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CarinaHardyEP

@CarinaHardy4

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5,413
Following
593
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8,102

Cardiac Electrophysiologist- Heart Institute (InCor)-San Pablo -Brazil- #EPeeps #WomeninEP #doglover

Sao Paulo -Brasil
Joined November 2018
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@CarinaHardy4
CarinaHardyEP
4 years
Today we lost one of the most important EPs in the history of electrophysiology! RIP Dr Eduardo Sosa
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@CarinaHardy4
CarinaHardyEP
2 years
#EPeeps Ablation of left PL WPW for epicardium,within a branch of the CS, did not work for the endo. Previous endo failure in another country. Look at the blue dot on the epi,in the same place as the #OW channel in the endo. Do you think OW helped in this case? @EPWoodsShop
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@CarinaHardy4
CarinaHardyEP
5 years
#EPeeps While #HRS2019 is keep going I spent long hours doing this... ICM related VT. EPI-Endo circuit with critical ishtmus in EPI suppressed VT. With CAS @aasantos81 #IncorTeam @Scanav1Mauricio @LAHRSonline1 @HRSonline @BiosenseWebster #CardioEd @Epeeps_Bot
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@CarinaHardy4
CarinaHardyEP
2 years
#EPeeps Voltage Map, ILAM and activation map of AT. Decel zone in RA showing the isthmus of tachycardia. Look at the EGM found inside the scar Carto mapper @GuilhermConde @MarinaMayrink2 @gabriela_rassi @EPWoodsShop @DrRoderickTung #ILAM @BiosenseWebster
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@CarinaHardy4
CarinaHardyEP
5 years
I want to share with all #Epeeps my first #ZeroFluoro #PVI +CTI #HPSD A long journey to make this happen. Looking forward to keep learning !!! Thanks @NiloNeto20 @roberto_sosco @ThiagoRosadasC1 and Luciano #WomeninEP @LAHRSonline1 @BiosenseWebster @MRazminia @cesarbos
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@CarinaHardy4
CarinaHardyEP
2 years
#EPeeps Activation map of the initial dual loop re-entrant tachycardia. The common isthmus in the posterior LA is shown with re-entry around an area of posterior scar and around the LSPV and RSPV. REDO AF @Scanav1Mauricio @BiosenseWebster @LAHRSonline1 @MujerSIAC #WomenInEP
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@CarinaHardy4
CarinaHardyEP
1 year
#EPeeps Extensive ischemic scar. Impossible to modify large substrate. Where would you burn? Easy induction slow TV. Again ILAM map delimited area of ​​interest. @DrRoderickTung @BiosenseWebster #WomenInEP @LAHRSonline1 @SobracO #cardiotwitter #CartoPrimeV7
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@CarinaHardy4
CarinaHardyEP
10 months
#EPeeps REDO AF Ablation in pt with persistent left SVC. PVs were isolated,with isoproterenol, PACs were observed from the persistent left SVC! Isolation of the same was performed. @BiosenseWebster @RodrigoMK2101 @Juliano29501338 #womeninEP @LAHRSonline1 @MujerSIAC @SIAC_cardio
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@CarinaHardy4
CarinaHardyEP
3 years
Summit PVC ablation as in the old times. Zero 3Dmap 🤣🤣 Recurrente by LV endo (farfield 38ms), success was achieved by GCV with 42ms prec. @RodrigoMK2101 @alexandra_regia @FelipeKalil11 @Scanav1Mauricio @gabriela_rassi @MarinaMayrink2 @el_andere #InCor #epeeps
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@CarinaHardy4
CarinaHardyEP
3 years
Ventricular arrhythmias (VAs) can originate from different anatomical locations of the RV. VAs originating from RV have unique EKG characteristics that can be utilized to localize the SOO. This is crucial in pre-procedural planning for ablation #EPeeps
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@CarinaHardy4
CarinaHardyEP
7 months
#EPeeps VT ablation in ICM with apical aneurysm Refining functional LOB with S2 DEEP mapping and ILAM @aportasanchez @DrRoderickTung Cas @GuilhermConde #juliano @LuanVieiraEP @BiosenseWebster
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@CarinaHardy4
CarinaHardyEP
1 year
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@CarinaHardy4
CarinaHardyEP
2 years
#EPeeps PVC ablation of PM AL with ICE. The importance of visualizing cardiac structure. See the instability of the cat. at the beginning and soon after it was repositioned in the head of PM with good stability @Scanav1Mauricio CT images by @crpisani #cardiotwitter #WomenInEP
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@CarinaHardy4
CarinaHardyEP
1 year
The importance of the functional map #ILAM in the ablation of Chagas VT. Our first case of epi-VT ablation in Brazil with ENSITE X, innovative technology with great stability and shorter time to remap ILAM post ablation @Scanav1Mauricio #EPeeps @InCorHCFMUSP @DrRoderickTung
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@CarinaHardy4
CarinaHardyEP
4 years
Today I performed the first procedure in Brazil with CARTO® 3 V7 and the Mapping Module® CARTO PRIME. A very useful and desired tool by us! Thanks all team! @GuilhermConde @aasantos81 @RodrigoMK2101 @Pinar__Kurt @SobracO @LAHRSonline1 @BiosenseWebster #EPeeps #WomeninEP
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@CarinaHardy4
CarinaHardyEP
2 years
#EPeeps Modified TSP without Baylis RF wire. Just use an ordinary 0.032 guide wire under iCE view, put some pressure in septum and use cut 25 W (electric scalpel) The wire and dilator will cross the septum gently and safely. Does anyone have experience with this? #WomenInEP
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@CarinaHardy4
CarinaHardyEP
5 years
Pt 45 yof, ARVC. VT w/therapies ICD. #EPeeps amazing case.giant epi scar. 2VT induced. ILAM map perfectly predicting where to isthmus of VT. @DrRoderickTung 2 decel zone for 2 VT. thanks to my CARTOmapper @GuilhermConde #cardiotwitter #womeninEP @LAHRSonline1 @BiosenseWebster
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@CarinaHardy4
CarinaHardyEP
2 years
After CTI block line, only an increase in flutter cycle.The importance of understanding and thinking that the circuit may have changed. New LAT map= AT using post-lateral scar #Epeeps #WomenInEP   #FellowEp @alexandra_regia @BiosenseWebster #coherent #CARTOV7
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@CarinaHardy4
CarinaHardyEP
5 years
we have not yet achieved zero fluor, but we have zero gravity 😁 #AFIB ablation. #IncorEpTeam @Scanav1Mauricio
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@CarinaHardy4
CarinaHardyEP
4 years
CNA is an effective and safe therapeutic option to treat cardioinhibitory syncope, especially for young pts! Video:final lesion set (septal GPs) yellow dot: phrenic @Scanav1Mauricio #EPeeps #WomeninEP #CardioEd @Epeeps_Bot @LAHRSonline1 @SobracO @BiosenseWebster
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@CarinaHardy4
CarinaHardyEP
4 years
My first sheath experience #Vizigo , easy to handle, great stability, great visualization of the sheath, a great advance in technology! ablation #PAF with #zerofluoro Thanks @hitalohenrique #EPeeps #WomeninEP #CardioEd @Epeeps_Bot @LAHRSonline1 @SobracO @BiosenseWebster
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@CarinaHardy4
CarinaHardyEP
4 months
#Epeeps Inauguration in Brazil of ENSITE X V3 in focal VT ablation.Stable maps, great tools, I loved TACTIFLEX. Hospital da Luz @VanPittar @AbbottCardio @UeharaRenan @Hapa_EP @DrRoderickTung @ivroca
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@CarinaHardy4
CarinaHardyEP
8 months
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@CarinaHardy4
CarinaHardyEP
4 years
PVI and PWI using isolation single ring! Exit block. #EPeeps which technique do you use to PWI? Explain why and share a picture with your example. Please vote in the poll bellow. @MDTolgaAksu @Dr_Santangeli @andreanatalemd @EPWoodsShop @DrRoderickTung @MicheleB_MD @josoriomd
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@CarinaHardy4
CarinaHardyEP
4 years
#EPeeps PVI+PWI in AF Ps long duration. The esophagus was close to the right PV, temperature increased to 39.1 w/CIRCA. Endoscopy 24 h after ablation: ulcer 10 mm. surpoint 400 in WP @Scanav1Mauricio @crpisani @MuhieddineC @jtarr61 @Dr_Santangeli @aalahmadmd
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@CarinaHardy4
CarinaHardyEP
5 years
Ablation of summit PVC. Look the EGM of -60 ms in the AIV, not successful by RVOT/ Endo LV for retrograde aortic ! Just work by endo LV by transseptal approach @Scanav1Mauricio #EPeeps #JCETweet2Press @JCardioEP
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@CarinaHardy4
CarinaHardyEP
3 years
Another”one shot” of PVC RVOT ablation, pattern match 97%, steam pop during RFA after 25 sec (40W 12 gr) and immediate cardiac tamponade, perocardiocentesis 350 ml and stopped bleeding. 30 days after PVC-free holter @alexandra_regia @GuilhermConde #EPeeps #WomenInEP   #FellowEp
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@CarinaHardy4
CarinaHardyEP
9 months
#EPeeps the importance of the 3D map to see voltage map post PVI Very antral. Consequence: AT of PW! One shot interrupted AT. @natale_md @DrFerminGarcia @DrRoderickTung @Hapa_EP @LAHRSonline1 #WomenInEP
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@CarinaHardy4
CarinaHardyEP
5 years
Special moment with my patient Pablo Forlan (former soccer player and coach from São Paulo team ) accompanied by his son @DiegoForlan7 ( player from Uruguay National footballs team)
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@CarinaHardy4
CarinaHardyEP
5 years
pt 45 yom.He had several VVS episodes, 23 sc pause in the HUTT. Today CNA. basal CL 820 ms. RFA on the right and left septal side on RSGP. Final CL 690 ms #dontpaceforVVS #Zerofluoro @Scanav1Mauricio #EPeeps @MDTolgaAksu @jczerpa @crpisani @MuhieddineC @ftrae @BorAntolic
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@CarinaHardy4
CarinaHardyEP
3 years
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@CarinaHardy4
CarinaHardyEP
3 years
Advanced Ablation Summit Latin 2021 @BiosenseWebster I was honored to participate in session 2 Live Case Transmission:chagas TV ablation with @Scanav1Mauricio @crpisani @GuilhermConde #InCor and as Chair of session 3 Womem Leading in EP, cases presentation #EPeeps #WomenInEP
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@CarinaHardy4
CarinaHardyEP
5 years
Fascicular VT originating from PPM. 4er procedure done with #Cartosound #HPSD : 70W, 5-10 sec Previous procedure successful but recurrence Transmurality is our enemy!!Thougts! #EPeeps @ALFIEEP1 @Dr_Santangeli @drluissaenz @DrRoderickTung @50wattdoc @ftrae @BiosenseWebster
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@CarinaHardy4
CarinaHardyEP
3 months
#EPeeps today we performed 4 PFA cases in 4 hours. Impressed with the short time and effectiveness to PVI. Thanks @Aperezsilva77 and Dr German @fariasdritmo @PauliAndre
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@CarinaHardy4
CarinaHardyEP
10 months
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@CarinaHardy4
CarinaHardyEP
5 years
very light and easy to use #Biotronik_US #ZeroGravity
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@CarinaHardy4
CarinaHardyEP
4 years
#EPeeps today was a very productive day! Ablation of AT para hiss and RAA-base PAC with colleagues @Davilandre @AlexanderDForno @JoseMouraJorge2 thanks for sharing your experiences !! #SOSCardio #Abbott Maps by @Maele98727471 and @diogo
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@CarinaHardy4
CarinaHardyEP
5 years
64 yof, MCD chagas ! induced a not tolerated VT, 300 CL. so we made the map of ILAM. the region corresponded exactly to the middle lat scar on the EPI where he had LP and during VT middiastolic EGM, @NiloNeto20 and @aasantos81 #EPeeps @DrRoderickTung #WomeminEP @BiosenseWebster
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@CarinaHardy4
CarinaHardyEP
5 years
Excellent Review about Arrhythmia-Induced Cardiomyopathy JACC State-of-the-Art Review
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@CarinaHardy4
CarinaHardyEP
7 months
REDO #AFIB Pevious PVI +PWI. Reconnection through epicardial pulmonary septum band! #EPeeps Which set of RF lesion would you do? CAS @e_mendo93 @M__Mosca @BiosenseWebster #CARTOV7prime #WomenInEP @LAHRSonline1 @MujerSIAC @sociedadsadec
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@CarinaHardy4
CarinaHardyEP
5 years
pt with prior AF ablation: WACA + CTI. Recurrence in AT! today New Ablat with @Scanav1Mauricio , @crpisani and @MuhieddineC #InCorTeam PV isolated, we did ripple map and propagation maps! someone would like to comment about the tachycardia circuit ?? #EPeeps @EPeeps_Bot
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@CarinaHardy4
CarinaHardyEP
4 years
#EPeeps what would you do? 25 yof, without heart disease, PVA and NSAT frequent in Holter 1-focal ablation into the LIPV 2-isolation LIPV and LSPV Explain your answer please @RodrigoMK2101 @aasantos81 @LAHRSonline1 @SobracO #WomeninEP #CardioEd @Epeeps_Bot
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@CarinaHardy4
CarinaHardyEP
3 years
Merry Christmas dear friends!
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@CarinaHardy4
CarinaHardyEP
5 years
ablation of wpw Septal (PH)! debuting the CARTO V6 yellow tag =his #EPeeps #cardiotwitter #CardioEd @Epeeps_Bot
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@CarinaHardy4
CarinaHardyEP
5 years
Young patient! with many PVA and 🤣🤣 AT ! Active focus on RSPV with CARTO. RFA in the region led to interruption arrhythmia. With @Scanav1Mauricio and @aasantos81 ! Thougt? #cardiotwitter @BiosenseWebster #EPeeps #WomeninEP @LAHRSonline1 @JCArrhythmias @SobracO
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@CarinaHardy4
CarinaHardyEP
4 years
RVOT mapping showed a prec -43 ms in the postero-septal region, with successful RFA. Observe the distance between the points (18,2 mm) an interesting case showing two excellent precocities, it was necessary to make a sandwich for elimination (final lesion set)
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@CarinaHardy4
CarinaHardyEP
5 years
Today was a busy day, but at least the ablation was on the Algarve beach! Lol with @Scanav1Mauricio #WomeninEP
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@CarinaHardy4
CarinaHardyEP
7 months
Redo #AFIB - Reconnection of the RPV. The importance of the LAT map to see the gap in the block lines (WaDL) Ablation in these places led to isolation of RPV. @InCorHCFMUSP #EPeeps @Scanav1Mauricio @BiosenseWebster #FellowEp
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@CarinaHardy4
CarinaHardyEP
5 years
#EPeeps Pt 65 yom, DCM chagasic, electric storm and several CDI therapies. Endocardial and epicardial ILAM mapping with @NiloNeto20 and Carto mapper @GuilhermConde @Scanav1Mauricio @DrRoderickTung @Davilandre @Maele98727471 @EPWoodsShop #WomeninEP #CardioEd @LAHRSonline1
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@CarinaHardy4
CarinaHardyEP
5 years
37 yof, atrial septal defect correction at 5 years old! Persistent atrial flutter! #EPeeps where would you do the ablation? Thanks for maps @aasantos81 Black dot: phrenic Pink dot: fragm EGM @BiosenseWebster #cardiotwitter #CardioEd @Epeeps_Bot #WomeninEP @LAHRSonline1
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@CarinaHardy4
CarinaHardyEP
5 years
Young pt with previous PVI! recurrence in AT. RA activation map: focal AT of the WP #Epeeps what would you do? Focal ablation or intercaval line or some other approach? dot blue:Fragmented EGMs Dot black: phrenic #JCETweet2Press @JCardioEP @BiosenseWebster #InCorEPteam
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@CarinaHardy4
CarinaHardyEP
3 years
LA roof atrial tachycardia after AF ablation- PWI + RVPI +anterior ML @el_andere #EPeeps @LAHRSonline1 @SobracO #WomenInEP #HeforShe   @BiosenseWebster
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@CarinaHardy4
CarinaHardyEP
5 years
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@CarinaHardy4
CarinaHardyEP
3 years
#EPeeps after performing posterior mitral line (endo-epi) the flutter still persists. what would you do? Answer the pool below @SobracO @sociedadsadec @LAHRSonline1 #WomenInEP   #FellowEp
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@CarinaHardy4
CarinaHardyEP
9 months
#EPeeps the importance of ICE in ablation 1-thrombus in sheath within RA 2-post aspiration 3-thrombus @RodrigoMK2101 @natale_md @MRazminia @paulzei @EduardoSaad3 @josoriomd @NoFluoroAfibEP #womeninEP
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@CarinaHardy4
CarinaHardyEP
3 months
It is an honor to participate in the first PFA training in Latin America under the mentorship of a great friend, @Aperezsilva77 This technology will arrive in Brazil in June, PFA represents a significant advance in AF ablation💪🏻♥️ Thank you Boston for the opportunity. #EPeeps
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@CarinaHardy4
CarinaHardyEP
5 years
Merry Christmas ! #EPeeps
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@CarinaHardy4
CarinaHardyEP
5 years
Today our Incor team performed the first two #surpoint ablation in Brasil, and I made my first surpoint ablation with #zerofluoro #AFIB #EPteamIncor #Epeeps @MuhieddineC @Scanav1Mauricio @crpisani , Sissy and #Epfellows Thanks all team #BiosenseWebster
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@CarinaHardy4
CarinaHardyEP
7 months
#EPeeps How to reliably identify a GAP from a prior RFA in #AFIB ? 🧵 1/6 #WomenInEP @LAHRSonline1 @MujerSIAC
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@CarinaHardy4
CarinaHardyEP
5 years
Management of asymptomatic AF pts generally should be based on the same principles as symptomatic pts . Available data suggest that asymptomatic AF could portend a less favourable prognosis, with greater morbidity and mortality than symptomatic AF. doi:10.1093/europace/euz046
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@CarinaHardy4
CarinaHardyEP
3 years
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@CarinaHardy4
CarinaHardyEP
5 years
I was needing a break!! What a place in Earth !! #Machupichu , Peru. Recharging my brain batteries !! #Epeeps
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@CarinaHardy4
CarinaHardyEP
5 years
pt 25 yom! PM for HV 88 ms. SCN5A positive mutation! previous ablation of typical atrial flutter. Now with palpitations and this tachycardia #EPeeps Thoughts ! #WomeninEP #cardiotwitter #CardioEd @Epeeps_Bot @narrowQRS @aalahmadmd @DrFerminGarcia @Dr_Santangeli @Davilandre
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@CarinaHardy4
CarinaHardyEP
6 years
map UNI endo RV =extensive low voltage. Epicardial approach and epi bipolar map showed extensive scar in the all RV region with late potentials throughout the base. During VT we observed signal MSD inf lateral basal region (same endo RF region)
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@CarinaHardy4
CarinaHardyEP
5 years
Pt 25 yom, PMPM VT incessant for 36 h ! refractory to amiodarone IV, verapamil IV, metoprolol IV and DCCV CARTO map 19 ms precocity ! @NiloNeto20 and @GuilhermConde CAS #cardiotwitter #CardioEd @LAHRSonline1 @JCArrhythmias @SobracO @BiosenseWebster #EPeeps #WomeninEP
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@CarinaHardy4
CarinaHardyEP
5 years
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@CarinaHardy4
CarinaHardyEP
2 years
Vamos, vamos Argentina vamos, vamos a ganar que esta barra quilombera no te deja, no te deja de alentar!!! 🇦🇷 🇦🇷 @adribaran @ALFIEEP1 @nlcabanillas @FScazzuso @Saidbull @SergioPinski @MarceloHelguera @roberto_keegan
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@CarinaHardy4
CarinaHardyEP
2 years
Finalmente el gran encuentro con un grande @adribaran ! Un gran placer conocerte y en este gran congreso #siac2022 @SIAC_cardio
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@CarinaHardy4
CarinaHardyEP
2 years
El mayor de los sueños se hizo realidad! Argentina campeón de la copa QATAR 2022! Messi el mejor jugador de la copa El Dibu Martínez mejor arquero! Que más podíamos pedir! Vamos carajo! Gracias Scaloni! Gracias a todos! 🇦🇷🇦🇷🇦🇷🇦🇷🇦🇷🇦🇷
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@CarinaHardy4
CarinaHardyEP
30 days
#EPeeps Finally arrived in Brazil - Our first PFA case with 3D mapping: ENSITE X and ICE @Scanav1Mauricio @RodrigoMK2101 @InCorHCFMUSP
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@CarinaHardy4
CarinaHardyEP
3 years
#Epeeps today I reached 3000 followers on twitter! Thank you all for allowing to share my cases and experience. I learn a lot.
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@CarinaHardy4
CarinaHardyEP
5 years
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@CarinaHardy4
CarinaHardyEP
5 years
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@CarinaHardy4
CarinaHardyEP
3 years
#EPeeps Orthodromic AVRT using a concealed AP located in the left lateral region of the MA Coherent map @BiosenseWebster @el_andere @LAHRSonline1 @SobracO @sociedadsadec
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@CarinaHardy4
CarinaHardyEP
5 years
72 yof, Chagas CMP. VT +CDI. endo epi bipolar map. inferior basal scar Typical of Chagas (Blue tag LP) observe Inf basal LV aneurysm overlap the epi scar! #cardiotwitter #Epeeps #CardioEd
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@CarinaHardy4
CarinaHardyEP
6 years
Ablation posterior septal accessory pathway in patient with congenitally corrected transposition of great arteries. By the transeptal approach. Last case of the day! Vacation tomorrow! #cardiotwitter #Epeeps #CardioEd
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@CarinaHardy4
CarinaHardyEP
5 years
Pt 60 yom, previous ablation 10 years ago with PVI. Recurrence #AFIB Paroxysmal. Voltage map 4 isolated PV. . #EPeeps what would you do ? @Scanav1Mauricio @LAHRSonline1 @Dr_Santangeli @DrFerminGarcia @DrRoderickTung @drluissaenz @PrashSanders @AndreaRussoEP
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@CarinaHardy4
CarinaHardyEP
2 years
#EPeeps AT Ablation after PAF Cryo Ablation Reconnection of the RSPV. Note the fragmented EGM in the roof of the LA, near the RSPV, RF pulse stopped the arrhythmia. PVI of RSPV was performed, PWI and ablation of the CTI. #CARTO3V7
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@CarinaHardy4
CarinaHardyEP
5 years
74 yof, holter PVC 26%, EF 30% , PVC ablation @Scanav1Mauricio See early EGM (-49 ms) in the GCV. Coronary angiogram prior ablation! Would you map any neighbour with this precocity ? #EPeeps @LAHRSonline1 @BiosenseWebster @drluissaenz @DrFerminGarcia @ftrae @narrowQRS
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@CarinaHardy4
CarinaHardyEP
4 years
#AFIB2020 @BiosenseWebster #EPeeps Electroporation vs HPSD Excellent talk @PierreJais
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@CarinaHardy4
CarinaHardyEP
5 years
Even after the positive results of CASTLE AF and other similar RCT, the Recommendation for Catheter Ablation in HF is IIb! thought!! @andreanatalemd @Zo_EP2 @MDTolgaAksu @ALFIEEP1 @DrFerminGarcia @Dr_Santangeli @cesarbos @Hapa_EP @aalahmadmd #cardiotwitter #Epeeps #CardioEd
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@CarinaHardy4
CarinaHardyEP
5 years
Pt 57 yof, Mitral metal valve. previous PsAF ablation: WACA, WPI, mitral line and CTI line! Recurrence in Mitral AT @Scanav1Mauricio @crpisani @MuhieddineC #IncorEpTeam #CAS @aasantos81 @BiosenseWebster #EPeeps @LAHRSonline1 #JCETweet2Press @JCardioEP .
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@CarinaHardy4
CarinaHardyEP
2 years
Vamos Argentinaaaaaa!! 🇦🇷
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