Pre- and post-atropine ECGs. What's the rhythm here? Concealed fascicular ectopy or AV block? If AV block, at what level and what degree? Thoughts?
Would love a second set of eyes on these ECGs. What is your interpretation? (22y-female, biventricular cmp+)
but a concealed posteroseptal AP. Retrograde conduction sometimes goes via the AVN, sometimes via the AP. The beats labeled "B" are PVCs. Looking at the other ECGs, they're multiform. Somehow a PVC follows a sinus beat, the sinus node gets suppressed,
How do you think we can explain the change in QRS morphology accompanying the PR interval prolongation in this ECG?
ECG Challenge retweeted
🟡 VT with 1:1 VA conduction 🟡
You have no AV dissociation but one to one association from the retrograde conduction in this ventricular tachycardia.
🧵 & 🔗
ECG Challenge retweeted
🟡 negative concordance 🟡
Limitations of the negative concordance pattern in the diagnosis of broad QRS tachycardia
🧵 from Google Search 🔍
39F with a history of myocarditis, cardiac MRI showing 49% EF and LGE+. What could a wide QRS tachycardia with negative concordance during an exercise stress test indicate?
In your opinion, what is the rhythm in these ECGs? (57y-old female presenting with syncopal episodes)
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👇Typical Flutter: Quick tricuspid annulus map for diagnosis and ablation success assessment👇
👉 A very fast single-tip activation map of TV using the ablation catheter beautifully demonstrates the reentry circuit — in this case, a counterclockwise flutter around the tricuspid valve annulus.
👉 For success confirmation, pacing in the coronary sinus (CS) shows a collision of both activation wavefronts at the CTI line, without any breakthroughs across the block line.
Beautiful maps by @StephanWinnik 🤩
🎥 This illustrative video was created in collaboration with @N_Trajkovska for Young #EPeeps 🙏
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20 y/o female has limb-girdle muscular dystrophy and is being evaluated for suspected stroke/TIA; these two ECGs belong to that patient. What do you think the rhythm is?
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BREAKING NEWS: The rationale and design paper of the DIFOCCULT-3 Trial (prospective evaluation of STEMI to OMI paradigm shift) is now online at jacc.org/doi/10.1016/j.jacad…






























