David Chang, MD

Wow.. just curious about any other comorbidities in this patient. Thanks for sharing.

Oh jeez… not yet! 🤞

Pause-dependent polymorphic VT!!

4D intracardiac echocardiogram providing clear images around the entire device!

#EPeeps Tried a reverse Sauer maneuver…but it didn’t work

Pacing near the atrial end of the pathway did fortunately

Happy New Year! Join me as I start my 2nd round of #biblerecap! #letsgo

Yes, I treat it as if I’m doing a de novo ablation in a patient with longstanding persistent AF. Start with the veins and the posterior wall and take it from there.

For #Epeeps who are doing all PFA for afib, have you had patients with refractory afib after multiple RF ablations who you’ve had meaningful success after PFA? If so what was your approach?

@davidjchang7.bsky.social @alexturinmd.bsky.social

Yes! Delivering PFA over thermally ablated cardiac tissue with no electrically signals in patients with refractory AF have benefitted many of my patients.

Getting there...
I think we have most bases covered in this VT entrainment talk (with these being the culminating slides after lots and lots of preceding foundational material about interpreting egms and pacing in and around regions of scar during VT and during sinus)

The secret is out. Clinical Cardiac EP is the greatest speciality in medicine (totally unbiased opinion) and is becoming incredibly competitive.

#Epeeps @uiccardsfellows.bsky.social

Episode 83: A Discussion of Artificial Intelligence Age Prediction Using Electrocardiogram Data: Exploring Biological Age Differences Discussion Topic: Artificial Intelligence Age Prediction Using Electrocardiogram Data: Exploring Biological Age Differences Host: Deepthy Varghese, MSN, ACNP, FNP Guests: Tina Baykaner, MD, MPH and Janet K. Han, MD, FHRS

NEW! Tune into episode 83 of The Lead!

🎙️ Host: Deepthy Varghese, MSN, ACNP, FNP
🎤 Guests: @tinabaykaner.bsky.social and @jkhmd.bsky.social

Listen on your preferred podcast platform ➡️ bit.ly/40Z6tBh

#EPeeps #medpod #podcast #PodcastAndChill #ArtificialIntelligence #AI #AgePrediction #ECG #EKG

Always thankful for our amazing nurses, medical assistants, and administrative staff that keep me busy in the lab and in the office. Plus, they gave me a new slogan. I’m sure it could have been a lot worse… 😅😅 #thankful

I love chasing after these PVCs. Check out this paper we worked on a few years back!

pubmed.ncbi.nlm.nih.gov/32618396/

Adding a new wrinkle to leadless device implant approach in anticipation of something good in the near future! #epeeps

Agreed man.. appreciate it!

I liked it a lot. The flower petals are not always accurate but good enough to get the job done. Not having to exchange is a huge plus.

Definitely doable! Hope you get it soon!

Was my first day with opal so I used fluoro but I anticipate going back to fluoroless soon. We are launching varipulse soon as well. Fun time to be an EP!

You’ll be agile with the farawave system given your exp with cryo!

Yes. Hope you are staying warm in Chicago!

Tough transseptal due to septal aneurysm, PFO, and thick limbus with a narrow window. Had to shepherd’s hook it in the LA to position the catheter in the RIPV. #epeeps

Fall 2024 #boston

Congratulations to Lena Rivard on the @ahascience.bsky.social presentation of the BRAIN-AF study results.

Major observation is that cognitive decline occurs in many « low risk » AF patients.

Unfortunately, Rivaroxaban 15 mg daily did not impact this risk in this double-dummy RCT.

Left Atrial Appendage Closure after Ablation for Atrial Fibrillation | NEJM Oral anticoagulation is recommended after ablation for atrial fibrillation among patients at high risk for stroke. Left atrial appendage closure is a mechanical alternative to anticoagulation, but ...

Congratulations to @omwazni and the OPTION study team on the @ahascience.bsky.social presentation and publication of the OPTION trial.

Similar low rates of stroke post ablation (no difference with laao vs OAC) with no significant 23% lower rate of major bleeding.

www.nejm.org/doi/full/10....

Our latest in @CirculationEP !

“Women Trainees in #Electrophysiology & the Effect of #RoleModels”

Thank you to @tinabaykaner.bsky.social for leading this work & to the many #EPeeps leaders for their collaboration & support of this project!

🔗 www.ahajournals.org/doi/10.1161/...

Thanks, Phil!

Launching a new private practice: The transition from hospital employment

My thoughts on our recent launching and transitioning from hospital employment ➡️ private practice!

www.sciencedirect.com/science/arti...

Elmo explains atrial fibrillation 😂

#medsky

My favorite Apple Watch tracing of all time. #CardioSky #EPeeps #MedSky