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Patient presented with stable 260 msec incessant tachycardia. Unusual P-Wave to be localized to LA side of Bachmann's Bundle insertion for this seemingly centrifugal / microreentrant AT. Prior CTI only. Jeff Hsing Jamison Nutting - EP Abbott Cardiovascular #SVT #PMA #TactiFlex

WHAT A BUCKET. THIS IS JAMAL MURRAY EVERYONE. 🏹

Shoutout to the many researchers—like Roy Chung, Ashit Patel, Brock Gambill—who presented their posters today Heart Rhythm Society. Always delighted to see the clever ways our tech is used to develop new breakthroughs. Thank you for advancing care! #AbbottProud

Now in its 3rd year, the Fellows Hands-On Learning Course remains one of the most important programs Heart Rhythm Society. Thank you Edward Gerstenfeld, Babak Nazer, Chris Cheung, Dr. Thomas Dewland, & all the clinical experts who took a few hours to demo mapping with future EP leaders. #HRS2024

A Nodal response to Parahisian Pacing was surprisingly discordant to a timely PHC delivered <20 msec to measured HIS bundle potential during tachycardia, perturbing subsequent A. Earliest A mapped to Superior Lateral Tricuspid Annulus, participation confirmed with reset. Always

Here is a video clip of Papillary muscle PVC ablation showing how #ICE provides real-time visualization of cardiac structures and continuous monitoring of catheter location. Please turn the sound on.

PAC perturbs HIS but does not affect A-A proving AT #PMA D Randy Jones Lydia Trautmann

Remote mitral valve repair. Presented with alternating mitral and roof flutters confirmed by entrainment. Anterior wall scarred so opted for anterior mitral line. Nice termination shot of the mitral flutter. Excellent mapping Lydia Trautmann George Crowell #EPeeps

CL 328ms and VA 217ms….the CL 273 ms and VA 132ms…..notice difference in QRS. Which law are we observing? #PMA

Prior cryo and CTI line for this patient, returned in atypical flutter. Fractionation and slowing on both the roof and mitral annulus, collision on CTI. Where to burn first? #PMA

My PVC summer continues! 120 ms QRS PVC suspicious for fascicular origin near PM pap. 2 targeted exits and 2 morphology changes later finally got it-mapped earliest Purkinje 30 ms pre at the septal insertion of a LV false tendon. Great mapping Brock Gambill #EPeeps

Prior to start of the case we predicted critical isthmus to be originating from anterior scar in LA based on morphological similarities w/ NCC AT. ICE nicely shows relationship between flutter term and cusps Brock Gambill #PMA

Patient Hx 3 yrs post Cryo PVI & CTI. 3 months post PFA of posterior wall. Presented in 340 ms tachycardia. #HDGrid showed scarring with slow conduction through left atrial roof and floor. Termination at isthmus, confirmed with entrainment, with #TactiFlex. Lydia Trautmann #PMA

Atrial Flutter with suspected shared neighboring trigger, a nonsustained intra-CTI centrifugally activated AT. P-wave morphology consistent with Tricuspid Annular Focal AT described by peterkistler MBBS PhD FHRS et al JACC Journals sciencedirect.com/science/articl… Emily Shaw #PMA #EnSite

Premature His Bundle Complexes distinguished AVRT and AVNRT with 100% Specificity and Sensitivity irrespective of location. A simple & intuitive maneuver. PHC delivered 42 msec ahead of HIS, perturbed A1-A2 by 15 msec = AVNRT. Benzy Padanilam Ashit Patel Emily Shaw

Monday started with First-in-Human Use of “ViewFlex X SE” ICE Catheter with Abbott Cardiovascular I've always loved using the ViewFlex ICE for its exceptional image quality, but now with seamless ICE integration into Ensite X, this is a total game-changer that enhances precision like

The notorious papillary muscle PVC. Originating from the lateral aspect of the AL pap, these bigeminal PVCs were eliminated during the first RF session with the help of the tried and true PDX method. Link to publication: pmc.ncbi.nlm.nih.gov/articles/PMC81…

#ViewFlex with #ViewMate Multi confirming #TactiFlex location and contact during CTI ablation #PMA

Enjoyed assisting with some workflow and technology improvements in FIH trials of novel Viewflex X ICE catheter from Abbott Cardiovascular -- we performed ablation of PVC from suspected intramural site with RF to septal RVOT and adjacent ASOV. Will be curious to see what Bishnu Dhakal MD FHRS

Day 1 at #HRS2025 off to a great start with our annual the EP Fellows program. Always one of my favorite examples of clinical collaboration, featuring hands-on learning btwn our mappers and future EP leaders. Next session at 2pm next to Rhythm Theater 2.