cciari1.bsky.social @cciari1.bsky.social · 10/04/2026I don't know what words to use, I'll just say thank you. There's nothing better than learning from more expert people. 🙏 000
cciari1.bsky.social @cciari1.bsky.social · 10/04/2026the VA interval in retroconduction is not constant, is there a Wenckebach retrograde conduction? 🙏2/2 110
cciari1.bsky.social @cciari1.bsky.social · 10/04/2026Thank you very much. I think one clue was the second QRS being slightly different with a shorter PAV than the first (it's unlikely they were both spontaneous). Also, the JT is much rarer, right? It's great to learn from mistakes (at least I hope so ☺️). One last question, please: 1/2 110
Reposted by @cciari1.bsky.socialJ.M. Cooper @narrowqrs.bsky.social · 10/04/2026I think this is what's happening 141
cciari1.bsky.social @cciari1.bsky.social · 09/04/2026(Same morphology as the extrasystole) Is there retrograde Wenckebach conduction? (3 PACs)🤔 @narrowqrs.bsky.social @jeffreyvinocur.bsky.social 100
cciari1.bsky.social @cciari1.bsky.social · 09/04/2026Good morning @narrowqrs.bsky.social @jeffreyvinocur.bsky.social I have some doubts about this EGM. Is VS 643 a PJC? (The morphology is the same as the previous beat, but different from the initial QRS. Why this slight difference between the first two?) Is the subsequent tachy junctional? 210
cciari1.bsky.social @cciari1.bsky.social · 21/03/20261) 95% 2)No Is it reasonable, given the history, to conclude that it is VT until proven otherwise? 110
cciari1.bsky.social @cciari1.bsky.social · 19/03/2026A few hours after asking this question I see this patient, CRT-D VVI 110
cciari1.bsky.social @cciari1.bsky.social · 19/03/2026Those are exactly the same words I used, but the nurses weren't entirely convinced. Now I can say that Professor Cooper thinks so too! 😀🙏 110
cciari1.bsky.social @cciari1.bsky.social · 19/03/2026Good morning, I have a question (among many), how to differentiate an SVT with aberrancy from a VT in a patient with a single-chamber VVI ICD, analyzing only the arrhythmic event on the EGM? @narrowqrs.bsky.social @jeffreyvinocur.bsky.social Thank you very much 🙏 110
cciari1.bsky.social @cciari1.bsky.social · 13/02/2026I'll start by saying that the diagnosis of IAB isn't entirely clear to me, but how can I rule out pre-excitation in a patient complaining of palpitations and this ECG? A patient with IAB could also have pre-excitation, right? 🙏 000
cciari1.bsky.social @cciari1.bsky.social · 13/02/2026Thank you very much, The pic is a bit blurry, could it be IAB, then? The PR is short too, right? 100
cciari1.bsky.social @cciari1.bsky.social · 13/02/2026A sixty-year-old patient with a history of palpitations. I was reasonably convinced it was pre-excitation, but the EPS showed S/F AVNRT. When the presumed/suspected pre-excitation is subtle I always have many doubts🤔 @narrowqrs.bsky.social @jeffreyvinocur.bsky.social 🙏 100
cciari1.bsky.social @cciari1.bsky.social · 31/01/2026Thank you. I'm keeping my promise. See you on the next case ☺️ 000
cciari1.bsky.social @cciari1.bsky.social · 31/01/2026Thanks for your patience! I think there may be progression of damage from the AV node to the His Purkinje system, right? If so, after how long? 🙏 I'll stop here with this case, I promise ☺️ 100
cciari1.bsky.social @cciari1.bsky.social · 31/01/2026I reviewed the ECGs in the medical records of the patients who were admitted on the same days as this patient who received the pacemaker and none of them had a wide QRS 100
cciari1.bsky.social @cciari1.bsky.social · 31/01/2026It's happened to me several times too. In this case, however, we have 4-5 ECGs performed by different nurses on different days with the same name listed (that of the patient who had the telemetry) 🤷. 100
cciari1.bsky.social @cciari1.bsky.social · 31/01/2026I was also wary when I saw them, but the ECGs in succession have the same name of the patient on several days (there were no namesakes in the department, I had also thought about this possibility), the telemetry at that time was the only one, however unlikely I cannot imagine an alternative 100
cciari1.bsky.social @cciari1.bsky.social · 31/01/2026I know it seems strange, but I don't know what to say🤷 100
cciari1.bsky.social @cciari1.bsky.social · 31/01/2026Good morning @narrowqrs.bsky.social. The patient underwent PM implantation. These are the ECGs during hospitalization up to the time of implantation. QRS complexes always narrow, regarding telemetry I checked: on the night the PAVB occurred there was no other patient with telemetry 100
cciari1.bsky.social @cciari1.bsky.social · 30/01/2026Thank you. I admitted the pt when she came to the hospital. I certainly didn't perform the ECG myself, but it was done in the ED. I wasn't on duty the next day, and they sent me this photo from the hospital where the patient was being monitored. I'll try to get the 12-lead ECGs in the next few days. 100
cciari1.bsky.social @cciari1.bsky.social · 30/01/2026Yes. A 76-year-old woman with HTN slipped on the steps and fell, hitting her head. She likely lost consciousness for about a minute after the injury. ECG upon arrival in ED. Telemetry after ~24 h 100
cciari1.bsky.social @cciari1.bsky.social · 30/01/2026Good morning @jeffreyvinocur.bsky.social @narrowqrs.bsky.social. I interpreted this ECG ( left) as Mobitz 1, narrow QRS with probable nodal block, PVC. On the right after 24 h in telemetry. I wonder: was the block in the first ECG really nodal? Thank you in advance.🙏 100
Reposted by @cciari1.bsky.socialJeffrey M Vinocur @jeffreyvinocur.bsky.social · 05/01/2026Yes! Your first observation is the expected behavior. Your second observation is the unusual finding. 111
cciari1.bsky.social @cciari1.bsky.social · 04/01/2026At the end of the trace is there a block in the AP too?🤔 131
cciari1.bsky.social @cciari1.bsky.social · 04/01/2026Thank you for sharing, if I understand correctly, adenosine-induced AV node block makes AP conduction more evident, right? 100
Reposted by @cciari1.bsky.socialJeffrey M Vinocur @jeffreyvinocur.bsky.social · 18/12/2025#EPeeps fascinating adenosine response 141
cciari1.bsky.social @cciari1.bsky.social · 21/12/2025Thank you so much, that was exactly my idea. Can we rule out PAC or atrial retroconduction because Ab corresponds exactly to VS, is that correct? 100
Reposted by @cciari1.bsky.socialJeffrey M Vinocur @jeffreyvinocur.bsky.social · 20/12/2025I think sinus with FFRW oversensing and a PVC? 111
cciari1.bsky.social @cciari1.bsky.social · 20/12/2025Good morning @jeffreyvinocur.bsky.social, could you please help me interpret this event? I have some ideas, but I need expert confirmation. Thank you. 100
cciari1.bsky.social @cciari1.bsky.social · 17/12/2025Thank you very much. From this morphology I wouldn't have said it 000
cciari1.bsky.social @cciari1.bsky.social · 16/12/2025IMO: flat line in DII ➡️ RA/RL lead reversal, SR with pseudofusion beats 121
Reposted by @cciari1.bsky.socialJeffrey M Vinocur @jeffreyvinocur.bsky.social · 12/12/2025#EPeeps Cute variant on a common ECG issue 121
Reposted by @cciari1.bsky.socialJ.M. Cooper @narrowqrs.bsky.social · 06/12/2025Have your patients been under the false impression that slow pulse = sinus rhythm? This direct link helps educate about the difference between rate and rhythm: www.youtube.com/watch?v=oy9g... 153
Reposted by @cciari1.bsky.socialJ.M. Cooper @narrowqrs.bsky.social · 29/11/2025Here are the topics from the a.fib video 👍 094
Reposted by @cciari1.bsky.socialJ.M. Cooper @narrowqrs.bsky.social · 29/11/2025Here's a simple explanation for patients about electrical cardioversion: (link goes right to this spot in the video) www.youtube.com/watch?v=oy9g... 084
Reposted by @cciari1.bsky.socialJ.M. Cooper @narrowqrs.bsky.social · 29/11/2025Walking a patient through an a.fib ablation procedure: (Link goes directly to this part of the video) m.youtube.com/watch?v=oy9g... 084
Reposted by @cciari1.bsky.socialJeffrey M Vinocur @jeffreyvinocur.bsky.social · 22/10/2025#EPeeps It's not very exciting, but I see this get missed over and over. Less subtle repeat in the thread. #ACHD 222
Reposted by @cciari1.bsky.socialJ.M. Cooper @narrowqrs.bsky.social · 23/10/2025Remains the #1 missed EKG diagnosis. Which is why it was my very first telemetry tips topic! youtu.be/BbLYOcgdPb0?...youtu.beTelemetry Tips - Atrial Flutter, Atrial TachycardiaYouTube video by Dr. Joshua Cooper - Arrhythmia Education 042
Reposted by @cciari1.bsky.socialJeffrey M Vinocur @jeffreyvinocur.bsky.social · 24/10/2025Pseudofusion 111
cciari1.bsky.social @cciari1.bsky.social · 25/10/2025Thanks, so there's a near-perfect match between intrinsic PR and SAV. I can't see the spike, perhaps because V leads is bipolar? Thanks again 🙏 000
cciari1.bsky.social @cciari1.bsky.social · 24/10/2025I apologize for the image quality; it is not simultaneous with the previous pic, but a few minutes later. QRSs after AS (🟢) are recognized as VP. QRSs after AP (🔴) are correctly interpreted as VS. 100
cciari1.bsky.social @cciari1.bsky.social · 24/10/2025Good morning, I need your help. I have a nagging question: why are these spontaneous QRSs interpreted as VP? Capture and sensing parameters are normal Thank you for your help. @narrowqrs.bsky.social @jeffreyvinocur.bsky.social @willyhfrick.bsky.social @toasterpastry.bsky.social 100
Reposted by @cciari1.bsky.socialJ.M. Cooper @narrowqrs.bsky.social · 19/10/2025Quick patient lesson about types of ablation. Minor pros and cons. Part of upcoming "new and improved" patient education video about a.fib. 152
