Flying from Dallas to Mexico City on @AmericanAir 2350. First flight cancelled due to a “leak”. Got on another plane and had to get off again due to a water pipe bursting. Waiting to figure out what happens next. Unbelievable.
#AirTravel#travelnightmare#airlineissues
@jogomezmd@RushUniversity@RushGradCollege Congratulations! You have a bright future ahead. I look forward to watching you continue to progress and accomplish great things.
I want to share what I think about MDs. I love each and everyone that busted their ass, borrowed too much money, sacrificed more than we can ever quantify, in hopes of helping their patients. Medicine is an imprecise science. The uncertainties far outnumber the absolutes.
Zero-fluoroscopy pulmonary vein isolation with intracardiac echocardiography to monitor fetus in pregnant patient with atrial fibrillation https://t.co/IuMh1zim9f
Activation mapping was helpful in this case with @AllyCarey_4 @BiosenseWebster. I have also seen many cases where entrainment and identification of low amplitude fractionated EGMs that can span the entire cycle length are the key to eliminating atypical flutters.
Redo case today with multiple atypical flutters. Posterior and anterior scar. Limitation to all mapping systems seems to be accounting for low amplitude fractionated EGM’s IMHO. How many rely on mapping system? Entrainment? Voltage? Looking for fractionated EGM’s? #EPeeps
Rarely need Impella for VT. Turned out to be great in this case. Was able to find critical isthmus for clinical VT in patient with VT storm. Single burn termination for that one. No longer inducible for VT. Thanks @AllyCarey_4 & @BiosenseWebster. #AblateVT#EPeeps
@gauravaupadhyay@AllyCarey_4 @BiosenseWebster Thanks. 50 Watts got steam pop from LV so toned it down to 40 Watts and stayed on for 90 seconds. Did not use half normal but would have done that next step.
Triangulation of basal inferoseptal PVC from LV, RV and MCV. Suppressed from LV with high power long duration but with late recurrence. Long term suppression after ablation from all 3 sites. Interesting case today with @AllyCarey_4 and @BiosenseWebster. #EPeeps
@vish_luther@AllyCarey_4 @BiosenseWebster I did not do an angiogram. Made sure the catheter tip was pointed toward LV Endo and gave a single 30 second lesion at 30 Watts. If I felt more aggressive ablation was needed, I would have. Certainly would not be wrong to do so.
@bbetensky_MD @AllyCarey_4 @BiosenseWebster Looked there. Very close to the site of successful ablation. Was going to go there next but didn’t have to.