David Chang, MD

@davidjchang7.bsky.social

Founding Partner @CSNEcares | Cardiac Electrophysiologist | 2 Corinthians 12:9-10

Getting there... I think we have most bases covered in this VT entrainment talk (with these being the culminating slides after lots and lots of preceding foundational material about interpreting egms and pacing in and around regions of scar during VT and during sinus)

Bild

I love chasing after these PVCs. Check out this paper we worked on a few years back! pubmed.ncbi.nlm.nih.gov/32618396/

Electrocardiographic localization of ventricular arrhythmias successfully ablated from the distal great cardiac vein - PubMed

Combining a "w" wave in lead I with an early precordial pattern break and an MDI ≥ 0.5 is highly sensitive and specific for identifying the dGCV as a successful ablation site for PVCs.

pubmed.ncbi.nlm.nih.gov

Ajay Pillai, MD, FACC, FHRS@ajaypillaimd.bsky.social · 2y ago

#EPeeps rewarding case. NICM LVEF 48% w/ mid-wall basal septal stripe on CMR. 18% PVC burden. Consist far-field potential on Bipolar EGM ~20-30ms ahead of surface. Suppresses but recurs following 1/2NS prolonged lesions from LCC and LV endo summit. What next?