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78yo man with ischemic heart disease and sustained VTs. #EPeeps guess the origin of VT! Mapping and ablation, as always, come soon😉 Evgeny Lian Thomas Demming #CardioTwitter #EP_Kiel #FOAMed EP_Bot Universitätsklinikum Schleswig-Holstein ECG_Kiel

Tweetorial 1/3 #Epeeps in the last case x.com/veramasloo/sta… - VT with exit site at the LV apex (all QRS in precordial leads are negative). QS morphology in lead I suggests an EPICARDIAL origin. Evgeny Lian Thomas Demming EP_Bot #CardioTwitter #EP_Kiel #FOAMed

#EPeeps The last ECG x.com/EcgKiel/status… is a VT!Here we can see the most common features,to differentiate it from SVT: ✅A-V dissotiation-highly specific vor VT ✅V>A ✅Broad QRS(160ms),not typical for BBB🐰 Evgeny Lian Thomas Demming Vera Maslova #CardioTwitter #FOAMed

30yo man,no cardiac history,no medications #EPeeps guess the origin of PVC! Mapping and ablation, as always, come soon😉 #CardioTwitter #FOAMed #EP_Kiel Evgeny Lian Thomas Demming EP_Bot ECG_Kiel

#EPeeps PVC from x.com/veramasloo/sta… -LPF! ✅Sup axis ✅RBBB(rsR’)+LAFB ✅narrowQRS LV Map @BiosenseWebster Carolin Lukas Kleinhans Mapping of fascicular signals in SR/PVC. Ablation in the earliest fascicular prepotential abollished PVC Evgeny Lian #EP_Kiel #Cardiotwitter

51yo, male, cardiac history of paroxysmal Afib, Aflut. ARVC with reduced RV systolic function. #EPeeps what is the mechanism of this tachy? Evgeny Lian Thomas Demming #EP_Kiel #cardiotwitter #FOAMed #Fellowsfirst #ECG EP_Bot

#EPeeps 82 yo female, hospital admission with ventricular fibrillation, 1x extern defibrillation. Here’s ECG after defibrillation. What do you see? What is the next step? #Cardiotwitter #FOAMed #EP_Kiel #ECG Sebastian Jäger Sebastian Feickert Dr. Roig Henrike Hillmann

Case 10. Male, 81yo, admission due to worsening Dyspnoea, NYHA III-IV. 1 Month ago LAA Occluder implantation. What is the most probable diagnosis? #EPeeps #Cardiotwitter #FOAMed #EP_Kiel #ecgeducation Evgeny Lian Thomas Demming

#EPeeps here is our #EP_Kiel Evgeny Lian illustration for Coumel Law! Based on incredible publication doi.org/10.1161/CIRCUL… If a wide complex tachy➡️narrow complex tachy with ⬆️HR- this is orthodromic AVRT with AP on the same side as the blocked bundle branch! #CardioTwitter

70 yo patient with implanted CRT-P device due to ischemic cardiomyopathy with reduced LVEF. At follow-up following ECG.#EPeeps Why do we have this pacing spike in PVC?Evgeny Lian Thomas Demming #EP_Kiel #CardioTwitter #CardioEd