Charles Rouse, MD

Cardiac Electrophysiologist

[Charles Rouse, MD @ChuckRouse]

@True_EP Any plan to replicate this in an animal model? Would be interesting to see histology to get a better sense on the extent of tissue injury.

[Charles Rouse, MD @ChuckRouse]

Unexpected guest during AF ablation! #Epeeps

[Charles Rouse, MD @ChuckRouse]

First pass termination with QMODE+. Very efficient with vHPSD even with a wide band of consolidation. #EPeeps @BiosenseWebster

[Charles Rouse, MD @ChuckRouse]

First QDOT case in CT! Patient presents three years after PVI/PWI with atrial flutter. Prior lesion set durable. Bipolar and Coherent map shows de novo flutter on the anterior septum. #EPeeps @BiosenseWebster

[Charles Rouse, MD @ChuckRouse]

@MaggieInfeld @MarkusMeyerMD @lusty63 @KramerWahlberg @SeanPMeagher @DNSilvermanMD @iamandkrish @NicoleHabelMD Congrats on the paper! I had a questions about the formula in supplement 1. Do you take the square root twice of (EF/50%)? Seems this always comes to nearly 1.

[Charles Rouse, MD @ChuckRouse]

@MSharifpourMD Femoral stick in a morbidly obese thigh. Slide the catheter once you have a flash then you can advance your J wire. Sometimes the standard cook is too short.

[Charles Rouse, MD @ChuckRouse]

@MDTolgaAksu @aalahmadmd @natale_md @DrBradleyKnight @DrJasonAndrade @drrakeshg1 @DhirajGuptaBHRS @hhuang123 @StavrosStavrak1 @DoctorPhillEP @CarlChiefCard Do you specifically target GPs while performing PVI/PW for patients with bradycardia and AF?

[Charles Rouse, MD @ChuckRouse]

@veramasloo @evgeny_lyan @PantlikRobert @ThomasDemming LSPV could be extended more, particularly on the anterior side. Would also investigate the activity in the left carina.

[Charles Rouse, MD @ChuckRouse]

@S_NarayanMD @TJaredBunch @Phiso_de @EladAnter @atulverma_md @dhaines901 @VivekReddyMD @JonPicciniSr More additional lines were done in the HPSD group, this may account for the higher incidence of flutter independent of power strategy.

[Charles Rouse, MD @ChuckRouse]

@rdebiasi3 @mattaustein @SergioPinski @drimdadahmed @skarim01 @MDT_Cardiac That wild. I'd be interested in what the contrast shots looked like. How did you gooseneck the catheter for deployment? I assume forward pressure would push that posterior unless you added some torque at the same time.

[Charles Rouse, MD @ChuckRouse]

@drimdadahmed RIPV isolation looks a little tight around the vein. Would extend that out which practically would mean eliminating that peninsula of normal voltage on the PW. Probably stop there with no triggers on isuprel.

[Charles Rouse, MD @ChuckRouse]

@MarkMarieb Dual nodes with unrelated disease in the RB? You would have to assume there is a 2 for 1 response to the last stim with 2 echos to follow. That would account for the very short VA time on the last 3 beats.

[Charles Rouse, MD @ChuckRouse]

@drimdadahmed @narrowQRS @Nishaki1 @abhishek_mbbs @skarim01 Should be ablatable from the mid-inferoseptum. Certainly needs a revision as well. CXR would be helpful to determine wether simply moving the lead is warranted vs changing the vector with SVC or array.

[Charles Rouse, MD @ChuckRouse]

@hockeypharmd Impossible to know based on what’s been released. What counts for EBM these days has progressed from peer reviewed to pre-prints, now to just press releases and surreptitiously recorded meetings. Will need to wait a little longer.

[Charles Rouse, MD @ChuckRouse]

@narrowQRS @EulertJ @50wattdoc @slatercharles1 @rdschaller @TinaBaykaner @Dr_Santangeli @gautamsand @netta_doc One trick I learned: most common failure early on is unknowingly puncturing through the back wall but very easy to recover by slowly withdrawing back.

[Charles Rouse, MD @ChuckRouse]

#EPeeps Any experience with extracting a 4 year old subQ ICD who needs CRT? Is simple traction sufficient or are more sophisticated tools needed?

[Charles Rouse, MD @ChuckRouse]

@AndrewMcGavigan EF has dropped since implant from 40s to 30s hence the original attempt was for a BLOCKHF indication. CS lead is definitely first option but first attemp was from an implanter I highly respect so planning for contingencies.

[Charles Rouse, MD @ChuckRouse]

Any advice for HBP implant in a patient with persAF, currently single chamber system without an underlying? Is pacemapping for his capture an option, or maybe LBP pacemap for W in V1? Another doc failed with a CS lead but I'm going to try that first. #epeeps

[Charles Rouse, MD @ChuckRouse]

@StevenZweibel @PPA_USA @doctorwes @ABIMFoundation It's also a strawman argument for MOC. Most agree there is value in initial board certification, which these studies support. Were are the studies that show MOC in its current, expensive form improves patient outcomes?

[Charles Rouse, MD @ChuckRouse]

@vish_luther Assuming no CAD and no improvement with BB/ACEi would ablate AP for possible dysynchrony induced NICM. Wouldn't target the APCs unless symptomatic.