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Rewarding and humbling to mentor and help train EP fellows. This is a particularly accomplished group, and we couldn’t be prouder of them. Ajay Tripuraneni @JonathonWertz you too Shivang Shah. Great job Norman C. Wang, MD, MS Pitt Cardiology PittEP Samir Saba

50 yo with ICM, presenting with 2 SICD shocks at rest, 8 months post implantation for primary proph. Now low R waves with P and T wave oversensing. Reprogrammed alt—> primary. Have you seen this occur late p impl?. Jim Cheung JMC Mikhael El-Chami Jason Andrade Edward Gerstenfeld

Good old warfarin... x.com/norman_c_wang/…

What an amazing group of fellows we have! Congratulations to all, especially our graduating fellows & awardees. @KBerlacher Michael Mathier PittDeptofMed @

A good example of the increasing complexity we are seeing in lead management... x.com/tripuraneniaja…

Pt with SICD shock during TENS for low back pain. Her chiropractor proceeded even though she told him she has an ICD. I am seeing this a few times per year. Frustrating. More education required. JMC Jim Cheung Mikhael El-Chami Krishna Kancharla Pitt Cardiology #EPeeps

Just graded the 30Q exam I gave our new fellows based on cases I routinely see in EP practice. A lot of variability in baseline knowledge. Will help direct teaching and motivate reading #EPeeps #MedEd JMC Norman C. Wang, MD, MS Joshua Levenson, MD Jim Cheung @KBerlacher Jason Andrade

56yo w sympt perAF and severe LA enlargement— feasible to achieve post wall quiescence w cryoballoon but took 8 add’l freezes. Sound helpful. 14min flouro, contrast 4cc Wish mapping+balloon played better together JMC Jon Salcedo, MD, FHRS Jim Cheung Krishna Kancharla Pitt Cardiology

77yo w obesity, DM, mod LAE, sympt PAF despite amio. ILR in situ. Identified triggers in multiple veins and has responded well to just PVI. I wasn’t expecting that in this pt.

#EPeeps Do women and men with LBBB-associated idiopathic NICM have similar clinical outcomes after CRT? Data from our center and the NEOLITH II study. onlinelibrary.wiley.com/doi/10.1111/an… @WileyCardiology

Important lifestyle recommendations for patients with AF from Jason Andrade. Alcohol suggestions seem pretty liberal though...

Thank you to Phillip Cuculich, MD and Cliff Robinson for sharing your groundbreaking collaborative work on noninvasive VT ablation with us at Pitt Cardiology. Krishna Kancharla

Mark makes teaching look easy but we all know it is not. He raises the bar for all of us. Congratulations Dr. Estes! Pitt Cardiology

Diversity and inclusion enrich our lives and help us to optimally care for the communities we serve. Pitt Cardiology @KBerlacher Dr. Joon S Lee Michael Mathier

Totally cathartic for anyone who has ever tried to snare anything! Krishna Kancharla G. Stuart Mendenhall, MD Samir Saba

Get ready this weekend for a rush of contemporary VT case based discussions ⁦EP_Bot⁩ #EPEEPS. ⁦Mansour Razminia⁩ to review fluoroless VT ablation on 11th. Cardiac dissection with anatomy relevant to VT after cases on Saturday 12th. Sign up for virtual access below.

Cabana trial complex and will raise lots of questions and new areas for investigation going forward like all great trials. Congratulations to Dr. Packer and study team. #HRS2018

And the zero incision technique is called the LifeVest... 😳HRS2018 Krishna Kancharla JMC . Mati Friehling Jason Andrade Joshua Levenson, MD Ajay Tripuraneni