Terkko Navigator / Retired Doc

Left bundle branch block- new paradigm brewing- echo plus ekg

The coivid pandemic and one million U.S.deaths have waned my anti progressive,public health antibodies just a bit

Hemolysis is part of strenuous exercise - it is not a disease

Epidemiologists are finding those thrown under the "we've had it with covid" bus

Hepcidin is the major player in anemia of chronic disease but probably not so much in runner's anemia

Europe is surging again so will the U.S. "wall of immunity" prevent another spring surge.

EKG criteria for differentiation of non-selective His pacing from RV septal capture

So how did Federalism work out for you during a pandemic

The Government's new covid plan 2-Public Health 0

Thoughts on CDC's new low for community spread

Pacemakers generate electricity and tons of data , who monitors the data

Phantom physical exam reports continue to proliferate in the strange world of the electronic health record

Status report Covid 19 in Texas at end of 2021

Without durable individual immunity you cannot even talk about herd immunity

How big will the US covid winter surge be?

Cardiac fibrosis in endurance athletes

What is the threshold for exercise induced cardiac remodeling (EICR)

Has the conservative- libertarian "fusion" been severed by Trumpian authoritarianism ?

Korean study shows a positive and graded association between physical activity and coronary artery calcification

Anti Hubris thoughts for medical students-- "our ignorance is boundless"

Still another variation of conduction system pacing -left posterior fascicular pacing

Long time endurance athletes long time outlook looks good less so for "power" sport advocates

September 2021- US in another surge in spite of excess vaccine and plenty of masks

Why the US Covid Delta surge may not burn out as quickly as it did in England.

CDC realizes the vaccinated can spread covid 19 delta variant-now what

Breakthrough Covid cases-how many vaccinated ? Unvaccinated ?

Will the current non-plan of "Maybe delta will have a rapid downturn " really work?

Why does the Pfizer vaccine seem to work significantly less well In Israel

Is the US into the 4th surge of Covid

Heavy viral loads with Delta results in greater infectivity setting up 4th US surge

More covid lessons from Israel and Houston Wedding

Documented cases of Delta variants in fully vaccinated patients

Masks and social distancing in the vaccinated elderly

The Cures Act,clinical notes and how one well known hospital system complies

Is there a U shaped curve relating exercise volume and risk of atrial fibrillation?

Octogenarians and exercise capacity

So should octogenarians doff their masks and not worry?

More evidence that the IPhone 12 can significantly impact pacemakers and ICD function

LBBB with left axis differs mechanistically from LBBB with normal axis

What does chronaxie have to do with His Bundle pacing?

Is it safe to do MRI in pacemaker patients with abandoned leads?

Another battery related recall for Medtronic implantable electronic devices

Complications from Left Bundle Branch area pacing

What is the mechanism of left axis deviation in some cases of Left bundle branch block?

Do some patients with idiopathic left bundle branch block have an underlying cardiomyopathy?

Left bundle branch area pacing as alternative for bi-ventricular pacing for refractory heart failure

Implantation of both His Lead and LBBA lead in atrial fibrillation patients

Does location of His lead (above or below the tricuspid valve) matter?

His Bundle pacing can normalize ventricular activation but can it also actually reconstitute native intrinsic conduction ?

Some Pacemaker program features do not work well with His Bundle Pacing