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cciari1.bsky.social
@cciari1.bsky.social
33 followers 25 following 55 posts
Posts Replies Media Videos
Reposted
jeffreyvinocur.bsky.social
#EPeeps It's not very exciting, but I see this get missed over and over. Less subtle repeat in the thread.

#ACHD
October 22, 2025 at 1:49 AM
Reposted
narrowqrs.bsky.social
Remains the #1 missed EKG diagnosis. Which is why it was my very first telemetry tips topic!

youtu.be/BbLYOcgdPb0?...
Telemetry Tips - Atrial Flutter, Atrial Tachycardia
YouTube video by Dr. Joshua Cooper - Arrhythmia Education
youtu.be
October 23, 2025 at 2:52 AM
Reposted
jeffreyvinocur.bsky.social
Pseudofusion
October 24, 2025 at 10:17 PM
cciari1.bsky.social
Good 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
October 24, 2025 at 9:30 AM
Reposted
narrowqrs.bsky.social
Quick patient lesson about types of ablation. Minor pros and cons.
Part of upcoming "new and improved" patient education video about a.fib.
October 19, 2025 at 2:19 AM
Reposted
willyhfrick.bsky.social
Arrhythmogenic cardiomyopathy, epicardial access. Pacing from ablator.

@narrowqrs.bsky.social @shah.md @jeffreyvinocur.bsky.social @danacjohnson.medsky.social

#EPeeps
October 17, 2025 at 5:09 PM
Reposted
jeffreyvinocur.bsky.social
#EPeeps This baby's ECG has one of my favorite findings
September 19, 2025 at 12:59 AM
Reposted
jeffreyvinocur.bsky.social
#EPeeps Very unusual tracings from epicardial pacemaker - mirror noise all well and good, but has anyone seen bipolar go flat like this? Note carefully EGM configuration.

@narrowqrs.bsky.social
September 12, 2025 at 2:05 AM
Reposted
jeffreyvinocur.bsky.social
#EPeeps Don't see this so often!
August 26, 2025 at 9:09 AM
Reposted
ecgcases.bsky.social
ECG Cases 57 Art of Occlusion MI Part 5 – Clinical-ECG-POCUS Triptych emergencymedicinecases.com/ecg-cases-oc... #ECG #POCUS #cardiosky #ecgsky @emcases.bsky.social
ECG Cases 57 Art of Occlusion MI Part 5 - Clinical-ECG-POCUS Triptych
In this ECG Cases with Dr. Jesse McLaren we guide you through 6 cases to explore his Clinical-ECG-PoCUS triptych in the identification of Occlusion MI...
emergencymedicinecases.com
August 27, 2025 at 4:20 PM
Reposted
jeffreyvinocur.bsky.social
#EPeeps What do you think from the dot plot? Then see below.
August 21, 2025 at 1:47 PM
Reposted
jeffreyvinocur.bsky.social
#EPeeps Pacemaker patient reporting two weeks of fatigue

#IYKYK @narrowqrs.bsky.social
August 23, 2025 at 3:32 PM
Reposted
nejm.org
Case Record of the MGH: A 32-year-old woman presented with fatigue, myalgias, and palpitations. The cardiac rhythm was irregularly irregular, and an electrocardiogram showed findings suggestive of grouped beating. A diagnosis was made. Full case details: nej.md/4lVks2d

#MedSky #CardioSky
Top: An ECG obtained on hospital day 1 showing sinus rhythm with first-degree atrioventricular block with a PR interval of 350 msec Bottom: An ECG obtained on hospital day 2 showing sinus rhythm with complete atrioventricular block and junctional escape rhythm
August 22, 2025 at 1:24 PM
cciari1.bsky.social
@narrowqrs.bsky.social Thank you so much for posting this video (not finished yet). I'm really excited 🙏

youtu.be/-6Z4TB5h7lY?...
Intro to Intra-cardiac Electrograms & the EP Lab
YouTube video by Dr. Joshua Cooper - Arrhythmia Education
youtu.be
August 14, 2025 at 8:17 PM
Reposted
nejm.org
A 79-year-old man with heart failure with reduced ejection fraction and atrial fibrillation presented to the emergency department with a 2-week history of shortness of breath. 1/4

#MedSky #EmergencyMedicine #CardioSky
Image Challenge What is the diagnosis? Left: A photo of the jugular venous pressure, which was estimated to be 17 cm of water (normal value, < 4 cm of water). Right: A photo of the sustained increase in the jugular venous pressure of more than 3 cm of water for more than 10 seconds while pressure was applied.
August 14, 2025 at 7:06 PM
Reposted
nejm.org
A 32-year-old woman presented with fatigue, myalgias, and palpitations. The cardiac rhythm was irregularly irregular, and an electrocardiogram showed findings suggestive of grouped beating. What is the most likely diagnosis in this case?

🗳️ Cast your vote before August 21: nej.md/45CFZrc

#MedSky
Case Challenge Cast your vote before August 21 Top: An ECG obtained on hospital day 1 showing sinus rhythm with first-degree atrioventricular block with a PR interval of 350 msec. Bottom: An ECG obtained on hospital day 2 showing sinus rhythm with complete atrioventricular block and junctional escape rhythm.
August 8, 2025 at 1:04 PM
Reposted
narrowqrs.bsky.social
Click BP tracing to expand.
What do you think the heart rhythm is before and after the transition?
August 2, 2025 at 5:45 AM
Reposted
narrowqrs.bsky.social
Patient with biventricular ICD, in hospital for heart failure. Sudden jump up in heart rate on tele and unusual wide complex grouped beating. What's going on? What should be done?
August 3, 2025 at 4:27 AM
Reposted
nejm.org
Pacemakers are critical in the management of bradyarrhythmias. Aldaas et al. review pacemaker fundamentals, indications, and device types, as well as the role of pacemakers in heart failure, emerging advancements, and current limitations. Learn more in NEJM Evidence: eviden.cc/4ee15iB
A figure depicting the various types of pacemakers approved for clinical use.
July 29, 2025 at 1:01 PM
Reposted
jeffreyvinocur.bsky.social
#EPeeps I am strangely amused by this. Epicardial pacemaker with failing atrial lead, left in place as VVI backup in case of dislodgement of new transvenous system. "V sensing episode" corresponds to interrogation of new system:
July 27, 2025 at 3:38 PM
Reposted
narrowqrs.bsky.social
Patient is s/p cardiac surgery with temporary epicardial wires in place. This pacing behavior was seen back and forth, also correlating with 15-20 mmHg systolic BP changes.
What could be done to prevent this from happening?
@jeffreyvinocur.bsky.social
July 12, 2025 at 4:23 AM
Reposted
narrowqrs.bsky.social
Patient admitted with leg injury. No history of syncope. No family history of sudden death. Any concerns?
@jeffreyvinocur.bsky.social
July 11, 2025 at 6:02 AM
Reposted
jeffreyvinocur.bsky.social
#EPeeps Do you look closely and the presenting rhythm strip on your remotes?

Answer in the reply 👇
June 26, 2025 at 5:51 PM
Reposted
willyhfrick.bsky.social
hqmeded-ecg.blogspot.com/2025/06/ante...

Does the culprit match?

#ECGSky #Medsky #cardiosky
June 17, 2025 at 4:47 PM
Reposted
jeffreyvinocur.bsky.social
#EPeeps What explains the multiple rhythm changes across the course of this strip?

Hint: there is no oversensing, undersensing, or loss of capture.
June 17, 2025 at 1:14 AM