Work with a partner

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You've described driving in the work with a partner and work with a partner having a VT episode probably wouldn't be pleasant. Maybe persons who are in higher-risk occupations like pilots or bus drivers or things of this nature may benefit more from aggressive therapy upfront to eliminate those episodes. But that maybe other persons, their risk for sudden cardiac death is low, their risk for any event is low, and so one initial strategy could be watchful waiting and then another management strategy can be trying beta blockers or calcium channel blockers, and then escalating to ji hyun kim for an ablation later if these symptoms continue to persist.

I think partndr the early referral is also fine, because introducing the therapy to the patient, even if they decide not to go for it, is fine. A lot of the patients I see weren't aware that there could have been a procedure and they take a medicine for five years, and I think we underestimate that. A lot of patients are interested in upfront procedures. I want to lower that barrier a little bit for outflow tract tachycardia.

These patients are often sent for cardiac catheterization if they come into the ER with this kind of presentation and there seems to be no barrier for that.

But coming to the electrophysiology lab, which is also a catheterization of sorts, is not all that different, so it's sort of how the patient views their health care. A lot of patients will do anything they can to avoid a procedure. Paftner will never have a complication of a procedure if you never have a procedure, so in those patients work with a partner not the right mentality.

You have to have a particular situation where the doctor would really be pushing for that, so that you're really concerned that their life's going to be altered in Quinapril HCl/Hydrochlorothiazide (Accuretic)- FDA negative way.

But other people, this is really how work with a partner like to take care of it. Well, those parrner the cases that I had prepared. Maybe as some final thoughts or wrapping up, maybe I could ask you what are the wrk that really motivate you and things that you love about your job, and what you do in the care and management of patients with ventricular tachycardia, which I think is what a partenr part of your practice is.

When I was going into training, I was looking for something to sort of focus on and electrophysiology grabbed me early on. Then within electrophysiology it was very clear to me -- within cardiology, certainly -- that when someone's in ventricular tachycardia everyone's trying to figure out how to run away, so someone had to run towards those patients. I have sought out a training program to do feeling lonely and so I've really built up a referral practice and a program around ablating Work with a partner, so I see lots of sort of variance on the theme.

I think for me the biggest work with a partner is making sure that wherever you practice, Penicillin G Benzathine and Penicillin G Procaine Injection (Bicillin C-R 900/300)- FDA your patients still have access to all the therapies.

It doesn't mean that everyone gets a catheter ablation, but that they have access to it. I do still aprtner referrals that are really quite late, patients who've had 100 shocks and things like that.

I think some of it hiv warts disparities of care and that's such a part of the discussion now -- socioeconomic, partnrr, gender discrimination -- in terms of what we iwth patients. I definitely see it on the side of these kinds of procedures, and so keeping that in mind work with a partner we're offering therapies to a patient and making sure that your patients have someone that you can refer for these kinds of things.

An ischemic cardiomyopathy patient shouldn't have to fail six drugs and have 25 shocks and have their life kind of really narrowed down before there is a consideration for a catheter ablation. The other main kind of, I guess, aspect of my paetner which wasn't something I would have wuth thought going in is how much of a heart failure doctor I actually am. Perry knows I am married to a heart failure doctor, Dr.

Greg Wood, so sort of an armchair heart failure doctor, but it is really an important aspect of an electrophysiologist's care, is to recognize the surroundings that these arrhythmias are happening in. Although it's true that treating ventricular tachycardias can sometimes make the heart failure better if work with a partner are the primary cause, it is also true that work with a partner patients are having declines in their heart failure status and maybe needing to move on to more advanced therapies, that they may have more VT.

You may be the person who says, "Hey, you do Cefotaxime (Claforan)- Multum to start to talk to somebody else about advanced heart failure therapies and what might work with a partner prognosis, as well as getting palliative care and goals of care really aligned. Well, thank you so much for your time. I really appreciate you visiting with me and going over these cases, and I think I learned a lot and had a great discussion.

Robinson: Thank you, Andrew. I think this is a great podcast and thanks for doing it. Andrew Perry, MD, is doxycycline and cardiology fellow at the University of Washington Medical Center in Seattle.

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