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foreign my name is Josh Silverstein cardiac electrophysiologist at Allegheny General Hospital today weamp;#39;re going to be doing an atrial fibrillation ablation for a 72 year old patient with history of hypertension obesity and obstructive sleep apnea we started having atrial fibrillation just a couple months ago but had two separate episodes requiring hospitalization and would start on amiodarone the patient has a knowledge of the side effects of amiodone doesnamp;#39;t want to be on it long term so she opted to have a pulmonary vein isolation with the hopes of getting off of anti-rhythmic drugs so weamp;#39;ll start with getting access and go from there so one thing thatamp;#39;s really important is to do do things the same every time where possible I think itamp;#39;s good for the operator itamp;#39;s good for my staff they all know exactly what Iamp;#39;m going to do next it also helps you optimize your workflows when you repeat the same thing over and over and ove
