Register Now for the 11th annual Western Atrial Fibrillation Symposium on February 23-24, 2018. We are the leading AF symposium in the country. #AskWAF
DoubleTree by Hilton Hotel
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Thank you to all the amazing faculty, sponsors, attendees, and everyone involved in the 11th annual Western Atrial Fibrillation Symposium! It has been one of our best yet, thanks to you all. Hope to see everyone again next year! 馃帀馃帀馃帀 #wafib2018 @CARMACtr @nmarrouche
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Western AF retweeted
Thanks for the great faculty that made #WAF2018 another major success! Best ever yet! See you next year! @drsuneet @dhaines901 @JonHsuMD @atulverma_md @andreanatalemd @deering_f @AndreaRussoEP @leftbundle @aalahmadmd @@omwazni @PrashSanders @JonPicciniSr @jobrachmann @WesternAF
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Western AF retweeted
#WAFib2018 - Q4:
@stopafib - pt still feel miserable after AV node after they were promised they would feel better.
@drjohndayMD - Amiodarone, maybe ablation
Audience - difficult area. Missing data. Learning curve. Registry data may be useful for 80+ population.
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Western AF retweeted
#WAFib2018 Q4:
David Hayes - Direct His bundle pacing
@drjohnm - what we did - His bundle pacing w/ Av node ablation. Pt sx 猬嗭笍.
@DrKevinCampbell - be a doctor and do the best at what we do.
@omwazni - Let鈥檚 do a study.
@JonPicciniSr - Device infection is miserable for all.
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Western AF retweeted
#WAFib2018 Q4: case study - In light of CASTLE AF - do you ablate or not?
CM: Is she sx? yes.
@JonPicciniSr - Talk to her. She鈥檚 uses a cane. No.
@drjohndayMD - Can ablate at this age but...5 yr outcomes aren鈥檛 good.
@nmarrouche - not with #CKD
Audience - Offer CRT w/ AV node
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Western AF retweeted
#WAFib2018 Q3:
David Hayes - many ways to game the system. It was a select group of patients. Not equivalent to #OACs. Labeling leaves it open to lifestyle.
@omwazni - If pt cannot take an OAC, then LAAO is an option.
Audience: We still have pts with 猬嗭笍 risk of #stroke & no OAC
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Western AF retweeted
Fantastic meeting with great faculty. Congratulations to #WAFib2018 @nmarrouche
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Western AF retweeted
馃憦馃徎 Welcome to #SoMe 馃槉 #WAFib2018
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Western AF retweeted
#WAFib2018 Q3:
@EHylek_realMD - technology creep from the very frail & elderly.
@JonPicciniSr - LAAO visit is a very long visit. Complicated decision.
@stopafib - it is confusing for pts to make a decision.
@omwazni - CMS has required shared decision making.
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Western AF retweeted
#WAFib2018 Q3
@EHylek_realMD - everything I just heard is scary. LAAO - we don鈥檛 have data. I feel the intellectual bias. It was never studied against DOACs.
@omwazni - Maybe for younger but it hasn鈥檛 been studied. We鈥檝e done >200 pts w/ 3 yr follow-up.
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Western AF retweeted
#WAFib2018 Q3:
@JonPicciniSr - As the atrium gets sicker = more risk of #stroke
@omwazni - ASA + Plavix = 猬囷笍 bleed is incorrect. Misperception. The ones who may get the most benefits are younger pt.
Audience: As the CHADS2-VAsc score 猬嗭笍 = DAPT
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Western AF retweeted
#WAFib2018 Q3:
@drjohnm - If #Afib is less established risk factor for #stroke + sicker pt population = how do we select?
@omwazni - Ablate CHADS2-VASc of 3 or higher + major bleed = Watchman
@drjohndayMD - low hanging fruit. What about the avid biker/skier?
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Western AF retweeted
#WAFib2018 Q2:
@leftbundle : Women have higher rate of re-hospitalizations.
@JonPicciniSr - We鈥檒l get more data and more studies.
CM: We look at diseased tissue in the left atrium, not gender/age.
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Western AF retweeted
#WAFib2018 Q2:
Audience - we have to explain this to the #HF community. There may be distrust.
@drjohnm - Women have higher complication rates. Can we translate these results?
@omwazni - In my experience, women do not have higher complication rates.
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Western AF retweeted
#WAFib2018 Q2:
@nmarrouche - These are pts who fail tx. CASTLE-AF
@omwazni - We don鈥檛 have many options. We have to do ablation safely/effectively. Show a good track record with very sick pts.
@drjohndayMD - It is gratifying to correct the underlying cause.
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Western AF retweeted
#WAFib2018 Q2:
@leftbundle - #HF MDs may not see small #HF studies as theirs. How are we going to scale #ablation globally? Can we get there? To make #Afib #ablation is a same day procedure.
@omwazni - Ablate before they start #afib 馃槂
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Western AF retweeted
#WAFib2018 Q2:
@drjohnm - Most of my pts are older women with comorbidities. How do we apply this trial?
@drjohndayMD - That鈥檚 the challenge of any trial.
@omwazni - Look at the pt and make a decision based on your experience.
CM: which guidelines do we change? #HF or #AF
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Western AF retweeted
#WAFib2018 Q2:
A: @drjohnm - translation is key
CM: CASTLE-AF focus on pt we may not consider to ablate.
@JonPicciniSr - We鈥檙e talking about multiple studies showing similar results.
@DrKevinCampbell - we need to do a better job reaching across the aisle to our #HF colleagues.
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