Dr. Jeanne Poole on AAD interactions 💊CYP2D6 substrates include oxycod., mood stabilizers, propaf 💊 Grapefruit juice! incr CYP3A4 substrates eg CCBs, amio, dofe 💊 CYP2C9 - warfarin torsemide incr if on amio but not dronaderone 💊 Metop safer than dilt with rivaroxaban #HRS2025

MR severity should NOT be a reason to avoid AF ablation (recurrence similar mild vs mod/severe MR, ~43% in both) MR often ⬇️ s/p ablation (89% ⬇️ ≥1 grade of severity, OR 0.93) Great work peterkistler MBBS PhD FHRS et al! #HRS2025 #EPeeps

I put a quick summary of key late-breaking trials and science presented at #HRS2025! It is an incredibly exciting time to be in EP — such a dynamic field full of innovation. #2025pacesetter #EPeeps

Yikes!

The EP section at Brigham and Women's Hospital is hiring! This is a rare opportunity for an academic electrophysiologist to join one of the top groups in the country. Link to NEJM advertisement: bit.ly/nejm_bwh_ep

I prefer SDLs for hypertrophic septa because they seem to drive into the tissue more easily. Nice to see data supporting this approach. Great work Prash Sanders #EPeeps #CSP

#CardioNuggets Dofetilide (Tikosyn) Class III anti-arrhythmic that blocks IKr → prolongs repolarization (↑ QT, ↑ ERP) without slowing conduction. ✅ Safe in HFrEF (DIAMOND-HF) ⚠️ Key Considerations: -Must be initiated in hospital (≥3 days) due to risk of Torsades de

The latest video in our partnership with Dr. Glaucomflecken summarizes the results of the VANISH2 trial, which compared catheter ablation versus antiarrhythmic drug therapy for ventricular tachycardia. View the full article for free: nej.md/DrG16

Guess what I just learned? The Wedensky Effect 😎 I put a visual on how my brain will remember what happens. (Trying to climb up a hill after falling into one is going to take more time) #EPEEPS #CIEDthings

Localized atrial fibrillation within the inferior sinus venosa treated by isolation; could it be a new target of ablation for persistent atrial fibrillation? heartrhythmcasereports.com/article/S2214-…

Was literally talking to Hiren Patel about this on Friday. I've always preferred the anchor method for this theoretical risk... But apparently it's not so theoretical anymore! #EPeeps #CSP #CardioTwitter

Congrats and great work on this important data! #EPeeps

What is the best explanation for this rhythm? #EPeeps

Fascinating findings and a great way to stratify risk for cardiomyopathy in patients with frequent PVCs before the EF drops #EPeeps (NB: requires heart rhythm account, heartrhythmjournal.com/article/S1547-…)

‼️Unusal Case of LA standstill: ❓Have you seen similar cases? 📍 RA intact on Halo catheter 📍 Complete electrical silence in the LA, confirmed via CS catheter and ablation 📍 No prior LA ablation 📍 Flutter rhythm appears RA-driven #EPeeps #CardioTwitter

Are you in the Nation of Lifesavers? Walgreens s employee Adyn was able to use CPR to save the life of his daughter thanks to learning the lifesaving skill through work. Your support of Life is Why helps fund the American Heart Association’s mission, which includes CPR

LSVC incidence in the general population is <1%. It can pose technical challenges for TSP in LA procedures. I used to isolate the LSVC when it was detected in AF cases. Would like to hear the opinions from #EPeeps

If they can handcuff a U.S. Senator for asking a question, imagine what they will do to you.

Real or Fake? What do you think #ecg #ekg #CardioX #FOAMed #MedTwitter #Cardiology

🧠 Mid-ablation surprise: clot on a prominent Chiari network in the RA. Rare but real embolic risk. What would you do? ➡️ Proceed with ablation? ➡️ Abort? ➡️ Anticoagulate & re-schedule? ➡️ When do you heparinize? ➡️ How do you manage oral anticoagulation peri-procedure?