Nick Mendoza

💔🧭🗺🔥❤️🥳

[Nick Mendoza @nmendoza529]

@Mid20sBurner @AmyHarber @GallagherWayChi @Cubs 5:05 is eastern time

[Benzy Padanilam @PadanilamBenzy]

biatrial flutter in a patient with corrected anomalous pulmonary venous return and previous CTI/PVI; PPI = TCL from the RA and LA; termination at CTI
@sarahwhittam11 @justinbfield @FruchteMegan @ashah1988 @GilgeJasen @BradClarkEP @SandeepJoshi420 @drparinpatel @StVCardsFellows

[Abbott @AbbottNews]

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[Nick Mendoza @nmendoza529]

@OfSinusAndChaos @Hapa_EP Yes. Abbott quotes diameter. I usually display 4mm lesions. TactiCath delivers a pretty sizable lesion with good contact so a smaller lesion size definitely promotes less gaps in lines.

[Sanjay Dandamudi @drsjdan]

A seamless collaboration between EP and CTS @SHMeijerHeart @SpectrumHealth to help our patient with NICM, sternotomy for MV repair and refractory VT despite prior LV endo/CS ablation. #HeartTeam discussion-> lateral thoracotomy in the EP lab-> successful epi/endo ablation #EPeeps

[Nick Mendoza @nmendoza529]

@mdevaleria1 That’s awesome! Which detection algorithm did you use for this one?

[M. Kamran Aslam @OfSinusAndChaos]

Symptomatic 25K PVCs / Day on Flecanide, highly symptomatic. Highlight: DuoDeca Abbot was used to quickly make a reliable RV + LV map & locate -30 ms endo AoMV continuity signal #EPeeps @AbbottCardio 🗺 @nmendoza529 #cardiotwitter #MedEd #ablateVT

[Mallory Taylor @PVC_on_HERS]

Deceleration zone and target of ablation.

[Abbott Cardiovascular @AbbottCardio]

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[Nick Mendoza @nmendoza529]

@OfSinusAndChaos @WeldsPro1 Thank you! Not as good as the doc moving the catheters. Thanks for the great case @OfSinusAndChaos !

[M. Kamran Aslam @OfSinusAndChaos]

#EPeeps Realizing it can be a epiphenomenon, what happens when juicy signals containing entire CL of rotational #SVT on #HDGrid are included in WACA? Pt with ICD, no recurrence in 6 months 🗺 @nmendoza529 @AbbottCardio #cardiotwitter #MedEd

[M. Kamran Aslam @OfSinusAndChaos]

Simple yet fun: esp this response with A1A2 pacing during EPS for #SVT. NSR collision map correlated with #lowvoltage bridge for slow pathway #AVNRT 🗺 @nmendoza529 #EPeeps @AbbottCardio #cardiotwitter #MedEd

[EP Mappers - Bay Area @EPbytheBay]

RA atypical flutter with prior atriotomy. #HDGrid mapped full circuit and helped identify lines of block. Flutter broke quickly by burning through channel and down to the IVC! @AbbottCardio #EPeeps Prop/sparkle maps to follow...(1/3)

[Nick Mendoza @nmendoza529]

@MappingYuandEP @BuffGold @AbbottCardio Awesome map ACE!

[Nishant Verma, MD, MPH @NishantVermaMD]

Thank you @HRSonline for hosting the #EPFellowsConference lectures on the HRS365 website: https://t.co/U8QFsTxCyP. I will continue to upload there and to YouTube as lectures are added. #EPeeps

@DrBradleyKnight @NMCardioVasc

[M. Kamran Aslam @OfSinusAndChaos]

Focal #SVT easy to map/terminate with #HDGrid w/ -30 ms pre P ablation; but functional character of Crista anisotropic conduction fun to see for intracaval conduction, vs. 46 ms to go 6 mm transverse b/w splines in SVT #EPeeps #cardiotwitter @AbbottCardio Map @nmendoza529 #MedEd

[Nick Mendoza @nmendoza529]

@DGlaucomflecken What about the ones approved to sleep in for 30 days?

[Murphy Lyu @murphy_lzy]

It’s been a tough year, but there’re still so many things to be thankful for.
Family, friends, colleagues, and of course good cases
#Epeeps

[M. Kamran Aslam @OfSinusAndChaos]

CTI FL s/p Abl referred for recurrence x2. With #HDGrid resolved #BipolarBlindness & found a sliver of diseased tissue w/ low voltage c/w NSR #IsochronalCrowding (@DrRoderickTung idea). Minimal signal on Bipolar Abl Cath in this region. @AbbottCardio #EPeeps #CardioTwitter

[M. Kamran Aslam @OfSinusAndChaos]

NICM EF 15 sent for recurrent VT, prior substrate ablation, Amio/Mexitil side effects. Unstable MMVT to PMVT in 4-6 beats with multiple defib. #ILAM to target deceleration zone elimination, which correlated to LPs-Low Voltage. 3 mo no VT off AAD #AblateVT #EPeeps @DrRoderickTung