Do #EPeeps believe in AVNRT upper common pathway (block)? This patient had: 1. AH jump 2. Septal VA < 80 ms 3. Concentric A during SVT 4. During RVP: (Stim-A)-(V-A) > 85 ms 5. During RVP: PPI-TCL > 115 ms 6. SVT terminated by RV burst pacing 7. Ablation in TOK rendered non-inducible

Arrhythmogenic cardiomyopathy, epicardial access. Pacing from ablator. @narrowqrs.bsky.social @shah.md @jeffreyvinocur.bsky.social @danacjohnson.medsky.social #EPeeps

Now I'm really ready to start fellowship. ⚡⚡⚡ #EPeeps

hqmeded-ecg.blogspot.com/2025/06/ante... Does the culprit match? #ECGSky #Medsky #cardiosky

Does the constancy of the PVC coupling interval suggest triggered mechanism? #ECGSky #MedSky #CardioSky @jeffreyvinocur.bsky.social @narrowqrs.bsky.social @shah.md @danacjohnson.medsky.social @daverichley.bsky.social @alexturinmd.bsky.social

I’m very proud of Dr. Lin for his first post on the blog. #ECGSky #MedSky #CardioSky

Read our editorial at the link below! www.termedia.pl/Occlusion-my... #ECGSky #Medsky #cardiosky @ecgcases.bsky.social

#ECGSky #MedSky #CardioSky

How many findings can you name? #ECGSky #EPeeps #cardiosky #medsky

60M with severe ischemic cardiomyopathy, prior inferoposterior OMI. Overall impression is VT with fusion complexes. But...fusion with what? I thought supraventricular capture at first, but I am leaning more toward fusion with unrelated PVCs now.

I can't figure out an elegant explanation for the intermittent aberrancy. Anyone? #ECGsky #Medsky #cardiosky #EPeeps

So much to see here!! What explains the various QRS morphologies? #ECGsky #cardiosky #EPeeps #medsky

VT entrainment. Some of you want to learn it from the beginning. Some just want the punchline. Here's a direct link to the climax of the video, with examples of all the possible entrainment locations (isthmus, entrance, exit, bystander, outer loop, etc) youtu.be/XykkZNLm9bc?...

Overhead page code blue. You arrive bedside to find ongoing chest compressions. First pulse check, you see this. What next? #cardiosky

Glad to see the Australian guidelines reflect the data where American guidelines (@accintouch.bsky.social) were stuck in an antiquated era. The best time to move on from STEMI was years ago. The second best time is now. www.heartfoundation.org.au/for-professi... #medsky #cardiosky #ECGsky

Fred W. Frick, MD FACP, inducted 2000 William H. Frick, MD FACP, inducted 2025 @acpimphysicians.bsky.social

New publication for my OMI colleagues @sargsyanz.bsky.social @willyhfrick.bsky.social 💀 bhm.scholasticahq.com/article/1337...

Great ECG from a friend the other day. #ECGsky #medsky #cardiosky #EPeeps

"Your symptoms are critically important to me… If you have ANY chest discomfort [or whatever symptom the patient was experiencing] I need to know immediately. Please tell me or tell your nurse, because that would be an emergency." hqmeded-ecg.blogspot.com/2025/03/ever... @willyhfrick.bsky.social

I'm delving into new territory here with narrated videos. Please tell me how I can improve! #ECGsky #medsky #cardiosky

hqmeded-ecg.blogspot.com/2025/03/norm... #ECGsky #medsky #cardiosky

🚨 OMG, I actually just sat down and did my video narration of my VT entrainment talk (!!!) I'm converting to MP4 video right now. Might upload to YouTube soon, or I might go to bed and upload within the next day. But holy cow, it was a big effort and I'm so glad to get it done!!!!

New update just dropped in the coronary anomalies section!

Recent emotional case that made a big impact on me. I don’t have all the answers. Tell me what you think. Lit review at the bottom #ECGsky #medsky #cardiosky hqmeded-ecg.blogspot.com/2025/03/pati...

hqmeded-ecg.blogspot.com/2025/02/afte... #ECGSky #cardiosky #medsky

hqmeded-ecg.blogspot.com/2025/02/what... #ECGsky #medsky #cardiosky

hqmeded-ecg.blogspot.com/2025/02/acut... #ECGsky #medsky #cardiosky

Rhythm? #EPeeps #ECGsky #cardiosky #medsky

hqmeded-ecg.blogspot.com/2025/02/sync... #ECGsky #EPeeps #medsky #cardiosky

#ECGsky #medsky #EPeeps #cardiosky

Good example of massive LVH voltage but also many non-voltage criteria for LVH - classic repolarization abnormality “backwards-check” STD/TWI in positive leads - left atrial abnormality - non-specific intraventricular conduction delay Only missing LAFB/LAD @willyhfrick.bsky.social

Here's a fun one. @daverichley.bsky.social @jeffreyvinocur.bsky.social @narrowqrs.bsky.social @danacjohnson.medsky.social @alexturinmd.bsky.social #EPeeps #cardiosky #medsky #ECGsky

#EPeeps Do you anticoagulate flutter < 200 bpm?

I know this is really silly to even notice, but I've never before seen MUSE do this -- autoscale in such a way that the waveform is still too big for the "graph paper." #EPeeps #ECGsky #cardiosky #medsky (Fun fact: This ECG is high lateral OMI)

Diagnosis? #cardiosky #medsky #ECGsky

hqmeded-ecg.blogspot.com/2025/01/shou... #cardiosky #ECGsky #medsky

Rhythm? #ECGsky #cardiosky #medsky #EPeeps

I've never seen this reversal clinically before yesterday. ECG1: Reversal ECG2: Example of prior (multiple are similar) What's the cable error? #ECGsky #medsky #cardiosky #EPeeps

What non-cardiac condition does this patient have? #ECGsky #medsky #cardiosky

3:1 block. Very uncommon/rare ratio in my experience. It was not CHB based on tele, he intermittently went 2:1 but predominantly 3:1. #EPeeps #ECGsky #cardiosky #medsky

30 year old, history of thyroid disease, with sudden bilateral leg weakness #ECG #EKG #ECGsky #cardiosky #medsky

What explains the appearance of the LAD here? Read about it on my angiography guide! intuitivecardiology.notion.site/What-explain...

I can't figure this one out. I think AF with variable conduction through the LBB. R1-2 intermediate speed, R3-4 LBBB, R5 intermediate, R6-10 LBBB, R10 normal, R11 intermediate, etc. But why? Alternate explanation? #EPeeps #cardiosky #medsky #ECGsky

Why is the final QRS complex narrower? #EPeeps #ECGsky #cardiosky #medsky

Another one I can't resist sharing. Two ECGs, same patient, different visits. #ECGsky #medsky #cardiosky #EPeeps

AV relationship? #EPeeps #cardiosky #medsky #ECGsky

Rhythm? #ECGsky #cardiosky #medsky #EPeeps

Occlusion MI: from theoretical concept to practical therapy www.sciencedirect.com/science/arti... @jaccjournals.bsky.social #JACCAdvances @drmarthagulati.bsky.social

If you had to guess presenting complaint, what would you say? #ECGsky #cardiosky #medsky

New blog post with paired update to my angiography guide! "Is it important to try to determine the culprit vessel based on ECG?" hqmeded-ecg.blogspot.com/2025/01/does... intuitivecardiology.notion.site/66-year-old-... #ECGsky #medsky #cardiosky