Sootkeng Ma

A Cardiologist cum Electrician shares his tiny feeds of knowledge on heart rhythm disorders (Electrophysiology). And occasionally other trivia.

[Alison L. Bailey, MD @a_l_bailey]

One of the most important trials at @ACCinTouch #ACC25 ! Compared fluid restriction to liberal approach in #HeartFailure. Why?

This affects individuals w/HF EVERY DAY!
✨No benefit of Fluid Restriction
✨No HARM for liberal fluid intake
✨Improved QOL in liberal fluid intake

[Sootkeng Ma @EPChitChat]

@joeroganhq No eyed deer 😵🤦🏻‍♂️

[Sootkeng Ma @EPChitChat]

Patrick is spot on! 🎯

[Patrick Bet-David @patrickbetdavid]

Thoughts on tonight’s debate:

During the Biden/Trump debate Jake Tapper and Dana Bash interrupted or corrected Trump not a single time.

Not ONE single time.

Tonight, ABC moderators David Muir and Linsey Davis interrupted or corrected Trump 11 times.

Tonight was 3 to 1.

Kamala did her best to agitate and try to get under Trumps skin by bringing up certain lies.

1. Project 2025
2. She claimed he said he will terminate the constitution.
3. Mis-using “Bloodbath”
4. Charlottesville
5. January 6th
6. He wants to be a dictator on day one
7. Donald Trump left us
⁃The worst unemployment
⁃The worst pandemic in The last century

Trump followed through to try to get under her skin:
1. They left the tariffs Trump left on China for 3 1/2 years
2. She hates Israel
3. “She doesn’t have a plan. It’s like 4 sentences”.
4. I was gonna send her a Maga Hat.
5. Her father is a Marxist. He taught her well.
6. Her Vice President pick. Abortion in the 9th month.
7. Her boss. He spends most of his time at the beach.
8. They didn’t fire anyone
9. I‘m sorry. I ‘m talking now.
10. She is Joe Biden’s
11. This is a crooked

Her highlight of the evening:
1.Abortion topic - She was able to articulate that very well

Her downfall
1.Economy - you could tell she doesn’t know much about the economy. She seemed very nervous.

His highlights:
1.Economy
2.His track record with no war when he was president
3.He challenged her to leave the debate stage and go to DC to Sign a bill to say the border is closed.

His downfall:
1.Eating dogs

Biggest Marketing mistake of the night:
Kamala thought it was a good idea to say: “I invite you to go to one of Trump’s rallies. People leave the rally early.”

Terrible idea when you have zero moral authority of not doing any rallies.

Trump’s marketing team can and will easily use that as a clip to drive to his rallies.

Last observation about tonight’s debate:

1. Kamala kept looking at him mocking him when he was speaking.

2. Trump didn’t look at her when he was speaking.

Thought on moderators once it was done:

1.When they asked if Kamala has met Putin, why didn’t you FOLLOW UP on the question? The people never got an answer.

2.Even thought they interrupted Trump consistently, They did better than expected

3.David Muir did his best to be fair to both candidates. I give him an 8

4.Linsey Davis asked one of the toughest questions of the night of Kamala even though you can tell she didn’t like Trump. I give her a 7

5.For whatever reason, it seemed like Linsey Davis went 20-30 minutes without asking a question. Not sure if ABC was behind it or if it was pre-planned. Not sure but it was a bit weird.

Kamala sounded like a condescending aunt lecturing kids.
Trump sounded like an angry patriot defending his nation.

Either way, this was a better debate than Biden/Trump.

[Sootkeng Ma @EPChitChat]

So true😁

[Elon Musk @elonmusk]

It’s a what? Ohh …

[Sootkeng Ma @EPChitChat]

@ElonMNews I suggest TweeX. The former Twitter is ridiculously censorship heavy. Ditch that! Embrace others!😊

[Sootkeng Ma @EPChitChat]

@narrowQRS Things happening in US is crazy but true whao 😱

[Sootkeng Ma @EPChitChat]

@juicif Ectopic AT. Look how changes in P-P intervals lead changes in QRS intervals. Could try CCB, but most often will benefit from ablative therapy. Discuss options with patient 👍🏻

[Sootkeng Ma @EPChitChat]

@MJAckermanMDPhD You will certainly have a speedy recovery @MJAckermanMDPhD ! 😊

[Sootkeng Ma @EPChitChat]

Wow sir! I’ve gotta to take a deep dive to understand this 🧐 @NationalHeart @sazzlikasim @drnhalmey @ECGTalk @HoKianHui1 @DrBeniRusani

[John Mandrola, MD @drjohnm]

A recent study from @DavidLBrownMD and colleagues has challenged the notion that MI, yes, myocardial infarction, is *NOT* a reliable surrogate marker for death. Wow.

Read my commentary on one of the most important studies in 2021. https://t.co/wt8RYXMR2G
#cardiotwitter

[Sootkeng Ma @EPChitChat]

@DrRoderickTung @UChicagoMed @robertomlang @ValJeevanandam @NirUrielMD @AmitRPatelMD @HNayakEP @gauravaupadhyay @ABeaser @SandeepNathanMD @DrRyanBurris @AnnNguyenMD Enjoy the next phase in life Rod. Awesome works done at @UChicagoMed !

[Sootkeng Ma @EPChitChat]

☕️ time! @NationalHeart @mhrssummit

[Eric Topol @EricTopol]

Good news for coffee drinkers ☕️☕️
Debunking the dogma that coffee increases the risk of heart rhythm disturbances, from >386,000 people, 4.5 year follow-up, including putative genomic risk variants
@JAMAInternalMed https://t.co/9bBihDfB3A @uk_biobank

[Sootkeng Ma @EPChitChat]

Do NOT anchor onto fat.
Do anchor onto muscle.
Device 101. Trust me, I’ve seen worse. #EPeeps #FOAMed @NationalHeart @mhrssummit

[javad mikaeili @javadm20]

Sudden impedance rise & inappropriate shock !! 45 days after CRT-D implant!I’d never seen before! Sleeves were tight on place; but leads were woven!! Gen. Anchor was released ! Pt. had a lot of subQ. Fats! #EPeeps

[Sootkeng Ma @EPChitChat]

Impact of Left Atrial Posterior Wall Isolation On Arrhythmia Outcomes in Patients with Atrial Fibrillation undergoing Repeat Ablation - ScienceDirect https://t.co/xAoV8ZZSFo

[Sootkeng Ma @EPChitChat]

Double OMG. That’s one solid blow to @brianstelter at @CNN. For real?

[Cernovich @Cernovich]

OMG

[Sootkeng Ma @EPChitChat]

@RandyKoh24 @HeartFailureDoc @spafraz @ECGTalk @Aslannifecho AF is likely not the cause of HF in this case. Sad to say, but pt may have missed the window of opportunity for intervention. What figures are we looking at in terms of pulmonary pressure? I’m sure @HeartFailureDoc has already done a complete RHC

[Sootkeng Ma @EPChitChat]

@DrRoderickTung Brutally true! 😂

[Sootkeng Ma @EPChitChat]

@anunay_cardio @SchakrabartiEP @narrowQRS @UlhasDr @ELabartkava @EF_Cardiaca Atrial tachycardia terminated by adenosine followed by long junctional escape rhythm. Don’t see that often though. How’s patient doing?

[Sootkeng Ma @EPChitChat]

Have always suspected that! The big T of dysplasia is just the tip of a ginormous iceberg in ARVC. Yes it gives us directions to look for substrates and it’s never the endgame. Thanks @DrRoderickTung @NationalHeart @mhrssummit

[Roderick Tung @DrRoderickTung]

ARVC=Epi. As for first-line approach, operator discretion/experience/shared decision should dictate, but we need an RCT. There is no triangle of dysplasia with regard to VT substrate. @HughCalkinsMD #ablateVT

[Sootkeng Ma @EPChitChat]

Great to see #HRS2021 taking the lead in resuming the usual physical conference. @NationalHeart @mhrssummit @ECGTalk @spafraz @khelae_surinder @drzul117

[William H. Sauer, MD @True_EP]

Confirmed #HRS2021 will be happening in Boston. Register today to be part of this historic return-to-normalcy meeting. Looking forward to welcoming old friends and meeting new ones. Great work @HRSonline

[Sootkeng Ma @EPChitChat]

@anunay_cardio @jeffrey_vinocur @ALFIEEP1 @SchakrabartiEP @chaturvedimd @KartikeyaEPrunn Thanks @anunay_cardio great ECG. Dissociated p waves. Accelerated junctional rhythm. In simple terms, VT near the His Purkinje. Consider dig toxicity if pt’s on one. Check K+. @NationalHeart @mhrssummit