John Evans

proud clinician/educator. clinical cardiac Electrophysiologist. associate program director for cardiovascular medicine fellowship. new technol consultant.

[John Evans @DrJohnEP]

@SergioPinski 3-retrograde p sensed and paced (pmt) at long av until 3 a’s fail to conduct and then sensed av delay shortens speeding up the pmt. Great tracing.

[John Evans @DrJohnEP]

@SergioPinski 2-v based timing so va escape is 1000ms-450ms. This paced a can’t conduct likely due to concealed conduction from a in pvarp colliding with retro. V comes on at Long av delay (likely searching for conduction.

[John Evans @DrJohnEP]

@SergioPinski 1-3rd beat a-pseudofusion (a based timing with rate smoothing probably why paces above lower rate). Pvc after conducted beat with no va before sinus a that falls in pvarp.

[John Evans @DrJohnEP]

@Dr_Nazarian_EP @EPeeps_Bot @MJAckermanMDPhD @PeterKowey @Charlie2150 Right after REMS ended, My first and only outpatient restart: I selected a patient on tikosyn for years with no issues and ppm to avoid any issue with reverse use dep. output ecg 2 hours after first dose. 4 hours later she called from home with dizzy spell. TdP recorded on ppm.

[John Evans @DrJohnEP]

@DrBradleyKnight This financial disincentive should be reevaluated? If reimbursement is so strongly influencing patient care, fee-for-service should be reevaluated.

[John Evans @DrJohnEP]

@GhaithAlmidani @syamkumarmd @bishoydf @dog_oculus @jchowmd @yaS0_0Ser @rudyunni @EPeeps_Bot Is that phase 4 block prolonging the first conducted PR of 3:2 conduction or phase 4 block with junctional”escape-“ allowing HPS “capture”?

[John Evans @DrJohnEP]

@narrowQRS @daejoonanh @SchakrabartiEP @aalahmadmd @AnandShah_MD @drpchacko Is it all the suture sleeve or does insulation play a role? 4 publications in last year on higher frequency of lead noise with tendril with optim.

[John Evans @DrJohnEP]

@MRobinsonEP After my dad died (a week after I discovered that his myeloma had relapsed 3 chemo cycles before), I could no longer stomach fee-for-service medicine... I now love working in our socialized national healthcare system! Ending fee-for-service is at least part of the answer.

[John Evans @DrJohnEP]

@CardiBeatMD This is the chalk talk I’m giving tomorrow morning in the CCU! I’m going to have to pull up some x-rays and ECG’s Because my drawings won’t be nearly as good as yours!

[Chase Anderson, MD, MS (K.C. Ardem) 🦸🏽‍♂️🏳️‍🌈 @ChaseTMAnderson]

Whenever people ask why LGBTQ+ people are still being vocal about our rights - because we don't have all of them and we can lose them with the decision of a judge.

[John Evans @DrJohnEP]

Did he get to cheat on this test??? “person, woman, man” are too related and shouldn’t be worth 3 points.

[The Lincoln Project @ProjectLincoln]

Oh my god.

[John Evans @DrJohnEP]

Such a great question! I can’t pick just one because I needed several...sea change-beck, the bends-Radiohead, a rush of blood to the head-Coldplay, summer sun-yo la ten go...and before every exam I would loudly listen to a live version of Morning Dew from some dead show in ‘74.

[David JH Wu, MD @davidjhwu]

What album got you through medical school?

[John Evans @DrJohnEP]

And specifically comment on the rhythm and rate because monomorphic VT AT 260 will surely be labeled as massive hypotension with no pulse!

[JMC @narrowQRS]

PEA arrest is a synonym for massive hypotension. Because of the confusion associated with the term "PEA," it should no longer ever be used, and instead people should say that a patient had "massive hypotension with no palpable pulse."
Thank you for coming to my TED talk.

[John Evans @DrJohnEP]

I saw a sign...

[John Evans @DrJohnEP]

@almostdr_obrien (2/2) I was told “definitely not”. After interview I got feedback that me asking that made some people too uncomfortable.

[John Evans @DrJohnEP]

@almostdr_obrien (1/2) Interviewing for a job several years ago, I was asked if I had a wife or girlfriend six times in my first 90 minutes. I simply answered no. Not much later in the day l heard some homophobic joke. Was asked again and said, “is it going to be a problem for anyone if I’m gay?”

[John Evans @DrJohnEP]

@Toaster_Pastry Is it possible to just retweet the last nine words?

[John Evans @DrJohnEP]

@JoyYWu I switched into academic medicine mid career just over a year ago and couldn’t be happier! Thanks @ridhimakapoor @drjefflin @atrialappendage @AlexanderPerino and all my colleagues, especially @leftbundle for bringing me back!

[John Evans @DrJohnEP]

@ardem_c Pick a favorite? Meh...

[John Evans @DrJohnEP]

I promised when I got on Twitter I would only participate in the sharing of medical knowledge.... I just can’t keep that promise...This is criminal! This should be prosecuted. My specialty is about preventing sudden death. We need to prevent this from ever happening again!

[David Begnaud @DavidBegnaud]

BREAKING: Charging doc against Minneapolis police officer who kept his knee on George Floyd’s neck says autopsy revealed: “No physical findings that support a diagnosis of traumatic asphyxia or strangulation”...combination of force & health problems contributed to death. (CNN)