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1/ Decided to take a 3-day break from #covidtwitter just as our paper was released š¤¦š»āāļø. So now is my attempt to āclear the airā. We continue to share our data ablating at 50W, now with contact force. @TheRealWinkle noticed some trends with PWI and btw systems (Biosense and Abbott)
2/ But as youāve all astutely said (@paulzei) this is non-randomized, both w/ patients & operators. 3 of 6 ablators routinely perform PWI (@hardwinmd, @PatrawalaRob, and myself), but each w/ differing methods re w/in-box lesions ie size of box, mapping entrance, pace&ablate, etc.
3/ All 3 of us have changed our PWI methods the past 3 yrs b/c of Rogerās initial observations incl more pace/ablate strategies despite initial entrance block or even āsleeve captureā-exit block b/c of observations of anisotropic isolation (current paper only thru 12/2017 cases)
