Really wonderful 3 days of science, global friendships & connections at
#EHRA2024
Berlin - thank you for the opportunity!
Safe travels and until next time 🤝🏼
I’ll say it again:
Current PPE guidelines are inadequate.
We (docs, RNs, HCW) cannot take care of you (patients) if we are dead or continually exposing you & our colleagues to
#COVID19
#GetMePPE
Over 150 hospital workers
#COVID19
positive at just 4 hospitals in Boston, number continues to climb:
Tufts Medical Center 52
Brigham and Women's Hospital 45
Massachusetts General Hospital 41
Boston Medical Center 15
Dr.Mark Link's pearls re:
#anticoagulation
in special populations:
1. Don't use CHADS-VASC score in
#HCM
2.
#AFib
+
#ESRD
needs proper Apixaban 5mg BID dosing
3.
#DOAC
ok in AF + bioprosth valves
4. Normal
#DOAC
dosing safe/effective in those w/ obesity
Links below
#WAFib2022
So proud of my mama, an immigrant from Thailand (“Tie-land”) & naturalized US citizen, who at age 76 called me, said I NEED TO
#VOTE
, registered & is now eagerly awaiting her ballot!
#votecalifornia
(BTW she is an amazing artist. Here is what she recently made for me:
#heart
)
Doctor’s log. Helldate 2020. We have taken to social media to plead for basic equipment like masks, gowns, viral test kits, and ventilators.
#COVID19
#GetMePPE
Long awaited consensus document is out!
"Management of Conduction Disturbances Associated With
#TAVR
"
BIG document- sit & digest it for awhile. Made some quick-reference figures for all of us
#EPeeps
,
#IC
&
#cardiotwitter
@JACCJournals
link here:
“Why outbreaks like coronavirus spread exponentially, and how to “
#flattenthecurve
”:
Here’s how quickly a simulated disease can spread WITHOUT
#socialdistancing
(“Free-for-All”) ⤵️
#COVID19
1/5
Did you know that max predicted heart rate formula (220-age) is based on study of all men?
*This OVERestimates HR in women per
@DrMarthaGulati
study below*
⌚️Guess which formula is used for common smartwatch HR monitors? 🤔
#HRX2023
#FemTech
🌈 My sweet Mochi crossed the
#rainbowbridge
today. He was the silliest, softest, snuggliest, goodest boi. There is a huge hole in my heart. I miss him so so much already. 💔
(Post your puppy pics if you have them to give Mochi a lovely send off 🐶)
“Every minute spent studying anatomy isn’t wasted - because it never changes” -
@shivkumarmd
giving my favorite lecture - anatomy of the conduction system to kick off
#PPS2019
Here is my favorite slide from his talk - overlay of illustration & fluoro to help orient all of us:
📱Tweeting the Meeting:
Rapid Growth in the Use of Social Media at Major Cardiovascular Scientific Sessions From 2014 to 2016📱
Online today
@CircOutcomes
in time w
#AHA18
!
BIG THANKS to my
#BruinHearts
team for taking this idea and running with it!
Finally met the amazing
@ErinMichos
! Found out that she was the reviewer of our CVD in women veterans paper who gave great advice & suggested the visual abstract! I couldn’t be more grateful for this kind human being 💕💕 You are a force of nature!
#SheforShe
#WHVSymposium21
Outstanding weekend!
* Growth and
* Leadership
* Opportunities for
* Women in
* Electrophysiology
What a privilege to meet and interact with so many early career
#WomeninEP
- our future is bright!
See you next at
@experienceHRX
Sept 21-23!
#EPeeps
@HRSonline
Been getting questions re:
#SoMe
1) how to apply it in academics/promotion & tenure, 2) how it compares to conventional meterics (i.e. citations). These are 2 great articles by
@CabreraERDR
from
@MayoClinic
&
@MDaware
from
@NorthwesternU
to get u started (links below)
#ACC18
CABANA RESULTS:
AF Ablation 🚫DOES NOT🚫 significantly ⬇️ PRIMARY ENDPOINT (mortality/CVA/bleed/cardiac arrest) or all-cause mortality vs medical therapy (by intention to treat)
Results affected by crossovers in BOTH directions & ⬇️ event rates
#HRS2018
"I am far more fearful of flecainide or propafenone than
#Afib
ablation; one of the greatest advances is in the safety of AF ablation." -
@drjohnm
"Especially if given adequate
#Riskfactor
management and (chance for recovery), I am an early ablator"
#WAfib2023
Hi-tech enters the world of catheter ablation. Exciting work from Dr. Silva and colleagues at Wash U.
JACC: Clinical Electrophysiology
First-In-Human Use of a Mixed Reality Display During Cardiac Ablation Procedures
So grateful for the opportunity to have worked with such great leaders in EP at this year's
#WomenInEP
program - already looking forward to next year!
#SheforShe
#HeforShe
#EPeeps
💕👊🏼
Very practical pearls to know when to continue vs stop screwing in lead when doing
#LBBBAP
from
@MdHuang
Importantly STOP when:
* LBB potential not growing
* + LBB COI
* typical RBBB fusion beats
* COI <3mV
* Impedance ⬇️ <500 Ohms
#PPS6
CABANA CONCLUSIONS:
* Ablation did not ➡️ decrease in 1* composite endpoint or all cause mortality
* Ablation *did* ⬇️by 17% mortality or CV hospitalization
* Ablation ⬇️ 33% 1* endpoint and 40% ⬇️ mortality when ablation was was received
#HRS2018
Everyone wish Mr. Harry Corre Happy Retirement!
(I’ll📧him your comments!)
* 98 yrs young (& worked until this week
@LosAngelesVA
)
*WWII Army
#Veteran
#POW
; survived Bataan Death March
*Always* smiling!
*My patient, but more importantly my friend & teacher💕
🤳🏻📸w/ permission
Happy to be the Arrhythmias & Clinical Electrophysiology Pathway Tweeter
#ACCEP
alongside my co-tweeters for the 10 learning pathways at
#ACC19
! See you in New Orleans!
@ACCinTouch
#CardioTwitter
Congrats
@S_NarayanMD
on receiving the
#HRS2022
Distinguished Scientist Award!
I am grateful to know you. You are a mentor, supporter and true
#HeForShe
for so many 💕
Dr. Anthony Fauci, most trusted member of the White House
#COVID19
Task Force, just said:
*POSTPONE ALL ELECTIVE PROCEDURES*
Not doing so puts patients & healthcare workers at risk and depletes our
#GetMePPE
supply.
"If you ignore 50% of the population, you’re never going to achieve what is potentially possible. There is no topic that cannot be discussed by women. There is no circumstance that would prevent one from inviting women. There is simply no rational excuse."
Post
#AFib
#ablation
blanking period has been reduced from 12 weeks down to *8 weeks* due to high prediction of late recurrence - 60X!
From the new
#EHRA2024
Guidelines on Catheter ablation:
🔗
#AppleHeartStudy
questions that remain:
🔺What will our older patient cohort think / allow / do with his technology?
🔺What will the cost-effectiveness be?
🔺How will this impact general cardiologists &
#EPeeps
AKA...
🔺What is the signal to noise ratio?
#ACC19
#ACCEP
Gender diversity in the workforce -
@HeartBobH
:
👩🏻⚕️<20% US cardiologists are women
👩🏻⚕️2 states have <10 women cardiologists
👩🏻⚕️
@AHAMeetings
science committees are ~40%, but committed to getting to 50%
and..
👩🏻⚕️THERE ARE NO
#MANELS
AT
#AHA19
!👩🏻⚕️
✨
#LBCT
#HRS2022
ATLAS (S-ICD vs TV-ICD)
🔹 92% ⬇️ lead related complications
🔹 22% ⬇️ in safety outcomes
🔹 no difference in ICD efficacy/inappropriate shocks
🔹 all cause re-op: HR 0.78 (p=NS)
(🔹 Young, mostly men, ~30% CAD)
WOW super fast review of most important trials in 12 min by Eric PRystowsky!
* CAMERA-MRI
* CASTLE-AF
* CIRCA-DOSE
* Natural hx of Subclinical AF via ILR (JACC 2019)
* Alcohol abstinence in AF (NEJM 2020)
* Renal Denervation (JAMA 2020)
Will add links below!
#WAFib2020
Love this crew
@HeartRhythmTV
- passionate, creative, and most of all fun!
Thank you to our fearless leader
@DrRoderickTung
- Can’t wait to see where the next year takes us!
#HRS2022
✨
#ACC22
#LBCT
✨
PARTITA
Does
#AblateVT
Timing Affect Prognosis in Patients With an ICD? (Multicenter RCT)
🔥Stopped early for *superiority*
🔥89% relative ⬇️ Death/worsening HF hosp
🔥 ⬇️recurrence of VT Rx by shock & mortality
#SimPub
#EPeeps
When to anticoagulate in Subclinical AF (SCAF)?
Although guidelines have suggested AC for episodes > 6min, looking at ASSERT substudy, event rates were 𝙝𝙞𝙜𝙝𝙚𝙨𝙩 𝙛𝙤𝙧 𝙚𝙥𝙞𝙨𝙤𝙙𝙚𝙨 >24 𝙝𝙤𝙪𝙧𝙨
#ACC19
#ACCEP
#EPeeps
Share why you're excited to attend Heart Rhythm 2022 (in-person or online). Tweet a short 30-60 sec. selfie video. Tag
@HRSonline
& add
#HRS2022
for a change to win complimentary registration. If you're selected & you've already registered, no problem - we'll refund you.
#EPeeps
T-1 day from
#HRS2021
!
Follow
@HeartRhythmTV
and our correspondents (links in comments below) for the latest science live from Boston and from all over the world.
See all of you
#EPeeps
in Boston!
Q15. Again, the key is *recognition*
An athlete who suddenly collapses (no matter how young or old) has had sudden cardiac arrest until proven otherwise. Grab the AED and provide resuscitation IMMEDIATELY
#HRSonSCA
#AEDistheKey
Strategies for Ablation of LV Pap Muscle Arrhythmias from Penn group in
#JACCCEP
*95% acute success
*14 ± 10 lesions
*tip 41%, body 10%, base 35%, entire pap 14%
*CF did *not* significantly impact outcomes
*ICE highly efficacious
#ablatevt
#EPeeps
Come hear from
#EPeeps
during our session "
#EP
: The Social Media Revolution" and see how social media is changing the way we learn & practice EP!
Next week at
#HRS2019
Friday May 10, 2019 from 12:15 -13:15 - see you there!
Lead like this leader.
"If we believe the CDC guidelines don't protect health care professionals, then we will put our own guidelines in place."
Gov. Cuomo understands that healthcare workers *must* be protected & is willing to stand up & do what is right.
#GetMePPE
#COVID19
There is a concern that the CDC guidelines on PPE are not adequately protecting our nurses & doctors.
We're aware of the concerns & we're actively looking into it.
If the guidelines don’t sufficiently protect our health care professionals, we'll put our own guidelines in place.
"Our job is to focus the courage of our friends, our daughters, our mentees - have the courage."
@jesse8850
YES there are 10 Women in Cardiology Leaders (and more!)! Great virtual conference with these outstanding women leaders going on now via
#ACCWIC
@WomenAs1
Women not only network less but differently than men, networking “down” (to mentor and bring other up) rather than “up” (to advance own career)
@pavblake
#HRS2021
Nice article from
@Forbes
This smart, fierce, funny and courageous tribe of
#WomeninEP
- I love them and am grateful to know them, especially in times like these. Happy, happy hour ladies - stay healthy 💕