Joe Gallinghouse, MD

54 posts

Joe Gallinghouse, MD

Joe Gallinghouse, MD

@GallinghouseMD

Cardiac Electrophysiologist @ Texas Cardiac Arrhythmia

Austin, TX Katılım Ocak 2011
311 Takip Edilen381 Takipçiler
Joe Gallinghouse, MD retweetledi
Mansour Razminia
Mansour Razminia@MRazminia·
@MarceloHelguera @rdschaller @Ed_Gerst Marcelo. You may disagree with someone’s approach but using this kind of words are not professional. I have been ablating Afib for 20 years and have personally seen SVC triggers in some of my patients.
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Joe Gallinghouse, MD
Joe Gallinghouse, MD@GallinghouseMD·
@MarceloHelguera @rdschaller @Ed_Gerst This is a naive and disrespectful comment. Do enough afib rfa with a diagnostic catheter in superior RA and you’ll find SVC triggers. I see a lot of EPs do PVI cases with no deca on lateral RA. Penny-wise/pound-foolish imho. You’ll never make diagnosis if you don’t look for it.
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Edward Gerstenfeld
Edward Gerstenfeld@Ed_Gerst·
Another redo-redo s/p MAZE/LAA isolation and catheter ablation with continued AF. Not much LA voltage left, yet continued AF. Did not tolerate dofetilide (prolonged QTc) or propafenone. What to do #EPEEPS?
Edward Gerstenfeld tweet media
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Joe Gallinghouse, MD retweetledi
Kenneth Ellenbogen
Kenneth Ellenbogen@KennethEllenbo1·
Congratulations this is an important study and we will await the results.
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Joe Gallinghouse, MD retweetledi
Matt McCarthy
Matt McCarthy@DrMattMcCarthy·
New: South Korea is first country to report more #coronavirus recoveries (4,811) than active cases (4,523). South Korea (population 50 million) has not imposed economically-damaging lockdowns; recoveries attributed to widespread testing (100k new test kits/day) & contact tracing.
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Joe Gallinghouse, MD
Joe Gallinghouse, MD@GallinghouseMD·
See @DrRoderickTung twitter.com/drrodericktung… In this case, epicardial activation not fully dissociated from endocardium, but 2:1. Lesson: if missing big chunk of TCL with biatrial map, consider epicardium as part of circuit.
Roderick Tung@DrRoderickTung

Amongst our Epicardial AF mapping experience, this tracing has been the most eye-opening! Don't think this happens often, but the fact that epicardium can be completely dissociated from endocardium is mechanistically fascinating. #AFin3D

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Joe Gallinghouse, MD
Joe Gallinghouse, MD@GallinghouseMD·
57 yo with “flutter” and PAF, first time RFA. Intermittent atach seen during cath placement. Post PVI/posterior wall iso, sustained atach induced on prel. Earliest activation superior RA septum- UNTIL checked RPV carina. 2:1 conduction via epicardial connection. Term @ green tag.
Joe Gallinghouse, MD tweet mediaJoe Gallinghouse, MD tweet media
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Joe Gallinghouse, MD
Joe Gallinghouse, MD@GallinghouseMD·
@aalahmadmd @amcj1 @andreanatalemd @LuigiDiBiaseMD Should add, the only TCL of 204 was seen in the RPV carina. Initially thought dissociated PV tach post-isolation from the target atach, but we were missing about 40% of the TCL endocardially. Been doing these since 2001- first such case I’ve seen. Others? Learning by burning...
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Joe Gallinghouse, MD
Joe Gallinghouse, MD@GallinghouseMD·
Documented entrance block all PVs post isolation. Extensive biatrial map, lasso accidentally fell into RPVs and bingo! Happy 2020 #EPeeps!
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Keşfet

@BSCCardiology @tcainstitute @natale_md @MRazminia @MarceloHelguera @Ed_Gerst @rdschaller @BioSig_Tech