Josh Payne

🚨Latest #OpenAccess Article in@JICE_EP Validation of an Automated Premature Ventricular Contraction Mapping Algorithm 🧐📖doi.org/10.1007/s10840… by Yuji Ishida, Michael R. Gold, Joshua E. Payne, Adam R. Bainey, Michael E. Field, @BadertscherPat & @JRWinterfield #EPeeps

@docAnneSquared Dare I say, the most bad ass EP regardless of gender. Congrats, Anne!

My name is actually Dr Anne Kroman. My father's name is James. He is very proud. However, he is not a physician and was not involved in the actual implant. I'm all for family inclusion, however sometimes us female physicians do get to do fun incredible things too!!

Grateful to @MUSC_EP fellows and former colleagues for the work to get this #PVC mapping paper out to @JICE_EP. Shifts in 3D space between sinus rhythm and PVCs influence accuracy of mapping points, a problem addressed by @JNJMedTech LAT-HYBRID module. @DrGregMichaud @BadertscherPat link.springer.com/article/10.100…

@hhuang123 Congratulations! Great to see your aptitude and passion for teaching rewarded.

I'm thrilled to share that I’ve joined the University of Chicago as the Director of Cardiac Electrophysiology. It’s an honor to be a part of such a storied program and I look forward to contributing to its continued legacy of excellence in patient care, teaching, and innovation and discovery

Peak frequency mapping with our #EnSiteX EP System can help locate PVC ablation targets by identifying high-frequency sites linked to successful suppression. Explore the technique in #Europace: academic.oup.com/europace/artic… Safety Info: bit.ly/4n7v5Av #AbbottProud

🚨New #FreeRead in @JICE_EP Epicardial VT Ablation with a Pentaspline Catheter during Left Ventricular Assist Device Placement 🧐📖rdcu.be/eujIH by @JPayne_EP, Marshall Bell, Luke Cunningham & Sean Halleran #EPeeps

@NEJM @DGlaucomflecken No EP recognition? This is what I think of when EPs are compared to cardiologists 😂 clip.cafe/x-men-the-anim…

The latest video in our partnership with @DGlaucomflecken summarizes the results of the VANISH2 trial, which compared catheter ablation versus antiarrhythmic drug therapy for ventricular tachycardia. View the full article for free: nej.md/DrG16

@drjohnm @True_EP @ftrae A concise summarization of “vectorology.” what is the problem here and how is this related to PFA?

More evidence that PVI and PFA is ruining EP👇🏻 We should not need algorithms to locate APs (or VT exit sites). Our mind should see ECGs as vectors. That’s why finding the lead w the biggest q in the delta wave is closest to the AP. cc @True_EP @ftrae

@sudarshanballa @WvuCvFellows @CASivaram1 @argulian @KarthikG_MD @iamritu @dipesh_ludhwani @DryasarsattarMD Do they have fascicular VT that I can ablate?

There can only be one differential I think here, it’s “___”. #echofirst @WvuCvFellows @CASivaram1 @argulian @KarthikG_MD @iamritu @dipesh_ludhwani @DryasarsattarMD

@JRWinterfield @ChauVoMD @MUSC_EP Strong work @ChauVoMD. Star indeed! I have to ask…what did high peak frequency in low voltage show?

From talented EP fellow to rising junior faculty star, @ChauVoMD has made the #AblateVT team better @MUSC_EP w/ her commitment to patient care and comprehension of substrates and mechanism -- as evidenced by another weekend VT case for a storming patient done today: Note ILAM w/ clustering of low voltage and DZ in area of lateral LV adjacent to paced LV; similarly note clinical VT activation on LV lead with LAT ~0ms relative to FF egm. Maps of two VTs, including the area correlating w/ DZ and adjacent LOBs, shown below thanks to @AbbottCardio mapper @AMatthews0. Great work by all care team members who selflessly came in for device cases on Saturday followed by this VT on a Sunday. Onward we go @MUSChealth and @MUSCCardFellows. @docAnneSquared @dhakalbish @rachelkaplanmd @rorydowd @JorgeERomeroMD @utedrow

For all #EPeeps 🧑‍🎓 In the next few weeks, I will be posting X threads on the 10 top-cited @hrs_journal articles of 2024. A lot of great science to choose from, so let’s dive right into the first of these (in no particular order!) 1⃣ Let's start with an excellent practical approach to VT ablation by my former @brigham co-fellow @jeffw and my former @mizzou fellow @jpayne **‘A novel automated peak frequency annotation algorithm for identifying deceleration zones and ventricular tachycardia ablation sites’ Heart Rhythm, Volume 21, Issue 1, 27 – 33 heartrhythmjournal.com/article/S1547-…

@hrs_journal @TomKueffer @TobiasReichlin @inselgruppe Strong work, but to me the lesion depth is discouraging. We need options for transmural lesions.

Dose-Dependent Ventricular Lesion Formation Using a Novel Large-Area Pulsed Field Ablation Catheter: A Preclinical Feasibility Study #OpenAccess @TomKueffer @TobiasReichlin @inselgruppe heartrhythmjournal.com/article/S1547-…

@nickkotch @BSCCardiology Seems pretty reasonable, Nick. I worry about taking out too much with the flower. I think a point-by-point approach would be better when that becomes available, IMO.

What are y’all’s approaches to mitral flutter with PFA? Redo case presenting in mitral AFL. Placed anterior line due to presence of some scar. Basket config near valve then flower once further up once able to get catheter to lay flat against tissue. @BSCCardiology #farapulse #EPeeps

@DrRoderickTung Interesting development. Thanks for sharing. I’m still banking on LV septal pacing being a back up whenever selective capture not achievable with a few studies suggesting may be as good as BiV pacing. Larger studies and better tools needed!

Conduction System Capture (vs LV septal capture) should matter in CRT. Electrocardiographic predictors of clinical outcomes in nonischemic cardiomyopathy patients with left bundle branch area pacing cardiac resynchronization therapy - heartrhythmjournal.com/article/S1547-…

@DrBruggeman @woostermd Reminds me of a similar trend of growth in physician to administrator salaries!

Going to say it again… 1998 conversion factor for doctors - $36.68 2024 conversation factor for doctors - $33.29 1999 Insurance premiums - $6k 2024 Insurance premiums - $24k When you pay more for healthcare, it’s not coming from private, independent doctors no matter what the insurers, politicians, or news stories say. Physicians are paid less in absolute terms over the last 25 years while insurers are up 314% and inflation is up 83% We need a long term solution to ensure physicians are paid commensurate with their cost of doing business. Our country is on an unsustainable path in healthcare where all of the profits are going to insurers and hospitals, leaving physicians no choice but to vertically integrate, which drives costs even higher.

@mbelshazly Depends on the quality of previous ablations I would also add! …but agree. At a certain point, if the whole left atrium is ablated and not contractile there is marginal or no benefit.

Nice article about redo afib ablations. Most benefit comes with the second ablation (1st redo). I almost never do a third ablation unless it's flutter.

@JRWinterfield @dhakalbish @MUSC_EP @PennEPFellows @True_EP @Ed_Gerst @JDMossMD This is the way.

Great to see @dhakalbish adopt the proper ICE orientation during his @MUSC_EP boot camp lecture on transseptal access: @PennEPFellows @True_EP @Ed_Gerst @JDMossMD

Sorry for the grainy photos - clearer in real time.

#epeeps What’s your strategy for CTI ablation with a pentaspline catheter? @BadertscherPat @MohitTuragam