The Right Approach- For Whom?
Check out my latest on NEJM Voices: A cardiologist learns that end-of-life care is an iterative process.
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https://t.co/Cjccj9wd5y
Some patients with vagally mediated AF can benefit most from cardioneuroablative effect and may not need full PVI
Some of them may not even require any ablation in the left atrium
Check out our @JACCJournals paper using shareable link (before it expires) https://t.co/YCLRdvs9HR
Surgery is a "wicked" environment: feedback is delayed, noisy, and often biased. My essay on why experience doesn't always equal mastery, and how to learn when the feedback loops are broken.
https://t.co/mkHMtpskBV
#MedTwitter#Surgery#MedEd
Very excited to share our latest publication!
As so often happens, this case came on New Year’s Day of my first year as an attending while covering the system. I couldn’t have done it without an incredible team of supporting staff and fellows. A special shout-out to Dr. @MiguelValderrabano for listening to me work through this case and for his thoughtful advice!
Excellent work, Dr. @s_timilsina! @JACCJournals
#EPPeeps #SVT #WIC #WomenInEP #Ablation #AlcoholAblation #VOM
Accessory Pathway Ablation via Vein of Marshall Ethanol Infusion: A Ca... https://t.co/iD15I9t9If
Refractory orthodromic AVRT despite extensive endocardial RF can raise concern for an epicardial substrate.
Sharing a case of a left free-wall accessory pathway involving the vein of Marshall, successfully treated with ethanol infusion.
#JACCEP#EPeeps#Cardiotwitter
🧠 Learning point:
When endocardial lesions are ineffective and activation appears broad, Vein of Marshall anatomy may be contributing.
VOM mapping and ethanol infusion can be considered in select cases.
https://t.co/rN8dEA8XDd
Honored to be the lead Cardiac Electrophysiologist for the Cardiac Lead Extraction & Lead Management Program at Memorial Healthcare System.
Lead extractions are often needed for patients with infection, malfunctioning, or recalled leads—and having this advanced service at Memorial, one of the region’s largest cardiovascular hospitals, means patients can now receive this critical care close to home.
Grateful for the support of our leadership and cardiothoracic surgery colleagues, and proud of our team for their excellent and seamless execution. Excited for what’s ahead for our patients. @mhshospital@inheartmedical
Have a lot to learn from this man. Personally and professionally. Congratulations to @SpursOfficial. Swimming against the flow is difficult but still doable 💪💪
@SinaiBmoreIMRes Congratulations to the graduating class!! Wishing you all exciting and fulfilling careers ahead! Big congratulations to @ahlaanwasahlan and @NasirAlhamdan as well- everyone is appreciative of the hard work you two put up!!