🫀 Post-Corrected TOF Tachycardia ⚡ A 38-year-old female with a history of surgically corrected Tetralogy of Fallot presented with incessant tachycardia. She had been misdiagnosed as VT & A fib, necessitating several inappropriate electrical cardiofversions. ⭕️ Our evaluation of ECG revealed atypical atrial flutter which confirmed via EP study as a scar-related right atrial flutter originating from the surgical righ…

Channel
ECG & Arrhythmia with Dr. Anwer Alzurfi
@AnwerAlzurfi
On this record: Growth · Engagement · Posts · Citations · Cite this entry
1,446subscribers
-2 since we began measuring on 7 August 2026
Risers and fallers across the register · movement among entries of 1,000–3,162.
Register entry
| Telegram ID | -1002769386215 |
|---|---|
| Type | Channel |
| Username | @AnwerAlzurfi |
| Created | Between 1 June 2025 and 1 September 2025— estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 7 August 2026 |
| Last confirmed live | 13 August 2026 |
| Measurements held | 4 |
| Confirmed unchanged | 1 time, most recently 13 August 2026 |
| On Telegram | t.me/AnwerAlzurfi |
Growth
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 13 Aug 2026, 16:49 | 1,446 | -1 |
| 10 Aug 2026, 16:41 | 1,447 | -1 |
| 7 Aug 2026, 11:01 | 1,448 | no change |
| 7 Aug 2026, 10:48 | 1,448 | first reading |
Engagement
18 posts held, back to 1 September 2025 — the reader has not yet reached the start of this channel’s public history, so older posts may sit further back, unread. Read across 1 pageof Telegram’s post history, 20 posts per page.
Nothing published in the last 30 days. ERR and ER are rolling 30-day measures, so there is nothing to compute — we hold 18 posts for this entry, the most recent from 22 May 2026. An engagement rate over an empty window would be a number about nothing.
Recent posts
🏆 فرصة مميزة للأطباء – التدريب مجاني. 🔹 يشمل التدريب: ✔️ طرق تركيب وقراءة وتحليل تخطيط القلب (ECG) ✔️ أساسيات وتطبيقات الإيكو (Echo) ✔️ القياس الصحيح لضغط الدم الزئبقي والالكتروني ✔️ اختبار المنضدة المائلة (Tilt Table Test) ✔️ تخطيط القلب تحت الجهد (Stress Test) ✔️ تركيب الهولتر للمريض وتحليل جهاز الهولتر (Holter Monitoring) ✔️ برمجة اجهزة القلب (PM, ICD,CRT) ✔️ التدريب على اجهزة مراقبة النبض والضغط ✔️ إدارة العيادة…
🫀 A remarkable case of a 54-year-old patient presenting with a combination of bradycardia and tachycardia. ⚡ The patient initially suffered from symptomatic bradycardia due to sinus node dysfunction, leading to true syncope. A permanent pacemaker was successfully implanted to manage the condition. 🔄 Subsequently, the patient developed supraventricular tachycardia originating from the AV node (AVNRT), which was clea…
In Iraq 🇮🇶 🫀 An advanced and complex procedure was performed for a patient with heart failure who had a CRT-D device previously implanted in Germany. ⚠️ The patient developed a device pocket infection & skin erosion, which required complete system removal. Device and lead extraction were successfully carried out using appropriate techniques to ensure full removal of all infected components. ✅ The procedure was com…
⏺️ AF ablation (pulmonary vein isolation). ▶️ A 67 year old man, diabetic, hypertensive, presented with long standing persistent atrial fibrillation ( AF )،، Pulsed Field Ablation was performed and AF was terminated by PFA shocks (momently during the procedure) and restoration of sinus rhythm. ✔️ Effectiveness of PFA (especially for Atrial Fibrillation) 1️⃣ Acute Procedural Succes: ~99–100% in most major trials 2️⃣…
⚡ In a 49-year-old woman who presented with cardiac arrest and was successfully resuscitated with DC shock, the resting ECG showed a prolonged QT interval attributed to hypocalcemia resulting from hypoparathyroidism following thyroid surgery. 📚 According to the ESC guidelines of VT @ 2022, an ICD was appropriately implanted for secondary prevention. During follow-up, the patient experienced multiple episodes of Tor…
✅ A 51-year-old man with a known history of Systemic sclerosis presented with true syncope resulting in head injury. Holter monitoring demonstrated marked first-degree AV block with a PR interval of 320 ms and RBBB, without documented second- or third-degree AV block. Echocardiography revealed normal left ventricular systolic function. Coronary angiography performed two months earlier was normal. ✔️ According to ESC…
✅ Successful Pulsed Field Ablation (PFA) for long-standing persistent AF (24 years) in a 68-year-old patient, and restoration of sinus rhythm 🫀 ⚡️ Pulsed field ablation is used for catheter ablation of atrial fibrillation, particularly for pulmonary vein isolation in paroxysmal and persistent AF. ✔️ Pulsed field ablation is a non-thermal, myocardial-selective ablation technique using irreversible electroporation th…
✔️ Successful launch of the First Foundational Medical Conference on Cardiac Electrophysiology in Iraq 🇮🇶, held at the College of Medicine – University of Baghdad, with the attendance and participation of a distinguished group of professors and experts in cardiac electrophysiology. 🩺 DR. ANWER ALZURFI, MD, FHRS
✔️ Clinical Case A 78-year-old woman, pacemaker was implanted for intermittent AV block, now presented with diaphragmatic contractions. 📺 Pacemaker programming: The ventricular lead was not functioning, and stopping pacing eliminated the contractions, indicating lead displacement and the need for lead revision. 📸 Fluoroscopy: Showed retraction and coiling of the ventricular lead around the pacemaker box, suggestin…
Tips & Tricks ✨ 🔶 Not all patients with hypertrophic cardiomyopathy and tachyarrhythmia are direct candidates for ICD implantation ⚡️. ✅ This case involves a 28-year-old man who presented with SVT in the setting of hypertrophic cardiomyopathy. 🔷 An EP study and ablation were successfully performed, and the tachycardia was diagnosed as AVRT using an epicardial accessory pathway located inside the middle cardiac vei…
💡 Tips & Tricks 🫀 Interpretation of rhythm based on the numbers inside the circles: 1️⃣ Normal sinus rhythm. 2️⃣ Normal qrs as P wave normally conducted to the ventricle – AV node conduction is intact with a normal physiological PR interval. 3️⃣ Absence of atrial activity (no P wave) – indicates sinus node disease. 4️⃣ Idioventricular escape rhythm – as a wide complex rhythm at a rate of approximately 33 bpm. ✅…
Showing the 12 most recent of 18 posts we hold for @AnwerAlzurfi. View and reaction counts are the latest single reading for each post, not a live figure, and a recent post is still accumulating both. A view count marked ≈ was rounded by Telegram before we ever saw it — t.me prints views in full below 1,000 and to three significant figures above, so ≈1,200,000 means somewhere between 1,150,000 and 1,249,999. Unmarked counts are exact. Text is reproduced from the public post preview and truncated for length.
Citation-graph rank
Citation-graph rank — 851,580 of 1,481,217entries in the measured graph. A weighted position computed from the forward and mention edges below — republished posts weigh more than named mentions — and recomputed periodically, over the whole graph. Published only as this ordinal position, never as a score: a position is a fact, and a score printed beside one channel’s name would read as a verdict this register does not make. The two counts beneath stay separate for the same reason mentions are never summed with forwards anywhere else on this page — a named-by count costs nothing to manufacture. The top 100 by this measure, or how it is computed.
Forward network
Republished by
Channels on the register that have forwarded this channel's posts into their own feed.
Built only from forwarded posts we have actually read, on both sides. Coverage is early and deliberately incomplete: a missing link means we have not read the post that would prove it, never that the relationship does not exist. Counts are distinct forwarded posts observed, so they only ever go up as we read more.
Mentions
Named by 1 registered channel — every channel on the register whose own posts have named this one, by its current username or any other username it currently holds, merged from two separately captured readings of the same fact so a namer caught by only one of them is not missed and a namer both caught is not counted twice. A username this channel has since dropped is not matched — that handle may belong to someone else now, and crediting today’s namer to yesterday’s owner would misattribute it.
Named by
Channels on the register whose posts name this channel's handle.
A mention is a weaker signal than a forward and is counted separately for that reason — naming a channel is not republishing it, and a handle in a post body is easy to place deliberately. The post counts beside each row below are distinct posts in which the handle appeared, from posts we have read on both sides — the “Named by N registered channels” figure above is a different count, of distinct NAMING CHANNELS rather than posts, and is not the sum of the rows under it.
Cite this entry
A live page changes as we take new readings, so a citation should name the measurement it is based on, not just the URL. The line below cites the subscriber count as measured 13 August 2026 — this entry's latest reading, not the date you are reading this.
“ECG & Arrhythmia with Dr. Anwer Alzurfi” (@AnwerAlzurfi), 1,446 subscribers as measured 13 August 2026. Telegram Register, tgregister.com/channel/AnwerAlzurfi.
Full measurement history, CC BY 4.0. Every reading this register holds for this entry, not just the latest one, as a dated, downloadable record: CSV · JSON. Free to use with attribution to tgregister.com. Each file carries its own generation timestamp, which is the figure to cite for exactly when the data was retrieved.