Was literally talking to my fellow about this on Friday. I've always preferred the anchor method for this theoretical risk... But apparently it's not so theoretical anymore! #EPeeps #CSP #CardioSky @jice-ep.bsky.social rdcu.be/emm0I

MR severity should NOT be a reason to avoid AF ablation (recurrence similar mild vs mod/severe MR, ~43% in both) MR often ⬇️ s/p ablation (89% ⬇️ ≥1 grade of severity, OR 0.93) #HRS2025 #EPeeps www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social

Obligatory #HRS2025 mocha picture #EPeeps

Major creativity points to the Abbott team that designed this and decided to leave this on hotel room doors for #HRS2025 attendees #EPeeps

Live music, free beer and taquitos at the epicenter! What could be better? #HRS2025 #dysrhythmics #EPeeps

The data shows it's time to think 2️⃣x before #PFA on the CTI. Severe spasm may occur w/o ECG changes. There is also on average a 10% ⬇️ in vascular luminal area at 3 mo repeat cor angio but long term symptoms/impact remains unknown. 1 mg NTG can ⬇️ spasm severity #HRS2025 #EPeeps

Interested in learning how to identify telemetry artifact? Check this out👇 youtu.be/6M1-SYAG1UY?...

Telemetry Tips - Artifact

YouTube video by Dr. Joshua Cooper - Arrhythmia Education

youtu.be

J.M. Cooper@narrowqrs.bsky.social · last yr.

Seen on tele in the ICU. Pacemaker?

Fascinating study: in HCM patients, PFA is associated with better outcomes than thermal ablation. Thermal + non-PV ablation is FAR inferior to PFA + non-PV ablation. Small study but thought provoking! #EPeeps #CardioSky www.jacc.org/doi/10.1016/...

Fascinating data. Should the next iteration of CHADS VA be CHADS V2A? #CardioSky #EPeeps

Parham Eshtehardi MD@cardioobdoc.bsky.social · last yr.

Patients with device-detected #AFib & vascular disease are at ⬆ risk of stroke & CV events & may derive a greater benefit from A/C than patients w/o vascular disease #CardioSky #Epeeps academic.oup.com/eurheartj/ar... @escardio.bsky.social @victoriadelgadomd.bsky.social @cardiacpa1.medsky.social

Among patients with ventricular tachycardia and ischemic cardiomyopathy, catheter ablation as an initial therapy led to a lower risk of adverse outcomes than antiarrhythmic drug therapy. Full VANISH2 trial results and Research Summary: nej.md/3Z5ECOD #MedSky #CardioSky

Anticoagulation & Antiplatelet Therapy for #AFib & Stable CAD: Meta-Analysis of RCTs #CardioSky #Epeeps #JACC www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social @bbikdeli.bsky.social @mohammadkeykhaei.bsky.social @drroxmehran.bsky.social @gbarnesmd.bsky.social @cardiacpa1.medsky.social

Great data presented in this study of >23k patients with AF from 2007-2021 regarding AAD use after ablation (46% after 1st), redos after index ablation (16%), RR of repeat ablation with various risk fx's (lsps AF vs pAF 2.26, AAD use 1.42, etc). Worth a read for #EPeeps www.jacc.org/doi/10.1016/...

Fascinating population level study in JACC EP suggesting that there is no PVC burden cutoff associated with cardiomyopathy. #EPeeps www.jacc.org/doi/10.1016/...

This editorial and the associated article are eye-opening. PFA is not as effective as we originally thought. One takeaway from this is that mapping and ICE have a more vital role in ensuring contact for durable ablation. Worth a read #EPeeps academic.oup.com/europace/art...

Pulmonary vein reconnection rates after pulse field ablation: time for a reality check?

This editorial refers to ‘Repeat Procedures After Pulsed Field Ablation for Atrial Fibrillation: MANIFEST-REDO Study’, by D. Scherr et al., https://doi.org

academic.oup.com

To our American friends who may now be struggling to find health information on US websites: Please check out the Public Health Agency of Canada's website for helpful resources, updated dashboards & practical health tips. 🇨🇦🇨🇦🇨🇦 canada.ca/en/public-he...

In an attempt to start GDMT, a 70yoF with recently diagnosed HFrEF and Stage 3b CKD is started on an ARB and a beta-blocker. A week later, she presents to the ED with bradycardia, hyperkalemia, and hypotension. What happened? A 🧵 #PhysiologyFriday #MedSky #CardioSky #NephSky

Beautiful dissection of an incredibly important anatomic region. This link works: www.jacc.org/doi/10.1016/...

#CardioSky community, I am reposting this because posts are still being “liked”. Pls “repost” if you like to share with others.

Looking forward to this!

J.M. Cooper@narrowqrs.bsky.social · 2y ago

It's coming together finally! #VTentrainment

Great for rising thresholds. Also an important tool for troubleshooting if you see noise on the lead

Jeffrey M Vinocur@jeffreyvinocur.bsky.social · 2y ago

#EPeeps Don't forget you can change polarities

#EPeeps Ictal bradycardia

#EPeeps Okay I thought I knew all the limb lead reversal patterns, but what madness is this?

Atypical flutter mapping with @medtronic.bsky.social Affera Sphere9. Went right to the posterior wall channel and 1 zap terminated flutter! #EPeeps

I‘m non an #epeeps doc but this really fascinates me: New research shows that you can ablate the pulmonary veins to prevent… wait for it … atrial flutter! With the same efficacy as CTI-ablation! Short bursts of afib seem to be the trigger for typical flutter… doi.org/10.1136/hear...

Cryoballoon Pulmonary Vein Isolation as First-Line Treatment for Typical Atrial Flutter

Objective We aimed to compare cryoballoon pulmonary vein isolation (PVI) with standard radiofrequency cavotricuspid isthmus (CTI) ablation as first-line treatment for typical atrial flutter (AFL). Me...

doi.org

#Epeeps Is this lead where it shouldn’t be? #echofirst ? @alexturinmd.bsky.social @davidjchang7.bsky.social @shah.md

I thought this was worthy of a longer discussion so I made it into a blog post. #ECGsky #medsky #cardiosky #EPeeps

How comfortable are you with transcutaneous pacing?

Emergency cardiac care, cardiology, EKGs, ECGs, electrocardiography, echocardiography, dysrhythmias, arrhythmias, STEMI, NonSTEMI, NSTEMI, cardiology

hqmeded-ecg.blogspot.com

Willy Frick@willyhfrick.bsky.social · 2y ago

What's wrong here? Patient receiving transcutaneous pacing for the past 90 minutes for bradycardia. #cardiosky #medsky #EPeeps

Not too much activity from #EPeeps on here recently. Let's try to change that and play everyone's favorite game: guess the SoO! @narrowqrs.bsky.social @jeffreyvinocur.bsky.social @ktamirisamd.bsky.social @jkhmd.bsky.social @willyhfrick.bsky.social @williskwandou.bsky.social

I've seen this clinically only once before. Great image summarizing the phenomenon! Similar to PMT but at a slower rate. #EPeeps #pacemaker

Willy Frick@willyhfrick.bsky.social · 2y ago

I'm not good at diagnosing this one yet, but I think this is repetitive nonreentrant ventriculoatrial synchrony. Attached figure and citation. #EPeeps #ECGsky #cardiosky #medsky

Holy crap... does that mean that patients can be discharged from Penn with 90 days of dofetilide for 20 bucks?? #EPeeps

Since I joined 🦋 a month ago, ~10M people have joined. We had only 1 cardiology journal & no societies. Now we have almost all cardiology societies & major journals (except for ESC/EHJ) + many new #CardioSky users. We are definitely rebuilding our #CardioTwitter community. Be patient & contribute :)