David Chang, MD
@davidjchang7.bsky.social
Founding Partner @CSNEcares | Cardiac Electrophysiologist | 2 Corinthians 12:9-10
4D intracardiac echocardiogram providing clear images around the entire device!
#EPeeps Tried a reverse Sauer maneuver…but it didn’t work Pacing near the atrial end of the pathway did fortunately
For #Epeeps who are doing all PFA for afib, have you had patients with refractory afib after multiple RF ablations who you’ve had meaningful success after PFA? If so what was your approach? @davidjchang7.bsky.social @alexturinmd.bsky.social
Getting there... I think we have most bases covered in this VT entrainment talk (with these being the culminating slides after lots and lots of preceding foundational material about interpreting egms and pacing in and around regions of scar during VT and during sinus)
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
NEW! Tune into episode 83 of The Lead! 🎙️ Host: Deepthy Varghese, MSN, ACNP, FNP 🎤 Guests: @tinabaykaner.bsky.social and @jkhmd.bsky.social Listen on your preferred podcast platform ➡️ bit.ly/40Z6tBh #EPeeps #medpod #podcast #PodcastAndChill #ArtificialIntelligence #AI #AgePrediction #ECG #EKG
Always thankful for our amazing nurses, medical assistants, and administrative staff that keep me busy in the lab and in the office. Plus, they gave me a new slogan. I’m sure it could have been a lot worse… 😅😅 #thankful
I love chasing after these PVCs. Check out this paper we worked on a few years back! pubmed.ncbi.nlm.nih.gov/32618396/
Electrocardiographic localization of ventricular arrhythmias successfully ablated from the distal great cardiac vein - PubMed
Combining a "w" wave in lead I with an early precordial pattern break and an MDI ≥ 0.5 is highly sensitive and specific for identifying the dGCV as a successful ablation site for PVCs.
pubmed.ncbi.nlm.nih.gov
#EPeeps rewarding case. NICM LVEF 48% w/ mid-wall basal septal stripe on CMR. 18% PVC burden. Consist far-field potential on Bipolar EGM ~20-30ms ahead of surface. Suppresses but recurs following 1/2NS prolonged lesions from LCC and LV endo summit. What next?
Adding a new wrinkle to leadless device implant approach in anticipation of something good in the near future! #epeeps
Tough transseptal due to septal aneurysm, PFO, and thick limbus with a narrow window. Had to shepherd’s hook it in the LA to position the catheter in the RIPV. #epeeps
Congratulations to Lena Rivard on the @ahascience.bsky.social presentation of the BRAIN-AF study results. Major observation is that cognitive decline occurs in many « low risk » AF patients. Unfortunately, Rivaroxaban 15 mg daily did not impact this risk in this double-dummy RCT.
Congratulations to @omwazni and the OPTION study team on the @ahascience.bsky.social presentation and publication of the OPTION trial. Similar low rates of stroke post ablation (no difference with laao vs OAC) with no significant 23% lower rate of major bleeding. www.nejm.org/doi/full/10....
Left Atrial Appendage Closure after Ablation for Atrial Fibrillation | NEJM
Oral anticoagulation is recommended after ablation for atrial fibrillation among patients at high risk for stroke. Left atrial appendage closure is a mechanical alternative to anticoagulation, but ...
nejm.org
Our latest in @CirculationEP ! “Women Trainees in #Electrophysiology & the Effect of #RoleModels” Thank you to @tinabaykaner.bsky.social for leading this work & to the many #EPeeps leaders for their collaboration & support of this project! 🔗 www.ahajournals.org/doi/10.1161/...
My thoughts on our recent launching and transitioning from hospital employment ➡️ private practice! www.sciencedirect.com/science/arti...
Launching a new private practice: The transition from hospital employment
sciencedirect.com
My favorite Apple Watch tracing of all time. #CardioSky #EPeeps #MedSky
Here's one from the archives. 81 y/o retired physician with palpitations who documented this ECG (NOT pulse ox) on an @Apple Watch. EMS shock x1 for VT & was found to have 3v disease on LHC, s/p CABG. Pt doing well >1 month post-op. #EPeeps #cardiotwitter #FOAMed
Real-life example of Aveir DR programming DDD ➡️ AAI+VVI. RA 7.1 ➡️ 13 years! RV 9.9 ➡️ 14.4 years! #epeeps
PVC-induced cardiomyopathy. Targeted distal to the left posterior fascicle. Zero PVCs post ablation. Left posterior fascicular block noted at the end of the procedure but resolved within 15 minutes. #epeeps
Got a pacemaker? Getting a pacemaker? Know someone with a pacemaker? Here are your questions answered!! youtu.be/6Upc-Q_6cTE?...
Living With A Pacemaker (common questions answered) - in Plain English!
YouTube video by Dr. Joshua Cooper - Arrhythmia Education
youtu.be