Dylan Menefee, PA-C

Cardiac Electrophysiology PA

[Dylan Menefee, PA-C @dmenefeepac]

Aberrancy 🚨

[Merriam-Webster @MerriamWebster]

Which word's spelling feels like gaslighting?

[Dylan Menefee, PA-C @dmenefeepac]

@UlhasDr Transient vagal AVB

[Alexander V. Smolensky, MD, MBA @drsmomd]

To my Cardiology people: I need you help. Please share if you think it’s appropriate.

I am looking for several non-invasive and interventional cardiologists to help me grow our Ascension program in and around Milwaukee. 

- Vibrant, multicultural downtown with things to do
- Safe, quiet suburbs with excellent schools
- Team of experienced Cardiologists who treat each other as family members
- Prioritize work/life balance
- Competitive compensation
- Generous vacation
- Fellows are encouraged to apply
- Will consider part time 
- Will help with H1B sponsorship and J1 visa waiver

If you would like to learn more, or of you know a colleague who might be interested, please reach out to me directly via email [email protected] or by phone at 414-298-7165. Or just PM me

[Dylan Menefee, PA-C @dmenefeepac]

DT-CMR demonstrates the helical cardiomyocyte arrangement that drives rotation and torsion: septal-lateral, anterior-posterior and base-apex orientations in red, green and blue, respectively, extrapolating from ex vivo mouse heart https://t.co/D2DYyyUgHS

[Dylan Menefee, PA-C @dmenefeepac]

Obviously compounding interest for a fund size that large, perpetuity is possible; but just outlining a calculation for those that wondered: with 200k tuition x class size of 183 (not even adj for inflation or high ed cost), $1B would only last 27 years.

https://t.co/SdIBdB49Mr

[Dylan Menefee, PA-C @dmenefeepac]

Notably, this rule will:
- Tighten timelines for payers to respond to urgent (72 hours) and non-urgent (7 days) PA requests.
- Require payers to publicly report metrics, including approval and denial rates and average review timeframes.

https://t.co/IQen3ThV3i

[Dylan Menefee, PA-C @dmenefeepac]

“The association of AVNRT with a prolonged PR interval on the baseline is uncommon” (~1.1%). Slow pathway ablation by radio-frequency ablation results in ~36 ms improvement in pts with baseline 1AVB

https://t.co/5ApzATFr7s

[Dylan Menefee, PA-C @dmenefeepac]

@ecgandrhythmRoe On this strip specifically there is mild PPi prolongation with accompanying Mobitz I, suggesting vagal mediation. Time of the strip further suggests vagally mediated bradycardia / AV block

[Dylan Menefee, PA-C @dmenefeepac]

@UlhasDr If it was complete heart block I would expect regularity in the RR intervals and there is no change in the QRS morphology representing an escape. This is sinus bradycardia with Mobitz I

[Dr. Mike Todorovic 🧠 @drmiketodorovic]

I made this video to show my students why we need elastic arteries.
It’s called the Windkessel effect and is the reason why we have a diastolic blood pressure >OmmHg
#MedEd #MedTwitter #FOAMed #CardioTwitter #heart

[Dylan Menefee, PA-C @dmenefeepac]

@EM_RESUS It would be simply, a joy, to see this echo lol. Thanks for the post 🙏🏼

[Dylan Menefee, PA-C @dmenefeepac]

My first experience presenting at @HRSonline #HRS2023 this weekend in New Orleans, LA with #EPeeps at my side

[Dylan Menefee, PA-C @dmenefeepac]

@DidlakeDW Ventricular paced rhythm @ 50 BPM from leadless pacemaker, followed by intrinsic/ competing sinus rhythm ~60 BPM.

[Dylan Menefee, PA-C @dmenefeepac]

Thorough @SJcardio #ACC23 session on PAD & my favorite slide

[Dylan Menefee, PA-C @dmenefeepac]

Made it to #ACC23 #WCCardio 😁

[Dylan Menefee, PA-C @dmenefeepac]

Full circle. Damar Hamlin 💯💯💯

[Dylan Menefee, PA-C @dmenefeepac]

Can’t think that this is anything other than a precordial blow triggering ventricular fibrillation (commotio cordis). I hope there was a way they could get a rhythm / defibrillated with football pads on and he makes a recovery. Very very scary. https://t.co/EnWyqBI1ng #bills

[Dylan Menefee, PA-C @dmenefeepac]

@HeartRhythmNP Needs a cardiac MRI for sure prior to DC

[Dylan Menefee, PA-C @dmenefeepac]

Can’t think that this is anything other than a precordial blow triggering ventricular fibrillation (commotio cordis). I hope there was a way they could get a rhythm / defibrillated with football pads on and he makes a recovery. Very very scary. https://t.co/EnWyqBI1ng #bills

[Dylan Menefee, PA-C @dmenefeepac]

@epdnpkathy For sure - but read that study, it’s wild. Precordial trauma at the right force and angle inducing VF can happen to anyone regardless of cardiomyopathy being present

[Dylan Menefee, PA-C @dmenefeepac]

#EPpeeps do you interrupt CPR and cut off the pads to place defibrillator pads early (hopefully with enough compression depth through the pads to start with)?