Zak Loring

@ankeetbhatt @SJGreene_md @kpnorcal @TPMGDocCareers @KPDOR @nih_nhlbi @MariaAnsariMD @asgmd1 @KPHeartDoc That’s great news, congrats Ankeet!

Thrilled to start my new role as a cardiologist/intensivist @kpnorcal @TPMGDocCareers and investigator @KPDOR where I'll help to lead @nih_nhlbi #CARDIA study & focus on pragmatic clinical trials & #impsci. Excited for this new adventure! @MariaAnsariMD @asgmd1 @KPHeartDoc.

@jennifer_rymer @TYWangMD @Drroxmehran @manesh_patelMD @schuyler_jones @SVRaoMD Humbled to train and work with such a superstar. Congrats Jenn!

@FYang_EP Gold handled needle drivers are sturdier because they are made from tungsten carbide. @rbarbosa91 has great tweetorials on surgical instrument history and use. Super helpful for those of us that use them but never did general surgery training.

#EPeeps show us ur implant tray! And what special tools u prefer? I love my Gelpi retractor and the gold handled needle driver. German precision instruments. Small handles for precise work. I replicated this tray from my days of training at Montefiore--Sy Furman's tray

@PierreEliasMD @JACCJournals Fantastic study. You all went above and beyond with not only developing an impressive model, but also sharing your code and doing saliency mapping to provide some insight into what ValveNet actually looks at! Congratulations and thank you for sharing.

Out today in @JACCJournals, our ValveNet study shows a ML model can detect mod-severe left sided valve disease from ECG. This model is currently running live in our health system daily. Now let me tell you everything wrong with it! A brief 🧵 bit.ly/3boQBRs

@jason_lappe @kenquadros @Nishaki1 @EPeeps_Bot @AveragingBogey @zhalemd @zapzaplunch @BiosenseWebster The HM3 causes more noise because the slower rotor speed puts the mechanical artifact into the typical ecg bandwidth. We looked at all the Vad models and mechanisms of artifact here: pubmed.ncbi.nlm.nih.gov/32787630/

@kenquadros @Nishaki1 @EPeeps_Bot @AveragingBogey @zhalemd @zapzaplunch @BiosenseWebster I will grab a shot of the EGMs. This was a HMII which caused very little noise. Much less then HMIII devices.

You have to love when it all comes together. LVAD patient with drug refractory VT. #EPeeps @AveragingBogey @zhalemd @zapzaplunch @BiosenseWebster

@jason_lappe Beautiful map, must have been satisfying to get the one burn term!

One burn termination.

@HeartRhythmNP @DukeCardiology Maybe more to it than just the burden. ABC-VT score accounts for morphology and other features to predict which PVCs lead to cardiomyopathy. doi.org/10.1016/j.hrth…

#eppees how many pvcs are too many? if the patient is asymptomatic w/ normal EF? Discussing with some of our @DukeCardiology today. What do you think? Example 73 y.o. male. 22% burden found incidentally on holter. Neg. Stress. No s/s.

@tony_breu Unsynchronized cardioversion can cause VF, which is treated with another unsynchronized shock

Sometimes the thing that CAUSES a condition is then used to TREAT that same condition. I can think of two: ➤Corticosteroids cause PJP and are then used to treat (severe) PJP ➤Epinephrine causes VT/VF and is then used to treat cardiac arrest What are some other examples?

Practical application of AI/ML from ⁦@zachia5⁩ and ⁦@noseworthypeter⁩. Innovative way to use ECG to improve AF diagnosis and stroke prevention. ⁦@HRSonline⁩ #hrs2022

@HeartRhythmNP Haha, I took that same picture! I thought it was a good summary of the current evidence and I liked the patient/treatment matrix for thinking about where the data is.

Who else takes pictures of slide so they can review laterr? A lot of studies packed into this one about physiological pacing #hrs2022 #pacemakers

Great presentation from incoming EP fellow ⁦@kellyarps⁩ on the benefits of ripple mapping for outflow/summit PVCs. ⁦⁦@dukeheartfellow⁩ ⁦@DCRINews⁩ ⁦@DukeHeartCenter⁩ ⁦@HRSonline⁩ #hrs2022

Diagnosis-to-ablation time predicts recurrent atrial fibrillation and rehospitalization following catheter ablation, by @derek_c1, @JonPicciniSr, and colleagues heartrhythmopen.com/article/S2666-…

Meta-analysis of RCTs finds that catheter ablation for atrial fibrillation reduces mortality, hospitalizations, and increases freedom from arrhythmia vs medical therapy: onlinelibrary.wiley.com/doi/10.1111/jc…. @JCardioEP #EPeeps

Is There a Mortality Benefit of Atrial Fibrillation Ablation? onlinelibrary.wiley.com/doi/10.1111/jc…. Check out out editorial on this meta-analysis of RCTs and it’s implications for future trial design and patient-tailored care. @DukeCardFellows @DukeHeartCenter #EPeeps

@YaleIMed @ACCinTouch @MichaelGNanna @YaleCardiology @YaleMed Congrats Mike! Well deserved.

Michael Nanna, MD was awarded the 2021 Geriatric Cardiology Career Development Award by @ACCinTouch. The Career Development Award aims to improve care of older adult patients with cardiovascular disease. Read 👇 @MichaelGNanna @YaleCardiology @YaleMed medicine.yale.edu/news-article/n…

Great work lead by @DanFriedmanMD and @atwater_brett teasing out the details of what CRT addresses in LBBB.

@JonPicciniSr @ba_steinberg @DanMarkMD @TJaredBunch @derek_c1 Really interesting paper, great work @ba_steinberg. Changes the way I think about AF and makes me curious as to what mechanisms change during the transition from rare to persistent and the implications for targeted therapies.

U-shaped distribution of #Afib burden: AFB consistently skewed towards the extremes without an even, linear distribution or progression. Important implications for future research & patient care. @ba_steinberg @DanMarkMD @TJaredBunch @derek_c1 #Epeeps pubmed.ncbi.nlm.nih.gov/34838507/

@SvatiShah @vbluml Outstanding! Congratulations Vanessa!

Congratulations to all of the finalists for the Laennec FIT Clinician Award and to the awesome ⁦@vbluml who is the winner! Is there anything this woman can’t do? ❤️

@atwater_brett @mugander Great case and images!

@wrobertson3 So glad to hear you are doing well. Thank you for the kind words, it made my night!

@ZakLoringMD, thank you for saving my life two years ago tonight at Moses Cone Hospital. I am forever grateful to you.