Grateful for the opportunity @BSCCardiology to teach about conduction system pacing—and for the new friends made along the way. Cheers to learning, connecting, and growing together #LBBAP #MedEd #EPeeps @bluehoosiermd @PatelApoor @gauravaupadhyay

Young patient w/ HCM/hypertrophic cardiomyopathy, recurrent VT despite 3 AADs: Amiodarone, Sotalol and Mexiletine. Endo (sinus) & epi (S1) ILAM mapping showed matching isthmus locations. Targeted using bipolar ablation. Active ABL= epi, ground = endo. #AblateVT @atrialappendage

#EPeeps got that 🪄 apparently #Voodoo

ICE guided RF lesion visualization PM-PM-PVC ⭕️ #EPeeps #AblateVT @MRazminia @BadhwarNitish @GoldenStateEP

#EPeeps PFA may be the cure for everything. While we figure that out, please consider single 🫁 ventilation & 🧊 guidance to #SpareThePhrenic. Thank you @JACCJournals for the stage @AlexanderPerino @Wanginnovate @AnsonMLee1 @BadhwarNitish @StanfordDeptMed @StanfordCTSurg

What is the definition of *early onset* conduction system disease? #EPeeps #GeneChat #CardioTwitter Suggesting a congenital or inherited, vs. acquired condition warranting further investigation as to the etiology including cMRI, PET, +_ genetic testing

The very 1st #AblateVT for the @SHC_TriValley community 🚩 @StanfordHealth. Dual-arrhythmia NICM: LsPeAF & >25% mono PVCs/VT refractory to Sotalol/Amio. Epi #HDGrid mapping of PVC via VATS port at time of #HybridAF. EF 20 📈 60% cMRI without AAD at 8 months, ICD avoided #EPeeps

#VF trigger = 🪡 in a haystack = malignant Purkinje potential. SQ-ICD template pace “match” (conduction system, septal RV, & moderator band) too broad an area to ablate and still 🚫 match w modicum of clinical PVCs. To lose patience is to lose the battle #EPeeps

Always takes effort to get rid of extra #FAT. Incessant Focal ATach post #AF PVI & CTI. The journey RA -> TS -> LA -> MV -> LV -> AoV -> Non coronary cusp 🎯 #EPeeps

Thanks for the shout out Marc and more importantly for letting me be involved in your care. Sounds like @apple @NBA @espn + @StanfordHealth would make a great team to improve awareness & access for cardiovascular health in @Oakland and beyond

Reviewer #2: “Please shorten the word *associated* in your tweet” 🤣 #EPeeps #HybridAF A pleasure to be trained by, write alongside and LOL with @S_NarayanMD

Thrilled to introduce *Familial Inherited Arrhythmia Clinic* @StanfordHealth #Emeryville #Oakland… a growing avenue for pts/fam in the EB. Privileged to discuss alongside @JenneferNoe & amongst friends, our early experiences @ SCICD conference #GCchat #NCGC @StanfordMed

Now we’re just naming valves after @Marvel supervillain organizations? Somewhere out there @CaptainAmerica shaking his head. @Babar_Basir @TiberioFrisoli @MarvinEng3 @DeeDeeWangMD @drrahulpsharma @DVDaniels

Great time w/ @RaniUpadhyayMD & @agtruesdell discussing MCS in Cardiogenic Shock. #scaishock #accfit #accearlycareer #ncsi Video Review: Current Mechanical Circulatory Support Devices https://t.co/2fQt95EGL2

We’re building an #EPeeps lab @ValleyCare_VHS @StanfordHealth for the community. Enjoyed reviewing🫀anatomy with PA students & team. At the least, happy to re-enact the best scene from #IndianaJones #KaliMaShaktiDe when you get it… @AbbottCardio @HeartBobH @EldrinL @Wanginnovate

Is #ConductionSystemPacing the end of “MVP?” Intrinsic PR >300 ms and QRS >120 ms corrects with CSP, normal LVEF. #EPeeps Would you *routinely* tighten AV delay and force V pacing... @gauravaupadhyay @Hisdoc1 @DrRoderickTung @gopi_gdanda1 @KennethEllenbo1 @MdHuang @psharmadoc

Happy Halloween #EPeeps #CardioTwitter - pro tip, don’t explain VF to a little kid, their face + facial expression of their parent is spooky

Apple Heart Study revealed non-#afib arrhythmia in 119/450 patches analyzed (419297 participants). Incl: PACs, Atach, PVCs, NSVT👇. In 249, #afib developed later on follow-up. @GerdHindricks @drsuneet @DrDave01 @DavidDuncker @leftbundle @AlexanderPerino https://t.co/fZLVMdTqo6

#EPeeps The lab, 1A. #Telemedicine clinic with #PetTherapy, 1B

Unintended 👀 during #LBBpacing #physiologicpacing (IVS 1.4 cm, <70 Ω shift, RBB PVC encountered) - #EPeeps do you routinely perform sheath-ventriculography to confirm septal depth?