David Chang, MD @d_changy Twitter profile

Last Seen Profiles

@elkahtanyy

@ItsAmadouFofana

@trekell_art

@KIT_TIK910

@dnjmz

@springs_golf

@7bp__

@Sagarashi1

@RotanaCinemaKSA

@faraabdulah

@630CHED

@topshortsoffl

@BinorRaja

@chnnelgirl

@LN_Aminde

@WorldJuniors

@stw_pdg

@Forgotten18562

@554ot

@toben_pferd

@ABO7did_99

@uralleaks

@galery_basah10

@kue__r2

@Auburn247

@RivalsHoops

@cutezoya123

@bcameloc

@rdaa___

@abdulrahman_188

@ElkaimAntoine

@StrathJunction

@SuitedPiece

@Tante_Binal69

@mthoops11

@iProMxYt

David Chang, MD

@d_changy

4 years

Glad we got a quick POCUS in the ED for a young female in her 40s coming in with SOB and leg edema for weeks. With the help of ED, CCU, and CTS staff, she went for an urgent operation and did very well. Look what we found on the TEE! #echofirst #cardiotwitter #medtwitter

32

142

557

David Chang, MD

@d_changy

1 month

Woah… my first night call as an intern 9 years ago… best of luck to all the new interns! 💪💪

14

12

505

David Chang, MD

@d_changy

1 year

And thankful for my amazing co-fellows. We really had a blast this year! @BrighamWomens @Brigham_EP @harvardmed

4

0

71

David Chang, MD

@d_changy

2 years

It’s a great case when you are fist pumping and the interventionalist says, “Happy burning!” Even better when you get to discuss subtle EGM findings with @JorgeERomeroMD and @utedrow and successfully eliminate challenging LV summit PVCs. #epeeps

0

11

56

David Chang, MD

@d_changy

4 months

Thankful for all my mentors who made this possible! 🙏🏻🙏🏻 @True_EP @utedrow @paulzei @DrKoplan @mapperzapper @TJaredBunch @DrJMarine

2

3

52

David Chang, MD

@d_changy

1 year

Thank you @True_EP @utedrow for always challenging the fellows @BrighamWomens to pursue academic excellence and research. Excited to share some of our work at #HRS2023 . More to follow from the rest of our group @Brigham_EP !

1

7

49

David Chang, MD

@d_changy

1 year

VT storm mapped with the Optrell on the false tendon! #ablatevt

0

5

41

David Chang, MD

@d_changy

1 year

Check out @True_EP ’s work of art for bipolar catheter ablation set up! @TheSteigasaurus @utedrow @JorgeERomeroMD #epeeps #HRS2023

0

6

40

David Chang, MD

@d_changy

2 years

Ready for HRS 2023! #epeeps

0

3

39

David Chang, MD

@d_changy

2 years

Thrilled to join @TJaredBunch as the section editor for the new section “Focus on Fellows and Early Career EPs” @HRS_CaseReports ! Look forward to collaborating with the bright minds in EP to highlight important current topics for all young EPs! #epeeps #accfit @utedrow @True_EP

5

6

41

David Chang, MD

@d_changy

5 months

Exciting time to be an EP!! #pfa

1

3

34

David Chang, MD

@d_changy

2 years

Couldn’t agree more with you that it is a good time to share. Thank you @MehakDhande for sharing your incredible story in this beautifully written article! #epeeps #womeninep #wic #medtwitter #cardiotwitter It is a good time to share

It is a good time to share

Perhaps now is not the time to share my story. Perhaps I should wait until I’m an attending, a mother, or an accomplished academic—to ensure this piece of writing is not my only legacy. Because...

www.heartrhythmcasereports.com

2

5

35

David Chang, MD

@d_changy

2 years

One big happy EP family @BrighamWomens Thankful for all our amazing nurses, techs, fellows, PAs, and attendings! #holidayparty

1

3

30

David Chang, MD

@d_changy

2 years

About time we have a dedicated section for EP fellows and early career EPs. Thank you @TJaredBunch for the leadership and vision. Check out our monthly article @HRS_CaseReports ! #epeeps #accfit #cardiotwitter #medtwitter Looking back and what lies ahead

1

10

31

David Chang, MD

@d_changy

2 years

Thank you @HRSonline ! Best of luck to all the applicants! Can’t wait to share Mehak’s incredible story next month on the topic of #womeninep . @MehakDhande #epeeps

Heart Rhythm Society

@HRSonline

2 years

Just posted in the September issue of @HRS_CaseReports , new Section Editor @d_changy discusses the EP fellowship application process in the latest Focus on Fellows and Early-Career EPs:

1

2

6

0

2

28

David Chang, MD

@d_changy

1 year

Thank you @HeartRhythmTV and a special shoutout to @TJaredBunch @MehakDhande @True_EP @utedrow @UBatnyam_EP @KTamirisaMD @DrJCheungEP @josoriomd @DanielPMorin and so many contributing authors!! 🙏🏻🙏🏻🙏🏻

Heart Rhythm TV

@HeartRhythmTV

1 year

Advice based on lived experience is the best advice. @d_changy spoke to #HRStv host @mehakdhande about the @HRS_CaseReports fellows & early career section dedicated to op-eds by #EPeeps about systems, education & culture. See the full interview here ➡️

0

7

10

0

3

27

David Chang, MD

@d_changy

1 year

What are your recommendations to maximize our #hrs2023 experience as trainees? Please feel free to chime in! @TJaredBunch @EPentraining @True_EP @EsseimS @jeffrey_vinocur @JamesGabriels @JonHsuMD @MehakDhande @KTamirisaMD @paulzei @srissundaram @utedrow @UBatnyam_EP @zapzaplunch

Heart Rhythm Society

@HRSonline

1 year

New Focus on Fellows and Early-Career EPs in @HRS_CaseReports ! Section Editor @d_changy shares tips on how to maximize your HRS experience as a trainee. Read it here >>

0

9

21

3

8

25

David Chang, MD

@d_changy

2 years

Academic, private… or privademic? Thank you @HafizaKMD for your insight as the graduating fellows seek various job opportunities! Next month, we’ll hear from @DrSuzyFeigofsky about imposter syndrome. #epeeps #accfit #cardiotwitter #medtwitter

The age-old dilemma: Academics versus private practice as a cardiac electrophysiologist

This year begins my 22nd as a private electrophysiologist (EP). My journey has not been intentional because in the dark ages when I trained, we lived in silos without resources such as this.

www.heartrhythmcasereports.com

1

6

25

David Chang, MD

@d_changy

1 year

Thank you @KTamirisaMD as always for your contribution and effort highlighting this important matter in EP. Thankful to work with @utedrow @UBatnyam_EP and we need more #womeninep ! Women and cardiac electrophysiology as a career path

0

8

24

David Chang, MD

@d_changy

4 years

One of my favorite moments while on call as a first year fellow. A healthy 19 year old male patient comes to the ED with a sudden onset of palpitations. What’s the rhythm and how would you treat it? #cardionerds #cardiotwitter #cardioed #medtwitter #meded

12

8

24

David Chang, MD

@d_changy

4 months

Fantastic acute outcomes so far with the flower on the isthmus. Of note, one incidence of VF with a petal over the tricuspid valve! #pfa

3

22

David Chang, MD

@d_changy

1 year

Truly thankful for the magical 2 years of EP training @Brigham_EP !

William H. Sauer, MD

@True_EP

1 year

Picture day for EP fellows @BrighamWomens Congratulations to our graduating superstar fellows @d_changy @EsseimS @UBatnyam_EP !

5

84

2

0

21

David Chang, MD

@d_changy

4 years

Here’s a good example of why not to ablate in the distal GCV before shooting the coronaries. The ablation catheter was sitting right on top of the circumflex. #cardiotwitter #cardionerds #cardioed #epeeps

3

5

19

David Chang, MD

@d_changy

4 years

An example of sinoventricular conduction due to hyperkalemia. Delayed activation of atrial myocardium, which leads to short nonphysiological PR intervals or sometimes even absent p waves. #accfit #cardionerds #cardiotwitter #cardioed #medtwitter #meded

0

1

19

David Chang, MD

@d_changy

7 months

Happy 2024! 🎉🎉

1

0

19

David Chang, MD

@d_changy

3 years

Fellowship graduation dinner @ohekacastle with my graduating co-fellows and lifelong friends! After countless hours of calls, lectures, presentations, and 5 newborns... we did it! Thankful for each one of them! 🙏🏻🙏🏻

4

0

18

David Chang, MD

@d_changy

1 year

If @narrowQRS , who taught all of us EP via EP101 and his incredible lectures, has imposter syndrome, it’s okay to admit that we all do to a certain degree as well. Here is a great article by @DrSuzyFeigofsky on this topic! @HRS_CaseReports @HRSonline

Imposter Syndrome

I believe it began in college, when I was told by a peer that I wasn’t smart enough to get into a medical honors program. At that moment, gathered on the floor in a circle, I believed him.

www.heartrhythmcasereports.com

JMC

@narrowQRS

1 year

I always have imposter syndrome sharing the stage with such a gifted group of clinician educators (and researchers)! Thanks to all #EP101 faculty for an amazing conference!

5

0

67

0

2

18

David Chang, MD

@d_changy

2 years

Happy birthday, Jesus! #merrychristmas

2

0

18

David Chang, MD

@d_changy

4 years

Working on this paper made me realize there’s still so much to learn about PVC localization and ablation. Very humbling but at least a good starting point. A special thanks to @JamesGabriels and the team! #epeeps #cardiotwitter

0

2

18

David Chang, MD

@d_changy

4 years

Concomitant leadless pacemaker implant and lead extraction during an active infection in pacemaker dependent patients. Hope this work will find a place in the next expert consensus statement on the management of CIED infection and help save and improve lives. #hrs2020 #EPeeps

0

2

14

David Chang, MD

@d_changy

1 year

Happy to share our focus articles have been consistently one of the most read in @HRS_CaseReports . Thankful to all contributing authors and our audience. Here is the latest on how to maximize HRS experience as a trainee! @HeartRhythmTV #epeeps #hrs2023

0

2

15

David Chang, MD

@d_changy

5 months

MSSA bacteremia concomitant extraction/leadless implant. Most importantly, patient doing great on 4 week post op follow-up! #pre #post

0

13

David Chang, MD

@d_changy

1 year

Just noticed this sign next to our church.. is it safe? 🤔🤔

3

0

13

David Chang, MD

@d_changy

6 months

RAO + LAO #aveir #atrial #leadless

1

0

12

David Chang, MD

@d_changy

4 years

That satisfying moment when you are few days removed from having taken the echo boards and a resident asks why our patient’s aortic valve looks funny. #refraction #artifact #medtwitter #cardiotwitter #accfit #echofirst

1

2

12

David Chang, MD

@d_changy

2 years

Thank you @JamesGabriels for sharing your experience on transitioning from a fellow to an attending. It definitely is an exciting time for the graduating fellows as we start thinking about our next chapter post training! @HRSonline @HRS_CaseReports

Transitioning from electrophysiology fellowship to the “real world” of clinical practice

By the time you finish electrophysiology (EP) fellowship and begin your first “real job” you have completed a minimum of 8 years of postgraduate training. At every stage of your career, you have...

www.heartrhythmcasereports.com

0

3

13

David Chang, MD

@d_changy

4 years

Innovative use of ambulatory monitors for in-patient setting perhaps not only during the pandemic but other unique circumstances moving forward with the emphasis on limiting healthcare worker exposure. Thank you for the interview! @medpagetoday #EPeeps

Personal ECG Devices Filling in on COVID-19 Drug Monitoring

Hospital reports using the devices to lower PPE use, manage telemetry shortages

www.medpagetoday.com

1

12

David Chang, MD

@d_changy

2 years

Congratulations and thank you @MehakDhande for giving us the opportunity to share your amazing journey. Next month, we’ll hear from @HafizaKMD on the topic of academic vs private EP. Stay tuned! #epeeps

Heart Rhythm Society

@HRSonline

2 years

New Focus on Fellows and Early-Career EPs in @HRS_CaseReports ! "It is a good time to share" by @MehakDhande sheds light on a private and sometimes painful topic relevant to many: #EPeeps

0

4

25

0

3

12

David Chang, MD

@d_changy

16 days

Thank you @DrJ012n for sharing your insight on surviving EP fellowship. Excited for all the new EP fellows! Check out the reading list. Amen to the SVT diagnostic pacing maneuvers paper by Dr. Veenhuyzen et al. @HRSonline @HRS_CaseReports @TJaredBunch

Electrophysiology Fellowship Survival Guide

Congratulations to all the incoming electrophysiology (EP) fellows. The last chapter of your official medical training is finally here. Here are a few words of advice on how to make your last...

www.heartrhythmcasereports.com

0

4

12

David Chang, MD

@d_changy

4 years

A resident asks for pre-op device interrogation on a patient with CRT-D. Supposedly pacing 100% on tele and no device-related issues. Here is the most recent ECG in the chart. What’s going on here? @cardionerds @cardiobot #cardionerds #cardiotwitter #cardioed #medtwitter #meded

4

1

11

David Chang, MD

@d_changy

4 months

Termination of AF upon completion of left WACA with active left PV signals. These beautiful images will be missed in the era of olive, basket, and flower!

0

12

David Chang, MD

@d_changy

1 year

A great primer for graduating fellows negotiating contracts! Thank you @YRodriguezMD for sharing your insight! 🙏🏻🙏🏻🙏🏻 #epfellows #epeeps @HRSonline @HRS_CaseReports Known unknowns: Understanding the opportunities available for new fellowship graduates

Known unknowns: Understanding the opportunities available for new fellowship graduates

Approaching the end of training and beginning practice as an attending physician is both an exciting and nerve-racking chapter. Unfortunately, structured financial education is not usually a part of...

www.heartrhythmcasereports.com

2

4

11

David Chang, MD

@d_changy

3 months

My 4-year-old son’s suggestion of conformal+amulet to plug a hole.. secretly (or not so secretly) hoping he falls in love with EP! 🤗🤗

0

11

David Chang, MD

@d_changy

4 years

Finally out in hard copies! It’s a quick read. Check out how we overcame #COVID19 in New York. Small community hospitals with limited telemetry capacities may benefit the most by using our strategy as new cases surge around the country.

2

0

11

David Chang, MD

@d_changy

11 months

Thank you @nat_ved for sharing your perspective on pursuing EP. It’s super exciting to hear from many highly motivated cardiology fellows getting EP fellowship interview invites! Best of luck! #epeeps #focusonfellows @HRSonline @HRS_CaseReports

Finding my rhythm in electrophysiology: A series of puzzles

Like many others, I had minimal exposure to the field of electrophysiology (EP) in residency. I didn’t know what happened in the mysterious EP lab and certainly didn’t find electrocardiograms (ECGs)...

www.heartrhythmcasereports.com

0

1

11

David Chang, MD

@d_changy

1 year

Thank you @DrJCheungEP for discussing the 2+2 model. Hopefully this pathway will garner more interest in EP and lead to better recruitment without compromising training competency! @HRS_CaseReports @HRSonline #epeeps

Combined cardiovascular disease and clinical cardiac electrophysiology competency-based training:...

Since the introduction of core competencies by the Accreditation Council for Graduate Medical Education (ACGME) for the evaluation of trainees, there has been a shift from time-based to competency-...

www.heartrhythmcasereports.com

0

1

10

David Chang, MD

@d_changy

3 months

A year of sooo many firsts for me as well heading into #HRS2024 . Super thankful to be in EP during this really exciting time as the landscape is evolving ever so quickly! @NikhilShahMD @HRS_CaseReports A Year of Firsts - HeartRhythm Case Reports

A Year of Firsts

As an attending in my first year of practice, there have been a lot of firsts. First transseptal puncture, first and second supraventricular tachycardia ablations (Mahaim atriofascicular pathway,...

www.heartrhythmcasereports.com

0

1

10

David Chang, MD

@d_changy

4 years

@brwcole Thank you very much. It was a myxoid tissue on path.

1

0

10

David Chang, MD

@d_changy

1 year

Thank you @srissundaram and Dr. Choe for taking the initiative and paving the way in SE Asia. Would love to join your team one day. For those interested, please contact them and join the movement in expanding EP globally! @HRS_CaseReports @HRSonline

Heart Rhythm Society

@HRSonline

1 year

In the new Focus on Fellows & Early-Career EPs article in @HRS_casereports @srissundaram and William Choe, MD, discuss opportunities to get involved with mission work in SE Asia mentoring Cambodian physicians. Read it here:

0

10

28

0

10

David Chang, MD

@d_changy

3 years

Our initial reporting on AF in master athletes. More to come soon! @Eric_Pagan_MD #AFSymposium2021

0

7

David Chang, MD

@d_changy

21 days

No such thing as “just” a pacemaker…

0

8

David Chang, MD

@d_changy

4 years

Patient monitoring is important but so is the safety of our healthcare staff! @EPeeps_Bot @hisbundle @JamesGabriels @zapzaplunch #COVID19 #HealthcareHeroes

MCOT Monitoring For COVID-19 Patients Taking Hydroxychloroquine, Azithromycin Reduces Clinician...

www.acc.org

1

2

8

David Chang, MD

@d_changy

8 months

Thank you! @JRWinterfield @Brigham_EP

Heart Rhythm Society

@HRSonline

8 months

NEW: @HRS_CaseReports Focus on #Fellows & #EarlyCareer EPs article by @JRWinterfield discusses the development of the EP program at the Medical University of S. Carolina. Read "Good luck where preparation meets opportunity" > #EPeeps #MedEd #EPfellows

1

8

38

0

2

8

David Chang, MD

@d_changy

4 years

What’s shown in this ECG? Courtesy of Dr. Jonathan Willner. #cardionerds #cardiotwitter #cardioed #medtwitter #meded

2

1

6

David Chang, MD

@d_changy

4 years

@carlosdiaz013 @KemalogluOz LA myxoma. The path report confirmed myxoid tissues.

0

7

David Chang, MD

@d_changy

7 months

0

4

David Chang, MD

@d_changy

4 years

Basic fundamentals of device algorithm and yet always cool to see when telemetry calls for device malfunction. What is shown below? #accfit #cardionerds #cardiotwitter #cardioed #medtwitter #meded

1

2

6

David Chang, MD

@d_changy

2 years

3rd place.. I’ll take it! @True_EP @paulzei @TheSteigasaurus @EPentraining

0

1

7

David Chang, MD

@d_changy

27 days

18 holes walking - 17k steps 18 holes riding a cart - 9k steps 8-10 hours in the EP lab - 3k steps 😅😅

0

6

David Chang, MD

@d_changy

9 months

Thank you @jhurwitz55 for this very personal take on your incredible journey! @HRSonline @HRS_CaseReports @HeartRhythmTV @TJaredBunch

Heart Rhythm Society

@HRSonline

9 months

NEW: @HRS_CaseReports Focus on Fellows and Early-Career EPs article "Where luck and curiosity can take you." HRS President @jhurwitz55 reflects on her journey in the medical field. Read it here >>

0

5

16

0

2

6

David Chang, MD

@d_changy

4 years

An 89 year old with a dual chamber pacemaker set to DDD 70-100 comes in with lethargy and SOB. What’s shown in this ECG? @CardioBot @angelaliMD #accfit #cardiotwitter #cardioed #medtwitter #meded

1

3

5

David Chang, MD

@d_changy

3 years

Common question we get from the OR. How does a magnet over an ICD affect pacing? The answer is that it doesn’t. A magnet over a PPM activates asynchronous pacing but not over an ICD. #medtwitter #meded

0

2

5

David Chang, MD

@d_changy

1 year

And what does this mean for the aveir? 🤔

Shaojie Chen

@ShaojieChen1

1 year

location of leadless pacemaker and risk of pacing-induced cardiomyopathy AS vs HS 🤔 Shantha et al @JCardioEP cc @DrBradleyKnight @KennethEllenbo1 @DrGregMichaud @DrMarwanRefaat @pjsm83 @S_NarayanMD @SchakrabartiEP @LuigiDiBiaseMD @aalahmadmd @purerfellner @KTamirisaMD

1

27

50

0

5

David Chang, MD

@d_changy

4 years

@DonAliHayas Good point. I’d argue that the reason for pushing stat POCUS was the murmur!

0

4

David Chang, MD

@d_changy

3 years

Interesting ECG: 71 year old male with no past medical history (no prior ECG) presenting with shortness of breath. COVID +. Thoughts on SVT or VT? #accfit #cardionerd #cardiotwitter #cardioed #medtwitter #meded

2

1

4

David Chang, MD

@d_changy

2 months

Great to see my former @FulbrightPrgrm friend @ShreyaTrivediMD discuss about AF on @COREIMpodcast !

CORE IM

@COREIMpodcast

2 months

1/ 🚨 NEW Rhythm Control in AFib: Behind the Scenes Interviews 🫀 Pillars of AF treatment: 1️⃣ Prevent stroke 2️⃣ Prevent heart failure 3️⃣ Improve quality of life 🖥️: 🎥:

1

13

48

1

0

4

David Chang, MD

@d_changy

11 days

@ShaojieChen1 @purerfellner @josoriomd @KTamirisaMD @S_NarayanMD @Phiso_de @shivkumarmd @C_Meyer_MD @hhuang123 @ftrae @drrakeshg1 @DrRoderickTung @FYang_EP @DrMarwanRefaat @javadm20 @mspartalis5 @BA_Mulder @JRWinterfield @AGEP_DGK @atulverma_md @DrJasonAndrade @ALFIEEP1 My approach is similar. Single transseptal. No CS catheter for de novo paroxysmal AF. No fluoro. What I do differently and I think is important is, I only do 90w on the posterior wall. 50w for the rest.

0

4

David Chang, MD

@d_changy

3 years

So proud of our amazing and talented nurses @NorthwellHealth ! Great job! 👏👏👏 via @YouTube

0

4

David Chang, MD

@d_changy

4 years

@jvafai @stentdoc1 @NorthwellHealth @louis_hal Oh the days of the giants! @PerwaizMeraj @yourheartdoc1 @SoniaAHenry @jvafai

0

4

David Chang, MD

@d_changy

5 months

@GaryPeng20 @paulzei @Dan_Marcusa @CurtGinder Congrats Gary! 👍👍

1

0

2

David Chang, MD

@d_changy

4 years

According to the 2017 HRS expert consensus, “The optimal timing of device replacement is unknown.“ Here is our experience with the Micra leadless pacemaker. @JamesGabriels

0

2

3

David Chang, MD

@d_changy

4 years

Fascicular VT. The ECG shows AV dissociation with a right bundle pattern in a young patient with no known structural heart disease. The tachycardia resolved within a minute of pushing 10 mg of IV Verapamil! But hang on... what happens after?! #mindblowing

1

3

David Chang, MD

@d_changy

4 years

@ChoSallie Hey, Dr. Cho! It was attached to the atrial septum. Definitely my first and unforgettable plop!

0

3

David Chang, MD

@d_changy

15 days

@DrDiGiorgio Great explanation! This script can be flipped once the independent practices especially procedure-based specialties operate in ambulatory centers. Look at orthopedic surgery, ophthalmology, dermatology, etc.

0

1

3

David Chang, MD

@d_changy

2 years

High power short duration @DrKoplan @JohnWhitaker20

Tottenham Hotspur

@SpursOfficial

2 years

13 minutes 21 seconds.

914

9K

96K

0

3

David Chang, MD

@d_changy

3 years

Atypical AVNRT. The voltage map showing the low voltage bridge near the site of the slow pathway ablation as described in this paper. Interesting! #cardiotwitter

1

0

2

David Chang, MD

@d_changy

3 years

Pt with hx AF and dual chamber PM DDD 60 recently started on flecainide referred for symptomatic refractory AF. Thoughts on this ECG? Here is what we did that immediately resolved her sx. #ecg #cardiotwitter #cardioed #medtwitter #meded

0

2

David Chang, MD

@d_changy

5 months

Amen to @rainylakedana ’s take on successful transition to early career! 🙏🏻🙏🏻 @HRSonline @hrs_journal @HRS_CaseReports @TJaredBunch

Dana Johnson MD MPH

@rainylakedana

5 months

Lucky to share my thoughts on early career mentorship. Thanks for the opportunity @d_changy and @HRS_CaseReports ! @UICcardfellows @UIHealth From imposter syndrome to impact: Mentoring fellows as an early-career...

1

4

20

0

3

David Chang, MD

@d_changy

2 years

Such an important topic for all trainees to think about and perhaps be more open to discuss with our peers… Thank you @DrSuzyFeigofsky for this beautifully written article on imposter syndrome! #medtwitter #meded #cardiotwitter #cardioed #accfit #epeeps

Imposter Syndrome

I believe it began in college, when I was told by a peer that I wasn’t smart enough to get into a medical honors program. At that moment, gathered on the floor in a circle, I believed him.

www.heartrhythmcasereports.com

0

1

3

David Chang, MD

@d_changy

4 years

@Dr_Nazarian_EP Thank you very much. She did great and was discharged within 2 weeks!

0

2

David Chang, MD

@d_changy

1 year

Lakers in 6 let’s gooo @EsseimS

Los Angeles Lakers

@Lakers

1 year

Game Day 🗣

223

3K

22K

1

0

2

David Chang, MD

@d_changy

4 years

@KittyKatzMD @GuruKowlgi @HafizaKMD Good question, Marc. Pt symptoms and response to meds are very important. Remember that 2 different “hemodynamically stable” pts with the same HR may have very different presentations depending on their underlying cardiac function. See pg 39-40 below.

1

0

2

David Chang, MD

@d_changy

4 months

@dogi84md Agreed that EGMs can be misleading. Anecdotally seen CTI “block” with 1 application when in fact more than half the length of the isthmus hasn’t even been touched. My approach has been anatomy based with ICE. Usually 3-4 stamps on ICE regardless of EGMs. Have you encountered VF?

1

0

2

David Chang, MD

@d_changy

4 years

@ManInHood2 100% agreed. Hx was unremarkable. VT was noninducible on EPS. Cardiac MR did show mild enlargement although no scars/fibrofatty changes. Wondering if this could be early signs of ARVC? Sent to our cardiac geneticist for further work-up.

1

0

2

David Chang, MD

@d_changy

5 years

Thank you so much for the love! 🙏🏻

Joe Donnelly

@zapzaplunch

5 years

Congrats to my co-fellow @d_changy on his first HRS presentation on assessing undifferentiated masses on device leads. One of the highest scoring abstracts! Great start to your EP career! #HRS2019

0

1

4

0

2

David Chang, MD

@d_changy

4 years

👍👍👍

J. Gabriels

@JamesGabriels

4 years

Excited to present at #HRS2020 along with 4 other fellows from @NorthwellHealth @d_changy @hisbundle @All_Star_Laker Eric Pagan. Looking forward to a great conference!

1

2

9

0

2

David Chang, MD

@d_changy

4 years

@CMovsowitz The “w” in lead I and the “spiked helmet” in lead III would suggest epicardial ablatable from GCV.

0

2

David Chang, MD

@d_changy

7 months

Looking forward to it! @JohnWhitaker20

BHRS

@BHRSociety

7 months

Pleased to have @JohnWhitaker20 on board as a speaker for Scientific Sessions! 🎙 He is due to give the following talk on Wednesday 28 February: How I Utilise Intracardiac Echo to Ablate Intracavity Structures Register for our #BHRSessions now:

0

5

18

0

1

David Chang, MD

@d_changy

4 years

The device reached ERI, which automatically switched the pacing mode from DDD to VVI. ECG shows the device pacing at VVI 50. With the loss of AV synchrony and lower pacing rate, the patient presented with acute decompensated heart failure.

2

0

2

David Chang, MD

@d_changy

2 months

@nauffal_victor @patrick_ellinor @broadinstitute @broad_ml4h Congrats!! 🙌🙌

0

1

David Chang, MD

@d_changy

3 years

@jeffrey_vinocur @ALFIEEP1 @anunay_cardio @narrowQRS Post ablation, would you see increased wall thickness and echolucency with edema? If so, my guess would be near the posteroseptal part of the TV annulus. If you are catching a small slice of the LV from RV inflow, my star would be the septal leaflet. Apologize my drawing.. 😅

1

0

1

David Chang, MD

@d_changy

4 months

@dogi84md Yes, IV nitroglycerin 3mg bolus right before the first stamp that caused the VF. Will write it up and share EGMs! @jskoruth

0

1

David Chang, MD

@d_changy

1 year

@andres_miranda4 You are gonna have a blast @Brigham_EP ! Excited for you brotha!

1

0

2

David Chang, MD

@d_changy

1 year

@nicktanCV Congrats, Nick! Amazing photos!

0

1

David Chang, MD

@d_changy

4 years

Dual AV nodal pathways. The 2nd QRS complex is conducted via the fast pathway in the AV node as displayed by the short PR. Premature atrial beat then gets conducted down the slow pathway with longer PR to the 3rd QRS complex. This sequence then triggers the AVNRT.

0

1

David Chang, MD

@d_changy

4 years

@papachi29 It was negative.

0

1

David Chang, MD

@d_changy

1 year

@zapzaplunch @EPeeps_Bot @AveragingBogey @JamesGabriels @DSabayon Beautiful map!

1

0

1

David Chang, MD

@d_changy

4 years

@chloemenzies0 Agreed. I love my job.

1

0

1

David Chang, MD

@d_changy

4 years

@MarkMarieb @DrAfzalSohaib I was thinking posterior fascicle given the superior axis and it’s more common than the anterior fascicle. Lead I does make it a bit uncertain. Would love to hear your thoughts.

0

1