Dr. Li Zhong @zhongli28_fugit
Joined October 2014-
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There are many ways to fix the intraseptal lead during LBBAP implant to achieve physiological pacing. Many use two hands. Tips and tricks for a single left-handed technique: 1) Sheath tents RV septum with contrast 2) Advance lead tip out slowly to the point of almost…
Nice work from the UC group led by @gauravaupadhyay on further defining LBB. Not just an exercise in academics. Imp for selection of CSP Time to notch in Lead 1 > 75msec looks the best discriminator in a clever analysis Wide QRS due to LBB not the same as wide due to IVCD…
@Ed_Gerst @jskoruth @Hapa_EP @haripj152 @drrakeshg1 @SergioPinski @rdschaller @ALFIEEP1 Ok, it was time for a #NapkinDrawing ! "Pattern breaks" in V1-V2-V3 are due to PVC/VT wavefront traveling directly toward or directly away from lead V2 which sits over anterior septal base. Vectors for V1,V3 are off axis and thus have smaller vectors toward/away from them.
#EPeeps what do you think of the SOO here? V2 has me stumped? @SergioPinski @narrowQRS @rdschaller @drrakeshg1
NICM 35% LVEF, ICD therapy already on amio… Endo-epi approach, lot of LP in the lateral wall, mid-apical, with phrenic nerve capture… we inflated a mitral valvuloplasty baloon in the epi (note that phrenic nerve no longer captures), then we could 🔥 @EPeeps_Bot @LuanVieiraEP
#ResearchLetter At one-year, no difference in outcomes was observed between two of the most common left atrial appendage closure devices (Amulet vs Watchman) @RobertoGalea7 @vlgmrc @BernCVRC ahajournals.org/doi/10.1161/CI…
Ten commandments for durable lesion creation and assessment based on available surrogates of tissue transmurality during RF AF ablation @ElyGraciaMD @JorgeERomeroMD @paulzei @CarlosMatosMD @CarolinaH_Ochoa @josoriomd imrpress.com/journal/RCM/25…
Ended the night with this interesting circuit. Where would you burn? @Hapa_EP @mike_lean @forkknifecab_EP @Value_Function @ericlim1975
How often have you had to switch from an anterior line to a lateral line to terminate peri-mitral flutter? I usually see the opposite due to CS/VoM! Patient had a prior MAZE, PVI, septal line, and mitral ring 💍. Flutter only slowed by 30-40 msec with the anterior line. #EPeeps
Natriuresis-guided decongestion improves diuretic response. Results of our #ENACTHF study were published today in @CircHF A thread 🧵 below doi.org/10.1161/CIRCHE… #cardiotwitter #heartfailure #HFA_ESC #MedTwitter @WilfriedMullens
Repeat Catheter Ablation for Atrial Fibrillation, by @JonPicciniSr and colleagues heartrhythmjournal.com/article/S1547-…
Association between Nighttime Heart Rate and Cardiovascular Mortality in Patients with Implantable Cardioverter Defibrillator: A Cohort Study heartrhythmjournal.com/article/S1547-…
We present the first randomized pre-clinical study showing that CF-guided point-by-point PFA leads to safe and durable lesion formation in swine atria @rahul3000 @AndyZhangMD @LuigiDiBiaseMD #AHAJournals #Epeeps doi.org/10.1161/CIRCEP…
In this RCT, colchicine did not reduce AT/AF recurrence following catheter ablation of AF. Colchicine ↓ post-ablation chest pain and ↑ diarrhea @AlexanderPBenz (first author) @PHRIresearch @WFMMD @syamkumarmd @GAcostamd #AHAJournals #Epeeps doi.org/10.1161/CIRCEP…
During pulsed field ablation, electrode-tissue contact is required to produce durable lesions and increasing contact force increases lesion depth @QCastellvi #AHAJournals #Epeeps ahajournals.org/doi/abs/10.116…
#AVNRT 🔄 & Ablation Targets ❤️🔥 1⃣ Slow-Fast - Right Inferior Extension - Left Inferior Extension - Inferolateral Left Atrial 2⃣Fast-Slow 3⃣Slow-Slow #EPeeps #CardioTwitter #epCINRE
#IssaTweetorials #EPeeps 1/10 Q: If you could deliver 30 W of RF energy for 30 sec using any of the ablation (abl) electrodes shown in the figure, which RF ablation catheter creates larger ablation lesion size? A: Let’s talk about how the RF abl lesion is formed.
⏳How often do you see #Progression of the #atrial substrate ? Is #Regression possible? ⏱️ academic.oup.com/europace/advan… Maybe the atrial substrate is more dynamic than you think… 🧐 #EPeeps @AndreaSarkozy @LMarcon111 @EuropaceEiC
Very provocative and accurate take on looking at Current Density over LSI and power for RF ablation @Davilandre. @ConnectEp HPSD (input) should be HCDHTT (high current density, high tissue temperature) abaltion. #QSQ
In patients with symptomatic atrial fibrillation and end-stage heart failure who are referred for heart transplantation evaluation, the role of left atrial catheter ablation is unknown. Full CASTLE HTx trial Research Summary by Dr. @chris_sohns et al: nej.md/3YPUhzO
Shanae Spaur @spa_shan
46 Followers 5K FollowingArianna Howson @how_arian
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60 Followers 5K FollowingOdelia Labkovsky @odelia56222
55 Followers 5K FollowingFreddie Konowal @fred_konowa
43 Followers 5K FollowingSia Landon @LandonSia92086
49 Followers 5K FollowingReviews in Cardiovasc.. @RCMjournal
2K Followers 1K Following An international and interdisciplinary scientific, open access journal which covers the update and outstanding research works/papers on Cardiovascular medicine.Esmeralda Mcluckie @e_mclucki
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204 Followers 291 FollowingNicholas Tan @nicktanCV
344 Followers 569 Following Singaporean living in the US. Aspiring electrophysiologist. Stoked by cardiology, electrocardiograms, travel, books, and humanism. Opinions are my own.Vivian Chen(陈颖�.. @Vivian38329251
27 Followers 191 Following Computer and Network Security|Technical Consultant |Information Systems Master |daughter | interested in history | like travel | strive for awarenessCyrus Hadadi, MD @CyrusHadadiMD
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4K Followers 1K Following You have to make a bloody difference! Makes more noise a tree that fell than a forest that grownEugene Labartkava @ELabartkava
270 Followers 215 Following “Vital values” - my family and electrophysiology, “lover” of atypical AP😜mustafa_omarov @mustafa_omarov
1K Followers 785 Following Electrophysiologist,Heart Rhythm Specialist, Head of Arrhythmology Department, Dagestan, Russia.Arnel Carmona @ecgrhythms
26K Followers 23K Following US-IMG, ECFMG-cert, FPCP (@pcp1953), CDIP, CRATHR Case Reports @HRS_CaseReports
13K Followers 9K Following The 2nd official journal of the Heart Rhythm Society with focus on the education & treatment. A follow means a shared love of heart rhythms not an endorsement.CHART Healthcare Acad.. @ChartAcademy
811 Followers 2K Following Cardiac Electrophysiology | Device | Device Clinic | Industry Professional Development | Training | Exam Resource | CoachingMelanie Gunawardene @Mel_Gunawardene
1K Followers 500 Following MD, Female, Cardiac Electrophysiologist, @AGEP nucleus of @DGK_org, @pulse_day_ co-founder, Passionate Kitesurfer 🌊Content of my own, no medical adviceLAHRS @LAHRSonline1
3K Followers 654 Following LAHRS Official Twitter account. Cuenta oficial de LAHRS. Conta oficial da LAHRSJulian Chun @jongichun
2K Followers 161 FollowingChristopher Ellis @cellisvandyep
1K Followers 140 Following Cardiac EP LAAC Laser Extractions MICRA Zero Fluoroscopy Hybrid AF Ablation. Alias- Capers Landlord Landscape Architect @PredsNHL team cardiologistEl Hamriti Mustapha @melhamriti
1K Followers 545 Following Electrophysiologie @ Heart and Diabetes Center NRWNorman Finkelstein @normfinkelstein
472K Followers 83 Following Official Twitter account for Norman G. Finkelstein https://t.co/RPKMXeCp9zJAHA @JAHA_AHA
28K Followers 1K Following JAHA - Journal of the American Heart Association Tweets/RT are not medical advice. RT/follows do not imply endorsement.Tony Navarrete @annavarr
1K Followers 270 Following Cardiac Electrophysiologist at Indiana University, Associate professor of Medicine at Indiana University ,Father, Husband, Computer Geek, Avid Tennis playerBilal Munir @drbilalmunir
1K Followers 1K Following Associate Prof (EP physician) @UCDavisHealth, Alum @UCSDHealth, @WVUMedicine, @UPMCnews, Outcomes researcherEvgeny Lyan @evgeny_lyan
849 Followers 303 Following Head of EP at University of Kiel, Germany. #EP_Kiel #UKSH #AGEPJICRM @JICRM
2K Followers 1K Following Indexed in PubMed. Open-access journal publishing research on cardiac arrhythmia management, with a focus on utility in today's clinical practice. No APCs.Heart Rhythm Clinical.. @HRCRS_EP
480 Followers 472 Following We improve patient care and outcomes through collection of real-world evidence and physician-driven collaborations.Dr. Deepak L. Bhatt @DLBHATTMD
34K Followers 846 Following Dr. Deepak L. Bhatt is Director of Mount Sinai Heart and the Dr. Valentin Fuster Professor of Cardiovascular Medicine. Bio and COI: https://t.co/ngtk4hxfDG.Marco Bergonti @MBergonti
721 Followers 457 Following MD, PhD, Cardiologist, Cardiac Electrophysiologist 🇨🇭 #Europace Associate EditorMadhu Reddy @ReddyEPS
2K Followers 344 Following chief, heart rhythm doc, professor, @KUHospital, life long learner, EMBA student, twin with twins, interested in #AI in medicine, agnostic, views my own #EPeepsAlejandro Jimenez Res.. @DrAJRestrepo
2K Followers 315 Following Cardiac Electrophysiologist, Florida Electrophysiology Associates. Associate Professor of Medicine, University of Maryland SOM #JACCCaseReports Da Vinci CornerAbhishek Gohel @abgohel
14K Followers 276 Following Neurologist & Epileptologist • Post-doc in Epilepsy • DM in Neurology • MD Medicine • NIMHANS & Amrita Alumnus • Long position on Video-EEG for better outcomesPeter Blahút @PeterBlahut
335 Followers 202 FollowingJeffrey Winterfield @JRWinterfield
4K Followers 670 Following Swammer, husband, father, and Hank and Laurel Greer Chair and EP Chief @MUSCHealth | Alum: @AmherstCollege | @UChiPritzker | @UTSWInternalMed | @BrighamFellowsMihail G. Chelu, MD, .. @MihailChelu
2K Followers 268 Following Associate Professor | Academic Director EP | Director Clinical EP Research - @BCMHouston co-PI with @KennethEllenbo1 of @leftvsleft RCTChadi Tabaja @Chadi_97EP
617 Followers 746 Following Incoming PGY1 @CCF_IMCHIEFS | Cardiac EP Post-Doc Research Fellow @ClevelandClinic 🇺🇸 | MD’22 @LebAmericanuni🇱🇧.بيروتAlexander dal forno @AlexanderDForno
915 Followers 737 Following Father, Husband, Cardiologist, electrophysiologist, hisbundlepacing, atrial fibrillation ablation, Ventricular Tachycardia ablation, resynchronizationRakesh Gopinath @drrakeshg1
5K Followers 724 Following Cardiac EP Lab Director, Kansas City Heart Rhythm Institute (KCHRI); Prof. @Mizzou; Father; Husband; 🏓 enthusiast; Assoc Ed @HRS_CaseReports; #LVADArrhythmiasDiego Ramonfaur @d_ramonfaur
15K Followers 994 Following Internal Medicine Resident @ClevelandClinic | 🫀 | MSc @HarvardMed, MPH @JohnsHopkins | EMIS 36 | Opinions represent my ownAlan Sugrue, MB BCh @dralansugrue
598 Followers 507 Following Cardiac Electrophysiologist Mayo Clinic | Alumni @PennEPfellows @MayoClinicCV | Irish 🇮🇪 @nuigalway | Retweets ≠ endorsements | Opinions are my own.Oren Gottfried, MD @OGdukeneurosurg
193K Followers 308 Following Duke University Neurosurgeon / Spine Surgeon / Professor / Vice Chair / TV Advisor, Producer, Writer, & ActorJohnny Hourmozdi @JHourmozdi
468 Followers 713 Following Cards Fellow @WeAreNUHeart via @UWMedicine | AI and Bioethics @NUFeinbergMed | he/him | Opinions = mine ≠ adviceFilippo Maria Cauti @FilippoCauti
914 Followers 370 Following Cardiac Electrophysiology. MD, PhD. Arrhythmia Department. IRCCS San Raffaele Scientific Institute. Young VT burner. Windlover #fbfteam #VEDUMCardiac Trials @CardiacTrials
11K Followers 1K Following Simplified landmark cardiology trials app 📱 by cardiologist Justin Sharim MD. Mission: to spread evidence-based medicine worldwide 🌎saif.dev 👨🏻�.. @saifalfalah
22K Followers 2K Following He / Him. Software Developer. Product: https://t.co/0o8B66oyg0Gerhard Hindricks @GerdHindricks
2K Followers 74 Following Medical Director @LeipzigHeartCenter | CEO @leipzig_heart institute | Editor-in-Chief @EP_Europace @ESC_JournalsPhilipp Sommer @Phiso_de
4K Followers 513 Following Father. Husband. EP @ HDZ NRW. DGK Twitter ambassador. EiC EHJ CR. Lousy skier and golfer.Ivo Roca, FEHRA, FESC @ivroca
3K Followers 757 Following Electrohysiologist. Director of Arrhythmia Unit, Hospital Clinic, Barcelona. Associate Professor. University of BarcelonaVictor Bazan @VictorBazanG
394 Followers 84 Following Cardiac Electrophysiology. Hospital Germans Trias i Pujol. Badalona. Spain.Julia Aranyó @AranyoJulia
711 Followers 822 Following Cardiac Electrophysiology at Hospital Germans Trias i Pujol. MD, PhD student.EHRAPresident @EHRAPresident
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2K Followers 1K Following MD PhD. Cardiac EP @hospitalclinic Barcelona and visiting scientist @CNIC_Cardio. EHRA certification committee chair.Frank Harrell @f2harrell
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4K Followers 3K Following Chunming Du MD Cardiac surgeon (traditional, MICS & interventional) all things about the mitral valve. Advocacy for FMR, GDMT first. some about the AV.Eric Lim @ericlim1975
496 Followers 77 Following EP at National Heart Center Singapore. Views expressed here are my own and don’t represent the institution. Interested in mapping and conduction system pacing.Haseeb Raza FESC, CEP.. @HaseebEPHF
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21K Followers 20K Following 📺 Broadcast creators 🎥 Interview makers 👨🏽⚕️ CME 📚 Peer-reviewed journal publisher. Content posted intended for HCPs.What do #Epeeps make of this? Pic3&4 show response to adenosine. My interpretation: duodromic tachy antegradely over a NF/NV AP and retrogradely over a concealed LL with functional LBBB. Note that His is dissociated during tachy but why is there no His on the first tachy beat?
👇Mahaim tachycardia: EPS, mapping, and ablation overview in less than 1 minute👇 1- SR without delta wave 2- Maximum preexcitation with normal PR interval 3- If Mahaim, always wide-complex tachycardia!!! 4- Long RP tachycardia/ VA conduction constant 5- PPI-TCL < 100 ms from RV…
Strange pathway( left anteroseptal) with intermittent antegrade conduction and repeated AVRT after 3 times failed RFA; was ablated successfully in LCC! with this signal 👇gone in distal CS/ AS groove but returned immediately ! #Epeeps
There are many ways to fix the intraseptal lead during LBBAP implant to achieve physiological pacing. Many use two hands. Tips and tricks for a single left-handed technique: 1) Sheath tents RV septum with contrast 2) Advance lead tip out slowly to the point of almost…
Nice work from the UC group led by @gauravaupadhyay on further defining LBB. Not just an exercise in academics. Imp for selection of CSP Time to notch in Lead 1 > 75msec looks the best discriminator in a clever analysis Wide QRS due to LBB not the same as wide due to IVCD…
@seth_j_worley @SergioPinski @JGrapsa @bogdienache @escardio @EPinnovation Here's a #NapkinDrawing to show what I do x2 on each lead (i.e. total of 4 throws/knots; drawing only shows the first one).
@Ed_Gerst @jskoruth @Hapa_EP @haripj152 @drrakeshg1 @SergioPinski @rdschaller @ALFIEEP1 Ok, it was time for a #NapkinDrawing ! "Pattern breaks" in V1-V2-V3 are due to PVC/VT wavefront traveling directly toward or directly away from lead V2 which sits over anterior septal base. Vectors for V1,V3 are off axis and thus have smaller vectors toward/away from them.
#EPeeps what do you think of the SOO here? V2 has me stumped? @SergioPinski @narrowQRS @rdschaller @drrakeshg1
How often have you had to switch from an anterior line to a lateral line to terminate peri-mitral flutter? I usually see the opposite due to CS/VoM! Patient had a prior MAZE, PVI, septal line, and mitral ring 💍. Flutter only slowed by 30-40 msec with the anterior line. #EPeeps
1/ Here's a rather uncommon type of activation map. It shows the right sided conduction system including the moderator band with moderator band activation. Mapped for me by @murphy_lzy. #Epeeps #PDX #EnsiteX #HDGrid
#Epeeps, the AT here x.com/evgeny_lyan/st… is parahisian. Negative inf leads exclude LAA, positive V1 excludes Christa Terminalis. The clue is biphasic lead I appearing if the origin is NOT in the middle of RA-LA conduction highways: Bachmann or CS. @veramasloo @syamkumarmd
#Epeeps 72yo woman with this tachy. Guess the source of origin! Map and ablation follow, with @veramasloo @ThomasDemming. @can_yontar @ChristianHeeger @sebFeickert @finnakerstrom @EPWaveDoc @ALFIEEP1 @AlbasiriDr @XCosteas @dr_akbarali89 @jeffrey_vinocur
Enjoyed presenting to the EP masters! Green jacket is back at Penn @PennEPFellows @DavidCallans
Really appreciated the opportunity to participate in @bostonsci 18th Annual Meet the Masters program - great to learn from my colleagues - #DavidCallans #TayaGlotzer #SonnyJackman #GerogeKlein @DrRoderickTung and the amazingly talented EP fellows who attended! @ValleyHealthNJ
Incessant /easily inducible stable VT in ICM pt. Terminated in 1 sec. with this nice signal 👇; interesting is co-localization of CI with SR DZ area! #Epeeps
Not bad for the First-in-Human! Fascicular VT - #HDmapping with @BiosenseWebster with @AndreaSarkozy, @HH4EHRA, @Salavtore4. At #UZA, Antwerp. #EPeeps, #cardiotwitter.
💥 Last case of #2023 💥 Getting later and later… ⏳ With @GiulioConte9, @EuropaceEiC #epeeps, #ablateVT
Repeat Catheter Ablation for Atrial Fibrillation, by @JonPicciniSr and colleagues heartrhythmjournal.com/article/S1547-…
Association between Nighttime Heart Rate and Cardiovascular Mortality in Patients with Implantable Cardioverter Defibrillator: A Cohort Study heartrhythmjournal.com/article/S1547-…
We present the first randomized pre-clinical study showing that CF-guided point-by-point PFA leads to safe and durable lesion formation in swine atria @rahul3000 @AndyZhangMD @LuigiDiBiaseMD #AHAJournals #Epeeps doi.org/10.1161/CIRCEP…
In this RCT, colchicine did not reduce AT/AF recurrence following catheter ablation of AF. Colchicine ↓ post-ablation chest pain and ↑ diarrhea @AlexanderPBenz (first author) @PHRIresearch @WFMMD @syamkumarmd @GAcostamd #AHAJournals #Epeeps doi.org/10.1161/CIRCEP…
During pulsed field ablation, electrode-tissue contact is required to produce durable lesions and increasing contact force increases lesion depth @QCastellvi #AHAJournals #Epeeps ahajournals.org/doi/abs/10.116…