Particularly proud of this work. No RF lesion is an island! Impedance decrease and likelihood of transmurality are impacted by presence and timing of adjacent lesions. Hope to shed some light on an area without much literature.

JACC’d up

85 yo patient seen in office in an AT back in March. Symptomatic with shortness of breath. Programmed on Reactive ATP in office and watched it transition patient to AF then rhythm terminated. Interrogation in office today. I’ll take it!

Added fibroplasty to my skill set thanks to Seth J Worley MD and some help from my awesome Medtronic team. The Worley recommended table positioning was a game changer for right sided implants!

Extracted dual pacer from 2013 in dependent patient yesterday (SJM 1888). No vegetation on leads but large AV vegetation. Both leads pulled out with gentle traction with standard stylets. You just never know.

Fortunate and excited to join the Editorial Board of Heart Rhythm Society Cardiovascular Digital Health Journal. #Cardiology is spearheading the Computational Medicine revolution and I am very happy to be a part of this effort. David McManus Zachi Attia NYU Grossman School of Medicine @NYUCVRC @NYULangoneEP NYU Langone Health

Saved by the Bulldog today. Right sided dual pacer from 2011, patient with fungemia, EF < 20% currently. The RV lead broke (MDT 4092) but had a small amount of conductor coming out into pocket to anchor the Bulldog to.

First pass isolation vibes…

Diagnosis-to-Ablation time is significantly ⬇️ when pts are evaluated and referred from dedicated #AFClinic . Excited to present our OhioHealth abstract at #HRS2021 Anish Amin Sree Billakanty

It’s like when Jerry wasn’t actually picking his nose.

Wondering how many people do cryo AF ablation on a patient with known typical flutter? Seems like a more cost effective strategy would be sticking to all RF ablation in these cases.

Extra early #EPeeps #afib 2021 hot take >> Lesion set of the year is once again heavyweight champion PVI. VoM Ethanol is best new artist. LAA electrical isolation is the biggest loser. Atul Verma @MiguelVldrbno Jason Andrade Christopher Ellis #STARAF3 can’t get here soon enough

If you wear a mask to go to a store during a pandemic it's called proper health protocols not living in fear. If you need to open carry a gun to go to a store it's called living in fear.

Was an honor to present live-case at #AFSymposium2022 with @azrielleib and team at NYU Langone Health. Identified regions of slow conduction during LA pacing with #EnsiteX omnipolar conduction velocity mapping, corresponding to critical area for 2 clinical ATs. #Epeeps

52 yo with 2 prior AF ablations in 2018, 6 months apart. Presented to office in an AT. Terminated on second burn at the roof. Thanks for the great map John Burke @BiosenseWebster

Ischemic VT ablation yesterday evening in a patient with VT storm. Aided by our inHEART imaging highlighting areas of channels within the scar and made for a more targeted ablation approach. Stable VT as he entered the Lab. No inducible post. Thanks John Burke Aneesh Tolat

Gen Change from today. I noticed the bright material wrapped around both leads and wasn’t sure what it was. Clearly not the suture sleeves. A quick Google search gave me the answer. Do you know what they are without Googling?#EPeeps

52 yo M, EF <30%, Holter 44.1% PVC burden. Presented in bigeminy and runs of NSVT. 25 ms pre-QRS in distal CS. Close to coronary on angio. Successfully ablated from LVOT adjacent to early site in CS. Thanks for the great mapping. John Burke @BiosenseWebster

Ischemic VT from yesterday with the help of inHEART CT scan clearly delineating channels within the large inferolateral scar to target. Mapping by the great John Burke @BiosenseWebster