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shah.md
Cardiac Electrophysiologist at Reliant Medical Group and Cardiology Fellowship Associate Program Director Husband, dog dad, musician, technology enthusiast #EPeeps #CardioSky #MedSky (Thoughts + posts are my own)
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Was literally talking to my fellow about this on Friday. I've always preferred the anchor method for this theoretical risk... But apparently it's not so theoretical anymore! #EPeeps #CSP #CardioSky @jice-ep.bsky.social rdcu.be/emm0I

MR severity should NOT be a reason to avoid AF ablation (recurrence similar mild vs mod/severe MR, ~43% in both) MR often ⬇️ s/p ablation (89% ⬇️ ≥1 grade of severity, OR 0.93) #HRS2025 #EPeeps www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social

Obligatory #HRS2025 mocha picture #EPeeps

Major creativity points to the Abbott team that designed this and decided to leave this on hotel room doors for #HRS2025 attendees #EPeeps

Live music, free beer and taquitos at the epicenter! What could be better? #HRS2025 #dysrhythmics #EPeeps

The data shows it's time to think 2️⃣x before #PFA on the CTI. Severe spasm may occur w/o ECG changes. There is also on average a 10% ⬇️ in vascular luminal area at 3 mo repeat cor angio but long term symptoms/impact remains unknown. 1 mg NTG can ⬇️ spasm severity #HRS2025 #EPeeps

Interested in learning how to identify telemetry artifact? Check this out👇 youtu.be/6M1-SYAG1UY?...

Fascinating study: in HCM patients, PFA is associated with better outcomes than thermal ablation. Thermal + non-PV ablation is FAR inferior to PFA + non-PV ablation. Small study but thought provoking! #EPeeps #CardioSky www.jacc.org/doi/10.1016/...

Fascinating data. Should the next iteration of CHADS VA be CHADS V2A? #CardioSky #EPeeps

Among patients with ventricular tachycardia and ischemic cardiomyopathy, catheter ablation as an initial therapy led to a lower risk of adverse outcomes than antiarrhythmic drug therapy. Full VANISH2 trial results and Research Summary: nej.md/3Z5ECOD #MedSky #CardioSky

Anticoagulation & Antiplatelet Therapy for #AFib & Stable CAD: Meta-Analysis of RCTs #CardioSky #Epeeps #JACC www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social @bbikdeli.bsky.social @mohammadkeykhaei.bsky.social @drroxmehran.bsky.social @gbarnesmd.bsky.social @cardiacpa1.medsky.social

Great data presented in this study of >23k patients with AF from 2007-2021 regarding AAD use after ablation (46% after 1st), redos after index ablation (16%), RR of repeat ablation with various risk fx's (lsps AF vs pAF 2.26, AAD use 1.42, etc). Worth a read for #EPeeps www.jacc.org/doi/10.1016/...

Fascinating population level study in JACC EP suggesting that there is no PVC burden cutoff associated with cardiomyopathy. #EPeeps www.jacc.org/doi/10.1016/...

This editorial and the associated article are eye-opening. PFA is not as effective as we originally thought. One takeaway from this is that mapping and ICE have a more vital role in ensuring contact for durable ablation. Worth a read #EPeeps academic.oup.com/europace/art...

To our American friends who may now be struggling to find health information on US websites: Please check out the Public Health Agency of Canada's website for helpful resources, updated dashboards & practical health tips. 🇨🇦🇨🇦🇨🇦 canada.ca/en/public-he...

In an attempt to start GDMT, a 70yoF with recently diagnosed HFrEF and Stage 3b CKD is started on an ARB and a beta-blocker. A week later, she presents to the ED with bradycardia, hyperkalemia, and hypotension. What happened? A 🧵 #PhysiologyFriday #MedSky #CardioSky #NephSky

Beautiful dissection of an incredibly important anatomic region. This link works: www.jacc.org/doi/10.1016/...

#CardioSky community, I am reposting this because posts are still being “liked”. Pls “repost” if you like to share with others.

Looking forward to this!

Great for rising thresholds. Also an important tool for troubleshooting if you see noise on the lead

#EPeeps Ictal bradycardia

#EPeeps Okay I thought I knew all the limb lead reversal patterns, but what madness is this?

Atypical flutter mapping with @medtronic.bsky.social Affera Sphere9. Went right to the posterior wall channel and 1 zap terminated flutter! #EPeeps

I‘m non an #epeeps doc but this really fascinates me: New research shows that you can ablate the pulmonary veins to prevent… wait for it … atrial flutter! With the same efficacy as CTI-ablation! Short bursts of afib seem to be the trigger for typical flutter… doi.org/10.1136/hear...

#Epeeps Is this lead where it shouldn’t be? #echofirst ? @alexturinmd.bsky.social @davidjchang7.bsky.social @shah.md