Zachary Hale

EP at Mission Health in Asheville, NC, @Texas_Heart and @umichmedicine Alum. Thoughts are my own.

[John Mandrola, MD @drjohnm]

Dear @ACCinTouch @AHAScience @HRSonline — Please follow the lead of SCAI — in advocating for YOUR members in opposing over reach from ABIM 👇🏻👇🏻

[Allison Dupont, MD @Allison_Dupont]

Please keep sharing! The vast majority of physicians want to see MOC come to an end.
#EndMOC

[Zachary Hale @zhalemd]

@rdschaller Bluey is always spot on

[Zachary Hale @zhalemd]

@PatDillonMD Very Nice case, Pat. That HRPVC would have messed with my head—good catch on the subtle slowing. I like Delta AH for this ddx.

[Patrick Dillon @PatDillonMD]

Long RP interval SVT, see 🧵below. Slide 1/n showing the SVT, concentric CS. #EPeeps

[Mike Manogue @AveragingBogey]

#EPeeps If you’re hungry for another #oneburnterm flex, keep scrolling, cause this ain’t one. ILR tracing causing abrupt syncope in 45ish yo man otherwise healthy

[Zachary Hale @zhalemd]

Great case with @JorgeI_Hernand. Patient with de novo flutter not quite what I was expecting. Orion @RhythmiaMedical map was very efficient. Scar related to aorta/HTN presumably? Would your lesion set look different? #EPeeps

[Zachary Hale @zhalemd]

Redo PVI. First glance rights reconnected and voltage suggested need for redo WACA. Noted wide doubles in most places and “open” activation told the story. Single🔥isolation. #EPeeps thanks to @jcoop556 for the mapping prowess

[Zachary Hale @zhalemd]

@AveragingBogey My thought would be a nice juicy slow pathway. First retrograde beat has a really long VA

[Scott J. Greenberg, MD, FHRS @sgreenbergmd]

Can I retweet my own tweet? CMS proposes another cut to reimbursement? Do we have any lobbying? @HRSonline

[David Burkland @BurklandMD]

OctaRay has been primarily marketed as an atrial mapping catheter, but I think it may be undersold in it's role in the ventricle. 2Fr splines, much softer than PentaRay with noticeably less ectopy. Rapid mapping and beautiful signals using indwelling reference electrode.

[Zachary Hale @zhalemd]

@BurklandMD @MiguelVldrbno Well done Burkland. Great case. AoV was a great landmark. Near immediate suppression is so gratifying. How many mLs total injection did you do?

[Zachary Hale @zhalemd]

Other than stop Kratom, how would you manage? https://t.co/5fXhONGrRM

[Zachary Hale @zhalemd]

24M using Kratom, syncope while standing, no prodrome, w “seizure” during LOC. Awoke to EMS -> No CPR-> ER. Labs unremark. ER ECG w Br Pat and BL ECG below. No FH SCD, No prior syncope. #EPeeps @MJAckermanMDPhD @AveragingBogey @jason_lappe @zapzaplunch @BurklandMD @DarthAblater

[Zachary Hale @zhalemd]

@AveragingBogey @danealson @AnandShah_MD @jason_lappe @zapzaplunch @JPayne_EP @JRWinterfield @docAnneSquared @SchakrabartiEP @rdschaller @FaisalMMerchant @MRobinsonEP @melchami99 VF baby

[Zachary Hale @zhalemd]

@AveragingBogey Agree looks like short QT!

[Zachary Hale @zhalemd]

@DGlaucomflecken Wait, is his dad the neurologist?

[Mansour Razminia @MRazminia]

Patient with long standing persistent AF on uninterrupted Warfarin with therapeutic INR, came in for catheter ablation today. No prior TEE. Worth watching!

[Dr. Glaucomflecken @DGlaucomflecken]

When the EMR goes down

[Zachary Hale @zhalemd]

Catheter Ablation of the Left and Right Atrial Appendages without Isolation in Persistent Atrial Fibrillation - ScienceDirect https://t.co/f4B6uTr609