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Alex Turin @alexturinmd.bsky.social · 05/03/2025

I'm always amazed that AF can sustain through that. So much we still don't understand.

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Alex Turin @alexturinmd.bsky.social · 15/02/2025

We didn't find anything abnormal the day of, but here's the strip on 1 week f/u!

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Alex Turin @alexturinmd.bsky.social · 15/02/2025

Agreed. The cross-sectional design limits it a little but still very interesting results considering PVC burden is a very consistent predictor of low EF in prior studies. Would the EF decline over time if these patients were followed/untreated?

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Alex Turin @alexturinmd.bsky.social · 08/02/2025

The alternative is this is actually T wave oversensing triggering a PVC response with extended PVARP

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Alex Turin @alexturinmd.bsky.social · 07/02/2025

I think MVP shenanigans is right. There were more tele strips with Wenckebach during MVP that were more obvious. I suspect two QRS morphologies is fusion but I'm not sure why MVP didn't switch to DDD.

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Alex Turin @alexturinmd.bsky.social · 07/02/2025

POD1 s/p DC-LBB-PPM for intermittent CHB, underlying RBBB. RA/RV lead sensing, impedance, and thresholds all normal/stable from implant. Whats going on here? #Epeeps @willyhfrick.bsky.social @danacjohnson.medsky.social @narrowqrs.bsky.social @jeffreyvinocur.bsky.social @rachelkaplanmd.bsky.social

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Alex Turin @alexturinmd.bsky.social · 04/02/2025

Nice! Underlying SND (rates in the 30s) with 99% atrial pacing. Device check showed RV impedance >3000 and no capture at max output. Atrial function was normal. Here's what was causing the pauses:

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Alex Turin @alexturinmd.bsky.social · 02/02/2025

Patient with HCM and secondary prevention DC-ICD presented with sudden onset of frequent short episodes of dizziness. Tracing obtained in the ED shown below. She had been doing light arm exercises immediately prior. Original DC-PPM placed 2005. Upgrade to ICD in 2020 with abandoned pace-sense lead

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Alex Turin @alexturinmd.bsky.social · 25/01/2025

Nice diagram! My hand drawn hearts definitely don't look like that 😬

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Alex Turin @alexturinmd.bsky.social · 14/01/2025

100%. Walked into my office Monday with a stack of 3 or 4 to start off the week

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Alex Turin @alexturinmd.bsky.social · 03/01/2025

Nothing unusual on CT but good thought.

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Alex Turin @alexturinmd.bsky.social · 03/01/2025

Post PVI showed line of block without additional ablation (LAT and widely split doubles with distal CS pacing shown). High output pacing within the scar did not capture the atrium. Essentially a spontaneous floor line. No AF or AFL were induced at the end of the procedure.

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Alex Turin @alexturinmd.bsky.social · 03/01/2025

55yo M with PAF and typical AFL, no prior cardiac surgery or procedures. Normal LA voltage in sinus except for this strange pattern on the inferior posterior wall.

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Alex Turin @alexturinmd.bsky.social · 26/12/2024

Echo images are also a nice reminder of how close these come to the RV pap muscles/chordae. Good case!

of.how

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Alex Turin @alexturinmd.bsky.social · 26/12/2024

Would look at uni pacing morphology compared to implant. Uni impedance changes may be helpful too. CT may be helpful but sometimes hard to see the tip with artifact.

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Alex Turin @alexturinmd.bsky.social · 26/12/2024

LBB lead that perforated? Don't see the tip but suggestive.

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Alex Turin @alexturinmd.bsky.social · 18/12/2024

I haven't been using PFA for these patients. Still doing dispersion approach which has had variable results for patients this far along

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Reposted by Alex Turin

Heart Rhythm Society @heartrhythmsociety.bsky.social · 03/12/2024

Join the #globalEP community in #SanDiego or online from April 24-27, 2024, for the premier event in EP of the year — #HRS2025! Don’t miss 150+ expert-led sessions, hands-on training & cutting-edge innovations. Register & book your hotel today ➡️ bit.ly/49iQqjU #EPeeps #Medsky #Cardiosky

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Alex Turin @alexturinmd.bsky.social · 24/11/2024

Inaugural Bluesky post! Thought this was a neat one #EPeeps

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Reposted by Alex Turin

Heart Rhythm Society @heartrhythmsociety.bsky.social · 20/11/2024

👋 Hello, Bluesky! We’re the Heart Rhythm Society, the leading organization dedicated to advancing the field of heart rhythm management. Follow us for updates on cutting-edge research, educational resources, and upcoming events, such as our annual meeting, #HRS2025, in San Diego! #EPeeps #CardioSky

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