Cardiologist • #IFPdigital • #EPeeps
Joined November 2020
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So Sunny retweeted
Miocardiopatía Auricular. 🫀🔥
◾️La miocardiopatía auricular constituye una entidad caracterizada por disfunción eléctrica asociada con alteraciones mecánicas, dilatación auricular o fibrosis. Su progresión puede culminar en insuficiencia auricular, relacionada con FA persistente, IC y eventos tromboembólicos.
👨⚕️🔎⤵️
⚡ EKG: onda P ≥120 ms, bloqueo interauricular avanzado (P ≥120 ms con morfología bifásica en al menos dos derivaciones inferiores) o alteraciones de los índices de onda P. El bloqueo interauricular avanzado se ha asociado con un riesgo +4 veces mayor de desarrollar FA. 📈💥
🫀 Eco: strain de reservorio auricular izquierdo <23% o volumen auricular izquierdo indexado >40 mL/m² (umbral >48 mL/m² en mujeres >65 años).
◾️Riesgo embólico?➡️ la enfermedad auricular puede generar un sustrato tromboembólico incluso sin FA clínicamente documentada. Sin embargo, tener miocardiopatía auricular NO constituye, por sí solo, una indicación de anticoagulación. 🫀⚖️🩸
📝🆓️⤵️ Position Paper @ESC_Journals 💯 doi:10.1002/ejhf.3782
t.me/medicinainternaconsoque…
So Sunny retweeted
AF burden is increasingly being looked at as an outcome for clinical trials owing to the known limitations of time to event recurrence endpoints.
In the attached clinical trials workshop we critically examine the role of AF burden as an outcome for clinical trials of AF interventions, evaluating the evidence supporting AF burden as well as providing framework for an analytic strategy. We also delve into complementary metrics such as LEAF (longest episode of AF) and AF density.
@CardioUBC @DilawriCVI @VCHResearch
evidence.nejm.org/doi/full/1…
So Sunny retweeted
🫀 Easy LA Segmentator: a free app for a 3D model of the left atrium, pulmonary veins and appendage from cardiac CT, with LA volume, PV ostia and variants. Handy for cryo/PFA without mapping systems.🔒 Runs offline: no patient data leaves your computer.
github.com/mikaellaredo/easy…
So Sunny retweeted
Schamroth and Marriott first described this phenomenon in the 60s. ahajournals.org/doi/10.1161/…
So Sunny retweeted
✍️Young-onset AF is linked to significant adverse events, especially with genetic or structural 🫀disease. ⚡ Catheter ablation outcomes remain favourable in young pts, but LGE may identify those at highest risk.
So Sunny retweeted
Anatomical considerations do #lef_bundle_branch area pacing.
doi.org/10.1016/j.hrthm.2026…
So Sunny retweeted
Potential Mechanisms of Transient Sinus Node Dysfunction During Pulsed Field Ablation: Autonomic Activation, Direct Sinus Node Effects, and Possible Sinoatrial Nodal Artery Vasospasm
heartrhythmcasereports.com/a…
So Sunny retweeted
Transseptal interventions and the interatrial septum
heartrhythmjournal.com/artic…
So Sunny retweeted
Arrhythmogenicity of the pulmonary veins: An anatomic perspective
heartrhythmjournal.com/artic…
So Sunny retweeted
昔の論文ですが
いわゆる右房負荷（右房拡大）に気づく手がかりの一つとして，
V2誘導のP波高>1.5 mm
が載ってました ✍️
doi.org/10.1016/0735-1097(94…
So Sunny retweeted
Level: 🌶️🌶️🌶️🌶️ of 5.
What is the diagnosis?
Poll in the next post👇
#EPeeps
#EPUniversity
So Sunny retweeted
A Technique for Slack Formation During Proximal Left Bundle Branch Pacing With a Lumenless Defibrillation Lead #OpenAccess
heartrhythmjournal.com/artic…
So Sunny retweeted
後で読む _φ(･_･
.
P-wave characteristics in Bayés syndrome predict feasibility of anterior mitral line ablation: The Left Anterior Bayés-Derived Mitral Linear Ablation Outcome and Conduction score - Heart Rhythm O2 heartrhythmopen.com/article/…
So Sunny retweeted
Bench Evaluation of Pulsed Field Ablation Interference With Left Atrial Appendage Closure Devices
@MasatoF0728
heartrhythmjournal.com/artic…
So Sunny retweeted
P-wave characteristics in Bayés syndrome predict feasibility of anterior mitral line ablation: The Left Anterior Bayés-Derived Mitral Linear Ablation Outcome and Conduction score, by @su9uru and colleagues
#EPeeps
heartrhythmopen.com/article/…
So Sunny retweeted
Left Atrial Reservoir Strain To Identify Advanced Atrial Cardiomyopathy in Patients With Atrial Fibrillation
@JonathanAriya
heartrhythmjournal.com/artic…
So Sunny retweeted
This video refers to a chaotic, ineffective heart rhythm where the ventricles shivers instead of pumping.
On cardiopulmonary bypass (CPB), the goal is often to convert fine (low-amplitude) VF into coarser VF before delivering a shock, because coarse VF converts more reliably to a sustainable rhythm.
Fine VF on CPB rarely converts with an immediate shock and the monitor often barely registers it.
On full cardiopulmonary bypass support, briefly raise pump flow and hold it for a short period. This coarsens the VF waveform (increases amplitude), making defibrillation far more likely to succeed and restore a viable rhythm. Shock only after it thickens.
(See videos for better understanding)
A common miss is treating this like standard ACLS fine VF and shocking right away, or failing to recognize that the low-amplitude activity may not even appear on the monitor. The temporary flow increase is a simple, practical step that takes advantage of the full support already in place.
So Sunny retweeted
⚪️ 心房粗動について
.
心電図波形やイメージ図がいくつか載ってたので ✍️
.
Atrial Flutter, Typical and Atypical: A Review | AER Journal
aerjournal.com/articles/atri…
So Sunny retweeted
Very excited to see 8 years of work coming soon @HRS_O2Journal. The rationale for dopamine is to avoid alpha agonism at all cost in HFrEF.
The majority of VT is mappable with anticipation, strategic positioning, and pharmacologic manipulation.
Congrats @ZJameria @TakuroNishimu @gauravaupadhyay!
So Sunny retweeted
Impact of Surrounding Fluid Impedance on Contact Sensing Vulnerabilities and Staining Depth During Pulsed Field Ablation
@TetsumaK1 @saki_elma
heartrhythmjournal.com/artic…
