El Hamriti Mustapha
@melhamriti
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Electrophysiologie @ Heart and Diabetes Center NRW
Bad Oeynhausen, Deutschland
Joined February 2011
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👇Ablation in the aortic cusp👇
#Epeeps
Here are the anatomical relationships between the aortic cusps and the coronary arteries.
LCC and RCC are deeper than the RCA and LCA.
To avoid the coronary arteries, ablation must be performed deeper and vertically towards the aortic
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👇Hypnotic VT activation: In fullscreen mode, I can’t stop watching this video👇
#EPeeps
Since my studies, I have had an imaginary conception 💭💭 about VT mechanisms
Thanks to the new
#Carto_V8
and
#LAT_Vector_Velocity
I have been reminded of this imagination
@BiosenseWebster
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First Epicardial VT Ablation in Germany 🇩🇪 with
#Carto_V8
at
@HdzNrw
LAT Velocity Vectors for VT ablation ist amazing 🤩 a lot of thanks
@Phiso_de
#EPeeps
@chris_sohns
@MoneebKhalaph
@MBraunEP
@VanessaSciacca_
@Cardioschool
@GuramImnadze
@AGEP_DGK
@YoungDgk
@BiosenseWebster
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👇Mahaim tachycardia: EPS, mapping, and ablation overview in less than 1 minute👇
1- SR without delta wave
2- Maximum preexcitation with normal PR interval
3- If Mahaim, always wide-complex tachycardia!!!
4- Long RP tachycardia/ VA conduction constant
5- PPI-TCL < 100 ms from RV
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A rare tracing of the onset of ventricular fibrillation (VF), captured with an
#HD_Grid
catheter
@AbbottNews
in a young patient post-heart transplantation, is sensational. The Beauty of EP 🤩
It’s fascinating to observe the significant role Purkinje potentials (P1 and P2)
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👇Octaray vs HD-Grid👇
- 1 Octaray position equals 3 HD-Grid positions
🎯 Octaray offers faster mapping
👉👉 Octaray - HD-Grid: 1-0
- Strong bending is necessary to utilize all Octaray splines. The perpendicular alignment of the catheter axis to the LV septum can explain
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Not all the days you are an author of a paper published in the prestigious
@ESC_Journals
a lot of thanks
@Phiso_de
@HdzNrw
@AGEP_DGK
#EPeeps
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The AVNRT mechanism is shown in a single tip ablation catheter. Slow Pathway (SP) signal at distal pole and Fast Pathway (FP) signal at proximal pole. Amazing 🤩🤩 🤩
@Phiso_de
@chris_sohns
@GuramImnadze
@MoneebKhalaph
#EPeeps
@HdzNrw
@YoungDgk
#EP_Hdz_Nrw
@AbbottCardio
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👇Para-Hisian accessory pathways👇
Ablation in Non-Coronary Cusp is a safe and effective alternative for para-Hisian accessory pathways.
#Epeeps
Here is the anatomical relationship between CS, His, AP, and NCC in
#Ensite_X
@Phiso_de
@chris_sohns
@MBraunEP
@VanessaSciacca_
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👇Fascicular ventricular tachycardia as a trigger for atrial fibrillation👇
We need to conduct more EPS in young patients with atrial fibrillation
@Phiso_de
@chris_sohns
@MBraunEP
@VanessaSciacca_
@MoneebKhalaph
@Cardioschool
@AGEP_DGK
#CardioTwitter
👇 Young Patients with atrial fibrillation 👇
Young patient with recurrent palpitations and documented atrial fibrillation. Electrophysiological study reveals this regular tachycardia with degeneration into atrial fibrillation.
🤩Amazing capture 🤩
We regularly do EPS in very
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Hybrid VT ablation of VT storm: Hand of a surgeon next to the hand of an electrophysiologist with the aim of saving a patient. We can only achieve it together
@Phiso_de
@chris_sohns
@AGEP_DGK
@YoungDgk
@MBraunEP
@VanessaSciacca_
@MoneebKhalaph
@GuramImnadze
@HdzNrw
@fox_henrik
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One year already, I am very proud. Other algorithms are on the way!!
@Phiso_de
EASY-WPW: a novel ECG-algorithm for easy and reliable localization of manifest accessory pathways in children and adults
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Wow, more than 28,000 views for the Easy-WPW Algorithm in
#Europace
The Easy-WPW Algorithm paper ranks 14th in output among all papers in the
#Europace
Journal.
Thank you very much for your very positive feedback. Knowing that the algorithm is highly useful gives me a lot of
🔴 Simple
#ECG
algorithm for localizing accessory pathway in
#WPW
syndrome.
💥EASY-WPW: a novel ECG-algorithm for easy and reliable localization of manifest accessory pathways in children and adults
#openaccess
#cardiology
#CardioTwitter
#CardioEd
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👇Parahisian focal atrial tachycardia: Ablation in NCC is a safe and effective alternative👇
A young patient presented with incessant focal atrial tachycardia. Activation mapping with
#Ensite_X
@AbbottNews
of RA and LA revealed the earliest site anteroseptal in the RA
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👇VT ablation in ICM is a grateful procedure👇
#EPeeps
in this case: ICM following myocardial infarction due to LCx occlusion
#Carto_V8
#Qdot
👉 The viable islands within a scar are always suspicious!!
@Phiso_de
@chris_sohns
@MoneebKhalaph
@MBraunEP
@Cardioschool
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👇AVNRT ablation via femoral approach in a young patient with congenital interrupted inferior vena cava with azygos continuation👇
@Phiso_de
@chris_sohns
@MoneebKhalaph
@MBraunEP
@VanessaSciacca_
@AleSpoken
@Cardioschool
#EPeeps
#CardioTwitter
@YoungDgk
@AGEP_DGK
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Propagation map of VT vs. Propagation map of Sinus Rhythm with the NEW
#Carto_V8
They match quite well, and the VT is terminated with the first RF pulse.
#EPeeps
Are you making a Propagation map of sinus rhythm for VT Ablations?
@Phiso_de
@chris_sohns
@MoneebKhalaph
@MBraunEP
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First cases in Germany 🇩🇪 with Carto V8
@HdzNrw
@Phiso_de
@chris_sohns
New Artificial Intelligence supported tools, automatic Pattern Acquisition (APA) for PVC and Smart Index Score. Electrophysiology becomes simpler and more accurate with precise mapping with
@BiosenseWebster
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#EPeeps
Thank you very much for your comments and highly constructive analyses. I have learned a lot from them!!
There were 2 concealed APs. One decremental AP was located left septal and one non-decremental left lateral AP. There was no AH jump. Preceding was negative in the
Pediatric electrophysiology is very unique 🤩🤩
A 12-year-old child suffers from this tachycardia. VA conduction is decremental with concentric CS activation during incremental ventricular pacing. No pre-excitation during atrial pacing. The tachycardia is associated with
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👇VF storm Ablation: VF storm is conquerable👇
We received a call from another hospital requesting transfer for emergency ablation in a patient with VF storm and an ischemic cardiomyopathy with a LVEF of 45%. The current coronary angiography is unremarkable.
Despite sedation,
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My last three procedures in 2023
@HdzNrw
involved three patients with incessant VTs:
•Case A: Patient with incessant Purkinje Fiber Triggered VT/VF despite sedation and hemodynamic support (ECMO) after STEMI three weeks ago (Purkinje Ablation).
•Case B: Child with incessant
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Amazing Tool presents
@BiosenseWebster
with
#Carto_V8
for PVC ablation. The “Auto Pattern Acquisition (APA)” proves highly beneficial for post-ablation control and quantification of polymorphic PVCs, with the capability of conducting parallel mapping.
Gratitude to all
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👇
#EPeeps
The new tool von
#Carto_V8
: Mapping and ablation of incessant AT in patients with Fontan circulation👇
#Complex_Signals_Acquisition
from
@BiosenseWebster
🤩🤩🤩
#univentricular_heart
: double outlet left ventricle(DOLV) and intra-atrial tunnel via trans-tunnel
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A rare tracing captures the AVNRT mechanism using only a single-tip ablation catheter, with the Slow Pathway (SP) signal at the distal pole and the Fast Pathway (FP) signal at the proximal pole. This can be helpful for students.
#EPeeps
2
16
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For the first time worldwide, a VT ablation was performed on LVAD patient using the new
#Carto_V8
system from
@BiosenseWebster
👇
#CartoUnivu
is very precise and highly beneficial for VT ablations in LVAD patients to avoid the LVAD inflow cannula👍
@Phiso_de
#EPeeps
@AGEP_DGK
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I successfully completed my second doctoral thesis in Germany yesterday with the grade "Summa cum laude" 🤩🤩
#EPeeps
The doctoral program in electrophysiology is truly enjoyable.
Many thanks to
@Phiso_de
@chris_sohns
@MBraunEP
@MoneebKhalaph
@VanessaSciacca_
@HdzNrw
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9
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The first case for a successful sinus node ablation with Farapulse in highly symptomatic inadequate sinus tachycardia and failed RF ablation twice. Sinus node dissociated from the atrium at the end. Can PFA represent an alternative to epicardial sinus node ablation?
@Phiso_de
4
18
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👇PJRT “Permanent junctional reciprocating tachycardia”: Overview of EPS, Mapping, and Ablation in 1 Minute👇
#EPeeps
A 7-year-old child presents with highly symptomatic, therapy-refractory tachycardia.
1. P wave morphology:
- Negative: II, III, aVF, and V6
- Positive:
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#Epeeps
The law of seriality in electrophysiology is immensely enjoyable!!
Within a week, encountered 2 young patients with Left Posterior fascicular ventricular tachycardias (LPFVT).
Identical activation maps. Reproducible maps 🤩🤩 with
#Carto_V8
from
@BiosenseWebster
👍
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👇Epicardial VT ablation of a focal VT👍
Young patient with VT storm and history of 2 prior endocardial VT ablations (extern). LVEF 55%
#EPeeps
look at the:
👉 Timing delay between EPI/Endo : The earliest site in the epicardium precedes significantly the earliest site in the
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👇Antegrade LV access through mitral valve clips👇
#Epeeps
We can access the LV septum directly through the septal opening of the MV (septal to the clips in the LAO) or with a large loop through the lateral opening of the MV (lateral to the clips in the LAO).
The lateral wall
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👇PVI + CTI RF ablation in a patient with the most severe pectus excavatum ever seen 👇
#EPeeps
👉TSP with modified RAO and LAO views: LAO 10 similar to RAO 30 and LAO 70 similar to LAO 40.
👉A wire in the aorta is important for orientation.
Transseptal puncture succeeded
👇Anatomical torsion of the heart👇
young patient experiencing highly symptomatic atrial fibrillation and typical atrial flutter, in addition to pectus excavatum and complete anatomical torsion, I seek your guidance. Would you recommend medical therapy or PVI or CTI
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Pediatric electrophysiology is very unique 🤩🤩
A 12-year-old child suffers from this tachycardia. VA conduction is decremental with concentric CS activation during incremental ventricular pacing. No pre-excitation during atrial pacing. The tachycardia is associated with
5
13
44
Clockwise typical atrial flutter termination during isolation of the RIPV🙃🤩 in patient with a TGA via trans-baffle puncture. Modified CTI line after Mustard correction: from Tricuspid annulus to RIPV
@Phiso_de
@MoneebKhalaph
#EPeeps
@BiosenseWebster
@EPeeps_Bot
@pjsm83
@CopGAG
2
9
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VT Ablation using
#Carto_V8
+
#Carto_Univu
+
#Impella
VTs are defeatable
@Phiso_de
@BiosenseWebster
@Abiomed
@chris_sohns
@MBraunEP
@MoneebKhalaph
@VanessaSciacca_
@Cardioschool
@GuramImnadze
@AGEP_DGK
@YoungDgk
#EPeeps
0
10
43
Incisional VT and AT ablation in CHD-patient with Ebstein anomaly treated with Cone reconstruction. QDOT MICRO™ Catheter in congenital heart disease 🤩🤩
@Phiso_de
@chris_sohns
@MoneebKhalaph
@BiosenseWebster
#ePeeps
@abdullah__ertem
@EcgsOnly
#Epeeps
@HRSonline
@HdzNrw
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👇An amazing feature in
#Carto_V8
by
@BiosenseWebster
👇
#EPeeps
objective quantification of PVC bigeminy before ablation in the Auto Pattern Bank revealed 588 SR and 588 PVC. After ablation 100% SR 🤩🤩
@Phiso_de
@chris_sohns
@MoneebKhalaph
@VanessaSciacca_
@MBraunEP
@AleSpoken
1
10
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VT ablation in LVAD patient with drug refractory VT. Ecstasy of
#EPeeps
@Phiso_de
@chris_sohns
@MBraunEP
@MoneebKhalaph
@GuramImnadze
@AGEP_DGK
@YoungDgk
@DGK_org
@BiosenseWebster
@MaikeThole
@ArashArya_EP
2
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👇 Cough-triggered PVCs👇
Finally met 🤩 I've heard a lot about it but never seen it.
#EPeeps
Patient experiences PVC during coughing. One cough, one PVC; two coughs, two PVCs.
@Phiso_de
@MBraunEP
@chris_sohns
@VanessaSciacca_
@MoneebKhalaph
@Cardioschool
@AleSpoken
@YoungDgk
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12
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👇 Fascinating
#HTX_ECGs
for students and fellows👇
#EPeeps
3 scenarios and 3 ECGs 🤩🤩
#HTX_ECG_1
: Atrial tachycardia in the donor atrium and dissociated sinus rhythm in the recipient atrium.
#HTX_ECG_2
: The opposite of ECG 1. Sinus rhythm in the donor atrium and dissociated
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#EPeeps
My choreographic propagation map of micro-reentry in fascicular VT 🤣🤣
#Carto_V8
Electrophysiology is a ton of fun! 🤩🤩
@Phiso_de
@chris_sohns
@MBraunEP
@VanessaSciacca_
@MoneebKhalaph
@Cardioschool
@BiosenseWebster
@YoungDgk
@AGEP_DGK
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👇VT ablation with Impella support👇
Despite high-dose catecholamines, complete loss of pulsatility observed during VT induction with RV pacing, PVCs, and during VT!
@Phiso_de
@chris_sohns
@MBraunEP
@MoneebKhalaph
@VanessaSciacca_
@AleSpoken
@Cardioschool
@StephanWinnik
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👇EP in patients with Fontan circulation👇
Case of the day: Right atrial ectopic atrial tachycardia ablation in a patient with "univentricular heart," double outlet left ventricle(DOLV), and intra-atrial tunnel via trans-tunnel puncture
#Carto_V8
@BiosenseWebster
Conduit
0
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🤩Electrophysiology will never be boring🤩
Case of the day: AT in Heart transplant patient
#Epeeps
What do we observe in this ripple map of the right atrium in a heart transplant patient?
@Phiso_de
@chris_sohns
@MBraunEP
@VanessaSciacca_
@Cardioschool
@MoneebKhalaph
@AGEP_DGK
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👇
#EPeeps
Tips & tricks for ablation in cases of highly rotated anatomy and dextrocardia👇
⚖️Adjusting fluoroscopy views⚖️
- I perform usually a few brief fluoroscopies in various views depending on the heart position in the ECG and/or CT until I locate the cardiac shadow in
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Ablation of focal EAT from the ostium of the coronary sinus in patient with Transposition of great arteries after Mustard repair via transbaffle puncture. Authentic german 🥨🥨 loop
@Phiso_de
@chris_sohns
@MoneebKhalaph
#EPeeps
@YoungDgk
@AGEP_DGK
@abdullah__ertem
1
5
36
👇Anatomical torsion of the heart👇
young patient experiencing highly symptomatic atrial fibrillation and typical atrial flutter, in addition to pectus excavatum and complete anatomical torsion, I seek your guidance. Would you recommend medical therapy or PVI or CTI
10
11
37
Macroreentrant Tri-atrial tachycardia (RA-LA-Baffle) in Patient with Adult Congenital Heart Disease
#CHD
Ablation via trans-Baffle puncture after Mustard operation by TGA
@Phiso_de
@chris_sohns
@MoneebKhalaph
@VanessaSciacca_
#EPeeps
@BiosenseWebster
@DrV_Mann
@jeffrey_vinocur
2
9
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Epicardial puncture for VT Ablation
@Phiso_de
@AGEP_DGK
@YoungDgk
@chris_sohns
@VanessaSciacca_
@MBraunEP
@MoneebKhalaph
@GuramImnadze
@Cardioschool
0
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Mapping, ablation and termination of Microreentrant AT in patient with a Transposition of great arteries via transbaffle puncture. Skin to skin 118 Minutes
@HdzNrw
@Phiso_de
@chris_sohns
@GuramImnadze
@MoneebKhalaph
#EPeeps
@BiosenseWebster
#EMAH_EP_HDZ_NRW
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#Epeeps
That was a typical counterclockwise atrial flutter in the donor atrium and atrial fibrillation in the recipient atrium.
Based on our experience, sometimes we observed reconnection between the donor atrium and recipient atrium.
The key consideration with heart
🤩Electrophysiology will never be boring🤩
Case of the day: AT in Heart transplant patient
#Epeeps
What do we observe in this ripple map of the right atrium in a heart transplant patient?
@Phiso_de
@chris_sohns
@MBraunEP
@VanessaSciacca_
@Cardioschool
@MoneebKhalaph
@AGEP_DGK
2
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0
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@BiosenseWebster
meets
@AbbottNews
: The best EP Systems ever. Vizigo sheath can be visualized in EnSite procedure —> HD Grid + Vizigo sheath = Teamwork
@Phiso_de
@chris_sohns
@MoneebKhalaph
@MBraunEP
#EPeeps
@AGEP_DGK
@YoungDgk
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Pediatric electrophysiology is truly special🤩🤩
One of my best and most challenging ablations. There is nothing better than helping a child to live and enjoy their childhood 💫☺️
A 7-year-old girl always feels tired and weak. Her pulse is constantly over 100/min. When she
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#EPeeps
Here is the case report of this fabulous tracing 🤩🤩 in European Heart Journal_Case Reports
VF Storm ablation in HTX patient
👇👇👇👇👇👇👇👇👇
@Phiso_de
@chris_sohns
@MoneebKhalaph
@MBraunEP
@VanessaSciacca_
@Cardioschool
@GuramImnadze
A rare tracing of the onset of ventricular fibrillation (VF), captured with an
#HD_Grid
catheter
@AbbottNews
in a young patient post-heart transplantation, is sensational. The Beauty of EP 🤩
It’s fascinating to observe the significant role Purkinje potentials (P1 and P2)
4
34
99
2
11
32
Happy to map and ablate a refractory ventricular tachycardia with electrical storm caused by the inflow cannula in a patient with LVAD🤩🤩 a lot of thanks for
@Phiso_de
and
@chris_sohns
.
#EPeeps
@MoneebKhalaph
@Leonard_Bergau
@GuramImnadze
@SentisAndreas
@AbbottNews
@veramasloo
2
11
32
👇Epicardial low voltage vs Unipolar voltage mapping👇
In a patient with VT storm and an LVEF of 55%, both endocardial bipolar and unipolar voltage maps show no low voltage areas. However, the bipolar epicardial map indicates a large lateral scar.
#EPeeps
Is endocardial
1
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Antegrade access meets retrograde access in VT ablation to draw a heart of
#Peace
. Despite taking different paths, they unite for the same purpose—to save lives.
#Peace
be upon you!
@Phiso_de
@chris_sohns
@MoneebKhalaph
@MBraunEP
@VanessaSciacca_
@Cardioschool
@GuramImnadze
0
5
31
👇My Case in Pediatric EP of the week👇
A 14-year-old child with incessant Left posterior fascicular ventricular tachycardia (LPFVT) persisting for several days. The tachycardia has shown resistance to both cardioversion and antiarrhythmic medications. Mapping and Ablation with
3
8
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Mapping and Ablation of Purkinje Fiber Triggered Ventricular Fibrillation Storm in 41 year old Heart Transplant Patient.
@Phiso_de
@HdzNrw
@chris_sohns
@MBraunEP
@MoneebKhalaph
@GuramImnadze
@AbbottNews
@ChristianSteeb
@AGEP_DGK
@ArashArya_EP
#HD_Grid
The Ecstasy of
#EPeeps
🤩
2
10
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PVC ablation in Patient with “Univentricular heart”. The Management of Adults with congenital heart disease (CHD) must be more and more important!!!
@Phiso_de
@chris_sohns
@MoneebKhalaph
@MBraunEP
@GuramImnadze
@VanessaSciacca_
#EPeeps
@AGEP_DGK
#CHD
#CardioTwitter
0
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One patient with Two VT morphologies and One Isthmus.
#EPeeps
These signals need to be located and ablated!
@Phiso_de
@chris_sohns
@MBraunEP
@MoneebKhalaph
@VanessaSciacca_
@Cardioschool
@GuramImnadze
@AGEP_DGK
@YoungDgk
0
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👇Fascinating and rare ECG findings👇
#EPeeps
Young patient with no pre-existing conditions. The patient has been experiencing incessant tachycardia (HR:120/min) for four weeks, proving refractory to electrical cardioversion and antiarrhythmic medications. An ablation procedure
1
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👇 Fascinating ECG for students and fellows👇
#Epeeps
A young patient with a history of heart transplant presents with complaints of dyspnea. What is your interpretation?
@Phiso_de
@chris_sohns
@VanessaSciacca_
@MoneebKhalaph
@MBraunEP
@Cardioschool
@AGEP_DGK
@YoungDgk
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12
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👇Case in Pediatric EP👇
#Epeeps
Here are the His/RB signals and a tracing with atrial (CS) stimulation. Other pacing maneuvers were not conclusive.
What do you observe? What is the current diagnosis, VT or SVT? Where is the origin of this tachycardia?
@Phiso_de
@MBraunEP
3
12
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👇 Young Patients with atrial fibrillation 👇
Young patient with recurrent palpitations and documented atrial fibrillation. Electrophysiological study reveals this regular tachycardia with degeneration into atrial fibrillation.
🤩Amazing capture 🤩
We regularly do EPS in very
3
7
24
Mapping and ablation of a focal atrial tachycardia (FAT) originating from the left atrial appendage (LAA-Basis) at
@HdzNrw
. Termination and Firing were 🤩🤩 Ecstasy of
#epees
@Phiso_de
@chris_sohns
@GuramImnadze
@MoneebKhalaph
#EPeeps
@S10CF
@AGEP_DGK
#EP_Hdz_Nrw
1
7
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Ventricular tachycardia catheter ablation after repaired tetralogy of Fallot with ventricular septal defect (VSD) patch and right ventricular outflow tract (RVOT) reconstruction
@Phiso_de
@chris_sohns
@MoneebKhalaph
@MBraunEP
@GuramImnadze
@VanessaSciacca_
@KIsgandarova
#EPeeps
1
13
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👇Easy pharmacology of antiarrhythmic medications👇
#EPeeps
I found this amazing 🤩 🤩video on the internet and would like to share it with you. A very simple and wonderful explanation video by a pharmacologist. This could be helpful.
For more pharmacology, here is his YouTube
0
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Papillary Muscle PVC Ablation
@Phiso_de
@chris_sohns
@VanessaSciacca_
@MBraunEP
@MoneebKhalaph
@steeb_chr
#EnsiteX
@AbbottNews
#EPeeps
@AGEP_DGK
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The Fontan Circulation vs The Mustard repair
#ablate_ACHD
Drawings of an electrophysiologist
on the board in the EP lab
@HdzNrw
PS: Drawing is not my forte😂😂
@Phiso_de
@chris_sohns
@MBraunEP
@MoneebKhalaph
@VanessaSciacca_
@Cardioschool
@GuramImnadze
#EPeeps
0
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Successful elimination of premature ventricular contractions with the first RF at right coronary cusp. Amazing 🤩
#EPeeps
@HdzNrw
@Phiso_de
@Ginogrifoni82
@MoneebKhalaph
0
6
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The same procedure as last year? Same procedure as every year! 🎉 🎈🎊Our last ablation procedure in 2021 was an incessant AT and inappropriate shocks in patient with a TGA via transbaffle Puncture
@HdzNrw
@Phiso_de
#EPeeps
@Chris2109727723
@AbbottCardio
@ArashArya_EP
#EP_HdzNrw
0
9
24
Ablation of AT in patient with a TGA treated with Mustard Atrial Baffle via
#Transbaffle_Puncture
at
@HdzNrw
@Phiso_de
@chris_sohns
@GuramImnadze
@MoneebKhalaph
#EPeeps
@syamkumarmd
@ArashArya_EP
@EPDeneke
@S10CF
@EPeeps_Bot
@sihamochto
@BiosenseWebster
@AGEP_DGK
#EP_Hdz_EMAH
1
6
24
Another week, another Ablation of Arrhythmias in Patients with Adult Congenital Heart Disease
#CHD
PVI and CTI ablation via trans-Baffle puncture after Mustard operation by TGA
@Phiso_de
@chris_sohns
@MoneebKhalaph
@VanessaSciacca_
#EPeeps
@BiosenseWebster
1
7
23
🐙Ray with
#QDot
to ablate a Pulmonary Vein atrial Tachycardia in young patient with Transposition of great arteries after Mustard repair via transbaffle puncture
@Phiso_de
@chris_sohns
@MBraunEP
@GuramImnadze
@MoneebKhalaph
#EPeeps
@YoungDgk
@AGEP_DGK
@HdzNrw
@abdullah__ertem
1
7
23
Every second poster from our team
@hdz_nrw
- the wall of fame!
@Phiso_de
@chris_sohns
@KIsgandarova
@AGEP_DGK
@AndreasRillig
@YoungDgk
#EPeeps
@GuramImnadze
@MoneebKhalaph
0
5
23
single-tip mapping and ablation of a "chameleon" atrial tachycardia: The incisional atrial tachycardia (IAT). It looks like a clockwise typical atrial flutter. Ecstasy of
#EPeeps
.
#SES_Sommer_EP_School
@Phiso_de
@MoneebKhalaph
@chris_sohns
@MaikeNunning
#carto3
@BiosenseWebster
0
7
23
Mapping and termination after 50 seconds of a left atrial roof-MICRO-reentry. A young patient with sarkoidose. No prior ablation. Ecstasy of
#EPeeps
.
#SES_Sommer_EP_School
@Phiso_de
@MoneebKhalaph
@GuramImnadze
@chris_sohns
@MaikeNunning
#carto3
@BiosenseWebster
1
8
22
Is the single tip ablation catheter at the Isthmus of the ventricular tachycardia????? Bipolar and unipolar signals 🤩🤩🤩 The Ecstasy of
#EPeeps
@Phiso_de
@chris_sohns
@MoneebKhalaph
@MBraunEP
@AGEP_DGK
@GuramImnadze
@DGK_org
@HdzNrw
@ecg_cases
@ESCardioNews
@YoungDgk
0
6
21
Endocardial VT exit site in patient with ARVC??? Beautiful Bipolar, Unipolar and QDot Micro signals 🤩🤩 Deceleration and termination during ablation with the first RF application at this site
@Phiso_de
@chris_sohns
@MoneebKhalaph
#EPeeps
@AGEP_DGK
@YoungDgk
@MaikeThole
@DGK_org
0
6
20
@alex1708ander
@ChristianHeeger
Thank you very much for your comment. I took the images in the LAO cranial view as I often work with LAO in fluoroscopy. I see the heart in LAO from an anterior perspective. Surgeons view the heart from a posterior perspective through the atria. Here is a brief description of
1
8
20
My case of the week. Ablation of a right atrial tachycardia with the Isolation of the rest of RA in a patient with double inlet left ventricle and intra atrial tunnel and Dextrocardia via trans-tunnel-puncture
@Phiso_de
@chris_sohns
@MBraunEP
@MoneebKhalaph
@GuramImnadze
#Epeeps
6
10
19
👇Here are some maneuvers to aid in diagnosis👇
#EPeeps
The observed rhythm was an idiopathic slow-VT/AIVR originating from the posteroseptal tricuspid annulus. Considering the QRS morphology, I wouldn't have suspected this rhythm to originate from the posteroseptal TV annulus.
👇Fascinating and rare ECG findings👇
#EPeeps
Young patient with no pre-existing conditions. The patient has been experiencing incessant tachycardia (HR:120/min) for four weeks, proving refractory to electrical cardioversion and antiarrhythmic medications. An ablation procedure
1
7
26
2
5
17
Ablation of atrial Tachycardia in Patient with univentricular heart and Post-Fontan via Trans-Tunnel Puncture. Beautiful signals with OctaRay 🤩
@Phiso_de
@chris_sohns
@EHJCREiC
@MBraunEP
@VanessaSciacca_
@GuramImnadze
@Cardioschool
@MoneebKhalaph
@BiosenseWebster
@AGEP_DGK
0
7
17
VT ablation in patient after Pulmonary allograft conduit repair of tetralogy of Fallot. Ecstasy of
#EPeeps
@Phiso_de
@AGEP_DGK
@chris_sohns
@MoneebKhalaph
@BiosenseWebster
@YoungDgk
@ESCardioNews
QDOT Micro Catheter for VT-ablation in adults with congenital heart disease.
0
5
19
PVI RF in patient with Dextrocardia, Levo-transposition of the great arteries (L-TGA) and after Tricuspid valve replacement (TVR) with mechanical prosthesis. Atypical Location of LAA 🤩🤩
@Phiso_de
@chris_sohns
@MoneebKhalaph
@MBraunEP
@GuramImnadze
@YoungDgk
@AGEP_DGK
#EPeeps
2
8
19
The Guilty Signals
#VT_Ablation
in ischemic cardiomyopathy
@Phiso_de
@chris_sohns
@MoneebKhalaph
@MBraunEP
@VanessaSciacca_
@ArashArya_EP
@BiosenseWebster
#EPeeps
2
6
17
Single-tip mapping and ablation of an incessant right atrial appendage tachycardia. Ecstasy of
#EPeeps
.
@Phiso_de
@MoneebKhalaph
@MaikeNunning
@HdzNrw
#carto3
0
2
17
It’s confirmed- EP_HDZ_NRW is participating in
#Hrs2022
in San Francisco 🤩🤩🤩
@Phiso_de
@HRSonline
@chris_sohns
@GuramImnadze
@Leonard_Bergau
@MoneebKhalaph
#EPeeps
0
1
16
First-in-human high-density epicardial mapping and ablation through a left anterior minithoracotomy in an LVAD patient presenting in electrical storm.
@HdzNrw
#SES_Sommer_EP_School
@Phiso_de
@fox_henrik
@ArashArya_EP
@EPeeps_Bot
@BiosenseWebster
#EPeeps
1
6
15
VT ablation during VT storm in a patient with Left Ventricular Assist Device (LVAD).
@Phiso_de
@chris_sohns
@EHJCREiC
@MoneebKhalaph
@VanessaSciacca_
@MBraunEP
@abdullah__ertem
@BiosenseWebster
#EPeeps
@AGEP_DGK
0
6
15
Thank you for your feedback🙏 This
#HTX_ECG
involved sinus bradycardia with alternating junctional escape rhythms in the donor atrium and sinus tachycardia in the dissociated recipient atrium
1
1
14