Jeff Lin

@EJSMD @ArshadEP277 @willyhfrick @drjohnm Same.

@ArshadEP277 @willyhfrick @drjohnm Funny. We're just the opposite.

If you meet an EP doctor who is not scared of generator change, consider refferring to a different one. @drjohnm

Variability in Implantable Cardioverter-Defibrillator Battery Longevity @jfreeMD @ba_steinberg heartrhythmjournal.com/article/S1547-…

ARREST-AF *Randomized Clinical Trial* (Aggressive Risk factor REduction STudy for #AtrialFibrillation for #ablation) ♥️Lifestyle factor mgmnt ➡️ significant freedom from #Afib post ablation 61.3% vs 40% HR 0.53 p=0.03 Congrats @drrpathak @PrashSanders & team! #AHA24 #EPeeps

‘Inside-out’ technique to allow conduction system pacing in superior vena cava obstruction @alphonsusliew heartrhythmcasereports.com/article/S2214-…

OPTION Results presented at #AHA24

Afib may accelerate CKD (Bidirectional?) #AHA24 AFIb should be a RF for CKD AFIb catheter ablation - improves kidney function Will will anti-inflammatory interventions in CKD pts 
(IL-1 /L-6) also affect AF incidence along with slowing CKD progression?

Presented at #AHA24: Among patients with ventricular tachycardia and ischemic cardiomyopathy, catheter ablation as an initial therapy led to a lower risk of adverse outcomes than antiarrhythmic drug therapy. Read the full VANISH2 trial results: nej.md/3Z5ECOD

🤩A new way to map PVCs⤵️ Meet the💥MECIE-mapping technique💥 Publication in @hrs_journal “Multielectrode catheter-induced ectopy mapping: a novel technique for ablation of infrequent premature ventricular contractions” With @KarimBenali42 @vlachoskonstan1 @cortezdias Thread⤵️

1/n We are excited to announce EchoPrime – the first echocardiography AI model capable of evaluating a full transthoracic echocardiogram study, identify the most relevant videos, and produce a comprehensive interpretation! Great work lead by @milos_ai, EchoPrime is the largest and most complex #echofirst AI model yet, trained on 10x the data of existing models.

#Epeeps and #EPFELLOWS. Pre and Post TAVR ECGs discovered by @tung_patricia during a reading day. What's up with the premature beat?

How many #EPeeps pacemap at the rate of VT? Pacing faster creates more "TR fusion", making all pacemaps look more "epicardial". Congrats to @yasushinoda1029 @ZJameria on this work that should make us all question determination of initial slurring/ pseudodelta waves. #QSQ ""Rate-Dependent Pacemap Matching in Scar-Related Ventricular Tachycardia: TR Fusion Phenomenon" jacc.org/doi/10.1016/j.…

#ESCCongressVisuals for Hotline 8: SCOFF - Fasting or no fasting before cardiac catherisation procedures EARTH-STEMI - Complete vs. culprit-only revascularisation in older #STEMI patients SENIOR RITA - Older patients with non-ST segment elevation myocardial infarction randomised interventional treatment trial #ESCCongress

#ESCCongressVisuals for Hot Line 10: SUPPRESS-AF - The efficacy of low-voltage-area ablation on atrial tachyarrhythmias recurrence in patients with persistent hashtag#AtrialFibrillation CRABL-HF - Cryoballoon vs. Radiofrequency Ablation of AF in Patients with hashtag#HeartFailure SHAM-PVI - A randomised sham-controlled study of pulmonary vein isolation in symptomatic hashtag#afib #ESCCongress

From @JAMA_current: In patients with symptomatic atrial fibrillation (AF), pulmonary vein isolation resulted in a significant & clinically important decrease in AF burden, with substantial improvements in symptoms and QoL, vs a sham procedure. ja.ma/3z0AFR1 #ESCCongress

Original Article: Invasive Treatment Strategy for Older Patients with Myocardial Infarction (SENIOR-RITA) nej.md/4fZIG9z #ESCardio | @escardio

@krishmd @srissundaram @Toaster_Pastry In my EMR, I upload the image to the patient’s chart as a media file so I can send it as an attachment within a secure message. Patients love it. I’ve had them used for holiday cards, cakes, etc.

@srissundaram @Toaster_Pastry Is there a way to give them a picture without texting it to them? Something without your phone number showing up?

I’m in the minority of cardiac electrophysiologists. I always collect the mapping pictures, download them to the chart report, and show them to the patient to explain what I’ve done. I doubt they understand it. But I like showing pretty pictures. What did I do here?

@rbarbosa91 @jeffrey_vinocur @AlexTurinMD #EPeeps love you too. Threads are gold for EP fellows with minimal surgical background 🙏

@AlexTurinMD I don’t usually advocate leaving the syringe off because of the risk of air embolus (albeit low). On another note, I do enjoy EP Twitter because it’s totally impossible to understand it. It’s good to be reminded there are whole other medical worlds out there.

To emphasize the point, I'll leave this here again. When you can no longer draw blood back it is almost always the case that *pulling back* on the syringe will help you salvage the line. I've seen this many, many times, both in my own lines and for countless residents. ⬛️

@danseungkim @StanCVFellows @david_enze_wang @xaniarg @yaanikdesai @SnehaShahJain Congratulations!

Congrats to my entering class on graduating cardiology fellowship @StanCVFellows! I am lucky to have been blessed with such a group of talented doctors to be my co-fellows and excited to see how you all will shape the future! @david_enze_wang @xaniarg @yaanikdesai @SnehaShahJain

@forkknifecab_EP 👍 My standard set up includes RIJ access. The rare times I have approached from above have been successful with no long sheath, focal cryo for stability if needed (para-Hisian targets). I agree reach is really difficult with lateral sites though

Thanks Jeff! Luckily did not need on this one. I like the superior approach, typically I see as a bail out, unless already obtained access. I've seen reach sometimes be a challenge in adults. Do EPeeps have a sheath recipe / preference from IJ approach? Fixed type or steerable?

A Nodal response to Parahisian Pacing was surprisingly discordant to a timely PHC delivered <20 msec to measured HIS bundle potential during tachycardia, perturbing subsequent A. Earliest A mapped to Superior Lateral Tricuspid Annulus, participation confirmed with reset. Always neat to see, when unexpected. #EPeeps #PMA @PadanilamBenzy @Ashit_EPS @madiwcEPdrop ahajournals.org/doi/pdf/10.116… x.com/forkknifecab_e…

Okay I’m not a big fan of OWM but that’s an amazing map (Watch until the second half off the video) Do any of the EP journals have an interesting video publication format?