Emir Baskovski
@baskovski
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Electrophysiologist, Cardiologist @AnkaraUni
Joined June 2019
@syamkumarmd @pjsm83 @akyurek_omer @timucin_alt @ozkanatfirat @seeenaaay @elifoykucelik @MiguelVldrbno No, tbh i try to avoid wire mapping when possible (poor signal qual, can’t determine max dv/dt etc). Etoh was infused anatomically between 1-2 and 3-4 MapIt pairs. I do not remove the wire as it would be hard to repositionthe monorail balloon.
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@finnakerstrom @akyurek_omer @timucin_alt @ozkanatfirat @seeenaaay @elifoykucelik I’m glad it’s not only me!
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@pjsm83 @akyurek_omer @timucin_alt @ozkanatfirat @seeenaaay @elifoykucelik @MiguelVldrbno Monorail balloons are a lot cheaper and far more available here.
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@akyurek_omer @timucin_alt @ozkanatfirat @seeenaaay @elifoykucelik 95% pacematch from distal annular vein.
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@TimothyMaherMD1 @BIDMC_VT @sarah_chomos Great maps. What was the final lesion set (aka was there any other VT with a different isthmus, not predicted by endocardial ILAM)?
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#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. @timucin_alt @akyurek_omer
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@finnakerstrom @akyurek_omer @timucin_alt PPI- TCL was 0 from both CSp and CSd with no act change compared to the AT. At CTI ppi-tcl was 10msec. Rf at endocardial RA breakthrough terminated the AT but i would imagine that CTI would have also terminated it.
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@enes_elvin @timucin_alt @drakyurek SDL; procedure related. Probably excessive torque build-up damaged the lead body. interesting to see the discrepancy between the uni vs bipolar imp. Likely only the proximal electrode circuit was damaged…
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@finnakerstrom The first stimulus stops the tachycardia due to a conduction block probably in the entrance or mid of the protected isthmus while subsequent beats show concealed fusion in the entrance of the isthmus
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@finnakerstrom @vish_luther @pjsm83 @LiverpoolEP @TimothyMaherMD1 @syang_md @Davilandre @ivroca @MartinsRaphae15 @aportasanchez @FilippoCauti The second pic looks like epicardial nearfield signal getting pretty late with S2, although we often see it in normal(non-scar) tissue. May be a normal phenomenon.
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#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. @timucin_alt @akyurek_omer
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@Fevziemrecan @akyurek_omer @timucin_alt @seeenaaay @elifoykucelik @ozkanatfirat Sometimes they re on our side!
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@syamkumarmd @timucin_alt @akyurek_omer @Arritmias_HRC @DrRoderickTung @ChristianHeeger @pjsm83 Yes 2yrs ago endo line was performed for perimitral flutter in this hcm pt. flutter recurred a week before this session, and was occuring multiple times daily lasting for hours. Went for epi at the start of the procedure…
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