Angelo Melpignano (@MelpAngelo) header
Angelo Melpignano (@MelpAngelo) profile picture

MD, Cardiology Resident 🫀🩺 EP-Fellow

Joined July 2020
Photo by Angelo Melpignano (@MelpAngelo)Photo by Angelo Melpignano (@MelpAngelo)Photo by Angelo Melpignano (@MelpAngelo)
Angelo Melpignano retweeted
SMARTBrugada study: Smartwatch Marginosternal Application for Recording Type I Brugada Pattern #OpenAccess @MelpAngelo heartrhythmjournal.com/artic…
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Angelo Melpignano retweeted
Visual algorithm for STEMI localization
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Angelo Melpignano retweeted
Unravelling the enigmatic morphology of the atrioventricular conduction axis using Hierarchical Phase-Contrast Tomography (HiP-CT) #OpenAccess @Chloe_Li_ @aaalmehandi @UCL_ICS heartrhythmjournal.com/artic…
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Angelo Melpignano retweeted
facebook.com/share/p/1D4xKzZ… 🧠Master conduction-coronary link!🫀⚡️Trace ischemia-arrhythmia link?🩺#Cardiology #Anatomy #MedEd #ECG #Electrophysiology
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Palpitations affect 6% to 11% of the general population, but standard 24-hour Holter monitors often miss them, offering a diagnostic yield as low as 10% to 15%. 🫀 Can our smartwatches bridge this gap? ⌚ The WATCHinTIME study explored exactly this! 🧵👇
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The Takeaway 💡 When used by symptomatic, educated patients, smartwatch ECGs provide a high diagnostic yield for a broad spectrum of arrhythmias, extending far beyond just atrial fibrillation. Wearable technology is ready to effectively complement traditional cardiology tools! 🚀
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🫀 A unique EP case! We documented the case of a double QRS transition due to anodal capture during Left Bundle Branch Area Pacing (LBBAP). Here’s why device optimization is a unique challenge in this emerging approach 🧵👇.
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THE CLINICAL TAKEAWAY: When using LBBAP in complex hybrid configurations (like with an RV defibrillation lead), high pacing outputs can inadvertently cause RV-only pacing, entirely subverting the physiological benefits of CSP. Careful multi-vector optimization is critical!
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New #ESCStrokeBlog 🎯Evolocumab and the New Era of Cardiovascular Prevention Check out! tinyurl.com/yx952eyc #cholesterol #ldl #CVD @Fra_Vitali90 @JacopoImberti @annapodlasek @L_Bergamaschi
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