@PeterBlahut But a busy ED physician may not be confident about diagnosis of PRX AF. Which is where “guideline” is simply wrong. Amiodarone seems to be very safe (and relatively OK in VT, structural heart disease) and does prolong AP refractoriness. See Ali ZS et al Circ EP 2026
@PeterBlahut And by the way in many countries IV flecainide is available and drug of choice if you’re sure about diagnosis and no structural heart disease. Almost always blocks AP rapid conduction (as effect on ERP is use dependent) and usually terminates AF too. More….
I’m not a Catholic, but wouldn’t it be great if we could get #Ilovethepope trending as he’s plainly a good, decent, principled human being, and, on Musk’s platform, this will annoy a lot of powerful, evil people. Do please repost.
@drjohnm Tricky one that. Do you have participants with good experience in both? Most European ablaters have never used ICE and I gather many US EPs use it routinely. How do you avoid bias?
@EJSMD@drjohnm@SergioPinski@ftrae Apart from a minority of pathways, nope. I don’t consider myself particularly talented, just lucky enough to have learned before the era when fellows were brainwashed by industry 😂. Massive increase in % mapping and cost for SVTs hasn’t been supported by improved success.
@drjohnm@EJSMD@SergioPinski@ftrae Not once have I used ICE OR mapping for CTI.
or TS puncture
or SP
or most APs
or PVI
I do use mapping for redo AF & atypical AFL/AT, and VT.
I accept ICE is cool (no pun intended) but can’t see point except Pap muscles and coronary cusp VAs
I held back on posting because I couldn’t believe it was genuine. This is n exciting, Hollywood style movie they watch from the safety and comfort of afar their children, women, families not subjected to the terror too many in the Middle East endure daily, hourly, minutely… it’s beyond … anything… and then not..
@SuellaBraverman Suella Braverman was Attorney General when the Conservative Party “cancelled” 247 local elections in 2021.
These Reform UK MPs are hypocrites.
From the guy who was elected to the European Parliament and turned up to just 1 of 42 meetings of the committee to which he was appointed. He had the third worst attendance record out of 751 MEPs. Now he barely visits his constituency. No lectures on work productivity thanks.
This is the video to share and show anyone who thinks brexit hasn’t been done ‘properly’ yet and going further would be good for this country.
Join the @labour4europe and let’s take back control.
Click their account to do so.
Here is what Marco Rubio said about the Chagos deal only seven months ago. Almost as if it’s not about Chagos at all and all about attacking Europe over Greenland.
“Today, the United States welcomed the historic agreement between the United Kingdom and the Republic of Mauritius on the future of the British Indian Ocean Territory—specifically, the Chagos Archipelago.”
“President Trump expressed his support for this monumental achievement during his meeting with Prime Minister Starmer at the White House.”
“Following a comprehensive interagency review, the Trump Administration determined that this agreement secures the long-term, stable, and effective operation of the joint U.S.-UK military facility at Diego Garcia.”
“We commend both the United Kingdom and Mauritius for their leadership, vision, and commitment to ensure that Diego Garcia remains fully operational for the duration of this agreement.”
I’ve held back from commenting on the revelations about Nigel Farage’s past racism. Not because the story shocked me. For many in this country, it merely confirms what we’ve suspected for years. But some will be hearing these allegations for the first time, and it’s to you that I want to speak.
Most of us have said or done things when we were young that we look back on with regret. That’s part of growing up. We make mistakes, we cringe at our former selves, we learn, we change. Some of those early attitudes fall away. Others become the foundations of who we later become.
What’s now emerging about Nigel Farage isn’t a single stupid comment or one heated moment. Former classmates are describing a pattern of behaviour. Not just a bully. A racist bully of the ugliest kind.
That doesn’t automatically mean he holds every one of those views today. But look at his politics. Look at his rhetoric. Look at the company he keeps and the division he trades in. It paints a picture of a man whose worldview didn’t appear to grow out of those foundations, but grew from them.
So what does that mean now?
If you already oppose Farage, this only hardens your resolve. If you adore him, nothing I say will shift you. But there’s a group of people I do want to reach: those considering voting Reform.
I’m not going to patronise you. I understand why many are thinking about it. If you’ve watched your pay stall, your bills rise, your community decline, and your politicians shrug for years, you might well think: what have I got to lose? Why not give the system a kick? Why not try something different?
And you may feel the country has taken a wrong turn. That we’ve lost something precious and need to put it right.
Those instincts aren’t wicked. They aren’t racist. They come from frustration, disappointment, and a desire for dignity and control in your own life.
But here’s the truth that cannot be dodged. Most people in this country are good, decent, fair-minded. They don’t want to see hate imported into the heart of their politics. They don’t want their children growing up in a country defined by fear and division.
So ask yourself this, quietly and honestly: is Nigel Farage a changed man? Has he shown any sign that he regrets the person he was? Or has he built a career by sharpening those same instincts into a political weapon?
Because if he hasn’t changed, then every vote for Farage isn’t a protest. It’s permission. It hands real power to a man whose teenage cruelty seems less like a phase and more like a blueprint.
This country is far from perfect, but it is worth fighting for. And once a politics of hatred takes root at the top, a country doesn’t easily come back from it.
You know this in your gut. We all do.
Nigel Farage is not fit to lead this country. A vote for him, or for those who still cheer the views he held as a teenager, would stain the country we love with something we may never fully wash away.
And to the Reform diehards who will now pile into the comments with abuse: crack on. You’ll only prove the point.
Fantastic piece of forensic work by Sky news. Essential reading for anyone who still believes that Elon isn’t trying to undermine British democracy.
https://t.co/4SxFyas0vS