Eric Crespo
@ericmcrespo
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Director of Interventional EP Lab at Hartford Hospital, father, and cyclist.
CT, USA
Joined May 2011
DYK that permanent infra-hisian block can occur during His bundle pacing? (#Dontdisthehis though! Leave the lead in position as it may still capture the distal His!) View a case series from @PoojitaShivamu1 @dredcronin @ericmcrespo @jskoruth in #JACCCEP: https://t.co/q4lTIX7dRU
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Having real trouble with this conclusion slide. This was a negative trial. FIRM ablation is not effective, and complications were numerically higher. I hope the discussant called this out.
𝐑𝐨𝐭𝐨𝐫 𝐀𝐛𝐥𝐚𝐭𝐢𝐨𝐧 𝐯𝐬 𝐂𝐨𝐧𝐯𝐞𝐧𝐭𝐢𝐨𝐧𝐚𝐥 𝐀𝐛𝐥𝐚𝐭𝐢𝐨𝐧 𝐟𝐨𝐫 𝐓𝐫𝐞𝐚𝐭𝐦𝐞𝐧𝐭 𝐨𝐟 𝐏𝐞𝐫𝐬𝐢𝐬𝐭𝐞𝐧𝐭 𝐀𝐅- 𝐓𝐇𝐄 𝐑𝐄𝐀𝐅𝐅𝐈𝐑𝐌 𝐓𝐑𝐈𝐀𝐋 ↔️ no difference between arms for recurrence of AF after single procedure, safety, procedure time #HRS2019
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Can we REAFFIRM that FIRM guided mapping and ablation be added to graveyard of PVI+ strategies that have not stood the test of the randomized clinical trial? #EPeeps #HRS2019 @HRSonline
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His bundle pacing at @HartfordHealthC: Case and discussion from @StevenZweibel
https://t.co/76hRlEOU4H
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Cardiology is making a huge mistake w this technology. Sadly, and this speaks to the need for independent critical appraisal, the evidence was there all along.
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LAAO device-related thrombus happens (7.2% per year) and is not as benign as previously thought (4-fold increase in risk of stroke) - sobering findings
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Correction of RBBB w/His pacing. From a live case this AM w/special guest @Hisdoc1 #dontdisthehis @StevenZweibel @MDT_Cardiac @hartfordhosp
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So cool to see in clinic: A-His-V on "RV lead" via programmer in pt who has a His bundle PM. #dontdisthehis
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No C315His on the shelf so did some old school His bundle pacing with a 5076. #dontdisthehis
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Why am I not surprised? Declining Risk of Sudden Death in Heart Failure — NEJM
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Nice ex of septal RV timing during S-DHBP and NS-DHBP from our 1st live virtual preceptorship. #dontdisthehis @MDT_Cardiac @hartfordhosp
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