jon melman

[jon melman @JonMelman]

@Dr_GuyRozen Thanks Guy. I wonder though, if there would still be an increased risk placing a second lead at more experienced centers or more experienced operators?

[jon melman @JonMelman]

@Dr_GuyRozen 3 to 4 percent pneumothorax risk Guy? This is a very high complication rate in both groups

[jon melman @JonMelman]

@naijaQRS @SchakrabartiEP @DrRoderickTung @rdschaller @AZ_EP_DOC @ogadeola1 So you did an unnecessary lead extraction in an elderly patient when there was an alternative?

[jon melman @JonMelman]

@narrowQRS @EM_RESUS @PPodrid @ecgrhythms Josh what would you do with slower atypical flutters? Say 150-200? Do you skip anticoagulant and ablate w/o tee then?

[jon melman @JonMelman]

@narrowQRS @RaffaliAsyiq @EPeeps_Bot @ECGorEKG I always thought crt d meant one defibrillator lead and a DIFFERENT one in the cs….

[jon melman @JonMelman]

@sumitvermaep @javadm20 Maybe get a wire through and use a small otw balloon partially inflated inside of the broken segment to secure?

[jon melman @JonMelman]

@sumitvermaep Thanks!

[jon melman @JonMelman]

@AveragingBogey I had a patient w AV block from sarcoidosis. No antegrade conduction but slow retrograde conduction. During dual chamber pacing he’d spontaneously go into slow PMTs.

[jon melman @JonMelman]

@javadm20 @narrowQRS @rdschaller @SergioPinski @SchakrabartiEP If no effusion/he’s stable don’t do anything until noac is held for a few days. Get tte right away and ct if possible to delineate lead location better. If truly emergent could give kcentra/andaxanet.

[JICE @JICE_EP]

🚨Hot off the press! #JICE_EP

Focused electric field (FEF) ablation in a left ventricular and infrared thermal imaging model: a proof-of-concept study

📖 #FREEREAD https://t.co/hsKJdsySSA

#EPeeps #AblateVT #CardioTwitter @jonmelman @hhuang123

[jon melman @JonMelman]

@EJSMD Some very directed training: vasc surg mostly, plastics (a little) and I would’ve love to spend more time in the OR watching open hearts (not sure I would’ve needed to actually do much but learning anatomy and observing)

[jon melman @JonMelman]

@StevenZweibel I’ve seen it- similar presentation (swelling/discharge on both sides). Skin testing using Abbott’s kit was negative for all components. We had used a tyrx pouch during both implants initially, so ended up doing an implant w/o the pouch and were successful.

[jon melman @JonMelman]

@UlhasDr @EPeeps_Bot @syamkumarmd @MaruanCarlos @SchakrabartiEP @narrowQRS @Arritmias_HRC @KanwarAulakh @abhishek_mbbs @javadm20 @DidlakeDW @OnlyEcg1 @Doc_AleCuesta @szczasny @luiscalderonve @ecgrhythms @EcgOxford @JohnPapagianni2 1:2 response to the first sinus beat, f/b av nodal echo. Interesting middle beat conducts w/aberration due to long-short

[jon melman @JonMelman]

@hhuang123 @JRWinterfield @psharmadoc @True_EP @DrRoderickTung @MRobinsonEP @MDTolgaAksu @JPayne_EP @TimLarsen1 Very promising I agree. The mechanism of FEF also avoids overheating myocardium and lowers risk of steam pops. Prospect of transmural endocardial ventricular ablation is exciting!

[jon melman @JonMelman]

@hhuang123 @JICE_EP @JRWinterfield @atulverma_md @Dr_Nazarian_EP @JonPicciniSr @MDTolgaAksu @JonHsuMD @TinaBaykaner @tomdepotter @HNayakEP @ElaineWanMD @Nchatterjeemd Congrats Henry! Looking forward to working with you

[jon melman @JonMelman]

@narrowQRS @Dr_Nazarian_EP @jeffrey_vinocur @5Stabbies That’s interesting Josh. What I don’t understand is why every low amplitude atrial EGM actually starts before the V? If it starts earlier why is it blanked ?

[jon melman @JonMelman]

@narrowQRS @skarim01 @EPeeps_Bot @Drdevignair @SalmaBakshMD @aartisdalal @Nishaki1 @KhaziRashad @drimdadahmed More seriously agree w you about that long interval not being long. Also that first pvc comes in at about 220-240ms. Would def proceed to genetic work up and icd.

[jon melman @JonMelman]

@narrowQRS @skarim01 @EPeeps_Bot @Drdevignair @SalmaBakshMD @aartisdalal @Nishaki1 @KhaziRashad @drimdadahmed Good advice josh. Though I think I’d start with chest compressions and defibrillation 😉

[jon melman @JonMelman]

@mattaustein You mean structurally normal by echo I assume no mr yet?