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Mitral apparatus hiding the critical component of a #VT circuit. A retroflexed Rf cath is needed to reach the critical site. Good contact ≠ contact w LV wall. ICE would have definitely helped ... #Epeeps omer akyurek,MD Timuçin Altın #ablateVT

Concealed fusion, excellent stim-QRS and PPI-TCL= 0 vs. Activation map: the old meets the new. #Epeeps #ablateVT omer akyurek,MD Timuçin Altın şenay Elif Öykü Tataroğlu Mahmut ekrem Cunetoğlu

Epi #Rf terminates a slightly irregular AT within secs at a site w great EGMs. A large portion of the cycle missing at the endo with a large scar. Final lesion set is shown in both images. #Epeeps Timuçin Altın omer akyurek,MD Arritmias H. Ramón y Cajal, Madrid. Roderick Tung Christian-H. Heeger Pablo Sánchez Millán

A Pentaray-induced pvc leads to late local activation creating a reentry and then a #VT is unleashed. #ablateVT #Epeeps omer akyurek,MD Timuçin Altın şenay Elif Öykü Tataroğlu Fırat

#Epeeps Small patchy anterior wall bipolar LVA and huge unipolar LVA in an early revascularized anterior MI. Have a feeling that we’re gonna see this more often… Same pt, CL200ms apical VT w compl diastolic activation present in pentaray 9-10 bipol. Timuçin Altın omer akyurek,MD

#Epeeps Picture of the day... Emir Baskovski Timuçin Altın

#Epeeps Intraprocedural Lead dysfunction manifesting as low bipolar imp(but normal uni!) in a fibrotic septum (postTAVR) after 2 attempts w torque build-up&entanglement prior to the optimal insertion. A visible defect was present on the lead which had to be replaced.

A biatrial flutter in a pt w septal scar w/o hx of abl! Easy to mistake for a cti flutter if only RA is mapped since only tiny portion of the cycle is missing. omer akyurek,MD Timuçin Altın #Epeeps

#Epeeps Classical presentation of midmyocardial septal scar and VT. Patchy biV LVA, low uniV and an unstable VT that has 94% pacematch at the RV septum. Sequential burn renders VT non-inducible. Timuçin Altın omer akyurek,MD

Here’s an interesting image of coronary spasm after cardioversion! authors.elsevier.com/a/1kxkp,siTgod… Timuçin Altın omer akyurek,MD

#Epeeps Epi only mapping & #Rf in apical aneurism w endocardial thrombus precluding endo approach. #VT terminates shortly after Rf on mid isthmus. Timuçin Altın omer akyurek,MD

A mid-to-end diastolic EGM at distal GCV during LV summit VT in NICM #Epeeps Timuçin Altın omer akyurek,MD