Mike Eskander
@maeskander
MD, FACC, FHRS | Cardiac Electrophysiologist | Western Washington Medical Group| Providence Medical Center |@ucirvinesom 👉@ucirvinehealth 👉 @ucsdhealth
ID: 53542413
https://www.wwmedgroup.com/specialties/cardiology/ 04-07-2009 00:15:56
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Heart rate drops to 0 ❤️🔥 during cardioneuroablation at left superior GP for frequent vasovagal syncope. #CNA performed by Mike Eskander. Opposite effect with ablation at RSGP below 👇. No response to atropine at end of procedure and patient syncope free nearly 6 months later!
Kevin Brady CarinaHardyEP Roderick Tung Antonio Frontera Babak Nazer Uyanga Batnyam Nazem Akoum Mike Eskander Penn Electrophysiology Fellowship Fermin Carlos Garcia Very interesting map Kevin; yes it could be a shared isthmus with these two VT exits( discordant VT1&VT2) even with this long distance ; vert nice explanation was done by Roderick Tung about this topic👇
Didn't believe it myself at first! The signal was indeed reproducible. I suspect an deeper, intramural focus. Fantastic mapping by Kevin Brady
Mike Eskander Kevin Brady If you think about it: if the PVC is reentrant, as many are, one could in theory record potentials during the whole diastole. If the PVC is automatic or triggered, one would not be able to record much before enough myocardium gets depolarized to be seen in surface ECG.
What is it about the R-L interleaflet triangle (ILT) between the right and left coronary cusps that causes it to be the site of successful ablation for so many LV summit PVCs? Mike Eskander Roderick Tung Fermin Carlos Garcia javad mikaeili JMC Babak Nazer Michel Barakat #EPeeps #ablateVT
Efficacy of Left Bundle Branch Area Pacing Versus Biventricular Pacing in Cardiac Resynchronization Therapy Patients: Select Site - Cohort Study @jenishshroff Rajeev kumar Pathak heartrhythmjournal.com/article/S1547-…
-43 msec precocity and 99% pacematch at R-L ILT. 1 burn ❤️🔥 PVC elimination using retrograde approach and "shepherd's crook" prolapsed ablation catheter orientation from just below the valve. Case performed by Mike Eskander