Cardiac Electrophysiologist at Sanford Medical Center Fargo. Proud Filipino. Opinions are my own.

Joined July 2007
33 Photos and videos
Michael Co retweeted
Q: What is the combined effect of early rhythm control healthy lifestyles on the risk of ischemic stroke in patients w/ #AFib? A: Early rhythm control healthy lifestyle were associated w/ a significantly lower risk of ischemic #stroke. bit.ly/3RNeZ0T
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Just arrived in Boston. Excited to meet old friends and learn new science from #hrs2024!
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Congrats my friend!
Dr. Manolo Rubio Garcia, interventional cardiologist at @sharphealthcare, treated an 86 yo with an ambiguous CTO & IVUS confirmed significant disease. He gained pedal access & used 3.5mm #ShockwaveS4 to restore flow. US Rx only. ISI bit.ly/3iEq7fC #ShockwaveIVL
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Hi @AsianaAirlines! I purchased international flights for my familfy in the Philippines to visit us in the US using my own credit card. Can we waive the requirement for the physical card? Tried to call but always unavailable. Thanks!
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Wonderful example of VOM ethanol infusion ablation for an atypical atrial flutter. Great case and tweet Dr @FrischMd !
We hoped this would happen but did not expect it...termination of left atrial flutter during VOM ethanol infusion. Hopefully it helps this patient. Nice maps @ryancolemaps @maddyferraro1 @arcampado @MiguelVldrbno @TJHeartFellows
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Michael Co retweeted
Terrific work! Terrific pictorial summary!
1/2 #EHRAtopicweek on 2022 #SCD guidelines Epidemiology of #SCD🫀 🚨#SCD accounts for approximately 50% of all cardiovascular deaths, with up to 50% being the first manifestation of cardiac disease @cecilialinde1 @rafavidalperez @JagSinghMD @MdHuang @DhirajGuptaBHRS @ValleAlfonso
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Michael Co retweeted
‘VT’ versus ‘SVT with aberrancy’. The long list of VT "suggestive" ECG features is difficult to recall and apply in real time. How can we simplify things? Here is my ABCDE approach – five simple Qs to ask: 🧵👇
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Michael Co retweeted
Friday night tough case tweetorial: 84 year old with right sided CRT-D presents with some drainage from her device site that progresses to this:
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Dr Greenspon giving a great talk during the AHA CIED infection summit. @TJUHospital represent! @TJHeartFellows
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Michael Co retweeted
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Look at our interesting ablation case today #Valentinespecial #fixingabrokenheart
Nice example of propagation from a focal LAA-AT that also shows lateral to septal block across the anterior mitral line (and roof line too). Thanks @ryancolemap and your colorful EnSite X system and @MichaelCoMD (@TJHeartFellows) #EnsiteX
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Michael Co retweeted
Last night was an abomination in our city. Our community is dying. Where is the outrage…from everyone?
Deadly start to the new year in Philadelphia. Three people are dead, nine injured in separate shootings across the city since midnight. 6abc.com/philadelphia-gun-vi…
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Michael Co retweeted
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This month marks the 54th yr since Dr. Barnard did the 1st OHT. Look at how far we’ve come, ablating AVNRT in OHT recipients. TY to people like @shivkumarmd @utedrow, @ddibardino and Dr. Pavri for their contributions to the topic! @frischmd @gemheartdoc @TJHeartFellows #epeeps
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Michael Co retweeted
Speaking about the importance of flu and covid vaccines for the @ACPinternists. Share and remind your patients to get #vaccinated @RushUniversity @RushDOIM youtube.com/watch?v=gvOb47xU…

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Case 6 @TJUHospita: 80M w/ no PMH p/w abrupt syncopal fall leading to facial fx & intracranial hemorrhage. EKG below. Would you implant an ILR or perform an EPS? #epeeps #cardiotwitter @FrischMd @gemheartdoc @rahul3000 @TahmeedC @krishmd @SaifCardsMD @TJHeartFellows
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Thank you for all your replies. Yes, ESC guidelines actually recommend against upfront ILR in patients with high risk features (Figure 1 and 2) so we 1st did an EPS, and we see this interesting finding (Figure 3). Would you put in a PPM?
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Have you started using high power short duration ablation settings for your repeat afib ablations? Look at this paper by my attending @FrischMd that shows some advantage. #epeeps #CardioTwitter
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Want to be more productive? Try this framework of prioritizing your tasks. Thanks to Dr ⁦@gauravaupadhyay⁩ for such a powerful presentation. Looking forward to a weekend of learning with ⁦@Medtronic
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Examples: Blue-pacing during asystole/picking up a sick child at school, Red - research/connecting with friends, Purple - meal prep, Green - video games!
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