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Paweł Moskal, MD
His bundle pacing enthusiast, SpR Cardiology, 1st Department of Cardiology Jagiellonian University Medical College
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Paweł Moskal, MD Dec 5
Beautiful example of programmed His bundle stimulation! You can show all possible pacing morphologies and prove what is really happening “under the lead”. Thanks for your kind words! :)
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HeartRhythm Nov 27
The December 2019 issue of Heart Rhythm, which includes a special focus issue on Devices, is online now!
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Paweł Moskal, MD retweeted
Peng-Sheng Chen, MD Nov 24
The December 1 issue of the journal focus on devices. It includes 5 manuscripts on pacing either the LBB or the area of the LBB. They are followed by manuscripts related to His bundle pacing. Both techniques work well in preserving or improving LV function.
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Paweł Moskal, MD Nov 23
Is it early? Early? Early? OK, RF on!
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Doug Gibson MD, FHRS Nov 23
Cleaning out the closet and we found the old DC ablation cables. They were sitting right next to the Ether
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Paweł Moskal, MD Nov 20
What’s your experience with HBP or LBBP in LPFB and RBBB? Only seen couple cases. With just HBP it’s usually hard to get good pace param. Tried LBBP today. Small potential in EGM, th excellent and could prove LAF capture with selective response in programmed pacing
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Paweł Moskal, MD Nov 20
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Paweł Moskal, MD Nov 20
Some say only successful stories of HBP are published. Not true! Check our case in on what can happen when you don’t pace beyond the block, a story from the pre-LBBP era. It’s our first collaboration with friends Thanks! DM for PDF
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Paweł Moskal, MD Nov 18
Yes, usually we see a similar potential. Could it be a distal left bundle potential?
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Paweł Moskal, MD Nov 18
Initially with COI the threshold was ~ 2V. During the waiting I have implanted the atrial lead and did some programmed pacing. After 7-8 minutes threshold dropped to 1.1V, so I accepted the lead position and put the device.
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Paweł Moskal, MD Nov 17
5 mV! Thanks!
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Paweł Moskal, MD Nov 17
Thanks!
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Paweł Moskal, MD Nov 17
Unscrew the lead with sheath stabilized, then withdraw the sheath with just a little more counterclockwise torque. Micro-moves can really make the difference. V signal in EGM changed a little.
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Paweł Moskal, MD Nov 17
Hunting for “nice and juicy” His bundle potential never gets boring. This one was really impressive and with current of injury low thresholds are expected!
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Paweł Moskal, MD Nov 11
Replying to @Stereotaxis @RBandH
You need to convince prof. S. Ernst to join the twitter community!
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Paweł Moskal, MD Nov 11
Transition from anodal capture to non-sel LBBP?
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Peter Jessel Nov 9
Anyone else using the 3830 lead as a “grappling hook” for better reach/height for an area of interest for His/LBBArea pacing the the sheath can’t reach? @His1doc
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Roderick Tung Nov 7
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Paweł Moskal, MD Nov 8
Sure love to see a septal mapping here... And I am positive that we will have it :) I believe there is still some LBB conduction and/or delay present, and definitely a lot of scaring in LV.
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Alexander dal forno Nov 7
Amazing LBBB with 230ms pós TAVR. EF 17%. Selective His bundle pacing result in massive qrs shortening! apparently the wider the qrs, more proximal the block is!
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