Gregory Michaud
@DrGregMichaud
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Chief Medical and Scientific Officer, JNJ MedTech Electrophysiology
Boston, MA
Joined November 2017
If there is sufficient interest I might resume a monthly unknown tracing. Yes?
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Thrilled to begin a new chapter with J&J MedTech as they advance the science and treatment of AFib. On that same note, I've joined LinkedIn, follow along here:
linkedin.com
Chief Medical and Scientific Officer, Electrophysiology · Experience: Johnson & Johnson · Location: Cambridge · 238 connections on LinkedIn. View Gregory Michaud’s profile on LinkedIn, a professional...
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This SVT seen on monitor Calipers show the stable SVT interval and are placed on either side of a PVC that occurs during tachy in lower panel. Thoughts #Epeeps #EPFELLOWS?
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@tung_patricia I agree. The rare 🐦"supernormal" conduction occuring in damaged H-P tissue. Here is a reference: Moore EN, Spear JF, Fisch C. "Supernormal" conduction and excitability. J Cardiovasc Electrophysiol. 1993 Jun;4(3):320-37. doi: 10.1111/j.1540-8167.1993.tb01234.x. PMID: 8269303.
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#Epeeps and #EPFELLOWS. Pre and Post TAVR ECGs discovered by @tung_patricia during a reading day. What's up with the premature beat?
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I have deleted the earlier post. I thought it was created as a joke and did not mean to offend anyone.
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In the best Epsilon wave contest, this would be my entry...
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Exceptions to every rule. This turned out to be AVNRT!! 🤷♂️
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One little P wave missing clinches it!! WCT with AV dissociation. = VT with rare exceprikns. The morphology suggests a left inferoapical septal exit and the sharp initial components indicate activation of the His Purkinje system. Probably Posterior Fascicular VT.
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#EPeeps that is me! Old 🐕 new tricks. Will present short talk at Stanford a Biodesign tomorrow. See you at HRS!
That feeling when you have been working on something so long, and your peers think it is helpful and want to use it again...🥰 @sentiarco @JonSilva_StL @mksouthworth @Berk_tash @DrGregMichaud @JagSinghMD @JohnTriedmanMD @WashUOTM @WashUBME @WashUPedsCard
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Any takers on a diagnosis ?
#epeeps Nothing better than Nature's EP study! 12 lead of initiation and pacemaker interrogation showing termination
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#epeeps Nothing better than Nature's EP study! 12 lead of initiation and pacemaker interrogation showing termination
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Absolute gold! Say no more….. ABLATE 🔥!!!
Extrastimulus with nonglobal capture terminating VT (and subsequent pacing matches VT)
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"Selective" and "non-selective" probably better terms for HB pacing. Pace capture in the more distal conduction system must quickly engage both right and left-sided elements to achieve such a narrow QRS, which is not very selective!
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#epeeps Does this represent capture of the posterior fascicle directly or must there be fusion? No change in QRS complex at various outputs.
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Could be coarse AF but earlier ECG suggests atrial flutter. + concordance V1 and inferior Leads suggest a non CTI mechanism. One thing for sure. He will have atrial fibrosis
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