Was literally talking to my fellow about this on Friday. I've always preferred the anchor method for this theoretical risk... But apparently it's not so theoretical anymore! #EPeeps #CSP #CardioSky @jice-ep.bsky.social rdcu.be/emm0I

MR severity should NOT be a reason to avoid AF ablation (recurrence similar mild vs mod/severe MR, ~43% in both) MR often ⬇️ s/p ablation (89% ⬇️ ≥1 grade of severity, OR 0.93) #HRS2025 #EPeeps www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social

Obligatory #HRS2025 mocha picture #EPeeps

Major creativity points to the Abbott team that designed this and decided to leave this on hotel room doors for #HRS2025 attendees #EPeeps

Live music, free beer and taquitos at the epicenter! What could be better? #HRS2025 #dysrhythmics #EPeeps

The data shows it's time to think 2️⃣x before #PFA on the CTI. Severe spasm may occur w/o ECG changes. There is also on average a 10% ⬇️ in vascular luminal area at 3 mo repeat cor angio but long term symptoms/impact remains unknown. 1 mg NTG can ⬇️ spasm severity #HRS2025 #EPeeps

Interested in learning how to identify telemetry artifact? Check this out👇 youtu.be/6M1-SYAG1UY?...

Fascinating study: in HCM patients, PFA is associated with better outcomes than thermal ablation. Thermal + non-PV ablation is FAR inferior to PFA + non-PV ablation. Small study but thought provoking! #EPeeps #CardioSky www.jacc.org/doi/10.1016/...

Fascinating data. Should the next iteration of CHADS VA be CHADS V2A? #CardioSky #EPeeps

Among patients with ventricular tachycardia and ischemic cardiomyopathy, catheter ablation as an initial therapy led to a lower risk of adverse outcomes than antiarrhythmic drug therapy. Full VANISH2 trial results and Research Summary: nej.md/3Z5ECOD #MedSky #CardioSky

Anticoagulation & Antiplatelet Therapy for #AFib & Stable CAD: Meta-Analysis of RCTs #CardioSky #Epeeps #JACC www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social @bbikdeli.bsky.social @mohammadkeykhaei.bsky.social @drroxmehran.bsky.social @gbarnesmd.bsky.social @cardiacpa1.medsky.social

Great data presented in this study of >23k patients with AF from 2007-2021 regarding AAD use after ablation (46% after 1st), redos after index ablation (16%), RR of repeat ablation with various risk fx's (lsps AF vs pAF 2.26, AAD use 1.42, etc). Worth a read for #EPeeps www.jacc.org/doi/10.1016/...

Fascinating population level study in JACC EP suggesting that there is no PVC burden cutoff associated with cardiomyopathy. #EPeeps www.jacc.org/doi/10.1016/...

This editorial and the associated article are eye-opening. PFA is not as effective as we originally thought. One takeaway from this is that mapping and ICE have a more vital role in ensuring contact for durable ablation. Worth a read #EPeeps academic.oup.com/europace/art...

To our American friends who may now be struggling to find health information on US websites: Please check out the Public Health Agency of Canada's website for helpful resources, updated dashboards & practical health tips. 🇨🇦🇨🇦🇨🇦 canada.ca/en/public-he...

In an attempt to start GDMT, a 70yoF with recently diagnosed HFrEF and Stage 3b CKD is started on an ARB and a beta-blocker. A week later, she presents to the ED with bradycardia, hyperkalemia, and hypotension. What happened? A 🧵 #PhysiologyFriday #MedSky #CardioSky #NephSky

Beautiful dissection of an incredibly important anatomic region. This link works: www.jacc.org/doi/10.1016/...

#CardioSky community, I am reposting this because posts are still being “liked”. Pls “repost” if you like to share with others.

Looking forward to this!

Great for rising thresholds. Also an important tool for troubleshooting if you see noise on the lead

#EPeeps Ictal bradycardia

#EPeeps Okay I thought I knew all the limb lead reversal patterns, but what madness is this?

Atypical flutter mapping with @medtronic.bsky.social Affera Sphere9. Went right to the posterior wall channel and 1 zap terminated flutter! #EPeeps

I‘m non an #epeeps doc but this really fascinates me: New research shows that you can ablate the pulmonary veins to prevent… wait for it … atrial flutter! With the same efficacy as CTI-ablation! Short bursts of afib seem to be the trigger for typical flutter… doi.org/10.1136/hear...

#Epeeps Is this lead where it shouldn’t be? #echofirst ? @alexturinmd.bsky.social @davidjchang7.bsky.social @shah.md

I thought this was worthy of a longer discussion so I made it into a blog post. #ECGsky #medsky #cardiosky #EPeeps

Not too much activity from #EPeeps on here recently. Let's try to change that and play everyone's favorite game: guess the SoO! @narrowqrs.bsky.social @jeffreyvinocur.bsky.social @ktamirisamd.bsky.social @jkhmd.bsky.social @willyhfrick.bsky.social @williskwandou.bsky.social

I've seen this clinically only once before. Great image summarizing the phenomenon! Similar to PMT but at a slower rate. #EPeeps #pacemaker

Holy crap... does that mean that patients can be discharged from Penn with 90 days of dofetilide for 20 bucks?? #EPeeps

Since I joined 🦋 a month ago, ~10M people have joined. We had only 1 cardiology journal & no societies. Now we have almost all cardiology societies & major journals (except for ESC/EHJ) + many new #CardioSky users. We are definitely rebuilding our #CardioTwitter community. Be patient & contribute :)

The secret is out. Clinical Cardiac EP is the greatest speciality in medicine (totally unbiased opinion) and is becoming incredibly competitive. #Epeeps @uiccardsfellows.bsky.social

#EPeeps First atrial ATP on bsky?

Great one pager for helping determine VT vs SVT with abberancy for tele and EKGs. #MedSky look like a rockstar on rounds if you can explain to your team these WCTs. #CardioSky. #FOAMed #MedEd

🚨PSA: Patients who recover their EF on GDMT don’t transform into HFpEF. They remain cardiomyopathy patients who are at risk of recrudescence. Keep them on GDMT and keep nonsense out of the chart. Happy Thanksgiving! #CardioSky #MedSky

Great thread on HFrecEF! #cardiosky

www.heartrhythmjournal.com/article/S154... Interesting article highlighting that redo PVC ablation can still have reasonable long term success up to 71% but can require more “advanced techniques” such as epicardial access irrigated needle, or sequential unipolar ablation. #EPeeps #CardioSky

Up next :)

Porto is officially ‘Open Sourced’! 🙌 github.com/Nester-xyz/P... Repost this post, star the repo, make issues, PR and whatever you guys like ❤️🙏

My comments to @tctmd.bsky.social about why I left that other social site for bluer skies 🦋. Also comments from @load-dependent.bsky.social @cardioobdoc.bsky.social @vietheartpa.bsky.social @jgrapsa.bsky.social #CardioSky www.tctmd.com/news/once-bu...

Post a picture you took to add some calm to the timeline. Iceland is a beautiful country (despite the absolutely freaking cold weather)!

Happy and sad we’re here. During the golden years of twitter and the beginning of #EPeeps, l learned fluoroless ablation, HIS bundle and now left bundle pacing post fellowship. Ready for that excitement of learning new things and collaboration takes off again. #cardiosky #medsky

Hi Steven! For the uninitiated, Dr. Zweibel founded the #EPeeps hashtag, solidifying and consolidating excellent content within our field on Twitter. Welcome to BlueSky. #CardioSky #MedSky

Impact of Multidirectional Pacing on Activation & Repolarization Parameters to Localize Ischemic VT Circuits #JACCCEP #CardioSky #Epeeps @jaccjournals.bsky.social @accintouch.bsky.social @heartrhythmsociety.bsky.social www.jacc.org/doi/10.1016/...

Patient with severe cardiomyopathy. Runs of nonsustained tachycardia on top of baseline rhythm. Telemetry reports some of these as "SVT" and some of these as "VT." Which one is correct? 🤔

#EPeeps interesting data on ILRs and arrhythmias seen. The biggest 🤔 for me is the 16 beats of NSVT preceding sustained VT >1 yr later

Beautiful!

The first total artificial heart is implanted at @ucsfhealth.bsky.social by @ucsfsurgery.bsky.social surgeons Drs Smith and Fiedler. Important milestone to advance care for heart failure patients. #MedSky #SurgSky #CardioSky

The #EPeeps mothership has landed! #CardioSky #Medsky

This patient in their 80s with a BiV ICD was started on an antiarrhythmic drug 1 week prior to this ECG. Any guesses as to which drug? #CardioSky #MedSky #EPeeps

Welcome @heartrhythmsociety.bsky.social to 🦋 #Epeeps #CardioSky #MedSky @ktamirisamd.bsky.social @shah.md