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Graeme Kirkwood
@GraemeKCrm
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Sheffield - based Cardiologist, EP consultant, numbers nerd and studio geek
Sheffield, England
Joined February 2020
@CardiacConsult @SVRaoMD @lblitzmd @PhilGenereuxMD @agtruesdell @chadialraies @seth_uretsky @mmartinezheart @JReinerMD @SCAI @RajTayalMD Scanned copy of baseline ECG as well so old changes aren't misinterpreted
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@walinjom This is a classic example of 'right advice, wrong explanation'. There are no medications that speed up AP & block AVN. Also no indirect mechanisms other than hypothetical concealed fusion. Problem is treatment delay & negative inotropic side effect while already unstable.
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@mmamas1973 @propelresearch Excellent and necessary work as always. Out of interest are you aware of any robust work on linguistic concordance? Anecdotally patients with minoritised language background are underserved but unclear how much is immigration confounder effect.
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@DrMCardiology Nice case. I had something similar last month in patient with prior MV repair and surgical ablation. Anterior seatbelt and mitral floor lines were pretty good but I just couldn't get lateral isthmus to block - just slowed it by 50ms. Was this 50W lesions or need any VoM work?
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@DhirajGuptaBHRS @LiverpoolEP @LHCHFT Lovely map. What power setting did you use? I tend to go 20W - 40W irriggated, titration according to impedance response
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@nadig_cardio But they were already unstable from tachycardia and hypotension so - ve inotropic effect was too much. I'm convinced this is received wisdom where answer is correct (DCCV not HR control) but mechanism proposed is made up
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@DrEilidhMaria Absolutely! For my ward rounds, the SpR leads and makes plans. FY / CT docs do clinical exams. I stand back and review old notes, bloods, drug chart etc as it's easier to get overview of the whole picture and make sure nothing missed while someone else does the acute doctoring
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@DrDavidWarriner @BSEcho In my EP lists I generally start with "Is everyone leaded, as leaded as can be? Let's screen up into the CS and RV"
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RT @DhirajGuptaBHRS: We at Liverpool are one of the busiest and research active EP units globally, and are looking to expand further. If y…
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@kvernooy Fascinating. I've seen a few conventional CRT patients with lbb recovery but not looked at CSP. Also a handful of lbb recover between listing and implant. I suspect dapa is doing something interesting to the non-scarred dcm electrics
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@EplabW @DrKaranSaraf @Dr_GwilymMorris Lovely study. EP really is ridiculously cool and it's great to see the technology catching up with theory to give new insights
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@Dr_GwilymMorris @clementy_ep Here's my concept for a 'Fib Capacitor' ablation system which takes persAF back in time to when it was pAF. Valid strategy
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@TFaddy @doctor_oxford Decision to move surgery to a different site despite safety concerns is worrying. Easier to hang a doctor out to dry and say 'lessons learned' instead of examining other issues? The reported action is appalling regardless of circumstances but proper system analysis is vital
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