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cciari1.bsky.social @cciari1.bsky.social · 18d

Too many P waves👀

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Jeffrey M Vinocur @jeffreyvinocur.bsky.social · 22d

#EPeeps This baby's ECG has one of my favorite findings

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Jeffrey M Vinocur @jeffreyvinocur.bsky.social · 29d

#EPeeps Very unusual tracings from epicardial pacemaker - mirror noise all well and good, but has anyone seen bipolar go flat like this? Note carefully EGM configuration.

@narrowqrs.bsky.social

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cciari1.bsky.social @cciari1.bsky.social · Sep 4

Thank you

cciari1.bsky.social @cciari1.bsky.social · Aug 31

Bilateral arm-leg reversal IMO

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Jeffrey M Vinocur @jeffreyvinocur.bsky.social · Aug 26

#EPeeps Don't see this so often!

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Jesse McLaren @ecgcases.bsky.social · Aug 27

ECG Cases 57 Art of Occlusion MI Part 5 – Clinical-ECG-POCUS Triptych emergencymedicinecases.com/ecg-cases-oc... #ECG #POCUS #cardiosky #ecgsky @emcases.bsky.social

ECG Cases 57 Art of Occlusion MI Part 5 - Clinical-ECG-POCUS Triptych

In this ECG Cases with Dr. Jesse McLaren we guide you through 6 cases to explore his Clinical-ECG-PoCUS triptych in the identification of Occlusion MI...

emergencymedicinecases.com

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Jeffrey M Vinocur @jeffreyvinocur.bsky.social · Aug 21

#EPeeps What do you think from the dot plot? Then see below.

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cciari1.bsky.social @cciari1.bsky.social · Aug 24

"Once in the life" was a help I couldn't let go😄

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cciari1.bsky.social @cciari1.bsky.social · Aug 24

EOL?

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cciari1.bsky.social @cciari1.bsky.social · Aug 24

In AMS the pacemaker switches from the DDD mode to DDI mode or in VVI in some cases. Here the AR is 75 bpm, if the AMS has been activated is it due to atrial oversensing?

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cciari1.bsky.social @cciari1.bsky.social · Aug 24

I think it should be reprogrammed to DDD if it is in VVI. If it is already in DDD, there would be a malfunction of the atrial lead with pacemaker syndrome (I notice P on the T).

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Jeffrey M Vinocur @jeffreyvinocur.bsky.social · Aug 23

#EPeeps Pacemaker patient reporting two weeks of fatigue

#IYKYK @narrowqrs.bsky.social

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NEJM.org @nejm.org · Aug 22

Case Record of the MGH: A 32-year-old woman presented with fatigue, myalgias, and palpitations. The cardiac rhythm was irregularly irregular, and an electrocardiogram showed findings suggestive of grouped beating. A diagnosis was made. Full case details: nej.md/4lVks2d

#MedSky #CardioSky

Top: An ECG obtained on hospital day 1 showing sinus rhythm with first-degree atrioventricular block with a PR interval of 350 msec

Bottom: An ECG obtained on hospital day 2 showing sinus rhythm with complete atrioventricular block and junctional escape rhythm

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cciari1.bsky.social @cciari1.bsky.social · Aug 14

@narrowqrs.bsky.social Thank you so much for posting this video (not finished yet). I'm really excited 🙏

youtu.be/-6Z4TB5h7lY?...

Intro to Intra-cardiac Electrograms & the EP Lab

YouTube video by Dr. Joshua Cooper - Arrhythmia Education

youtu.be

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NEJM.org @nejm.org · Aug 14

A 79-year-old man with heart failure with reduced ejection fraction and atrial fibrillation presented to the emergency department with a 2-week history of shortness of breath. 1/4

#MedSky #EmergencyMedicine #CardioSky

Image Challenge
What is the diagnosis?

Left: A photo of the jugular venous pressure, which was estimated to be 17 cm of water (normal value, < 4 cm of water).
Right: A photo of the sustained increase in the jugular venous pressure of more than 3 cm of water for more than 10 seconds while pressure was applied.

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NEJM.org @nejm.org · Aug 8

A 32-year-old woman presented with fatigue, myalgias, and palpitations. The cardiac rhythm was irregularly irregular, and an electrocardiogram showed findings suggestive of grouped beating. What is the most likely diagnosis in this case?

🗳️ Cast your vote before August 21: nej.md/45CFZrc

#MedSky

Case Challenge
Cast your vote before August 21

Top: An ECG obtained on hospital day 1 showing sinus rhythm with first-degree atrioventricular block with a PR interval of 350 msec.

Bottom: An ECG obtained on hospital day 2 showing sinus rhythm with complete atrioventricular block and junctional escape rhythm.

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cciari1.bsky.social @cciari1.bsky.social · Aug 8

Thank you 🙏

cciari1.bsky.social @cciari1.bsky.social · Aug 8

I think the third atrial event is not tracked because it falls in PVARP

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cciari1.bsky.social @cciari1.bsky.social · Aug 8

Upper rate behavior🤔?

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J.M. Cooper @narrowqrs.bsky.social · Aug 2

Click BP tracing to expand.
What do you think the heart rhythm is before and after the transition?

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cciari1.bsky.social @cciari1.bsky.social · Aug 7

If it were DDD, I'd reprogram it to VVI ( AF/AFL tracked). If it were VVI, I'd have to think about it a bit more.🤔

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J.M. Cooper @narrowqrs.bsky.social · Aug 3

Patient with biventricular ICD, in hospital for heart failure. Sudden jump up in heart rate on tele and unusual wide complex grouped beating. What's going on? What should be done?

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NEJM.org @nejm.org · Jul 29

Pacemakers are critical in the management of bradyarrhythmias. Aldaas et al. review pacemaker fundamentals, indications, and device types, as well as the role of pacemakers in heart failure, emerging advancements, and current limitations. Learn more in NEJM Evidence: eviden.cc/4ee15iB

A figure depicting the various types of pacemakers approved for clinical use.

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Jeffrey M Vinocur @jeffreyvinocur.bsky.social · Jul 27

#EPeeps I am strangely amused by this. Epicardial pacemaker with failing atrial lead, left in place as VVI backup in case of dislodgement of new transvenous system. "V sensing episode" corresponds to interrogation of new system:

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