What if we stopped chasing VT from the surface… and went straight to the source? Presenting VINTAGE (intramyocardial navigation ablation) as a late breaker at #HRS2026 tomorrow. A new paradigm for deep substrate arrhythmias. Ventricular Intramyocardial Navigation and Tachycardia Ablation Guided by Electrograms (VINTAGE): First-in-Human Experience with a Novel Therapy for Refractory Ventricular Arrhythmias. Sunday April 26 12:15 PM Room SC100C, McCormick Place @FaisalMMerchant @melchami99 @rimhalabymd @ChrisGBruce13 @ajrogers_md @BadhwarNitish @AdamGreenbaumMD @emoryhealthcare

@danealson presenting data on using upstream sinus electrograms to predict impending onset of VT/VF. Upstream sinus likely holds pathophysiologic insights to why arrhythmias occur and may open door to preventive strategies @experienceHRX @HRSonline @emoryheart @melchami99

#EPeeps Pulmonary vein EGM cornucopia. Prior surgical epicardial PVI (convergent), Orion in LIPV w three separate EGMs in the vein at once. An uncommon tracing in my experience. Map @JorgeI_Hernand

Initial tweet sequence got screwed up. Here it is in proper, rational sequence.

To my Cardiology people: I need you help. Please share if you think it’s appropriate. I am looking for several non-invasive and interventional cardiologists to help me grow our Ascension program in and around Milwaukee.  - Vibrant, multicultural downtown with things to do - Safe, quiet suburbs with excellent schools - Team of experienced Cardiologists who treat each other as family members - Prioritize work/life balance - Competitive compensation - Generous vacation - Fellows are encouraged to apply - Will consider part time  - Will help with H1B sponsorship and J1 visa waiver If you would like to learn more, or of you know a colleague who might be interested, please reach out to me directly via email alexander.smolensky@ascension.org or by phone at 414-298-7165. Or just PM me

Emory reunion @HRSonline 2024! #epeeps

#EPeeps Bachmans pacing location EGM and pacing—heavily fractionated and occurs quite late in sinus P wave, and although paced P is quite narrow, long latency at all pacing outputs. Ended up not keeping this and going with RAA lead. Other opinions?

Me listening to rap beef tracks this weekend

Yesterday, a fascinating case. A 68yo patient, father of three doctors (a significant risk factor), CAD with recovered EF, LBB and very frequent PVC's (pic 1)—25% on Holter with palpitations and was documented to have bradycardia while on a beta-blocker.