I think this is what's happening

Good morning @narrowqrs.bsky.social @jeffreyvinocur.bsky.social I have some doubts about this EGM. Is VS 643 a PJC? (The morphology is the same as the previous beat, but different from the initial QRS. Why this slight difference between the first two?) Is the subsequent tachy junctional?

Good morning, I have a question (among many), how to differentiate an SVT with aberrancy from a VT in a patient with a single-chamber VVI ICD, analyzing only the arrhythmic event on the EGM? @narrowqrs.bsky.social @jeffreyvinocur.bsky.social Thank you very much 🙏

A sixty-year-old patient with a history of palpitations. I was reasonably convinced it was pre-excitation, but the EPS showed S/F AVNRT. When the presumed/suspected pre-excitation is subtle I always have many doubts🤔 @narrowqrs.bsky.social @jeffreyvinocur.bsky.social 🙏

Good morning @jeffreyvinocur.bsky.social @narrowqrs.bsky.social. I interpreted this ECG ( left) as Mobitz 1, narrow QRS with probable nodal block, PVC. On the right after 24 h in telemetry. I wonder: was the block in the first ECG really nodal? Thank you in advance.🙏

Yes! Your first observation is the expected behavior. Your second observation is the unusual finding.

#EPeeps fascinating adenosine response

I think sinus with FFRW oversensing and a PVC?

Good morning @jeffreyvinocur.bsky.social, could you please help me interpret this event? I have some ideas, but I need expert confirmation. Thank you.

#EPeeps Cute variant on a common ECG issue

Have your patients been under the false impression that slow pulse = sinus rhythm? This direct link helps educate about the difference between rate and rhythm: www.youtube.com/watch?v=oy9g...

Here are the topics from the a.fib video 👍

Here's a simple explanation for patients about electrical cardioversion: (link goes right to this spot in the video) www.youtube.com/watch?v=oy9g...

Walking a patient through an a.fib ablation procedure: (Link goes directly to this part of the video) m.youtube.com/watch?v=oy9g...

#EPeeps It's not very exciting, but I see this get missed over and over. Less subtle repeat in the thread. #ACHD

Remains the #1 missed EKG diagnosis. Which is why it was my very first telemetry tips topic! youtu.be/BbLYOcgdPb0?...

Telemetry Tips - Atrial Flutter, Atrial Tachycardia

YouTube video by Dr. Joshua Cooper - Arrhythmia Education

youtu.be

Pseudofusion

Good morning, I need your help. I have a nagging question: why are these spontaneous QRSs interpreted as VP? Capture and sensing parameters are normal Thank you for your help. @narrowqrs.bsky.social @jeffreyvinocur.bsky.social @willyhfrick.bsky.social @toasterpastry.bsky.social

Quick patient lesson about types of ablation. Minor pros and cons. Part of upcoming "new and improved" patient education video about a.fib.

Arrhythmogenic cardiomyopathy, epicardial access. Pacing from ablator. @narrowqrs.bsky.social @shah.md @jeffreyvinocur.bsky.social @danacjohnson.medsky.social #EPeeps

#EPeeps This baby's ECG has one of my favorite findings

#EPeeps Very unusual tracings from epicardial pacemaker - mirror noise all well and good, but has anyone seen bipolar go flat like this? Note carefully EGM configuration. @narrowqrs.bsky.social

#EPeeps Don't see this so often!

ECG Cases 57 Art of Occlusion MI Part 5 – Clinical-ECG-POCUS Triptych emergencymedicinecases.com/ecg-cases-oc... #ECG #POCUS #cardiosky #ecgsky @emcases.bsky.social

ECG Cases 57 Art of Occlusion MI Part 5 - Clinical-ECG-POCUS Triptych

In this ECG Cases with Dr. Jesse McLaren we guide you through 6 cases to explore his Clinical-ECG-PoCUS triptych in the identification of Occlusion MI...

emergencymedicinecases.com

#EPeeps What do you think from the dot plot? Then see below.

#EPeeps Pacemaker patient reporting two weeks of fatigue #IYKYK @narrowqrs.bsky.social

Case Record of the MGH: A 32-year-old woman presented with fatigue, myalgias, and palpitations. The cardiac rhythm was irregularly irregular, and an electrocardiogram showed findings suggestive of grouped beating. A diagnosis was made. Full case details: nej.md/4lVks2d #MedSky #CardioSky

@narrowqrs.bsky.social Thank you so much for posting this video (not finished yet). I'm really excited 🙏 youtu.be/-6Z4TB5h7lY?...

Intro to Intra-cardiac Electrograms & the EP Lab

YouTube video by Dr. Joshua Cooper - Arrhythmia Education

youtu.be

A 79-year-old man with heart failure with reduced ejection fraction and atrial fibrillation presented to the emergency department with a 2-week history of shortness of breath. 1/4 #MedSky #EmergencyMedicine #CardioSky

A 32-year-old woman presented with fatigue, myalgias, and palpitations. The cardiac rhythm was irregularly irregular, and an electrocardiogram showed findings suggestive of grouped beating. What is the most likely diagnosis in this case? 🗳️ Cast your vote before August 21: nej.md/45CFZrc #MedSky