Madison J. Spence

Denovo AF

Denovo AF no more, from slow af ~280 CL ➡️ 555ms CL ➡️ NSR 🥳 brought to you by a new UI/UX

For our patient’s first time ablation, we stuck to the standard. WACAed our veins and secured the carina, but our patient remained in fib. So what now?

With the AcQmap catheter on the case, 🔎we AcQtracked the global activation of our patient’s afib in under a minute and 👀 #ePeep what we found! A verrry interesting LIA, local irregular activity, inferior to the LIPV.

It. had. it. all. – deceleration, pivoting, & breakout

Determined to term we took a core to boundary approach, and we got what we came for #burnedandtermed to nothing 👏but 👏sinus. 👏 Incredible team effort with Dr. Arfaat M Khan, MD at Henry Ford hospital in Detroit, Jacob Dreyer & Elizabeth Lasc

#ePeeps check out LIA’s role in the spatial and temporal stability of the propagation of AF at

**If you’re going to be at #hrs2022 come find me in Acutus’ Tech Suite, I’d love to connect / geek out over the emerging tech in #electrophysiology

PAC ➡️ Afib

PAC caught on pentaray initiated afib ➡️ terminated to NSR w/ our WACA

Here’s what we saw behind the scenes of our paroxysmal afib first timer ~virgin veins~ brought to you by #cartoreplay

#ePeeps did you catch the activity in that left common vein 👀 PAC⚡️ ➡️ AF ➡️ ablation ➡️ term with ablation while wrapping up our WACA at the base of the LIPV ➡️ and back to CS pacing for stability ➡️ EP study to follow ➡️ #nothingbutsinus 🫀

#electrophysiology #carto #biosensewebster #healthcaretechnology #Sheikhandablate #healthcareleaders #mycompany

Afib: Initiation at the RIPV

Afib: initiation at the RIPV ➡️ termination at the RSPV as we wrapped up our PVI

#ePeeps check out the initiation of afib/aflutter at the base of the RIPV from sinus rhythm as we were getting ready to complete our pulmonary vein isolation.

After pacing the anterior side of our right veins to avoid making “friends” with the phrenic nerve, we completed our PVI via WACA to have the most glorious #burnandterm at the anterior RSPV.🫀

There’s still so much more to learn about the mechanism of atrial fibrillation, but it’s hard to argue with that juicy signal and having nothing but NSR in the end! 🥳

#healthcaretechnology #biosensewebster #healthcareinnovation #mycompany #cartoreplay

#ePeep My Monthly Newsletter

want a playhaus account? get them here.

Case Review

Once a month I send out a newsletter on sharing my learnings in the field of electrophysiology.

Follow for links to the best case reviews, research, and news I come across.