POPULARITY
In this episode, CardioNerds Dr. Colin Blumenthal, Dr. Kelly Arps, and Dr. Yong Hao Yeo are joined by electrophysiology expert Dr. Bradley Knight to discuss atrial fibrillation (AF) management in challenging clinical scenarios. We explore arrhythmias in patients with pre-excitation syndromes, particularly Wolff-Parkinson-White (WPW) syndrome, and strategies for rhythm control. We also discuss AF management in pregnancy, adult congenital heart disease, and patients with tachycardia-bradycardia (tach-brady) syndrome. This episode provides essential insights into nuanced decision-making for the care of patients with complex arrhythmia profiles. Audio editing by CardioNerds academy intern, Grace Qiu. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Atrial Fibrillation PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! PEARLS AF in WPW is a true emergency—AV nodal blocking agents can be deadly. In patients with WPW syndrome, AF can rapidly conduct through the accessory pathway, risking ventricular fibrillation and sudden death. Avoid AV nodal blockers like beta-blockers and calcium channel blockers. Catheter ablation is the first-line rhythm control strategy in WPW. Catheter ablation carries a Class I recommendation and offers >90% success. If antiarrhythmic drugs are needed, sodium channel blockers like flecainide or propafenone are preferred in patients without structural heart disease. In pregnancy, protecting the mother is protecting the fetus. An unstable mother means an unstable fetus. Rate control is the first step in AF with rapid ventricular responses and electrical cardioversion is safe when needed. Multidisciplinary care is essential. AF in congenital heart disease is often outside the pulmonary veins. Surgical scars and chamber remodeling in ACHD patients often lead to AF from non-pulmonary vein foci. Electrogram-based mapping and targeted ablation strategies are essential to increase success rate of durable rhythm control. Tachy-brady syndrome may require pacing to unlock therapy. AF may cause atrial myopathy and sinus node dysfunction. These patients often require permanent pacing to allow safe use of rate-controlling medications like beta-blockers and to prevent syncope or chronotropic incompetence. Notes: Notes drafted by Dr. Yong Hao Yeo Why is atrial tachycardia in patients with WPW syndrome dangerous? Patients with WPW commonly present with supraventricular tachycardia (SVT) due to atrioventricular reentrant circuits, either orthodromic or antidromic. This SVT can degenerate into AF. In the absence of AV nodal as the governor between the atrium and ventricles, the accessory pathway may conduct impulses rapidly and frequently. This can lead to dangerously high ventricular rates, predisposing patients to ventricular fibrillation and sudden cardiac arrest. What are some strategies for rhythm control in patients with WPW and atrial tachycardia? Catheter ablation is the first-line therapy (Class I recommendation), with a success rate of over 90%. Ablation reduces the risk of sudden cardiac arrest, though some patients may remain prone to AF. If ablation is not feasible/ contraindicated, sodium channel blockers such as flecainide and propafenone are good options in patients without ischemia or structural heart disease (Class IIa recommendation). Amiodarone should be avoided because it has a long half-life, can accumulate in the system, and may delay definitive treatment with catheter ablation. AV nodal blocking agents like beta blockers and calcium channel blockers should be avoided, as they are less effective at controlling ventricular rate in WPW and can increase conduction over the accessory pathway. These agents can also exacerbate the risk of rapid ventricular rates during AF and worsen left ventricular function. What are some special considerations in managing AF in pregnant patients? The primary goal in managing cardiovascular disease during pregnancy is to protect the mother, as fetal outcomes depend on maternal well-being. Therefore, while caution is necessary, we should avoid undertreating pregnant patients with AF. In cases of AF with rapid ventricular response (RVR), rate control is usually the first-line strategy, with beta blockers preferred over digoxin or non-dihydropyridine calcium channel blockers. It is then reasonable to initially observe for spontaneous conversion in stable patients. Antiarrhythmic drugs (AADs) are generally avoided during the first trimester, but clinical judgment on a case-by-case basis is essential. Evidence for the safety of AADs in pregnancy is limited, often derived from their use in other conditions such as fetal SVT. Flecainide and sotalol are reasonable options for rhythm control (Class IIa recommendation). Electrical cardioversion is considered safe in pregnancy and should be utilized when indicated (Do not forget!). There is no pregnancy-specific thromboembolic risk stratification tool. CHA₂DS₂-VASc scoring and the presence of risk factors like mitral stenosis can help guide anticoagulation decisions, though the magnitude of thromboembolic risk during pregnancy remains unclear. Rate control agents are typically continued during delivery due to the increased physiologic stress of labor and delivery. Multidisciplinary care is crucial and should involve obstetrics, maternal-fetal medicine, cardiology, and electrophysiology specialists. What are some key considerations for AF management in patients with adult congenital heart disease (ACHD)? Patients with repaired congenital heart disease are at increased risk for arrhythmias due to two main factors: surgical scars that create arrhythmogenic foci and mechanical remodeling of the atria or ventricles resulting from the underlying disease. In these patients with structural heart disease, sodium channel blockers may not be ideal antiarrhythmic options. When selecting an antiarrhythmic drug, clinicians must consider the nature of structural or surgical impairments, such as right bundle branch block or prolonged QT interval. It is also essential to assess renal and hepatic function (often impaired in patients with ACHD) to ensure appropriate metabolism and clearance of antiarrhythmic medications. Electrogram-based ablation strategies (those leveraging artificial intelligence are developing!) may help identify effective ablation targets, which are often outside the pulmonary veins in patients with ACHD. These individualized approaches can improve ablation success rates in this complex patient population. What makes tachycardia-bradycardia (tach-brady) syndrome a unique challenge in arrhythmia management? Patients who present with both AF and bradycardia, especially with syncope, require a thoughtful diagnostic approach to identify the underlying rhythm disturbance. Extended cardiac monitoring, including event monitors or implantable loop recorders, can help capture intermittent arrhythmias and correlate them with symptoms. AF may lead to atrial myopathy, and since the sinus node resides within the atrium, this can result in sinus node dysfunction—a hallmark of tachy-brady syndrome. Following spontaneous conversion from AF to sinus rhythm, sinus node dysfunction may persist, leading to prolonged pauses or chronotropic incompetence. Management becomes more complex when beta-blockers are needed for AF with RVR, as they can exacerbate bradycardia. Permanent pacemaker implantation is often the next step to consider. Permanent pacemaker implantation is often considered to facilitate safe rate control in these cases. In younger patients, aggressive AF burden reduction may prevent atrial remodeling and the development of true atrial myopathy, potentially avoiding pacemaker implantation. References Joglar JA, Chung MK, Armbruster AL, et al. 2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2023;149(1). doi:https://doi.org/10.1161/CIR.0000000000001193 Van IC, Rienstra M, Bunting KV, et al. 2024 ESC Guidelines for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS). European Heart Journal. 2024;45(36). doi:https://doi.org/10.1093/eurheartj/ehae176 Joglar JA, Kapa S, Saarel EV, et al. 2023 HRS expert consensus statement on the management of arrhythmias during pregnancy. Heart Rhythm. Published online May 1, 2023. doi:https://doi.org/10.1016/j.hrthm.2023.05.017 Stout KK, Daniels CJ, Aboulhosn JA, et al. 2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease: Executive Summary. Journal of the American College of Cardiology. 2019;73(12):1494-1563. doi:https://doi.org/10.1016/j.jacc.2018.08.1028
This week on the Grainmaker Wrestling Podcast, for the very special 250th episode, I am joined by a man synonymous with wrestling in Winnipeg, James Korba! From the early years of his wrestling fandom going to local shows, to his time hosting the Winnipeg wrestling podcast "Loose Ropes" to now as GM James Korba, he has been a fixture on the wrestling scene, and we talk about alllll of those things. We talk about local wrestling, WCW, and Korba even shares some WPW stories and so much more! You won't want to miss this incredible chat!
Not one but two episodes this week, as joining me for this episode of the Grainmaker Wrestling Podcast, Cherry Blossom!! Cherry and I talk about her debut in WPW last year, challenging the then champ Ava Lawless. We talk about what that experience was like, as well as discussing her first experiences with independent wrestling, and how that opened the door to her signing up for training and becoming a wrestler! We also talk about memorable matches that shes been a part of(including a gender reveal match), match recommendations and so much more!! Check it out!
The Southern California Independent Wrestling Scene has produced many outstanding talents in the past twenty-five years. And it would be entirely too hard to imagine the Southern California Independent Scene without thinking about the contributions of Lil Cholo. Not only was he a standout for Martin Marin's WPW, but he was also a big part of Revolution Pro, Ultimate Pro Wrestling, Alternative Wrestling Show, and the National Wrestling Alliance. He would also wrestle in Mexico in Tijuana for Lucha Libre AAA and Mexico City for Toryumon.Outside of his contributions to the Southern California Wrestling Scene, Lil Cholo was part of Wrestling Society X's tag team division. Teaming with fellow Southern California standout B-Boy as the Cartel, joined a stacked tag team division that made WSX unique. He would find his way into the National Spotlight eight years later as part of the fantastic Lucha Underground as Mr. Cisco.Nowadays, he's training the future of Southern California Independents with House of Lucha. Their next event takes place on Friday, March 27th, in Stanton, California. Two years of creating stars and showcasing up-and-comers, the House of Lucha 2nd Anniversary Show, featuring Jack Cartwheel and many more.Stay Social With Lil Cholohttps://www.facebook.com/little.cholo.9https://www.instagram.com/lilcholo01/https://www.threads.com/@lilcholo01https://www.tiktok.com/@lilcholo01https://www.youtube.com//littlecholo1503Stay Social with House Of Luchahttps://www.instagram.com/house_of_luchahttps://www.youtube.com/@houseofluchaStay Social with the Alliance
If you've been to a WPW show then you are very familiar with my guest, as joining me this week on the Grainmaker Wrestling Podcast, it;s Wilfred Langside! Wilfred has been the ring announcer for WPW for quite sometime. We talk about his path in wrestling and how that opportunity came to be for him. Wilfred and I also talk about what got him into wrestling, memorable moments in the WPW ring, wrestling as a whole and so much more! Check it out!
He made his WPW debut at Rumble in the Burt, and now he's making his debut on the Grainmaker Wrestling Podcast, it's Clayton Kyle! Wrestling out of Fort Qu'Appelle, Saskatchewan, Clayton is poised to break through on the Canadian wrestling scene. Learning from two very impactful wrestling schools, Clayton talks about that experience, including packing up and living in the states to train! We also talk about what growing up was like for him, growing out of his shell, and so much more! Check it out!
Send us a textIn this episode, we dive into the power of reflection in the Word Problem Workshop (WPW). If you're an educator seeking to enhance student learning through meaningful discussions, this episode is packed with actionable insights. Learn how adding just one simple step—Reflect—can shift your classroom dynamic and help your students internalize what they've learned.How Reflection Makes Learning StickThat's when I introduced the “Reflect” step to WPW. Rather than wrapping up a discussion and moving on to the next topic, I began asking students to revise their work and think critically about what they had just learned. It's a game-changer, and it all boils down to one powerful quote: “We do not learn from experience, we learn from reflecting on experience.”—John Dewey.Listen, Subscribe, and Leave a Review!This episode offers just a glimpse of how reflection can make your math lessons more impactful. To dive deeper into these strategies, be sure to subscribe and leave a review. Don't forget to check out the upcoming interview episode on October 9th—it's going to be epic! And for those of you ready to level up your WPW routine, grab your copy of the book—pre-order it now before the bonuses disappear!
Send us a textIt's back-to-school season, and if you're running on caffeine and sheer willpower, this episode is for you. The copy machine is acting up, your prep time is shrinking, and yet—you're slowly building something amazing with your new class. In today's episode, we'll talk about launching word problems in math from the very first week to set the tone for a year of problem-solvers, not just answer-getters.Feeling overwhelmed by planning? I've got you covered with my First Week of Word Problem Workshop resources for K–2 and 3–5. These ready-to-go plans include SEL connections, sample problems, prompts, and teacher questions so you can focus on teaching—not reinventing the wheel. Grab them here:First Week of WPW K–2First Week of WPW 3–5
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In this episode of The Birth Trauma Mama Podcast, I'm joined by Sabryna for a powerful and emotional account of her first birth. Her story began with an itch in her third trimester and escalated into a life-threatening emergency for both her and her daughter. What unfolded was a series of missed diagnoses, medical dismissal, and a traumatic delivery that included an emergency C-section, undiagnosed preeclampsia, a NICU stay due to a rare heart condition.With vulnerability and insight, Sabryna walks us through the heartbreak of being ignored by her care team, the fear of not knowing if her baby would survive, and the heavy mental toll that followed. She also shares the healing journey that came later, including a redemptive second birth experience and the importance of finding a provider who truly listens.This conversation is a testament to the strength of self-advocacy and the power of feeling seen, heard, and safe in your care.What You'll Hear in This Episode:⚠️ The early warning signs of cholestasis and why no one acted
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Do you ever catch yourself pushing through exhaustion, pretending you're fine, or feeling guilty for even thinking about taking a break? This week, I'm resharing my conversation with Dr. Erica Howe, founder of the Women Physicians Wellness Conference, to explore what happens when we let go of the habit of keeping up a facade. Dr. Howe shares her personal story of feeling overwhelmed, the pivotal moment that changed her perspective, and why she created WPW as a space for women physicians to connect, strategize, and break free from isolation. We discuss why exhaustion and shame often go hand in hand, how community is the antidote, and why rethinking selflessness can transform both your work and personal life. Get full show notes, transcript, and more information here: https://habitsonpurpose.com/160
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On this week's episode, Eric recaps what Lex Luger was doing in 1993 en route to getting to Wrestlemania 10 in 1994. Eric also talks to Blair from @GrainmakerPod the Grainmaker Wrestling Podcast, to recap West Coast Pro's Queen of the Indies 2024 Tournament. The annual tournament to determine who the best independent female wrestling star is. As always we are sponsored by Visionaries Global Media. You can catch Blair on @GrainmakerPod @ForExposure on Saturdays with LPW. Blair is also one of the voices of WPW in Winnipeg! Eric can be reached @NatteringWithE where you get your podcasts or @EricFreeds on Twitter. Thanks as always for listening and stay frigid, stay glorious and just be cool.
In this week's podcast, we discuss a work that tries to challenge convention when we review a recent work from the team at Emory University about anticoagulation following left sided ablation of SVT in children. A short course of aspirin is commonly prescribed in this setting but what is the evidence for this? How do patients who receive aspirin fare vs. those who do not? Are there some patients in which aspirin might be more 'useful' than others? Is there adequate equipoise to consider a multicenter trial? Is that even necessary? Joining us to discuss this and more about this topic is Dr. Vincent Palmieri, senior electrophysiology fellow at Children's Healthcare of Atlanta. doi: 10.1016/j.hrthm.2024.01.004.
Como fazer o seguimento do paciente com WPW? by Cardiopapers
Host Sean Lennon had an interview with Rising Women's Pro Wrestler "The Phoenix Princess" Aminah Belmont to discuss her upcoming match this Saturday against Shelly "The Bombshell" Benson At POWW Entertainment New Year's Beatings in Fox Lake, IL in her fist match of 20241She was trained at Black and Brave Academy and has been featured in Chicago Style Wrestling, SCW Pro, Madhouse Wrestling, Glory Pro Wrestling, Honor Among Wrestling, ZOWA, and Winnepeg Pro Wrestling, She also had matches in Galli Lucha, AAW Pro, Dreamwave Wrestling, and Lucha Libre TotalShe discussed her journey to become a Pro Wrestler her upcoming match with Shelly Bombshell Benson at POWW, Maggie Leea, and their many matches since her debut, and her matches w WPW against Selezyia Sparx and Tootie Lynn, Do you enjoy being a heel, why does training at Black and Brave Academy contribute to her success, the loudest reaction you've had to either your entrance or moves, and her desire to wrestle internationally one day plus moreFor the Official PWE Shirt shop at - For Exclusive Pro Wrestling Articles and Updated Results for WWE, NXT, AEW, and Impact WrestlingLike the Facebook Page-https://m.facebook.com/PWEPodcast/And Support your favorite Independent Wrestlers by buying Shirts and More at https://www.prowrestlingtees.com/
CardioNerds (Amit Goyal and Daniel Ambider) ACHD series co-chair Dr. Daniel Clark (Vanderbilt University), cardiology FIT lead Dr. Stephanie Fuentes (Houston Methodist Hospital), and Dr. Frank Fish, a Pediatric Electrophysiologist and the Director of the Pediatric Electrophysiology (EP) Lab at Monroe Carrell Jr Children's Hospital at Vanderbilt University. He is a board certified Adult Congenital Heart Disease (ACHD) physician and has a wealth of experience performing EP procedures in adults living with congenital heart disease. Audio editing was performed by student Dr. Shivani Reddy. In this episode, we discuss key concepts and management of electrophysiologic issues that we can encounter when caring for adults with congenital heart disease. Arrythmias in adults with congenital heart disease can be intrinsic due to the defect itself or as a consequence of the interventions that they have undergone to palliate and/or repair these defects. The complex anatomy of these patients and the years of pressure and volume load make them not only exquisitely hemodynamically sensitive to arrhythmias (that may otherwise not be of much consequence to the general population) but they also make interventions (catheter ablation or device implant) complex. We therefore embark in a case-based discussion of patients with ACHD (Fontan circulation, Ebstein's anomaly and Tetralogy of Fallot) in an effort to highlight the presentation of arrythmias and the management strategy in this very important group of patients. The CardioNerds Adult Congenital Heart Disease (ACHD) series provides a comprehensive curriculum to dive deep into the labyrinthine world of congenital heart disease with the aim of empowering every CardioNerd to help improve the lives of people living with congenital heart disease. This series is multi-institutional collaborative project made possible by contributions of stellar fellow leads and expert faculty from several programs, led by series co-chairs, Dr. Josh Saef, Dr. Agnes Koczo, and Dr. Dan Clark. The CardioNerds Adult Congenital Heart Disease Series is developed in collaboration with the Adult Congenital Heart Association, The CHiP Network, and Heart University. See more CardioNerds Adult Congenital Heart Disease PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls - Electrophysiology in ACHD Patients with Fontan circulation have a high risk of developing atrial (and ventricular) arrhythmias and they are highly sensitive to the hemodynamic consequences that these arrythmias ensue. The goal of therapy then should be to achieve sinus or atrial paced rhythm. Rate control should NOT the goal. Patients with Ebstein's anomaly have high arrhythmic potential. They can have multiple accessory pathways (especially right sided) which can in turn be associated with sudden cardiac death. We should have low threshold for EPS +/- catheter ablation in patients with WPW pattern. Patients with Tetralogy of Fallot have a unique risk for SCD that warrant ICD implant apart from the standard criteria (LVEF 180 ms) and surgical repair approach. Patient's anatomy is the major consideration when implanting devices (PPM/ICD). We ought to assess for residual intracardiac shunt at the atrial level and consider closing if feasible prior to placing a device. CRT has merit in systemic LV but less so in systemic RV. Notes- Electrophysiology in ACHD What should we know about atrial arrhythmias in a Fontan patient? Intraatrial re-entrant tachycardia (IART) is slower than typical atrial flutter with atrial rates generally
Elon Musk & Mark Zuck Corny As Fuck. Paul George A Dirty Nigga. Bronny James Ain't Normal. INM & WPW. Not For The Meek. Barely For The Kind Hearted.
WPW in Athletes Guest: Guru Kowlgi, M.D Host: Anthony H. Kashou, M.D. (@anthonykashoumd) In this episode, we'll explore Wolff-Parkinson-White, WPW syndrome in athletes. We're excited to have Dr. Guru Kowlgi as our esteemed guest and expert in this field and friend of ours. Our focus will be on the concerns associated with WPW Syndrome, the identification of individuals at risk of sudden death, and the treatment approaches for these patients. WPW Sudden Death in Athletes Treatment options Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here.
If you're ready to try something new and planning this summer to make some changes in your classroom or instruction you must listen to this episode about the 3 most common pitfalls of teachers that try something new in math. If you're hoping to get your students problem solving, productively struggling, and discussing their math thinking next school year you gotta listen to these mistakes to avoid. We'll chat about: 3 mistakes to avoid productive struggle, discorse, and differentiation (and it might not be what you expect) next steps to support your big, bold moves this summer! Now what? Sign up for my FREE summer PD Monamath.com/summerpd Check out Word Problem Workshop Monamath.com/WPW Join me at College to Career Summit June 27th Details Here Come back Wednesday for a special interview all about Word Problem Workshop! Come chat with my on instagram @HelloMonaMath If you have a second, could you hit review and leave a few sentences about how the ideas on this podcast have helped you in your classroom? Thanks so much, friend!
Dr. Erica Howe is a board-certified hospitalist and the founder of the Women Physicians Wellness Conference. She created WPW to give women physicians a way to come together to share their struggles, strategies, and success, and she's here to share her wisdom around the power of vulnerability. Dr. Howe shares her own experience of feeling like things in her life were out of control, and how she came to share her vulnerability with others. She tells us why she aims for WPW to be nothing like your typical academic conference and shares some prompts to help you start to question how the selflessness that comes with the culture of medicine might not be serving other areas of your life. Get the full show notes and more information here: https://habitsonpurpose.com/64
Host Sean Lennon welcomed OVW Wrestling Star “The 80's Baybee TW3 (Thomas Walton the 3rd) on Pro Wrestling Enforcer Podcast. He is from Kenosha WI. At SNS Horsepower last month he wrestled in his hometown. He wrestles for independent promotions like Sports n Signings, SSW, Great Lakes Championship Wrestling, and even books his own promotion in Kenosha called WPW.He Talk bout being a Pro Wrestler coming back and wrestling in your hometown of Kenosha, Being currently in OVW and getting the opportunity to work on TV every week, booking his own promotion Who else does he look up to in Pro Wrestling and why, advice for someone in wrestling, and more!For the Official PWE Shirt shop at -https://www.prowrestlingtees.com/pro-wrestling-enforcer-logo.htmlFor Exclusive Pro Wrestling Articles and Updated Results for WWE, NXT, AEW, and Impact WrestlingLike the Facebook Page-https://m.facebook.com/PWEPodcast/And Support your favorite Independent Wrestlers by buying Shirts and More at https://www.prowrestlingtees.com/
Devin Bray is the promoter and founder of Winnipeg Pro Wrestling. Guess where? In Winnipeg, of course! He even graduated from the same high school as Jericho (just a few years later). He explains what inspired him to start WPW, how he managed to grow the company and his fan base, and why dropping a belt is one of the hardest things for a booker to figure out. He talks about some of the WPW regulars like PCO, AJ Sanchez, Red Hot Summer, and the current Champions Bobby Schink and Jody Threat! He shares the gimmick that AEW's Top Flight (aka Daunte and Darius Martin) used when they wrestled at WPW, and what he thinks about Dungeon Wrestling, the promotion recently launched by Bret Hart's sons, Blade and Dallas, and Mo Jabari. Plus, he shares details about the card for WPW's already sold out, Fight At The Museum, happening April 8th at Alloway Hall at the Manitoba Museum. Thank you for supporting our sponsors!Gametime – Download the Gametime app, create an account, and use the promo code TIJ to get $20 off.Fan Duel – Go to https://fanduel.com/JERICHO, sign up and place your first bet, and get up to $1000 dollars back in bonus bets if you don't win!Factor – visit https://factormeals.com/TIJ50 and use code TIJ50 to get 50% off your first boxeBay Motors: get the right parts, the right fit, and the right prices. https://ebaymotors.comMetro By T-Mobile: Switch and get unlimited 5G starting at $25 a month per line for 4 lines, and a FREE 5G phone.Toyota: Visit https://toyota.com/GRFamily to find your perfect Toyota!Bosch Tools: learn more at https://www.boschtools.com/us/en/SlingTV: check out https://www.sling.com/ for special offers STAY CONNECTED:TikTok: @TalkIsJerichoInstagram: @talkisjericho @chrisjerichofozzy Twitter: @TalkIsJericho @IAmJerichoYouTube: https://www.youtube.com/c/ChrisJerichoFozzyWebsite: https://www.webisjericho.com/
This week in addition to a great promo from Ref Jerry for this upcoming ICW Milwaukee show we have promo's for: WPW 03/31/2023 BCW All Weekend at Midwest Gaming POWW 04/01 And of course stay tuned for the ICW Milwaukee promo by the legendary Ref Jerry Follow the MWR Pod on Twitter https://twitter.com/MWRPod414 Join the MWR Pod Group https://www.facebook.com/groups/1244836833095229/ Follow VGM at https://twitter.com/VisGlobalMedia And to order tix for this ICW show, future shows or like Jerry talked aboat to order footage if you are unable to attend live. https://www.facebook.com/KurtKruegerMilwaukee
Light Rounds 1: WPW
We relive the end of transfer deadline day in Europe and see where Atlanta United standsAnd, with all Wall Pass Wednesdays, we take your thoughts on anything and everything...SoccerForUS pod's Bart Keeler joins for the potpourri that WPW brings as well...
Jak się nie starzeć, albo starzeć się wolniej - jako popularyzatorka wiedzy o dojrzałości te pytania słyszę najczęściej. Temat jest tak szeroki, że regularnie będzie przewijał się na WPW. Będą nowinki, triki i całe procedury dla poszczególnych części naszego ciała, ale najpierw - czyli w dzisiejszym odcinku - będziemy budować bazę. Po co właściwie mamy spowalniać procesy starzeniowe? Głównym celem jest nie tyle samo długie życie, co długie życie w zdrowiu i samodzielności. A jako skutek uboczny, dobry wygląd - bo WPW lubimy dobrze wyglądać. Podcast WPW możesz wesprzeć kupując symboliczną kawę tu https://buycoffee.to/wpw
Trade – IsoptinClass – Calcium Channel blockerMOA – Blocks calcium from moving into the heart muscle cell, which prolongs conduction of the electrical impulses through the AV node.Indications – AF, HTN, paroxysmal SVT, Paroxysmal SVT prohylaxisContraindications – 2nd or 3rd degree AV block, Hypotension, cardiogenic shock, Sick sinus syndrome, WPW.Side effects – Sinus bradycardia, 1st, 2nd, or 3rd degree AV blocks, CHF, reflex tachycardia, transient asystole, hypotension.Dosing Adult 2.5-10mg IV/IO over 2 minutes. May repeat at 5-10mg every 15-30 mins to a maximum dose of 30mgPedi 1-16 years old: 0.1mg/kg IV/IO max single dose 5mg over 2mins may repeat in 30 mins to a max dose of 10mg
A smart speaker and your Heart. “ Alexa, is my heart rhythm normal”? An Electro Cardiologist interfaces a clinical problem with a smart speaker to identify cardiac arrhythmias. Learn how innovation in biotechnology had led a cardiologist and his team to train Alexa to determine abnormal from normal heart rhythms. Still in development, this fascinating interface highlights how leading innovators take technology and smart devices forward to enhance clinical care. Listen as we review common cardiac arrhythmias, causes, treatments and diagnosis current and future. Directions for innovation with devices and additional developments in Telehealth. Guest: Arun Mahankali Sridhar, M.D., M.P.H., is a cardiac electrophysiologist and a specialist in heart rhythm disorders. He is an Assistant Professor in the Division of Cardiology at the University of Washington. Dr. Sridhar's sees patients with both rapid and slow heart rhythm disorders, as well as patients with a risk of sudden cardiac death. He has comprehensive expertise in management of both common and complicated arrhythmias. He is an expert in catheter ablations for atrial fibrillation; atrial flutters (both typical and complex), supraventricular tachycardia, WPW, ventricular tachycardia (VT) and premature ventricular complexes (PVCs); stroke prevention in atrial fibrillation, including left atrial appendage closure; In addition he is an experienced implanter of all types of cardiac device therapy, including cardiac pacemakers; implantable cardiac defibrillators (ICDs) and cardiac resynchronization therapy (CRT). Dr. Sridhar's research focuses on improving ablation techniques and patient outcomes in atrial arrhythmias. He collaborates with the UW computer science and bio-engineering department on various innovation projects to improve the care of heart rhythm patients utilizing advanced computing and novel low-cost patient accessible technologies. During This Episode We Discuss: Cardiac (Heart) Arrhythmias: causes, detection and treatment options. Innovations in the diagnosis of arrhythmias. The benefits of a multi disciplinary team in researching a very innovative solution to a common clinical problem. The role of adaptive, machine learning, signal processing and clinical experience in moving technology forward. Future potential enhancements in current technology to diagnose other metabolic, cardiac and respiratory conditions. Recommended Resources: Nature: COMMUNICATIONS BIOLOGY| (2021) 4:319 | https://doi.org/10.1038/s42003-021-01824- https://www.nature.com/articles/s42003-021-01824-9.pdf UW Cardiology website Stopafib.org Visit our website for all the podcasts, additional resources and social media links Website: theoriginalguidetomenshealth.org Facebook: https://www.facebook.com/theoriginalguidetomenshealth/ Twitter: https://twitter.com/guide2menshlth Linkedin: https://www.linkedin.com/company/the-original-guide-to-mens-health/
Two practices I wish I knew twenty years ago ( also a funny dog video https://youtu.be/qfRPg9Qgp-0) How to manifest AND Keep my big DREAMS to myself Number one: How to manifest "quickly":.. Create a Blueprint for a life you deserve It involves using your IMAGINATION MIX in Bold ideas and thinking Live it Then bring that FUTURE to you, TODAY EXAMPLE- The sale of my 40 acres, two houses and the renovated farmhouse into Le Petit Chateau Six years to sell it because I grew to hate the property as it tied me down even though I had staff. I was also working full time in the fine wine industry. I realized that I had to relocate, MOVE from the property to a different state where I could bike, swim .. sail Florida beach area became my goal. Even though l moved to FLORIDA I was not practicing manifesting. I still hated everything about the NY PROPERTY. I BEGAN to see and feel a new life . I also took an unconventional step and hired an Auctioneer because the real estate agents were useless. It sold quickly within mere days and to the BEST PEOPLE EVER … my neighbors, who didn't want developers, bought the property. The other aspect I wish I had learned earlier: Number two: How to keep quiet about my big dreams No one supported me about my big dreams Moving to Florida The right buyer etc. And that slowed my manifestation process The quickest way for you to learn these processes is through Mary's program DREAMBUILDER. HERE is a link to her Masterclass. http://lifemasteryinstitute.com/go/aff.php?p=vahail&w=DBP_EVG_VSL-SM Are we trying to “ sell you something?” You better believe it…a life that you deserve and a process and proven system to achieve just that! And YOU can share your big dreams and goals with ME! Kundalini Yoga https://youtu.be/p32yp8jyHBg www.madeinmeditation.org https://www.madeinmeditation.org/classes-for-adults?wix-vod-video-id=d08766de0fbf43df9540795209112fea&wix-vod-comp-id=comp-kl8pxeh0 West Palm wines Special Bordeaux for West Palm Wines created specifically for WPW as their own label. Just before Covid hit, Jim and Mark were contacted by a Bordeaux Negociant. "We wanted our first wines to be fun, easy drinking and affordable. Ultimately, we agreed on two blends that represented both the Left Bank and the Right Bank. He insisted they come in wood cases and Voila! This was to be Jim's last tasting notes on something he had wanted to do for a long time. Now, the wines are finally here. This is a bittersweet email since we waited so long to get these little gems and Jim is not here to enjoy offering them out to you. " mark@westpalmwines.com 2020 La Croix d'Yvrac Rouge (Left Bank) Jim Sirna/Mark Lasky 94pts $14.99btl or EMAIL SPECIAL- $144.00cs IN WOOD 2020 Roche de Cajus Rouge (Right Bank) Jim Sirna/Mark Lasky 94+pts $14.99btl or EMAIL SPECIAL- $144.00cs IN WOOD You must respond to this email to secure your order. Wines are in stock NOW! My Favorite Things @valeriehail56 DREAMBUILDER Masterclass sign up http://lifemasteryinstitute.com/go/aff.php?p=vahail&w=DBP_EVG_WRK-EM www.dolphinlandings.com WELLNESS WEDNESDAY https://www.sootheoursouls.org www.madeinmeditation.org The gurus of Instagram https://www.socialboom.me/a/2147501780/YB3tncKM www.chezvalerie.us
WPW or Wolff Parkinson White Syndrome is a genetic heart defect 1-3 out of 1000 people are born with but most don't know they have it until it's too late. Listen to my personal experience with how I "accidentally" found out my daughter had it at age 7, and how divine intervention played a role in saving her life. Based on Article: (Click here for links & photos of EKG & Heart with WPW)https://hubpages.com/health/Do-You-or-Your-Child-Have-Wolff-Parkinson-White-Syndrome eBay Goodies:https://www.ebay.com/usr/rosanamodYoutube Channel:SUBSCRIBE & CLICK THE NOTIFICATION BELL TO STAY UP TO DATE!https://www.youtube.com/watch?v=bziGGJ1PfBc&t=209sBooks: https://www.amazon.com/Crow-Flies-Midnight-Husbands-Betrayal-ebook/dp/B00J2F8SBWhttps://www.amazon.com/Crucified-Spirit-Collection-Tormented-Poetry/dp/1495923630 Articles:https://hubpages.com/@rosanamodugnoFollow Me on Instagram: https://www.instagram.com/rosanamod/ Podcast Website:https://rosanamod.buzzsprout.com/Instacarthttps://instacart.oloiyb.net/c/2473097/413183/7412Love the show? Click below & thank you for your support!https://paypal.me/RosanaMod?locale.x=en_US
On this episode Meat and Stick say goodbye to WpW.Originally recorded the week of 6/19/22Intro/outro "Rise" by Hat Trick of Misery, used with permission.
This week we review a recent large claims database study on WPW in children that aims to identify the true incidence of life threatening events in children with this condition. What is known about the incidence of life threatening events as well as the actual prevalence of WPW amongst children? What are the strengths and limitations of large claims database studies? How high is the risk for VF in the WPW child and how should this knowledge inform decisions regarding ablation? Noted expert in WPW, Dr. Christopher Janson of Children's Hospital of Philadelphia shares his insights this week. https://doi.org/10.1016/j.hrthm.2021.12.009
Take Home Points Break the differentials down into bad & painless, bad & painful, and other causes – WOMAN-PE Cardiac causes – mechanical or electrical – look for the obvious and 5 non-obvious causes (WPW, HCOM, ARVD, prolonged QT, and Brugada) Ask the red flag questions – was there a prodrome, signs of seizure activity ... Read more The post REBEL Core Cast – Basics of EM – Syncope appeared first on REBEL EM - Emergency Medicine Blog.
On this weeks episode Andy and Dan recap and review the latest NXT UK, Rev Pro UK's "Live in London 59", Progress "Who Run The World" and wXx We "Love Wrestling 30". As always the team bring you the latest news from the British Wrestling Scene including; - Will Ospreay wants to face PAC at AEW's Forbidden Door - Luke Jacobs wins Progress Atlas Cup - Warren Banks and Big Damo entered into Progress Super Strong Style 16 - wXw stars compete for a spot Super Strong Style 16 - WPW announce deal with FITE TV to Live stream Summer Spectacular - Alexander Hammerstone and Ace Austin announced for 1PW a New Twist Of Fate - Tony Deppen Announced for Rev Pro UK Cruel Intentions - TNT Extreme unveil Women's Tag Team Championship Belts - Wrestle Carnival announce Pure Championship - Tyson Fury says don't rule him out of competing at the WWE Premium Live Event In Cardiff Plus a further round up of the British Wrestling scene our top show picks for the coming week and a quick European Wrestling round up.
In my latest live interview I speak with 'The Alpha Male' Iestyn Rees. We discuss Iestyn's Youtube channel and Bench Pressing Questions videos, with Will Ospreay, Mark Haskins, Dan Moloney and Roy Johnson. We discuss his recent match for WPW against Joel Redman and up-and-coming main event match at IMMORTAL Wrestling on 23rd April. Iestyn tells us about his start in the business and his quick rise to main event status. Iestyn tells us about his many tag team partners and his love for tag team wrestling, including becoming the inaugural WOS tag team champions with Kip Sabian. Before discussing his WOS experience and what he felt could have been improved with the WOS product. Iestyn discusses his time with PCW, his successful PCW title run and being the current PCW tag team champion with Will Kroos. We discuss Iestyn's phenomenal physique and time in competitive body-building, before becoming an on-line coach to pro-wrestlers, sports-men and many more from around the world. This was a really fun and insightful interview with one of the all-time greats on the UK scene. (Duration 1hr 19mins) Please support our sponsors, THIRTEEN10 APPAREL Use code THIRTEEN10WMC to save 10% on below link - http://thirteen10.merch.global/
On this week's Brit Wres Round Up, Dan and Andy recap and review the latest NXT UK plus discuss their ideas for an NXT 2.0. As well as rounding up the biggest British Wrestling News including; Big Damo returning to Rev Pro UK, as they send Aussie Open back to Australia, Will Ospreay wins Warrior Wrestling Championship, Zack Sabre Jr and Tai Chi defend IWGP Tag team championships on Night 1 of Wrestle Kingdom, Michael Oku Announced for Italian Wrestling Federation's Divide Et Impera in March, WPW remove Hannibal from their upcoming card due to his actions this past weekend. Plus a Further round up of the British Wrestling independent scene including North Wrestling NCL, Purpose wrestling, Odyssey Pro Wrestling, TNT Extreme Wrestling, Triumph Pro Wrestling, Phenomenal Elite Wrestling, Fight Nation Wrestling, Wrestle Carnival and Reloaded Championship Wrestling Association and more.
Originally recorded on 10/11/21The trinity is whole again as WpW tries to die a sad boy, Meat Bolus tries ranch and doesn't die, and Hard Stick still doesn't read books.Intro/outro "Rise" by Hat Trick of Misery, used with permission.
Originally recorded on 9/31This episode marks the return of Instagram EMS memelord @FrequentFlyersandDumpsterFires, and he joins us as WpW regales us with a heroic tale of how he diagnosed a distonic reaction in the field this week, Uncle Meat explains what the netting in men's swim trunks is for, and Hard Stick talks about something we already forgotIntro/outro "Rise" by Hat trick of Misery. Used with permission
Originally recorded on 9/08/2021It's finally here! An hour of pre-gaming with Meat, Hard Stick and WpW followed by drunken knowledge. This episode includes WpW's power point for those of you who want to follow along on our YouTube channel https://www.youtube.com/channel/UCvTusSGNC_6HAiIdoTjML7wDon't forget to join the podcast group on FB. https://www.facebook.com/groups/162428202395865
This is a long one, folks. MB, HS and WPW decided to compile a list of their top 10 bands of all time, and then via elimination, determine the official Level Zero Top 10 bands of all time list.What a shitshow.Intro/outro "Rise" by Hat Trick of Misery, used with permission. All music samples in this episode are owned by their respective copyright holders, used for review purposes only.
Originally recorded on 6/21/21The long-awaited return of WpW! We missed him just as much as you all did. In this episode, Meat Bolus' storytime, Hard Stick wants to drop kick someone and WpW thinks knowing who the Snorks are gives him street cred. If you didn't know, we've got a FB group for YW4MP fans, just search YW4MP. There are entry questions that have to be answered for access!Intro/outro "Rise" by Hat Trick of Misery, used with permission
Originally recorded on 4/22/20The boys are back and WpW is in rare form. This week's topics include 2% EMS and 103% Kevin Smith, Cartoons, Wheezes and Insults. Listen in awe as the boys navigate around the topic of Pixar's casting call for transgender kids.Outro "Rise" by Hat Trick of Misery, used with permission.