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Do I have this right? - ABIM requires yearly fees from physicians who are already cert to “maintain certification” - no evidence that MOC helps pt care - ABIM will report you as “not certified” if you don’t pay - hospitals require certification Idk kinda sounds like extortion

Heart rate increases from 70 to 80 bpm during RF at right superior GP. We ablated every GP location except for PMLGP.

46 yo female, intermittent palpitations for minutes; do you have a diagnosis for me?

Sweet MDPs during VT in patient with huge anterior wall and apical scar. Entrainment was performed with concealed fusion and PPI-TCL = 0. Would you ablate at this spot? #EPeeps

Kevin Brady CarinaHardyEP Roderick Tung Antonio Frontera Babak Nazer Uyanga Batnyam Nazem Akoum Mike Eskander Penn Electrophysiology Fellowship Fermin Carlos Garcia Very interesting map Kevin; yes it could be a shared isthmus with these two VT exits( discordant VT1&VT2) even with this long distance ; vert nice explanation was done by Roderick Tung about this topic👇

Defibrillation pad placement matters! If you work in prehospital or hospital medicine, and may be responsible for defibrillating someone, here's some important take-aways from the DOSE-VF trial 🧵 #resuscitation #emergencymedicine #ems #defib #cpr

#JustPublished SimPub #CIRCAHA23: Left bundle branch area pacing associated w lower incidence of sustained VT/VF & new-onset #AF vs biventricular pacing in patients undergoing CRT: International Collaborative LBBAP Study (I-CLAS) ahajrnls.org/3QTjQgX

Didn't believe it myself at first! The signal was indeed reproducible. I suspect an deeper, intramural focus. Fantastic mapping by Kevin Brady

Mike Eskander Kevin Brady If you think about it: if the PVC is reentrant, as many are, one could in theory record potentials during the whole diastole. If the PVC is automatic or triggered, one would not be able to record much before enough myocardium gets depolarized to be seen in surface ECG.

Major Declines in Physician Reimbursement in Electrophysiology hmpgloballearningnetwork.com/site/eplab/let…

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What is it about the R-L interleaflet triangle (ILT) between the right and left coronary cusps that causes it to be the site of successful ablation for so many LV summit PVCs? Mike Eskander Roderick Tung Fermin Carlos Garcia javad mikaeili JMC Babak Nazer Michel Barakat #EPeeps #ablateVT

Efficacy of Left Bundle Branch Area Pacing Versus Biventricular Pacing in Cardiac Resynchronization Therapy Patients: Select Site - Cohort Study @jenishshroff @drrpathak heartrhythmjournal.com/article/S1547-…

Another iatrogenic flutter- this case in the right atrium on a patient with prior ablation of typical flutter + RA focal AT. Not typical CTI flutter this time, but still CTI-dependent! 🎡 Where would you ablate? ⚡ #EPeeps

PVC ECG morphology looked more like LCC, but earliest location was just below the R-L commissure at the base of the R-L interleaflet triangle. 📐 #EPeeps

-43 msec precocity and 99% pacematch at R-L ILT. 1 burn ❤️‍🔥 PVC elimination using retrograde approach and "shepherd's crook" prolapsed ablation catheter orientation from just below the valve. Case performed by Mike Eskander

Electrogram Guided Bachmann Bundle Area Pacing to Correct Interatrial Block: Initial Experience, Safety, and Feasibility heartrhythmjournal.com/article/S1547-…

Measure twice and cut once 🔂! Retrograde access and one-burn ❤️‍🔥 elimination of this bigeminal PVC from superior mitral annulus. Notice the CS activation bracketing at CS 5,6 which was just across from the earliest endo location. Case performed by "One-burn" Mike Eskander. #EPeeps