#EPeeps 3 types of Coumel´s Sign 🔄 #epCINRE 🏥
— Peter Blahut (@PeterBlahut) July 4, 2024
1️⃣ Typical (Ipsilateral BBB 👉 TCL >25ms)
2️⃣ Atypical (Ipsilateral BBB 👉 TCL >0-25ms)
3️⃣ Paradoxical (Ipsilateral BBB 👉 TCL Shortening)
🧑🎓🧑🎓🧑🎓
BBB ➡️ Bundle Branch Block
TCL ➡️ Tachycardia Cycle Length#epAblation #CINRE #ECG… pic.twitter.com/OtXfXukk4q
Atypical bypass tracts & #ECG during Sinus rhythm#epCINRE #EPeeps
— Peter Blahút (@PeterBlahut) May 21, 2024
1⃣AF: rS (III), No septal q (I, aVL, V5-V6)
2⃣Long AV: rS (III), No septal q
3⃣Short AV: Small delta
4⃣AH: Short PQ
5⃣NV: Short PQ
6⃣NF: rS (III)
7⃣FV: (-) delta (V1), (+) delta (aVF)
🔗https://t.co/Ngzc5wxgv2 pic.twitter.com/3VtCW5bWTr
How to Obtain a 12-Lead ECG Using an ECG Watch⌚️ #EPeeps #epCINRE
— Peter Blahút (@PeterBlahut) May 12, 2024
1⃣My 12-Lead ECG vs. ECG from the watch
2⃣I had an Apple Watch Series 9
3⃣You need a 2-meter copper cable for (aVR, aVL, aVF)
4⃣Check the Step-by-Step Guide 📔
🔗https://t.co/mcR7V5V2Eq pic.twitter.com/rm6aiUrPnY
Double Firing 🔥🔥 #epCINRE #EPeeps
— Peter Blahút (@PeterBlahut) February 29, 2024
1⃣ Dual AVN physiology affects 10-35% population
2⃣ Occurs if the slow pathway is very slow
3⃣ #ECG P -> 2 QRS
4⃣ Misdiagnosed as AF or PAC
5⃣ DAVNNT is continuing 🔥🔥
👉 Dual AVN Non-Reentrant Tachycardia
6⃣ Treatment: Slow pathway RFA 🥳🎉💘 pic.twitter.com/HKJZp0Ag8Q
#AVNRT 🔄 & Ablation Targets ❤️🔥
— Peter Blahút (@PeterBlahut) December 13, 2023
1⃣ Slow-Fast
- Right Inferior Extension
- Left Inferior Extension
- Inferolateral Left Atrial
2⃣Fast-Slow
3⃣Slow-Slow#EPeeps #CardioTwitter #epCINRE pic.twitter.com/FF88KE4g4i
Ajmaline Test💉
— Peter Blahút (@PeterBlahut) November 7, 2023
1⃣ Suspected #BrugadaSyndrome❔
2⃣ V1 and V2 ⏫ up to the 2nd ICS
3⃣Ajmaline 💉 (IV) 1 mg/kg over 5 min.
4⃣Continuously 📜 ECG until Brugada Pattern Type 1 appears
5⃣If it appears: #BrugadaSyndrome🫀
👉 https://t.co/HgL7PCDQvT#epCINRE #EPeeps #CardioTwitter pic.twitter.com/Q63r6XfKv8
#EPeeps One of the most cited publication (4576x) in cardiology ❤️.
— Peter Blahút (@PeterBlahut) October 22, 2023
Brugada brothers (in 1992) described 📜 8 patients with 'RBBB'.
ECG digitalisation 💻 by #epCINRE. #BrugadaSyndrome (podcast) by Pedro Brugada on (#EHRA Cardio Talk).https://t.co/ujazFxmQj8 pic.twitter.com/F9AEjTzGbu
#EPeeps interesting study on daily fluctuations of #BrECG using ECG Holter monitoring in patients with #BrugadaSyndrome. #infographic by #epCINRE.https://t.co/MWXCdjiKR1#CardioEd #fellowsfirst #Cardiotwitter pic.twitter.com/CENcn22ekT
— Peter Blahút (@PeterBlahut) October 20, 2023
Ejection fraction (EF) triplane #echofirst #CardioTwitter
— Peter Blahút (@PeterBlahut) September 21, 2021
➡️ End-diastolic volume (EDV) = 60ml
➡️ End-systolic volume (ESV) = 22ml
➡️ EF = (EDV - ESV) / EDV x 100%
🤩 EF = 63% pic.twitter.com/pXFvcH3faC
How to measure RV strain if the machine measures only LV strain:#echofirst #CardioTwitter
— Peter Blahút (@PeterBlahut) May 14, 2022
1⃣ Flip A4C (LV left, RV right)
2⃣ RV strain:
Apical: (-42), apical hyper contractility (McConnell's sign)
Middle: (-35)
Basal: (-28)
3⃣ Calculate
🤩RV free wall: (42 + 35 + 28)/3 = (-35) pic.twitter.com/8ySczTzT3c