Doc Gertrude Realty

07/04/2026

FOR RENT: Fully Furnished 3-Bedroom Condo in Avalon Cebu

📍 Location: Avalon Condominium, Cebu Business Park

Rent: ₱90,000/month (Inclusive of association dues)

Unit Details:
- Floor Area: 126 sqm
- 3 Spacious Bedrooms
- 2 Bathrooms
- Fully Furnished (move-in ready)
- 1 Parking Slot Included

Features & Amenities:
- Modern and well-maintained unit
- Open living and dining area
- Equipped kitchen
- Access to condo amenities (pool, gym, 24/7 security)

📌 Prime location in Cebu Business Park, walking distance to Ayala Center Cebu, restaurants, offices, and essential establishments.

📞Contact now to schedule a viewing!

11/01/2026

Who has a better right to a property if there are two buyers—one holding a tax declaration and the other holding a land title?

Question:

I purchased a parcel of land at a public auction conducted by the City Assessor, where I was the highest bidder. As a result, the tax declaration was transferred to my name in 1982. I did not immediately occupy the property. In 1990, I constructed a house on the land and began residing there
Two years later, Mr. Rosales entered the property and claimed ownership. He presented a land title registered in his name, which he stated he acquired in 1985 from Mr. Paquibot. According to him, Mr. Paquibot inherited the property from his parents in 1975.

Who has the better right to the land? Do I have a superior right of ownership considering that I purchased the property earlier, while Mr. Rosales acquired his title at a later date?

11/01/2026

Selective Left Bundle Branch Pacing (LBBP)

Cardiac pacing is an effective treatment for patients with bradycardia caused by sinus node dysfunction or atrioventricular block. However, conventional right ventricular apical pacing (RVAP) can result in electrical and mechanical dyssynchrony, which is associated with an increased risk of atrial arrhythmias and heart failure.

Left bundle branch pacing (LBBP), defined as direct capture of the left bundle branch via a transventricular septal approach, has emerged as a novel physiological pacing strategy. Early clinical studies have demonstrated that LBBP is both feasible and safe, with high success rates and rare complications. This technique provides physiological ventricular activation with preserved left ventricular electrical synchrony and low pacing thresholds. These benefits are characterized by a narrow paced QRS duration, prominent R waves, rapid and synchronized left ventricular activation, and correction of left bundle branch block.

In this patient, selective left bundle branch pacing was achieved, as evidenced by an increase in the R′ wave (arrow) in lead V1 as the pacing output was reduced from 5 V to 3 V. Additionally, the QRS duration on the ECG narrowed from 153 ms to 125 ms following pacing, indicating improved electrical synchrony.

08/01/2026

LOT- ICD

Left bundle branch pacing–optimized implantable cardioverter-defibrillator (LOT-ICD) is a novel approach that provides cost-effective cardiac resynchronization therapy using a dual-chamber implantable cardioverter-defibrillator (ICD) combined with left bundle branch pacing (LBBP).

The LBBP/LBBAP lead is used to pace the left bundle branch, resulting in more physiological ventricular activation and helping prevent heart failure compared with conventional right ventricular pacing, in which the pacing lead is embedded within the ICD lead. The ICD delivers a shock when ventricular tachycardia or ventricular fibrillation is detected.

Shown are the right atrial lead, the LBBP/LBBAP lead, and the ICD lead.

07/01/2026

Left Bundle Branch Pacing (LBBP)/ Left Bundle Branch Area Pacing (LBBAP)

Left Bundle Branch Pacing (LBBP) is a more physiological conduction system pacing method compared with conventional pacing (right ventricular pacing [RVP]). It aims to mimic the heart’s natural electrical activation, resulting in a shorter QRS duration, reduced ventricular dyssynchrony, improved cardiac function, and better clinical outcomes, including heart failure. Although RVP remains an established technique, LBBP offers superior electrical synchrony and performance and may become the preferred pacing method for many patients.

LBBP targets the actual left bundle branch (LBB) or its fascicles to achieve precise physiological activation. In contrast, Left Bundle Branch Area Pacing (LBBAP) is a broader concept that includes both LBBP and Left Ventricular Septal Pacing (LVSP). LVSP captures the septal myocardium without direct engagement of the LBB but still seeks to achieve physiological pacing. LBBP generally results in a narrower QRS complex and better ventricular synchronization than LVSP. In essence, LBBP is a specific and highly physiological technique within the broader LBBAP strategy. While LVSP is technically easier to perform, LBBP is generally preferred due to superior left ventricular activation and better clinical outcomes.

In our patient, pacing is consistent with selective LBBP rather than LVSP, as evidenced by a left ventricular activation time (LVAT) or V6 R-wave peak time (V6RWPT) of 66 ms (yellow line) at both 3 V and 2 V output. LVAT was measured from the pacing spike to the peak of the R wave in lead V6. Additionally, there is a QRS transition from 3 V to 2 V output with an increase in R′ amplitude in lead V1 (yellow arrow), further supporting selective LBB capture.

26/11/2025

Radiofrequency catheter ablation for atrial fibrillation was performed in Cebu City.

Three patients with atrial fibrillation (AF) complicated by tachycardia-induced cardiomyopathy or heart failure underwent radiofrequency catheter ablation on November 20, 2025, at Vicente Sotto Memorial Medical Center in Cebu City.

Pulmonary vein isolation (PVI) was successfully performed in all cases. The images shown include the transparent (glass) views and voltage maps of the three patients.

Catheter ablation is a Class I recommendation—meaning it is strongly advised—for patients with heart failure caused by atrial fibrillation, as supported by both the European Society of Cardiology and the American Heart Association.

I am honored by the visit of Professor Yan Yao from Fuwai Hospital, Beijing, China, who generously shared his expertise in catheter ablation, especially in atrial fibrillation.

26/10/2025

Supravalvular Premature Ventricular Contractions

Premature ventricular complexes (PVCs) originating from the right ventricular outflow tract (RVOT) are a common form of arrhythmia. Although RVOT PVCs are often benign, they can be symptomatic, disabling, or even lead to cardiomyopathy with impaired left ventricular ejection fraction (LVEF). Catheter ablation has become the first-line treatment for symptomatic and frequent RVOT PVCs due to its high acute success rate and low complication rate.
The patient had RVOT premature ventricular contractions originating above the pulmonic valve, and a reversed U-curve successful ablation was performed.

21/10/2025

Successful Ablation of Double Tachycardia: AVNRT and AVRT

The patient had been experiencing almost daily palpitations that were not controlled with verapamil. The patient's quality of life was significantly affected, and the patient had to stop working.

During the electrophysiology study, two types of tachycardia were identified. An atrioventricular reentry tachycardia (AVRT) was induced, and a left lateral accessory pathway was recognized due to eccentric atrial activation. Coronary sinus (CS) 1,2 showed the earliest retrograde atrial activation during tachycardia (arrow), and this pathway was ablated first (arrow).

After successful ablation of the accessory pathway, another tachycardia was induced. This second arrhythmia, identified as atrioventricular nodal reentry tachycardia (AVNRT), displayed concentric atrial activation, with CS 7,8 (arrow) showing the earliest atrial activation. The CS catheter was not fully inserted and the CS 7,8 was at the CS os. The slow pathway (arrow) was then successfully ablated.

The coexistence of more than one supraventricular tachycardia (SVT) in a single patient is a well-documented but relatively infrequent phenomenon. One study reported its occurrence in approximately 4% of the study population.

Radiofrequency catheter ablation for all types of arrhythmias is available in Cebu City.

07/10/2025

Lot For Sale in Fonti De Versailles, Minglanilla
📏 195 sqm
💰 ₱2.7M net

Enjoy elegance, security, and a peaceful neighborhood just minutes from the city!
📞 Send a message for details or viewing schedule!

26/09/2025

Radiofrequency Catheter Ablation of Supraventricular Tachycardia (SVT), Specifically AVNRT, Successfully Performed in Cebu City

Atrioventricular Nodal Reentrant Tachycardia (AVNRT) is one of the most common types of supraventricular tachycardia, caused by abnormal electrical signals near the AV node.

The most effective treatment is radiofrequency catheter ablation, a minimally invasive procedure that can be performed with either 2D guidance or advanced 3D-guided mapping.

With 3D ablation, patients benefit from:

- Lower radiation exposure
- More precise targeting of the slow pathway
- Higher success rates and fewer recurrences
- Clearer visualization of the heart’s anatomy
- Shorter procedure times with reduced risks

💙 The best part? This advanced treatment is now available right here in Cebu City.

Patients don’t need to travel far for arrhythmia care. Radiofrequency catheter ablation (2D and 3D-guided) is offered locally for AVNRT and other arrhythmias, including:

- Atrial fibrillation
- Atrial flutter
- Atrial tachycardia
- Accessory Pathway in Wolff-Parkinson-White (WPW) Syndrome
- Premature ventricular contractions (PVCs)
- Ventricular tachycardia

18/03/2025