EP at Mission Health in Asheville, NC, @Texas_Heart and @umichmedicine Alum. Thoughts are my own.
Asheville, NC
Joined February 2018
- Tweets69
- Following169
- Followers178
- Likes38
Zachary Hale retweeted
Dear @ACCinTouch @AHAScience @HRSonline — Please follow the lead of SCAI — in advocating for YOUR members in opposing over reach from ABIM 👇🏻👇🏻 – at Louisville, KY
SCAI Statement on ABIM Revocation of Certification ➡️ scai.org/scai-position-abim-…
#CardioNews #CardioTwitter
Zachary Hale retweeted
Please keep sharing! The vast majority of physicians want to see MOC come to an end.
#EndMOC
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Zachary Hale retweeted
Long RP interval SVT, see 🧵below. Slide 1/n showing the SVT, concentric CS. #EPeeps
Zachary Hale retweeted
#EPeeps If you’re hungry for another #oneburnterm flex, keep scrolling, cause this ain’t one. ILR tracing causing abrupt syncope in 45ish yo man otherwise healthy
Great case with @JorgeI_Hernand. Patient with de novo flutter not quite what I was expecting. Orion @RhythmiaMedical map was very efficient. Scar related to aorta/HTN presumably? Would your lesion set look different? #EPeeps
Zachary Hale retweeted
Can I retweet my own tweet? CMS proposes another cut to reimbursement? Do we have any lobbying? @HRSonline
Sad and pitiful lobbying effort on behalf of cardiac electrophysiologists by @HRSonline, @ACCinTouch, and industry. Count me out on membership renewal. @MehdiRazavi13 @RajeshVenkatar5 @BurklandMD @DarthAblater @abdi_rasekh
Zachary Hale retweeted
OctaRay has been primarily marketed as an atrial mapping catheter, but I think it may be undersold in it's role in the ventricle. 2Fr splines, much softer than PentaRay with noticeably less ectopy. Rapid mapping and beautiful signals using indwelling reference electrode.
24M using Kratom, syncope while standing, no prodrome, w “seizure” during LOC. Awoke to EMS -> No CPR-> ER. Labs unremark. ER ECG w Br Pat and BL ECG below. No FH SCD, No prior syncope. #EPeeps @MJAckermanMDPhD @AveragingBogey @jason_lappe @zapzaplunch @BurklandMD @DarthAblater
Other than stop Kratom, how would you manage? jacc.org/doi/10.1016/S0735-1…
Zachary Hale retweeted
Patient with long standing persistent AF on uninterrupted Warfarin with therapeutic INR, came in for catheter ablation today. No prior TEE. Worth watching!
Catheter Ablation of the Left and Right Atrial Appendages without Isolation in Persistent Atrial Fibrillation - ScienceDirect sciencedirect.com/science/ar…
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New ACC Consensus Document on Antithrombotic therapy for PCI in the setting of AF/VTE. DOAC + clopidogrel (and PPI) preferred out to 1yr then DOAC alone.
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Zachary Hale retweeted
The results of EAST finally turn the page on AFFIRM...AFFIRM treated later stage patients and found no difference in mortality. EAST tells us not to let the disease progress.
#EAST AF presented at @escardio today and published in @NEJM
The most significant AF study since AFFIRM and CABANA
Early rhythm control results in
less CV death+stroke+HF hospitalisation +ACS
Excellent editorial by @TJaredBunch
Zachary Hale retweeted
Continuing our focus on questioning the status quo, here is our meta-analysis of what constitutes a « normal » holter.
Surprisingly little data informs what we consider to be a normal (or abnormal) test.
Which is a little bit corncerning given the ubiquitous use of this test.
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Zachary Hale retweeted
Trump Cardiomyopathy —
A New Form of Takotsubo Cardiomyopathy
New from my @TCHheart @ChristHospital
colleagues
@santoshgmenon
onlinejcf.com/article/S1071-…
Zachary Hale retweeted
This episode starts innocently enough. AP/VS until a PVC comes with probably retrograde conduction. There are other PVCs with a similar finding
Zachary Hale retweeted
Just received an author preprint of Josephson 6th edition! Still waiting to hear from Oprah about the book club!
