EP at Mission Health in Asheville, NC, @Texas_Heart and @umichmedicine Alum. Thoughts are my own.

Joined February 2018
8 Photos and videos
Zachary Hale retweeted
Dear @ACCinTouch @AHAScience @HRSonline — Please follow the lead of SCAI — in advocating for YOUR members in opposing over reach from ABIM 👇🏻👇🏻
10 Aug 2023
SCAI Statement on ABIM Revocation of Certification ➡️ scai.org/scai-position-abim-… #CardioNews #CardioTwitter
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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
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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
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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
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Redo PVI. First glance rights reconnected and voltage suggested need for redo WACA. Noted wide doubles in most places and “open” activation told the story. Single🔥isolation. #EPeeps thanks to @jcoop556 for the mapping prowess
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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
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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.
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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
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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!
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Zachary Hale retweeted
When the EMR goes down
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19 Jan 2021
Catheter Ablation of the Left and Right Atrial Appendages without Isolation in Persistent Atrial Fibrillation - ScienceDirect sciencedirect.com/science/ar…

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21 Dec 2020
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
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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-…
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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
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Zachary Hale retweeted
Just received an author preprint of Josephson 6th edition! Still waiting to hear from Oprah about the book club!
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Zachary Hale retweeted
1. Simple speaking spreads Covid-19 to others & deposits it on surfaces 2. You can spread virus before becoming symptomatic 3. You may have the virus & be asymptotic Everyone must wear a mask in public. Save "real masks" for HC workers If you dont & sew they are hard to make.
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