post follow up tomorrow. #AblateVT

#EPeeps , #EPFellows, Fellows first. What's happening with the extrastimulus? @ArvindhKana @GDavogustto @ep_craig. #EntrainFIRST, #AblateVT

#Epeeps I have to brag on our graduating fellow @KaramAyoub5, two LB pacers for CHB (QRS 115 & 95), two zero fluoro AF cases, and a decremental posteroseptal AP by 5. I’d say he’s ready. @ArvindhKana @jaymontgomery44. Will make @VUMC_heart proud at UK.

Many #EPeeps thinking the below parahisian pacing is confounded by direct atrial capture. Here it is annotated with components of the local EGM, showing the wider beats are nsHBP (His+V capture) and the narrower beats are sHBP (His capture). No A capture https://t.co/Ul7HVvTiI4