Berk retweeted
Presented at #ScientificSessions26:
In patients with atrioventricular block, left bundle-branch pacing resulted in a lower incidence of a composite of death, hospitalization for heart failure, or pacing-induced cardiomyopathy than right ventricular pacing. Full OptimPacing trial results: nej.md/4favsI9
@AHAScience
ALT A graph from the Original Article "Left Bundle-Branch Pacing versus Right Ventricular Pacing for Atrioventricular Block.” The trial name, OptimPacing, is in parentheses after the title. The graph shows the primary outcome. The trial results are being presented at the American Heart Association Scientific Sessions 2026. The logo of the New England Journal of Medicine is at the bottom.
Berk retweeted
⚪️ いわゆるpseudo AV blockについて
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Case reportですが，いろんな文献が載ってました
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Fig 2の心電図やFig 3のラダーグラムをまた勉強してみようと思います✍️
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Concealed His extrasystoles: A masquerader of atrioventricular block - HeartRhythm Case Reports heartrhythmcasereports.com/a…
Berk retweeted
🔵 Inter-bundle reentry tachycardia or BBRVT by Akihiko Nogami 🔵
🙏🏻 @AkihikoNogami
I like that there are not only EP exams in the paper but also diagrams with their respective 12-lead ECG patterns.
GoogleTranslate works fine.
Berk retweeted
AVNRTとJTに心房からエントレインメントした論文
CSosからは順伝導SPはオルソに入れ、HRAからはアンチに入りやすいし止まりやすい
pmc.ncbi.nlm.nih.gov/article…
Berk retweeted
🔵 Mahaim Revisited 🔵
Eduardo Back Sternick, Damian Sanchez-Quintana, Hein JJ Wellens and Robert H Anderson
pmc.ncbi.nlm.nih.gov/article…
Berk retweeted
Estimulación del sistema de conducción. 🔌⚡️🫀
⚠️ No toda estimulación septal profunda implica captura de la rama izquierda. 🧐?⤵️
🔎💓 El parámetro clave es el V6-RWPT, definido como el intervalo desde el estímulo hasta el pico de la onda R en V6. Cuando capturamos la rama izquierda, la activación ventricular ocurre rápidamente a través de la red de Purkinje, acortando el tiempo de activación de la pared lateral del VI.
⛔️ El punto de corte del V6-RWPT depende del trastorno de conducción basal➡️ en pacientes con QRS estrecho o BRD, un V6-RWPT ≤82.5 ms mostró S: 96.3% y E: 84.7% para identificar captura de rama izquierda. En pacientes con BRI, retraso inespecífico de conducción intraventricular o ritmo de escape, el punto de corte óptimo aumentó a 101 ms, con S: 78.9% y E: 90.4%.
👨⚕️💬 Capturar Purkinje no garantiza una activación ventricular igualmente rápida en todos los pacientes, especialmente cuando existe enfermedad distal del sistema de conducción.
👨⚕️💬 Un V6-RWPT corto sugiere captura de rama izquierda, pero una transición dinámica del QRS puede confirmarla. No debemos confundir una posición anatómica correcta del electrodo con la demostración funcional de captura del sistema His-Purkinje.
📝🆓️⤵️ @NatRevCardiol 💯👌🏻
doi.org/10.1038/s41569-026-0…
Berk retweeted
Dual biomarker strategy improve the triage of patients w suspected #acute_coronary_syndrome
doi.org/10.1093/eurheartj/eh…
Berk retweeted
JACC State-of-the-Art Review Supports hs-cTn Classification in Clinical Practice - American College of Cardiology acc.org/Latest-in-Cardiology…
Berk retweeted
I made a free website with calipers, annotation, ladder diagrams, and more!
ecgtoolkit.com/
#EPeeps #Cardiology
Berk retweeted
Around a third of patients don't respond to cardiac resynchronisation therapy. And up to 10% of implants fail to reach the target vessel at all.
Conduction system pacing aims to fix both — by recruiting the heart’s own His-Purkinje network instead of working around it.
@KennethEllenbo1 (VCU, past president @HRSonline) joins Professor Rudd (@jhfrudd) on the Heart podcast for a primer on conduction system pacing 🎧
🎧 Apple: apple.co/4ePEjPk
🎧 Spotify: bit.ly/4zM5FxM
🎧 Podbean: bit.ly/4ibCjls
▶️ YouTube: bit.ly/4eNn29o
📄 Paper (free to read): bit.ly/4i9PjId
#CardioTwitter #EPeeps #MedEd
Berk retweeted
VENTRICULAR TACHYCARDIA criteria.
When a picture is worth a thousand words.
Wellen (1978) should read Wellens.
medwinpublishers.com/OAJC/ma…
Berk retweeted
🫀 In cardiology fellowship, you rarely get to practise the moments that matter most. You can’t rehearse a patient in cardiogenic shock, and you don’t get to take the C arm or run the stimulator yourself until you’re already in the room.
👉 So I built Ventriculus: ventriculus.org
Free cardiology simulators that run on a working model of the heart, in your browser.
• Shock Simulator: manage a cardiogenic shock patients in the CICU, fifteen minutes at a time
• Catheterization Lab: drive the C arm and inject on real 3D anatomy, left and right catheterization
• Electrophysiology Lab: run an EP study, from baseline intervals to ablation
• Device Programmer: pacemakers, ICDs and CRT on a live rhythm
• Plus an ECG Atlas, Echo Guide and Cardiac Pharmacy
Change the heart and everything follows. Free, no ads, no account.
For education, not patient care. Feedback welcome.
#MedEd #FOAMed #CardioTwitter
