Willis Kwandou
@williskwandou.bsky.social
Cardiologist 🫀| ECG Enthusiast ⚡| Tweets Are My Personal Opinion And Not Medical Advice
Interesting ECG, it seems the P-P Interval Is Constant
Other R-R Interval Seems Constant Beside R4-R5
IMO there is a change conduction into slow pathway, from the Red pathway P Arrow to Blue pathway P Arrow
Other R-R Interval Seems Constant Beside R4-R5
IMO there is a change conduction into slow pathway, from the Red pathway P Arrow to Blue pathway P Arrow
January 6, 2025 at 1:55 AM
Interesting ECG, it seems the P-P Interval Is Constant
Other R-R Interval Seems Constant Beside R4-R5
IMO there is a change conduction into slow pathway, from the Red pathway P Arrow to Blue pathway P Arrow
Other R-R Interval Seems Constant Beside R4-R5
IMO there is a change conduction into slow pathway, from the Red pathway P Arrow to Blue pathway P Arrow
Another Echo View A5C
December 20, 2024 at 2:02 PM
Another Echo View A5C
Another Echo View PSAX
December 20, 2024 at 2:02 PM
Another Echo View PSAX
Another Echo View Suprasternal Right Aortic Arch
December 20, 2024 at 2:02 PM
Another Echo View Suprasternal Right Aortic Arch
Here Is The CT Scan, Any Opinion About Diagnosis Terminology? And How Should We Manage? #Cardiosky #Echosky #Echofirst #YesCCT #CTSky
December 20, 2024 at 12:52 PM
Here Is The CT Scan, Any Opinion About Diagnosis Terminology? And How Should We Manage? #Cardiosky #Echosky #Echofirst #YesCCT #CTSky
Wonder what echofirst community would think about this Echo in Adult with Congenital Heart Disease? #Echofirst #Cardiosky #Echosky
December 19, 2024 at 4:01 AM
Wonder what echofirst community would think about this Echo in Adult with Congenital Heart Disease? #Echofirst #Cardiosky #Echosky
I think This Red P Wave Is Conducted because repetitive same PR Interval Manners
Other QRS are Junctional Escape Beat
Other QRS are Junctional Escape Beat
December 11, 2024 at 5:24 AM
I think This Red P Wave Is Conducted because repetitive same PR Interval Manners
Other QRS are Junctional Escape Beat
Other QRS are Junctional Escape Beat
2nd ECG, I think atrial lead is also not sensing at all, it seems capture
But i suspecting the black arrow the atrial lead is pacing but failed to make a spike (Fail to Pace)
Somehow A. Lead Alternating Capture and Failed to Pace
Atrial Lead Problem (Fracture or Insulation Breach)?
CMIIW 🙏
But i suspecting the black arrow the atrial lead is pacing but failed to make a spike (Fail to Pace)
Somehow A. Lead Alternating Capture and Failed to Pace
Atrial Lead Problem (Fracture or Insulation Breach)?
CMIIW 🙏
December 10, 2024 at 2:56 PM
2nd ECG, I think atrial lead is also not sensing at all, it seems capture
But i suspecting the black arrow the atrial lead is pacing but failed to make a spike (Fail to Pace)
Somehow A. Lead Alternating Capture and Failed to Pace
Atrial Lead Problem (Fracture or Insulation Breach)?
CMIIW 🙏
But i suspecting the black arrow the atrial lead is pacing but failed to make a spike (Fail to Pace)
Somehow A. Lead Alternating Capture and Failed to Pace
Atrial Lead Problem (Fracture or Insulation Breach)?
CMIIW 🙏
Amazing Tracing, May I give my opinion doctor? Please correct me if i'm wrong
Below ECG, I Think This is Atrial Lead Undersensing and Does not Capture
Blue Arrow => Intrinsic P Wave
Green Arrow => P Wave That Conduct to Ventricle
Red Arrow => VSP due to sensing intrinsic beat After AP
Below ECG, I Think This is Atrial Lead Undersensing and Does not Capture
Blue Arrow => Intrinsic P Wave
Green Arrow => P Wave That Conduct to Ventricle
Red Arrow => VSP due to sensing intrinsic beat After AP
December 10, 2024 at 2:51 PM
Amazing Tracing, May I give my opinion doctor? Please correct me if i'm wrong
Below ECG, I Think This is Atrial Lead Undersensing and Does not Capture
Blue Arrow => Intrinsic P Wave
Green Arrow => P Wave That Conduct to Ventricle
Red Arrow => VSP due to sensing intrinsic beat After AP
Below ECG, I Think This is Atrial Lead Undersensing and Does not Capture
Blue Arrow => Intrinsic P Wave
Green Arrow => P Wave That Conduct to Ventricle
Red Arrow => VSP due to sensing intrinsic beat After AP
Thanks for tagging, i think i'm agreed with you Ventricular Escape Rhythm with Variation CL
At 1st Glance I was thinking if there was a grouped beat and consider VE rhythm with weckenbach exit block (Just Like Left Image),but it seems the CL is very variated within the group beat and previous ecg
At 1st Glance I was thinking if there was a grouped beat and consider VE rhythm with weckenbach exit block (Just Like Left Image),but it seems the CL is very variated within the group beat and previous ecg
December 3, 2024 at 4:48 AM
Thanks for tagging, i think i'm agreed with you Ventricular Escape Rhythm with Variation CL
At 1st Glance I was thinking if there was a grouped beat and consider VE rhythm with weckenbach exit block (Just Like Left Image),but it seems the CL is very variated within the group beat and previous ecg
At 1st Glance I was thinking if there was a grouped beat and consider VE rhythm with weckenbach exit block (Just Like Left Image),but it seems the CL is very variated within the group beat and previous ecg
The PR interval preceeding Junctional With Retrograde Beat Appear Larger than Junctional Beat with No Retrograde Conduction
Maybe that is also the reason the retrograde conduction happened
Maybe that is also the reason the retrograde conduction happened
December 2, 2024 at 12:41 PM
The PR interval preceeding Junctional With Retrograde Beat Appear Larger than Junctional Beat with No Retrograde Conduction
Maybe that is also the reason the retrograde conduction happened
Maybe that is also the reason the retrograde conduction happened
Here is the example i found from EHRA EP book
December 2, 2024 at 12:40 PM
Here is the example i found from EHRA EP book
Thanks for The Comment, Actually The 1st ECG showing Lateral STEMI was a Lead LA/LL Reversal and The 2nd ECG with The Proper Lead Placement
Uncommon Timing for Lead Inappropriate Placement but can misleading into wrong culprit artery
CAG : Total Occlusion Prox RCA
Uncommon Timing for Lead Inappropriate Placement but can misleading into wrong culprit artery
CAG : Total Occlusion Prox RCA
November 29, 2024 at 8:40 AM
Thanks for The Comment, Actually The 1st ECG showing Lateral STEMI was a Lead LA/LL Reversal and The 2nd ECG with The Proper Lead Placement
Uncommon Timing for Lead Inappropriate Placement but can misleading into wrong culprit artery
CAG : Total Occlusion Prox RCA
Uncommon Timing for Lead Inappropriate Placement but can misleading into wrong culprit artery
CAG : Total Occlusion Prox RCA
Severe Mitral Regurgitation
November 28, 2024 at 6:46 AM
Severe Mitral Regurgitation
Mitral valve perforation, is an uncommon complication following infective endocarditis. Perforations involving anterior mitral leaflet is most commonly reported in patients with infective endocarditis. #cardiosky #echosky #3decho
November 28, 2024 at 6:46 AM
Mitral valve perforation, is an uncommon complication following infective endocarditis. Perforations involving anterior mitral leaflet is most commonly reported in patients with infective endocarditis. #cardiosky #echosky #3decho
Found My Old Strip, 72 years old Male With Sudden Chest Pain, Left One Is the 1st ECG Upon Initial Presentation at ER, And The Right One Right Before Undergoing Primary PCI.
What Is Happening Here? #cardiosky #ecgsky
What Is Happening Here? #cardiosky #ecgsky
November 27, 2024 at 1:13 PM
Found My Old Strip, 72 years old Male With Sudden Chest Pain, Left One Is the 1st ECG Upon Initial Presentation at ER, And The Right One Right Before Undergoing Primary PCI.
What Is Happening Here? #cardiosky #ecgsky
What Is Happening Here? #cardiosky #ecgsky
November 25, 2024 at 11:19 AM