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50 y male. Dyspnea +++. Abnormal alpha-GAL enzyme activity. Family Hx of Fabry disease. One of the thickest LV I’ve ever seen #EchoFirst American Society of Echocardiography Dr. Purvi Parwani Ritu Thamman MD Milica Stefanovic Pedro Graziano Sanchez

Exciting alternative venous access for deployment of #watchman device with successful closure. Collaborative effort with interventional radiology. @dngibson2 Amitabh C. Pandey BostonSci Cardiology

#endocardiologists it is time... we've had a few pts with newly diagnosed #dm2, #cad and #hfref who we discharged on metformin and #sglt2 inhibitors. Remember to cut diuretic dose! Tom Heywood Rajeev Mohan Ajay V. Srivastava MD Scripps Cardiology Fellowship

🎙️#CNCR - Wow...just wow; can't way for you all to hear this case compliments of Christine Shen Wong & Andrew Cheng‼️ Grateful to Tommy Das, MD & Karan Desai MD FACC for producing, notes, & graphics! Stay tuned: cardionerds.com Stay connected: eepurl.com/hazGYL

Amazing case to challenge your clinical reasoning & knowledge base. 🎙️#73 - Wet Beriberi & Coconut LA 🥥💔 By Christine Shen Wong & Andrew Cheng Tom Heywood malharpatel. cc Paul Teirstein, Eric Topol from Scripps Cardiology Fellowship

This is an exciting time in the era of Covid-19. Truly in awe of the work of the many scientists, support staff and leaders who made these vaccines a reality in such a short time.

Called last night to help with VT management. Nice example of artifact so reassured. Great discussion at our morning teaching, with reminder about this NEJM classic paper by Bradley Knight nejm.org/doi/full/10.10… Penn Cardiology

We are so lucky and fortunate to work with such an amazing supportive family of attendings and EP lab staff. We wish you all a safe and happy holidays 🎄Penn Medicine Penn Cardiology

Too good not to post.

Intentional CS venous branch exit and epicardial CO2 insufflation to facilitate pericardial access. Thanks John Silberbauer for pioneering this technique.

#HappyNursesWeek thankful for this excellent EP team. #EPeeps Penn Cardiology Penn Medicine Maiwand Mirwais Weeranun Bode Alan Sugrue, MB BCh Timothy Markman د. أحمد بندر السالم Christoff Kelvin Bush, MD, FACC, CCDS Jennifer Chee

Parahisian pacing can help identify route of retrograde atrial activation. Simple but eloquent (careful with pitfalls) Below is an extranodal response (pathway).Similar St-A time with ventricular capture (red) vs ventricular+His capture (blue) #EPeeps #Cardiotwitter #FOAMed

You broke up. She wanted a relationship with better communication or something like that (you dunno cause you weren't listening) All that remains of the okayest 6 months of your life is Rafael, the goldfish. You hate Rafael.

Do I have this right? - ABIM requires yearly fees from physicians who are already cert to “maintain certification” - no evidence that MOC helps pt care - ABIM will report you as “not certified” if you don’t pay - hospitals require certification Idk kinda sounds like extortion

#EPeeps #ESC2023 We know that asymptomatic AF of significant duration puts patients at risk for CVA. NOAH-AFNET 6 shows us that 6 minutes is not enough (assuming these AHRE were really AF episodes). Would have been surprising if it was. CardioNerds NEJM nejm.org/doi/pdf/10.105…

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#EPeeps Your patients may have significant pain after CIED procedures. Out in HeartRhythm - EP performed PECs block is easily be added to work flow of standard implant with reduction in pain & post-op opioid requirements. Penn Medicine Penn Electrophysiology Fellowship sciencedirect.com/science/articl…