Fermin Carlos Garcia Profile Banner
Fermin Carlos Garcia Profile
Fermin Carlos Garcia

@DrFerminGarcia

7,175
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592
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Cardiac EP @PennMedicine . AProf Med, UPenn PSOM. #UCVista . Director, Penn VT COE. Global EP lead for PennEP. HRS Ambassador to LATAM. Opinions are my own.

Pennsylvania, USA
Joined October 2015
Don't wanna be here? Send us removal request.
@DrFerminGarcia
Fermin Carlos Garcia
4 years
Great day with @tscherian @DavidCallans This is the VT we electrophysiologist miss. This is EP! All other is just different interpretations of images- no arguments here ! just beauty!! The channels: red, white, yellow? and the diagnosis is?
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@DrFerminGarcia
Fermin Carlos Garcia
3 years
The future of medicine is today! First VT ablation @PennMedicine #pennpavilion An incredible state-of-the-art hospital: bringing hope to our patients and their families, advancing knowledge in medicine and never settle. @kevinbmahoney @MichaelParmacek @tcappola1 @PennCardiology
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@DrFerminGarcia
Fermin Carlos Garcia
2 years
Initial experience using 4D ICE during VT ablation, a significant improvement for online beating heart imaging @PennMedicine ICE, the “ gold standard” for imaging in the. EP lab just got a significant upgrade!!!! @BiosenseWebster
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@DrFerminGarcia
Fermin Carlos Garcia
6 years
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@DrFerminGarcia
Fermin Carlos Garcia
5 years
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@DrFerminGarcia
Fermin Carlos Garcia
3 years
#VTS2021 Preview of live case: PVC ablation with multiple morphologies. A unifying hypothesis of site of origin guided by 12 lead ECG. Stay tuned! @PennMedNews @PennCardiology @EricaZado @AhmedBAlsalem @GustavoSGuanda David Lin
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@DrFerminGarcia
Fermin Carlos Garcia
9 months
Good morning Philadelphia!! WHAT A PLACE, WHAT A TEAM !!! WHAT A @VTSymposium !!! @PennEPFellows @PennCardiology @PennMedicine
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@DrFerminGarcia
Fermin Carlos Garcia
6 years
Published today @CircAHA “Use of Intracardiac Echocardiography in Interventional Cardiology: Working with the Anatomy Rather than Fighthing it” Circulation. 2018;137:2278-2294 @andresenriqueza @drluissaenz @RaphaelRosso @PennMedicine @PennMedNews
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@DrFerminGarcia
Fermin Carlos Garcia
5 years
HD grid guided septal core isolation- entrance and exit block. Good endpoint for septal VT? @DrRoderickTung @drluissaenz @andresenriqueza
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@DrFerminGarcia
Fermin Carlos Garcia
10 months
Is that time again. The best VT conference in the world is back to @PennMedicine this October. Join us at as never seen before. Don’t miss miss this meeting packed with live lectures, live cases and interactions with faculty and friends !!
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@DrFerminGarcia
Fermin Carlos Garcia
6 years
RPV connected via intercaval bundle and isolation at earliest activation in RA with SJM Precision Tacticath SE, advisor SE. @drluissaenz @DRDIEGOQRS @AbbottNews @DrRoderickTung @Rumneet
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@DrFerminGarcia
Fermin Carlos Garcia
5 years
#applewatch Is Afib the most important arrhythmia that can be detected? We must redefine SCD in normal hearts. EF is a poor predictor. Maybe detection of PVC is the future. @AndreaRussoEP @HRSonline @Apple @tim_cook
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@DrFerminGarcia
Fermin Carlos Garcia
3 years
Isn’t ICE the most amazing imaging real-time useful tool in EP?
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@DrFerminGarcia
Fermin Carlos Garcia
4 years
Tracing of the week, or of the year... Room for improvement in wearable ECG diagnostics. @DrDave01 Is this the real thing? @SergioPinski
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@DrFerminGarcia
Fermin Carlos Garcia
6 years
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@DrFerminGarcia
Fermin Carlos Garcia
2 years
After taking a needed test drive with the master @Davilandre at @BidmcCvi I came to @PennCardiology for a new era. @PennEPFellows , Penn EP team and myself will leave the lead in the control. Better late than never!!!! @ZimetbaumP @BiosenseWebster
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@DrFerminGarcia
Fermin Carlos Garcia
6 years
This is the type of EGM recorded. New concepts will evolve with better mapping. This is what we need in EP. And then better ablation tools. Improve understanding of physiology/anatomy and better therapeutics.
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@DrFerminGarcia
Fermin Carlos Garcia
7 years
Great case today. ALPM two heads. ICe guided mapping and ablation with Precision/SJM @AbbottGlobal @drluissaenz @DrRoderickTung
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@DrFerminGarcia
Fermin Carlos Garcia
5 years
@SecPompeo Thank you @SecPompeo !! Thank you so much for standing by Venezuela
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@DrFerminGarcia
Fermin Carlos Garcia
7 years
@jskoruth RCA seen from RAA or RVOT. Prefer the later during VTA. Look for safe distance from RCC when ablating in the cusps or from the lat RVOT.
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@DrFerminGarcia
Fermin Carlos Garcia
2 years
RV intracavitary structures in 4D ICE- the moderator band @PennMedicine
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@DrFerminGarcia
Fermin Carlos Garcia
6 years
This morning had the honor of Dr Victor Bazan enlightening us with his lecture on unipolar mapping. Excellent job my friend!! @rdschaller @CMTschabrunn @GrauNria
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@DrFerminGarcia
Fermin Carlos Garcia
6 years
Happy Father’s Day to all from Philadelphia!
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@DrFerminGarcia
Fermin Carlos Garcia
3 years
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@DrFerminGarcia
Fermin Carlos Garcia
6 years
@ALFIEEP1 @drluissaenz @nlcabanillas The point of maximum resistance at the sheath interface is the IAS. So if you push a perpendicular vector of force to the spine applied from the groin it bends. But if you do it parallel (toward RSPV) goes easy. No need for fancy needles, wires, baloons.
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@DrFerminGarcia
Fermin Carlos Garcia
7 years
Proud to be part of the team to perform the first cases of Tacticath (CF) SE in the Americas. @drluissaenz @DRDIEGOQRS @AbbottGlobal
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@DrFerminGarcia
Fermin Carlos Garcia
6 years
How to define septal VT substrate in 2018? Imaging, voltage mapping, transeptal conduction and direct wire intraseptal recordings of abnormal EGM’s. @drluissaenz @ALFIEEP1 @LuigiDiBiaseMD @andreanatalemd @drraviele @DrRoderickTung @gsupple @Dr_Santangeli @DRDIEGOQRS
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@DrFerminGarcia
Fermin Carlos Garcia
6 years
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@DrFerminGarcia
Fermin Carlos Garcia
6 years
@martinkstiles @narrowQRS @rdschaller @DrRoderickTung @drluissaenz @DRDIEGOQRS @AbbottNews @Rumneet @PrashSanders @DrGeoffLee @SaurabhKumar_EP Anatomy was published in 1907 by Keith and Flack. Then published in the setting of atrial arrhythmia ablations in 2014. Circ Arrhythm Electrophysiol. 2014;7:1262-1267 and with a great editorial by Asirvathan/Stevenson Circ Arrhythm Electrophysiol. 2014;7:1268-1270
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@DrFerminGarcia
Fermin Carlos Garcia
5 years
@CarinaHardy4 @LuigiDiBiaseMD @crpisani @MDTolgaAksu @ALFIEEP1 @Dr_Santangeli @cesarbos @Hapa_EP @aalahmadmd @jskoruth @narrowQRS Essential to understand heart anatomy myofiber architecture. The RPV, posterior RA, SVC and RA (CT and arcuate ridge) relationships and fibers orientation is the basis for these arrhythmias and should be considered when mapping and ablating. Pashakhanloo F et al. Circ A E 2016
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@DrFerminGarcia
Fermin Carlos Garcia
7 months
Wishing to all @PennEPFellows and #EPFELLOWS around the world, a great 2024 and an amazing career ahead of you! Thank you for all you do everyday!!
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@DrFerminGarcia
Fermin Carlos Garcia
3 months
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@DrFerminGarcia
Fermin Carlos Garcia
7 years
#arritmias2017 comes to an end. Great city, excellent conference and good friends. @Ed_Gerst @nmarrouche @SergioPinski @MarceloEHelguer
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@DrFerminGarcia
Fermin Carlos Garcia
7 years
Diagnosis of Brugada Sd. ICD placed. Presents w/MMVT. Not every ST change in V1-2 is BS, look at all the leads. RV LV CM in cardiac sarcoid.
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@DrFerminGarcia
Fermin Carlos Garcia
6 years
@shemybenchetrit @mencardio @drluissaenz @vivasfhrs @yolyabreuh @ivanovich13 Successful RPV isolation by RA ablation if the intercaval bundle (Patel et al CircAE 2014) with an excellent editorial by S Asirvathan and W Stevenson
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@DrFerminGarcia
Fermin Carlos Garcia
2 years
LV PM pap muscle simultaneous ortogonal views
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@DrFerminGarcia
Fermin Carlos Garcia
7 years
VTS 2017- preparing for live cases - welcomed to Philadelphia !!
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@DrFerminGarcia
Fermin Carlos Garcia
5 years
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@DrFerminGarcia
Fermin Carlos Garcia
5 years
@tomdepotter @drluissaenz @DRTomlinsonEP @syrton71 @PrashSanders @SchakrabartiEP @CirculationEP @Rajiv_EP @DH_Lau @atulverma_md @peterkistler3 @andreanatalemd @biorxivpreprint @medrxivpreprint @Dr_Santangeli @MiguelVldrbno @DrRoderickTung @LAHRSonline1 @HRSonline @AdagioMedical Demonstration of critical role of the PW. 50yo patient s/p 2 prior AF ablation. PV chronic disconnection. Trigger protocol with Isoprel 25 mcg/min. Wire in VOM, pentaray in the posterior wall, decapolar in CS and RA, Abl catheter septal portion of RPV. Trigger= PW Rx:PWI
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@DrFerminGarcia
Fermin Carlos Garcia
4 years
@JRWinterfield @MUSChealth @rdschaller @DrRoderickTung @netta_doc @JDMossMD Maybe we should have some inter institution tele conference with fellows and staff and anybody interested - Thoughts ?
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@DrFerminGarcia
Fermin Carlos Garcia
7 years
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@DrFerminGarcia
Fermin Carlos Garcia
5 years
Great to spend a day in the EP lab with Dr Victor Bazan and good friends at Hospital Germans Trias i Pujol in Barcelona. @manuelpatete @juanjosanmu What you think @rdschaller pap or not pap muscle VT?
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@DrFerminGarcia
Fermin Carlos Garcia
5 years
@aalahmadmd @andreanatalemd @LuigiDiBiaseMD @Dr_Santangeli @DJ_Lakkireddy @DrRoderickTung @Zo_EP2 Also join us for an open discussion: how to map and ablate multiple PVC morphologies.
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@DrFerminGarcia
Fermin Carlos Garcia
6 years
@narrowQRS @JReinerMD @drgastonvergara @DaktariJay @Ed_Gerst @drjohnm @SurajKapa @LindsayLuvDavis @True_EP @gopi_gdanda1 @SergioPinski @KennethEllenbo1 @dzipes @MichaelEmeryMD @andreanatalemd @Hisdoc1 @DrTomEP @syrton71 @HeartOTXHeartMD @drrakeshg1 @DoctorPhillEP @OneBurnJuan @aalahmadmd @SchakrabartiEP @netta_doc @jonascooperEP I have an idea. We met at HRS and do a video, trained EP using an AED in the field. And make it public. I will be the patient. Some won’t know what to do, some will know only CPR, some will know how to use AED. We get HRS to support the idea and make a statement. Thoughts?
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@DrFerminGarcia
Fermin Carlos Garcia
7 years
Direct imaging of the LAA from the PA with ICE. Image element very close=excellent resolution. Better than TEE?
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@DrFerminGarcia
Fermin Carlos Garcia
6 years
First time in Chile!! With my good friend @andresenriqueza !!! @adribaran @Dr_Santangeli
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@DrFerminGarcia
Fermin Carlos Garcia
5 years
Thanks to Kris Conn, RN (the real boss) who was here since 4 am making sure everything was perfect and it was!! strong work !! Thank you from all our team!! @PennMDForum @PennCardiology @PennMedNews #vtsymposium2019
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@DrFerminGarcia
Fermin Carlos Garcia
7 years
Recurrent conduction MA line- block facilitated by VOM ETOH injection @drluissaenz @andreanatalemd @DRDIEGOQRS #latameplive
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@DrFerminGarcia
Fermin Carlos Garcia
6 years
PVC ablation today. EF 30 % NICM. PVC burden 31%. Can this three Morphologic sea be explained by a single focus with alternating exits. How to map it and ablate it?
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@DrFerminGarcia
Fermin Carlos Garcia
7 years
Chagas VT substrate characterization. Collaboration UPenn/FCI EP @PennMedNews @MichaelParmacek @drluissaenz @DRDIEGOQRS @fcardioinfantil
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@DrFerminGarcia
Fermin Carlos Garcia
6 years
@DrRoderickTung @Zo_EP2 @Dr_Santangeli @ReddyEPS Thank you @DrRoderickTung and U of Chicago team. This is the only way we will advance the field and provide better care to our patients: open academic and clinical collaboration and learning from each other observations.
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@DrFerminGarcia
Fermin Carlos Garcia
7 years
Thanks @PrashSanders excellent presentation #PennEP program. Great work!! @drrpathak LA low voltage not scar, fibrosis and is reversible
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@DrFerminGarcia
Fermin Carlos Garcia
6 years
A great Friday lunch in Buenos Aires with @ALFIEEP1 #EPEEPS
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@DrFerminGarcia
Fermin Carlos Garcia
4 years
Your support of LATAM is appreciated. Thank you!! @drluissaenz did an amazing job delivering what was the most comprehensive virtual symposium during this difficult times- the best one! Luis, I am proud to be your colleague and friend. Congratulations!! @ALFIEEP1 @LAHRSonline1
@shivkumarmd
Kalyanam Shivkumar MD PhD
4 years
Congrats to our colleagues in Latin America @drluissaenz and @LAHRSonline1 @DrFerminGarcia @Dr_Santangeli for a very successful meeting!
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@DrFerminGarcia
Fermin Carlos Garcia
5 years
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@DrFerminGarcia
Fermin Carlos Garcia
7 years
ICM (inferior MI) failed 2 prior endo VT ablation. ICM Epi substrate. PMPM acts as an "obstacle" to deliver endo ablation in this area.
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@DrFerminGarcia
Fermin Carlos Garcia
6 years
New incoming LAHRS president @drluissaenz Charlie Morillo and @DrFerminGarcia @HRSonline ambassadors for Latin America #LAHRS2019
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@DrFerminGarcia
Fermin Carlos Garcia
7 years
@drrakeshg1 @Dr_Santangeli @drnjy @rdschaller @DoctorPhillEP @Ed_Gerst @aalahmadmd The most important tool to guide mapping=ICE. Why still so many reluctant minds?
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@DrFerminGarcia
Fermin Carlos Garcia
7 years
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@DrFerminGarcia
Fermin Carlos Garcia
7 years
@drsnavat1 Agree!! Important recognition of anatomical challenges and how to use overcome them. Once again ICE shows it nicely.
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@DrFerminGarcia
Fermin Carlos Garcia
6 years
@JorgeERomeroMD @pjsm83 @LuigiDiBiaseMD @Dr_Santangeli @DrRoderickTung @andreanatalemd @GrupposoVito @XDZhang24 @NicoTarantino87 @JassBrooks @BiosenseWebster @DavidBriceno_EP @MontefioreNYC Every patient anatomy is different!! No cookbook rules. Your choice depends on the size of the aorta (support needed I.e long sheath) and the catheter curve depends on the LVOT diameter. The key for a good lesion is CF and vector orientation. Chose the tools accordingly.
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@DrFerminGarcia
Fermin Carlos Garcia
6 years
As a Venezuelan immigrant is USA, son of Cuban refugees my heart is broken, once again. Hope!! @mike_pence great speech. @Almagro_OEA2015 @OEA_oficial “The Venezuelan people need to live in democracy once again” Libertad Venezuela!!! Y Cuba!! #HRS2018
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@DrFerminGarcia
Fermin Carlos Garcia
6 years
First day of spring... Snow and PVC ablation.
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@DrFerminGarcia
Fermin Carlos Garcia
7 years
Sad times for us And for a great country. Someone has to be responsible and we will rebuild. Beautiful country and great people. Not fair. #hopeVZLA
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@DrFerminGarcia
Fermin Carlos Garcia
7 years
5 yr ago IVF successful PM PVC ablation. Quiet since until recently 1 event. ICD p success ablation: always. ICD explant: never. Quinidine?
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@DrFerminGarcia
Fermin Carlos Garcia
7 years
Tonight, 7: w/ @aalahmadmd @andreanatalemd Mapping and ablation from inside cor venous circulation @drluissaenz @DRDIEGOQRS @carlostapiasMD
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@DrFerminGarcia
Fermin Carlos Garcia
3 years
@DrBradleyKnight NCC is your best friend
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@DrFerminGarcia
Fermin Carlos Garcia
7 years
Great session!! Unusual PVC by great group of colleagues and friends! @drraviele @andreanatalemd @PennMedNews @Dr_Santangeli @Daniele_Muser
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@DrFerminGarcia
Fermin Carlos Garcia
5 years
@BSCCardiology What an amazing session in VT NiCM @DavidCallans @DrRoderickTung Andy Witt!!! P Jaís @PierreJais #SignalsSummit19 - Great job @BSCCardiology !!!
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@DrFerminGarcia
Fermin Carlos Garcia
3 years
@DrRoderickTung @pjsm83 @aalap @DrRyanBurris @Noozie2 @MiguelVldrbno @AkihikoNogami @shivkumarmd Here is more anatomy and an example of activation demonstrating intramural septal activation.
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@DrFerminGarcia
Fermin Carlos Garcia
3 years
@javadm20 I don’t worry about algorithms. You know is OT and you have a good PvC burden so map the area.
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@DrFerminGarcia
Fermin Carlos Garcia
5 years
Plaza Cataluña, BCN. #LibertadVenezuela
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@DrFerminGarcia
Fermin Carlos Garcia
4 years
I cant memorize algorithms so it is just common sense.
@victorneirav
Victor M. Neira Vidal, MD, DRCPSC, FACC
4 years
This is the best algorithm to predict the site of origin of idiopathic ventricular arrhythmias. Great job from @andresenriqueza @adribaran @DrFerminGarcia @drluissaenz @DavidFBricenoMD Enjoy reading a good paper!
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Fermin Carlos Garcia
5 years
@dredcronin @gopi_gdanda1 @drrakeshg1 @Dr_Santangeli @Hapa_EP @DrRoderickTung @rdschaller Thank you. Fortunately have expirience same before so I could help. This PVC thought to be parahisian. Intramural septal mapping key. @AbbottGlobal @arcampado
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@DrFerminGarcia
Fermin Carlos Garcia
2 months
Programmed ventricular stimulation. 2024 Apr 9:S2405-500X(24)00182-8. doi: 10.1016/j.jacep.2024.02.034. Excellent!! @Dr_Markman @DavidCallans F Marchlinski and David Frankel. Congratulations! Superb SOA review JACCEP
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@DrFerminGarcia
Fermin Carlos Garcia
7 years
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@DrFerminGarcia
Fermin Carlos Garcia
5 years
Ran into @mike_solomonov yesterday in PHL. A great chef, great book! I delivered my own signed copy to my friends at TLV’s Hakosem. @zahavrestaurant menu true to its roots and techniques- awesome Israeli food in PHL. Keep up my friends. @RaphaelRosso
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Fermin Carlos Garcia
6 years
In EP, and VT ablation physiology matters. 70% chose to perform further substrate ablation techniques which would have failed. Endo dissociated and circuit protected in the epicardium. Think in 3D applying anatomical/physiologic concepts.
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@DrFerminGarcia
Fermin Carlos Garcia
8 years
LV summit PVC. Early intramural. Endocardial ablation.
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@DrFerminGarcia
Fermin Carlos Garcia
5 years
@javadm20 @DrRoderickTung @PaoloDellaBell1 @Dr_Santangeli @andreanatalemd @aalahmadmd @MDTolgaAksu @Firaszahwe We all can fail sometimes. Be humble and ask oneself why? And then the key is to figure it out ! Don’t give up
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@DrFerminGarcia
Fermin Carlos Garcia
5 years
#LAHRS2019 @drluissaenz Packed room session Improving results in AF ablation !! Great meeting
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@DrFerminGarcia
Fermin Carlos Garcia
5 years
#LAHRS2019 @MiguelVldrbno Solving the problem of MA flutter - again and again endo epi myofiber architecture Anatomy matters!! @drluissaenz @DrRoderickTung @ALFIEEP1 @AndreaRussoEP
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@DrFerminGarcia
Fermin Carlos Garcia
9 months
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@DrFerminGarcia
Fermin Carlos Garcia
7 years
@MiguelVldrbno @DrRoderickTung @drrakeshg1 @HRSonline Is not about being at expert or not. Is simple: 1- detailed organized mapping strategies for every patient 2- tailored ablation individually 3- for some cases new technologies
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@DrFerminGarcia
Fermin Carlos Garcia
6 years
Excellent fellows presentation @carlostapiasMD on Mapping and ablation of VF. The future of Latin America EP Regional induction and ablation. @drluissaenz @DRDIEGOQRS @fcardioinfantil
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@DrFerminGarcia
Fermin Carlos Garcia
7 years
@ALFIEEP1 @SergioPinski @DoctorPhillEP @rdschaller @Dr_Santangeli @aalahmadmd @drluissaenz @adribaran @DrRoderickTung @ALFIEEP1 you are wrong! Is both ways. We learn from each other, no matter the geographical location, everyday I learn from you. Ultimately we become better doctors and do a better job helping others. So, gracias por igual.
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@DrFerminGarcia
Fermin Carlos Garcia
5 years
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@DrFerminGarcia
Fermin Carlos Garcia
7 years
VF initiation international collaboration study: 12 lead ECG. How many can we get ? Features: bigeminy, variable coupling interval, SOO
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@DrFerminGarcia
Fermin Carlos Garcia
6 years
One VT morphology induced matching IC ICD EGM. Endo late. Mid diastolic activity in the lateral aspect of epi scar. No LP present in SR. Gold standard for apex imaging is ICE: no clot in the endo aneurysm.
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@DrFerminGarcia
Fermin Carlos Garcia
7 years
Triple Si !!! desde Bogotá @drluissaenz @DRDIEGOQRS Thanks AA for delaying my flight !!
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@DrFerminGarcia
Fermin Carlos Garcia
8 years
Is ICE needed for AF ablation? This image was obtained before TSP access.
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@DrFerminGarcia
Fermin Carlos Garcia
5 years
@drluissaenz @ALFIEEP1 @LAHRSonline1 @Dr_Santangeli @CarinaHardy4 I, you, we have dreamed for this LAHRS for the last 10 years it became reality! No need to dream anymore my friends - let’s just work harder to make it even better.
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@DrFerminGarcia
Fermin Carlos Garcia
6 years
@Ashit_EPS @ep_nerd @haripj152 @AbbottNews @DrRoderickTung @Rumneet @Dr_Santangeli Abbott should consider using this ideas to standardize training of their clinical support for wider applications. I have never seen this technique. Thanks for sharing.
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