Yesterday, a fascinating case. A 68yo patient, father of three doctors (a significant risk factor), CAD with recovered EF, LBB and very frequent PVC's (pic 1)—25% on Holter with palpitations and was documented to have bradycardia while on a beta-blocker.

Epicardial Incessant Left Atrial Tachycardia in a 17 yof with two prior failed ablations. Interruption and signals are shown in the comments. There is also a nice image of LAA in RAO with the tacticath in its posterior aspect (between LSPV and LAA) in the epi. @EPeeps_Bot

🚀New in @JCardioEP 📷 "Long-Term Follow-Up of Inducible Bundle Branch Reentrant Ventricular Tachycardia in Patients Without Structural Heart Disease: Beyond the Electrophysiology Laboratory" by @MuhieddineC et al https://t.co/2C6Yrc2yAj

Transatrial Epicardial Access: Advancing from Experimental Models to Human Feasibility @MuhieddineC https://t.co/q7IhY9MuI3

Huge eustachian valve.. “call the next pacient, it’s just a flutter”.. imqgine how tough to do this without ice.. #epeeps ⁦@EPeeps_Bot⁩

VT ablation in a patient with metallic AVR-MVR Our route to LV is passing through IVS with a left bundle pacing system A gate is opened in a new way We published our technique with a sample case @Dr_Santangeli @rodericktung #EPeeps #VT https://t.co/4f751FtGti

Alisson Becker: "Quando recebi o telefonema com a notícia de que meu pai tinha morrido, eu estava a um oceano de distância de casa. Eu estava em Liverpool, bem no meio da temporada 2020-2021. A morte dele foi repentina. Um choque total. Ali caiu o meu chão. Os dois ou três dias

Final da consulta a paciente de 73 anos do nada levanta e começa: “Mas Dr, e a COVID? E essa vacina? Estão querendo que eu tome a 5a dose mas não vou não”. Ai eu, que estava sereno, sinto um ataque de cólera imediato. Mesma conversinha de vacina que foi fabricada em tempo

Now i found with other designation =)

@benhurhenz @RennerPereira_ @UeharaRenan @RodrigoMK2101 @pedrovandoni @Scanav1Mauricio @ECGwithReid @ecgandrhythmRoe @DidlakeDW @The_Nanashi_O @adribaran @EcgOxford @SobracO @Codietrich @CarinaHardy4 #epeeps @EPeeps_Bot @ecgrhythms

•5/5 Nodal slow pathway ablation was performed with success. Inability to re-induce the rhythm afterward. I found limited reports in literature and agreed with Thomaz's designation (Non-Tachycardic Nodal Reentry). Do you see many like this? @SergioPinski @MuhieddineC

•4/5 Ventricular entrainment showed VAV response, PPI-Cycle of 178ms, and SA VA > 85ms, corroborating the diagnosis.

•3/5 - here with PVS

•2/5 Performed EPS today (@EvilasioLeobino and @PedroYPL) with induction of the same rhythm, initiated by atrial ectopy with a jump and nodal echo and mostly by ventricular extra-stimulation. (always slow - 80bpm)

•1/5 Atypical case today - F, 74 years old, palpitations. Holter 24h by @AThomazAndrade noted arrhythmia initiated by ventricular ectopy 75 -80bpm, with short RP', termed by him as non-tachycardic nodal reentry.

Deixe-me ir...

I dont say this lightly, but this might be the most impressive skill I've seen this month

Igor Melo, estudante de jornalismo, precisa que a gente dê visibilidade à história dele - e muita torcida para que possa voltar bem para a esposa e filha dele. Meu total apoio à família. Não deixem essa história ser esquecida. Força, Igor! E JUSTIÇA!

Ever had trouble drawing a Lewis Ladder Diagram? I did. So I created this app to make it easier for everyone: 🔗 https://t.co/m5hnbkCdVi Here’s how it works:

MEUA MIGO esse vídeo

So, during the pandemic I had a young angry man who chose not to be vaccinated. He was convinced that his youth and vigour along with some questionable supplements would keep him healthy. He took no precautions and actually attended a COVID party.