Dr. Zhong
@pzhong2016
On the way.....
Hard to Die:M.FL ablation using the Affera system. Failure of Endocardial and distal CS ablation.Activation mapping revealed an epicardial connection, and subsequent (VOM) ethanol ablation successfully resulted in bidirectional block.@SteliosDragasis @Kariki_O
Rarely see extra-PV triggers during AF ablation — but this AF in a 70 yo w/ prior SAVR organized into RA AT after PVI. Ablated at the superior TA. Big thanks to Arnaud Rousselet & Steeve Saint-Rose for outstanding mapping & patience! #EPeeps #AFib #Cardiology Maps 👇
Another 30yo male patient with identical 12-ECG done last week. Same diagnosis ? There is a scale on the bottom to measure what you want. #Epfellows
30yom Incessant tachycardia Left ventricular dysfunction. What would be the first pacing maneuver to make the diagnosis ? @hospitalposadas @LAHRSonline1
Pacing System Analyzers to guide Conduction System Pacing implantation procedures: A comparison study of intracardiac and surface signals with an Electrophysiological Recording System heartrhythmjournal.com/article/S1547-…
Standardized views for imaging the left coronary artery.
#EHRAtopicweek How should we approach patients with AV block?💡 🔌 CSP may be an appropriate strategy 💥 When BiVP is indicated, CSP can step in as a rescue strategy 🧪 Ongoing trials are exploring CSP in AV block with LVEF <40% ⚠️ And remember: In infra-nodal AV block, LBBAP…
#Incretins and the #cardiovascular system: bridging #digestion with #metabolism thelancet.com/journals/landi… #GLP-1 #GIP
Our Ethanol Ablation for VT series! Non-ischemic CMP No endo scar, septal reentry w/ focal endo-epi activation 💡 Intramural circuit suspected ⛔️ Long endo RF → transient VT stop 🎯 Best precocity at AIV septal branch os endo neighbor Ethanol injection VT termination #Epeeps
Summary: 1. Lung USG 🆗 for diagnosis 2.Empiric antibiotics suggested for CAP tested +ve for resp virus if in-pt or have comorbidities 3. <5 days antibiotics (min 3 days) if stable, except for in-pt with severe CAP 4. Systemic steroid suggested for in-pt with severe CAP
🔥🔥Just published 🔥🔥 ATS CAP guidelines 2025 Diagnosis and Management of Community-acquired Pneumonia. An Official American Thoracic Society Clinical Practice Guideline Free access pdf @atscommunity Thanks @Inox94 #IDXposts atsjournals.org/doi/10.1164/rc…
📌 Not only ablation...also antiarrhythmic drugs❗️ 👉 Practical compendium of AADs: a clinical consensus statement of the #EHRA 💊 #EPeeps #CardioTwitter #MedTwitter #AntiarrhythmicDrugs #Review @PrashSanders @DrJasonAndrade @ZHeart11768530 @SeguraCardio @Hragy @BorianiGiuseppe
Clear demonstration of correction of classic AIAB pattern 1 - sinus P wave with AIAB 2 - low output pacing with AIAB 3 - high output pacing with AIAB correction @adribaran @lusty63 @MaggieInfeld @EP_mom1 @atwater_brett
Correction of advanced interatrial block with Bachmann’s bundle pacing @dredcronin heartrhythmcasereports.com/article/S2214-…
New online! Myocardial infarction, stroke and arterial stenosis: time to reassess a major misunderstanding nature.com/articles/s4156…
It was RSOV aneurysm into RA. Managed with an ADO 12/14mm device.
Remnant Cholesterol and Triglyceride-Rich Lipoproteins vumedi.com/video/remnant-…
The interest in LAAO (left atrial appendage occlusion) remained limited until Blackshear and Odell published their seminal systematic review in 1996 that emphasized the potential role of the LAA as a nidus for thrombus in patients with nonvalvular AF. doi.org/10.1016/j.jaca…
