Nicholas Costa, MD
@NicholasCostaMD
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Cardiac electrophysiologist at Novant Health Cardiology. Tweets are my own.
Winston-Salem, NC
Joined March 2010
Reminded by @gvasselli18 and @Brian_1_2_3 of the occasional epicardial breakthrough across a CTI line. Clear distant lateral activation visualized with ripple mapping. Instantaneous block with ablation at lateral site. @BiosenseWebster #EPeeps
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Very proud to be a part of this endeavor. Great to meet all of you!
Few years ago we started a journey to build a new model of evidence generation, dissemination and collaboration! This HRS we had 16 abstracts, dozens of collaborators and 100s of handshakes. A new paradigm of collaboration between industry, community and academic docs was born!
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@josoriomd, national PI of the #RealAFRegistry, presents outcomes from the first 1,000 patients in our multi center registry of high volume, low fluoro operators. @paulzei @JorgeERomeroMD @BiosenseWebster
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This is already becoming common practice in AF ablation as one study from the REAL-AF registry showed, and we should be doing this in VT as well. Focused on doing all AF and VT ablations #fluoroless !
So proud to be part of this movement. The future is #fluoroless and VT is no exception. Honored to share what I’ve learned and learn from others. @HRSonline @MRazminia @DrRoderickTung @netta_doc @KTamirisaMD @srissundaram #EPeeps
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Come check out our analyses of ablation outcomes in the first 1,000 PAF subjects in the #REALAFRegistry and learn about our registry based learning collaborative at the poster session at #HRS2023 happening now @josoriomd @BiosenseWebster
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Congratulations to Dr. Liu for outstanding service to our society! Leading the charge to fight cuts in reimbursement and limiting access to care! #HRS2023
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HRS/APHRS/LAHRS Guideline on Cardiac Physiological Pacing for the Avoidance and Mitigation of Heart Failure - OPEN ACCESS! #HRS2023
@EP_mom1
https://t.co/eqq25Axv9N
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So much fun catching up with @WeillCornell EP alum at @HRSonline! #HRS2023 #WeillCornellEP #WIC #WomenInEP #EPeeps
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More evidence for weight loss and lifestyle changes in reducing AF in the late breaking LEAF study at #HRS2023!
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Proud to be a friend of this physician... some incredible work is being done out there.
fox32chicago.com
COVID-19 patient Jason Barbosa and Dr. Jonathan Tomasko from Northwestern Medicine Central DuPage Hospital talk about his miraculous recovery and stress the importance of taking virus precautions...
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Has anyone experienced patients having a power on reset on the new Medtronic Cobalt?
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Exceptional study, and practice-changing. With time and technology, rhythm control has now shown benefit for susceptible patients, a departure from AFFIRM data. AF needs attention early! @drrgoyal
https://t.co/0O8TmSyiSS
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Had the honor of working with Dr. Costa years ago, was occasionally honored to be confused with him by staff. Exceptional colleague and mentor, passing well before his time.
Joe was a wonderful former resident and chief resident, who dedicated his life to caring for the citizens of Baltimore with critical illness. A tragic loss and a great sadness. May the memories of his family, friends and co-workers be for a memory. @UMInternalMed #CoverYourFace
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And the safety of our staff! Trained by @DrJCheungEP to always seek an ALARA fluoro level, zero if possible but near-zero otherwise. Solid understanding of fluoro anatomy is ESSENTIAL to minimize its use.
@MRazminia @paulzei @Ed_Gerst @krishmd @MDTolgaAksu @EduardoSaad3 @NoFluoro Near zero fluoro should be the standard part of any EP training program. We owe it to our young trainees and patients to minimize exposure while maintaining safety. Proper mindset and solid ICE skill set are all you need.
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#EPeeps: what do you advise pts post PVI about scuba diving? Septal puncture still open in 25% at 3 mo...
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Compare this with an estimated 8.4 month survival gain with a primary prevention ICD, based on MADIT II. The ICD is important, but optimized medical therapy is paramount.
How do you communicate the expected lifetime benefits of HF therapies? New data in @TheLancet from 3 RCTs (#EMPHASISHF #PARADIGMHF #DAPAHF) estimate up to *6 years* of survival gains. Combination ARNI+BB+MRA+SGLT2i = new therapeutic standard in HFrEF. 📎 https://t.co/xd23cW9Ovp
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This is Roger, the nurse who took care of me in the ICU. My first memories after my arrest are Roger sitting with me for hours just talking with me. Asking me about my life, my family. I’m convinced that this helped me regain normal cognition, forcing me to think and remember.
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These successes need to be shared. They’re out there. Treating AF is hard, but with a 360° approach, success can happen.
Patient in #Afib Clinic this morning, Started seeing me last fall. Fully engaged in RFM, quit smoking and drinking, treating sleep apnea. In tears this morning with how good he feels. Afib free, no meds. #itworksifyouworkit #MedTwitter #EPeeps
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