Top Tweets for #visitagmodule
@josoriomd @AllysonVarley @wspear21 @paulzei @AnilRajendra1 @pace_journal @EPLabDigest @CarinaHardy4 @cellisvandyep @GrandviewMC @MDTolgaAksu @AndreaRussoEP @CRB_EP @drjohnm @joselmerino @True_EP @DhirajGuptaBHRS @JonathanBehar @DrAfzalSohaib @majazayeri @Dominik_Linz @CMAlbertEP @drluissaenz As an aside, my invitations to those who believe conscious sedation is a suitable platform for RF PVI to share respiratory waveforms+/-#visitagmodule position stability data have to-date, been unanswered. Isn’t it about time this issue was clarified, for the sake of our patients?
@MicheleB_MD @roof @CarinaHardy4 @MDTolgaAksu @drimdadahmed @50wattdoc @JamesOngMD What is the frequency of position data represented by the (depicted) Autotrack line? For example, if #visitagmodule had the same thing for *all* system catheter position data, it would be 60Hz.
Thanks
(Oh, would also help to know your power; 50, or 70W?)🙂
@MicheleB_MD @CarinaHardy4 @50wattdoc @MDTolgaAksu @Hapa_EP @JamesOngMD @ALFIEEP1 @OCanoPerez @Phiso_de @Dr_Santangeli Whoa, that’s a striking lack of apparent RF sites making up an intact inferior wall line.
Would love to understand whether you can *ever* get this picture using these #visitagmodule settings:
ACCURESP off
</=2mm position stability and
100% min >0g CF?
See what I’m getting at?🙂
@NTrayanova @HughCalkinsMD @trayanovalab @natBME @HopkinsEngineer @HopkinsMedicine @HopkinsMedNews 👏👏 exciting work!
Can I also (respectfully) emphasise the importance of your choice of suitable #visitagmodule #RF_annotation logic towards reproducibility and the likely success of this endeavour.🙂
@TinaBaykaner @bogdienache @JonPicciniSr @DhirajGuptaBHRS @Prof_Schilling @epfellow @DrAJRestrepo @ABollmannMD @gautamsand @CirculationEP @LuigiDiBiaseMD @MDTolgaAksu @CarinaHardy4 @GerdHindricks @HH4EHRA @AndreaRussoEP @drluissaenz @SergioPinski @narrowQRS @andreanatalemd @aalahmadmd @ALFIEEP1 @g_andre_ng @JonathanBehar @Hapa_EP @srissundaram @Firaszahwe @drrakeshg1 @U_Cnplt @OCanoPerez @josoriomd @MeirBarTal1 @NoamSG1 @DrFerminGarcia @JRWinterfield @paulzei @True_EP @netta_doc @drashnisbet @cesarbos So that’s my thoughts!
When translated into the language of #visitagmodule #RF_annotation:
Force over time 100% min 1g but if parallel cath-tissue orientation I aim for nadir real-time CF waveform >5g.
I hope this makes sense?🙂
@AMussigbrodtMD Funny how many coincidences I’m seeing nowadays, reviewing #visitagmodule data post-ablation!😁
Good Q about accuracy of impedance drop assessment. There may be inter-RF generator differences of course, but how do we identify the “gold standard” for a comparative study in vivo?
Interesting result #EPeeps. From the comments possibly greater acceptance of 3D mapping+CF for pathways?
I struggled with this issue after studying #visitagmodule in the LA but realised I could best conceptualise the difficulty using this (not impossible) clinical scenario:
RF ablation of AVNRT and APs should always be performed using 3D mapping and CF:
@MDTolgaAksu @jacabreracardio @glover_benedict @Hapa_EP @KrishKancharla @Firaszahwe @KanwarAulakh @vivasfhrs @aalahmadmd @DrMarwanRefaat @jczerpa @ReddyEPS @_Dfreire @drluissaenz @DJ_Lakkireddy @DursunAras2 @drrakeshg1 @AlperDra @taylanakgun @drerkanbaysal @kyalin4 @U_Cnplt 👏👏 great outcome Tolga; hopefully this will also equate with very long term SR maintenance.🙂
Obvious follow on Q from me: Analogous to #visitagmodule based analyses, are you aware of anyone working on methods to define optimal #AutoMark annotation parameters?
@DrAJRestrepo 👏👏Wow!
We’ve discussed this before Alejandro, but it’s truly mind-blowing to see such in vivo data supporting the theory that #visitagmodule can - with suitable filters and within a stability set-up - act as an RF “effector language”.
One step closer to RF #reproducibility!👍🙂
@CRB_EP @DrAJRestrepo @DhirajGuptaBHRS @josoriomd Yes, and using objective measures of lesion creation from #visitagmodule data exports, even greater levels of proof can be obtained😁!
I reckon low tidal volume ventilation (30/min?) and atrial pacing should be fine; have data towards identifying if additional HFJV benefit...
@CarinaHardy4 @Codietrich @fabrizio_ep Nice looking lesion set. Interested in your stability set up and #visitagmodule filters towards reproducibility of this end-point; would you be willing to share please?
GA? Steerable sheath? Atrial overdrive pacing? Jet? CF and position filters? ACCURESP on/off? Thanks 🙂
@Hapa_EP @DrJasonAndrade @DrAJRestrepo @SchakrabartiEP @CarinaHardy4 @EF_Cardiaca @CLE_EP @Arritmias_SEMES @CampusArritmias @ECGfan @MDTolgaAksu @ep_nerd @epfellow I was wondering when someone would ask!🙂
Well, step 1=constant tissue contact (takes out any z-axis movement with loss of contact).
Only #visitagmodule 100% min >0g filter guarantees this, unless you’re a real-time CF graph ninja, avoiding 0g...or just lucky.
#EPeeps using #visitagmodule as a research+#coaching tool:
👉Struggling with data extraction following CARTO V6 upgrade?
You need this to extract #zip files. Simply set a password on export+7-zip does the rest. @josoriomd @CRB_EP @DrAJRestrepo @BiosenseWebster @DhirajGuptaBHRS🙂
7-Zip 19.00 (64-bit) for PC Windows https://t.co/JZt36GF0fp
@DoctorPhillEP @KrishKancharla @narrowQRS @DrRoderickTung @sydney_rapp @SchakrabartiEP @drpchacko @CarinaHardy4 @Firaszahwe @MDTolgaAksu @50wattdoc Surprised it’s that lower impedance drop zone on the right side of the LAPW?
If your index case was annotated appropriately, you can forever knowingly avoid making these same ineffective lesions.🙂
#methodsmatter #coaching #visitagmodule #openscience
@ALFIEEP1 @DrAJRestrepo @CarinaHardy4 @MDTolgaAksu @DrFerminGarcia @Dr_Santangeli @cesarbos @Hapa_EP @andreanatalemd @aalahmadmd @jskoruth @narrowQRS @drerkanbaysal Sure, 50W could be the “smartest idea” anyone has ever had towards safe and effective PVI, but as a descriptive term, #HPSD_Abl is lacking detail. All #EPeeps can do so much better!
👉Knowing #reproducibility is key+simply requires the correct use of #visitagmodule, as described.
#EPeeps in support of #openscience @biorxivpreprint #methodsmatter
#RF_annotation #visitagmodule @drjohnm @CRB_EP @DrAJRestrepo @aalahmadmd @paulzei @josoriomd @JonPicciniSr @CarinaHardy4 @ECG_Emily @BiosenseWebster @DoctorPhillEP @JCardioEP @Zo_EP2 @rhythmkris @DJ_Lakkireddy
@ProfFeynman That's only part of the scientific method--The part played by individual scientists. The other part is social/communication. We put our summaries of the whole process up for open refutation & have to respond to criticism & may need to revise any steps in the process.
The rules are quite simple:
1. CF+#visitagmodule
2. GA (what else for #AFib, right🙂?)
3. No ACCURESP
4. Preferably <2.5mm position filter
Let’s resolve this once and for all!
@gautamsand @DhirajGuptaBHRS @g_andre_ng @Dr_Santangeli @Zo_EP2 @True_EP @HRCardiologist @CarinaHardy4
@HH4EHRA @BiosenseWebster @HRSonline Gonna sidestep the (?) impossible issue of bias and highlight the product that can help train all #EPeeps: #visitagmodule can be used as a #coach! PS I have no COI🙂
https://t.co/QWEFbW1wSW
#JJIAfibSymposium
Mélèze Hocini has just presented this experimental lesion set, suggesting that it is reproducible. #EPeeps do you think she’s right? Is the Bordeaux team using even the most basic element of catheter stability (100% min>0g #visitagmodule CF filter) during RF?
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