Nischala Nannapaneni

@HRSonline @Aetna @AetnaHelp Aetna is refusing to approve PFA ablation for Afib but will approve RF ablation. Is anyone else having this issue. Would like for Aetna to explain what the logic is behind this?

Aetna refusing to approve PFA ablation for afib, but will approve RF ablation. Why? Did anyone else have this issue?

Ablation+AVN ablation better than rate control in symptomatic AF with narrow QRS + one HF hospitalization ▶️ 133 pts randomised 1:1 🟢 HR 0.26 death of any cause 🟢 And estimated 3.7 NNT at 4y ☑️ Ablate and pace #trending 🔜 Time for #LBBAP? 🤩 #ESCCongress #EPeeps

🚨 #ESCCongress 🚨 APAF-CRT: major overall mortality reduction with AV junction ablation + CRT in highly symptomatic patients with permanent AFib and narrow QRS ! #EPeeps

@roseperson @andclev 🙏మనక

Friends, this is Deb's husband (@andclev) typing. It is my tragic duty to share that Deb passed away yesterday from brain cancer. We have all lost a voice of reason and compassion, and I hope that those who found inspiration in her words will carry on in the example she set. ❤

False negative testing: Catch-22 thehealthcareblog.com/blog/2020/03/2…

Video explanation of a protocol for suspected coronavirus patients needing emergency cath lab procedures. Presented by Emma our radiographer with expertise in infectious disease management, Dr Ghada Mikhail, and filmed/edited by Dr Iqbal Malik & daughter. youtu.be/P2Ezt05RjJ8

@ba_steinberg @EPICEMRparody I am jealous! I want mine to be like that atleast for 1 second.

That rare, in-the-wild sighting of @EPICEMRparody In-Basket at 0. Proof it exists, at least fleetingly - lasted <60 seconds, no joke.

I was asked about case of set screw/terminal pin malalignment, requiring reoperation. Important to recognize that the lead (with sealing rings) acts like a piston in the header channel & gets forced backward if lead is released before wrench is inserted to vent air #NapkinDrawing

This happened on dobutamine @30 mcg/ min. What would you do? #EPeeps

#advancingEPbycircAE #EPeeps paper for discussion @StavrosStavrak1 @CirculationEP @aalahmadmd @Wanginnovate @EP_mom1

Nice case today. Mitral flutter terminated with anterior mitral line. #EPeeps

#AFib rhythm control using catheter ablation improves survival rate, reduces re-hospitalization, preserves cardiac function & improves QoL when compared to rate control: stratified pooled analysis of randomized data bit.ly/2JLzwQZ @escardio @TomLuscher #cardiotwitter

Accessory pathway ablation in MVC today. 2.5 sec to loss of preexcitation #Epeeps⁦@graceyoumin⁩ ⁦@BiosenseWebster⁩ ⁦

#EPeeps #EPTwitter @HRSonline

🎉🎈🎊 Activation Mapping Talk Published !! 🎊🎈🎉 I know everyone is preoccupied with ACC, and rightfully so. But I finished this narration and wasn't about to embargo the result. It's done. And so I'm publishing the darn thing right now! 🍻 Enjoy: youtu.be/CoRDSVjHQVU

@NischalaNannap1 @MinnowWalsh @DrToniyaSingh #ACC19 such a great service. While work places still have policy of no children this is a great move from ACC.

@nmarrouche @CARMACtr @ffochler13 @ba_steinberg @mathvsoldage @MBarakatMD @CMahnkopf Congratulations!

Congrats to the #TEAM @CARMACtr @ffochler13 @ba_steinberg @mathvsoldage @NischalaNannap1 @MBarakatMD @CMahnkopf twitter.com/jjryanmd/statu…

@Hisdoc1 @gopi_gdanda1 @psharmadoc @KennethEllenbo1 Do you worry about risk of progressive heart block?

@NischalaNannap1 @gopi_gdanda1 @psharmadoc @KennethEllenbo1 No backup RV if thresholds are good.

@Hisdoc1 @gopi_gdanda1 @psharmadoc @KennethEllenbo1 In elderly patients with complete heart block and junctional escape do you put in back up RV leads when you put in a His lead?