Michael Powers

Wordle 548 3/6 - Goota brag on my son Teddy, who pulled this one off. ⬜🟨⬜⬜⬜ ⬜🟨🟩⬜⬜ 🟩🟩🟩🟩🟩

@DrGregMichaud Cool case! If I’m seeing it correctly, there is delay of A during zone of fusion which suggests ORT. However, it seems that the stim-A doesn’t become fixed in the TZ as expcected in ORT. Also, SA vs VA seems long by eye caliper.

What is the mechanism of SVT #Epeeps? Deca in the RV (pacing from the tip) with 9,10 recording a septal A. ABL also recording a septal A. CS catheter tip in a posterolateral LV branch. Calipers on the CS A. More on this tomorrow🧐

@drpaari @AllenAmornMD @ElectricHeartMD @Nishaki1 @hajaw0 @nachiapte @AroojKhanMD Nice map! Always a fan of ripple map to visualize tough early/late signals.

Slow pathway modifications can be simple EGM only deals but it’s cool & mechanistically insightful to see LVB, EGM (blue dot) and wavefront (ripple) all point to one spot <1mm from his cloud @AllenAmornMD @ElectricHeartMD @emichaelpowers @Nishaki1 @hajaw0 @nachiapte @AroojKhanMD

@jaymontgomery44 @ArtOrNotArt @GDavogustto @TiffanyHuMD @andrew_cluckey @TaraHolderMD @CherieDahm I say there’s symbolism in the empty chair outside in the sun/fresh air. Art.

Is this art @ArtOrNotArt? Important to note that this is on the roof. @GDavogustto @TiffanyHuMD @emichaelpowers @andrew_cluckey @TaraHolderMD @CherieDahm

Elegant & simple way to approach wide QRS complex tachycardias! Get a history and just look at Leads II and aVR! See editorial by Prof. Pedro Brugada talking about Ockham & Bayes! @uclaCVfellows From @jaccjournals jacc.org/doi/10.1016/j.…

@KaramAyoub5 @sjorge4 @drmaisano @ShrillaB @mirvatalasnag @MdMontalto @ICigalini @Sticchi_Alex @Ortega_Paz @KardiologieHH @ABeneduceMD @guilbon @NicolaRyanI1 @g_giustinoMD @aayshacader @belcid7 @DrArifK @ANazmiCalik @sabeedak1 120u/kg immediately after venous access complete.

@sjorge4 @drmaisano @ShrillaB @mirvatalasnag @MdMontalto @ICigalini @Sticchi_Alex @Ortega_Paz @KardiologieHH @ABeneduceMD @guilbon @NicolaRyanI1 @g_giustinoMD @aayshacader @belcid7 @DrArifK @ANazmiCalik @sabeedak1 Full dose immediately after venous access.

Do you use a small dose of heparin prior to transseptal puncture? @drmaisano #JIM2022 @ShrillaB @mirvatalasnag @MdMontalto @ICigalini @Sticchi_Alex @Ortega_Paz @KardiologieHH @ABeneduceMD @guilbon @NicolaRyanI1 @g_giustinoMD @aayshacader @belcid7 @DrArifK @ANazmiCalik @sabeedak1

@KaramAyoub5 @Ed_Gerst @javadm20 Do you think there’s fusion of the orthodromic and antidromic wavefronts on last paced beat on CS 5/6?

@Ed_Gerst @javadm20 Re-entry , likely peri-mitral flutter with evidence of downstream entrainment .

Overdrive pacing from px CS during atypical flutter after PVI. What is the tachycardia mechanism? No 3D map allowed!

The SURVIVE-VT Trial is published in JACC. Substrate VT ablation is superior to AADs as first line therapy!! Substrate Ablation vs Antiarrhythmic Drug Therapy for Symptomatic Ventricular Tachycardia | Journal of the American College of Cardiology jacc.org/doi/10.1016/j.…

A true watershed moment in the world of ❤️ #Transplant. Xenotransplantation is the next stage of evolution for organ transplantation and will save the lives of thousands. @HFSA @ISHLT First, Man Receives a Heart From a Genetically Altered Pig nyti.ms/3GdYR0x

I can’t decide if it’s a good thing or a bad thing that I’ve flown so much recently that I’m now qualifying for free upgrades to first class on @Delta.

@kursatakbuga @Heart_BMJ @Obisht Loose suture collar ratchet effect. True twiddler syndrome is very rare and the other leads are fine.

A man in his 60s with dyspnoea (image challenge). Med history: hypertension, non-ischaemic cardiomyopathy and LBBB. He had received a CRT-D 2 years prior to the current admission, with initial improvement in symptoms, after which he was lost for follow-up. bit.ly/3Hd49ut

@jaymontgomery44 @MSampleMD No communal saliva bags so far on my @Delta flight but a lot of people wearing colorful antlers for some reason.

@MSampleMD I have not taken one of these saliva-bag flights. I’m intrigued now.

In flight service during a pandemic is absolutely stupid. 30 minutes of no one wearing a mask and to top it all off, we concentrate everyone’s saliva into a bag that we shove into each passenger’s face to clean it up.

@mahad_minhas 40 and still going for another 1.5 years.

@AdityaMandawat I convinced three people in EP clinic today to get the shot. Baby steps.

Please please get vaccinated. Thrombus within in the mid/distal LAD treated with Angiojet in an unvaccinated patient presenting with acute #COVID19. No significant underlying coronary artery stenosis on IVUS.

One of the good guys :) justice.gov/atr/staff-prof…

Catheter ablation vs. guideline-directed AAD therapy in delaying the progression from paroxysmal to persistent #afib bit.ly/3hpfV8B @ABollmannMD @GerdHindricks @EHRAPresident #EHRA_ESC #Europace #Cardiotwitter

Dad Suggests Arriving At Airport 14 Hours Early bit.ly/3lavp05

Some potentially positive news.

"There are lots of things we aren't free to do because we live in a civilized society...You can't go to downtown without pants." Epic interview. Informative, engaging, and relatable. Should be mandatory viewing for the basically the whole state.

On this #VeteransDay we honor those who served in our armed forces. We recognize the perilous moment in which we find ourselves, and pray the example of shared sacrifice by those who have worn the uniform of this great nation can bring us greater unity and sense of community.