Cardiac EP, Cedars Sinai, Smidt Heart Institute, Assoc Prof. APD. Mens sana in corpore sano 🏃🏻Teach = Learn #EPeeps #Mechanisms #ablateTV! tweet=own

Los Angeles, CA
Joined February 2020
Artists and photographers showcase their best work….maybe EKG techs should do the same #cardiotwitter #TimingIsEverything
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Beautiful presentation by super #EPFellow Phil Olsen on LV summit NSVT at morning #CedarSinaiEP conference. 🔥🔥💪👏 Seen only once during EPS. What should we do when non-inducible thereafter?? ❓ Best Pace-map in AIV/GCV junction Poll below 👇👇@CedarsSinaiMed
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2,079
Approach?
50%Ablate at best pacemap
38%Ablate anatomical RV/LV/C
8%Empiric Venous Etoh
4%Other (explain)
24 votes • Final results
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"Focus on finding your passion and following that through residency." In this Mentor Shoutout, Dr. Alex Talishinsky reflects on the encouragement he received from Dr. Olujimi Ajijola during residency & how that mentorship helped shape his decision to stay at UCLA for fellowship
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“EV-ICD is contraindicated in patients with prior sternotomy”….not so fast! Congrats to @jess_mao for showcasing the preparation and use of a novel videoscope to break the anatomical barriers for implant 🔥👏💪 @CedarsSinaiMed #CedarsSinaiEP
Thoracoscopic tunneling tool-assisted substernal extravascular ICD implantation in a patient with prior sternotomy @EhdaieMd; @jess_mao heartrhythmcasereports.com/a…
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No egos and no assumptions at the quarterly #LACityWide fellows conference 🔥 #EPfellows take note… Three Section Chiefs of EP (Mike Shehata, @NigelGupta @DavidParkLab1) are up debating the mechanism of long RP tach w/ very short AH. 💪👏 @CedarsSinaiMed
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A real treat to always have the master of defibrillation science Chuck Swerdlow @Magician3141 at our weekly #EPfellows Device-based conference 💪🔥👏🙏 Talking about waveforms impedance pulse duration and the historical term of “tilt” @CedarsSinaiMed #CedarsSinaiEP
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One epicardial functional area… One epicardial VT…#AblateVT 🔥 Multiple epicardial channels by CMRI ADAS3D…@ivroca How much ablation do you perform? #Epeeps Poll below? 👇👇
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How much?
68%Focused on functional
32%Target all channels
22 votes • Final results
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Correct Answer: Keep NPO The combo of ✅wide LBBB QRS > 150 AND ✅1st degree AV block PR > 240 is the highest risk combo for impending heart block post tavr (PR here is 360ms) Keep NPO + call EP EKG 6 hrs later…(as expected)..👇 Plz share! #Cardiotwitter #TeachtoLearn
The following EKG was obtained 0600 POD#1 after uncomplicated TAVR. Overnight tele was normal. Patient asymptomatic. What is the next best step? Poll below👇👇#CardioTwitter #Epfellows
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The following EKG was obtained 0600 POD#1 after uncomplicated TAVR. Overnight tele was normal. Patient asymptomatic. What is the next best step? Poll below👇👇#CardioTwitter #Epfellows
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4,558
Next best step?
50%Monitor 24hrs
27%D/C w extended holter
12%Keep NPO
12%Stat Echo
101 votes • Final results
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Ashkan Ehdaie MD retweeted
Dear Friends: I would appreciate your response to this brief, anonymous poll of VT ablation after a first appropriate ICD shock. I will present the aggregate results at the VT symposium in NYC. Thank you for collaborating! forms.gle/FVAtvzMfzCBkkbZj6
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Ashkan Ehdaie MD retweeted
The heart’s constant beating may actively suppress tumor growth in cardiac tissues, a recent Science study reports. This is because cellular pathways in these tissues alter gene regulation in cancer cells to keep them from proliferating. The findings shed light on the role of mechanical forces in protecting the heart from cancer and may pave the way to new cancer therapies based on mechanical stimulation. Learn more on #WorldHeartDay: scim.ag/4u2kbP7
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Correct Answer : A + C VA time is 85ms ✅ VOP from RV inf base (V6+) ✅ eccentric A sequence advanced ✅ VAV response = ❌AT ✅ SA vs VA markedly different =❌ORT ✅ PPI long =❌ORT This is slow-slow variant AVNRT 💪 #EpFellows
Hot off the press during #CedarsSinaiEP case conference presented by junior #EPfellow B. Shankar @CedarsSinaiMed VOP during tach👏💪 what mechanism is ruled OUT? Poll below 🙂🔥👇
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Hot off the press during #CedarsSinaiEP case conference presented by junior #EPfellow B. Shankar @CedarsSinaiMed VOP during tach👏💪 what mechanism is ruled OUT? Poll below 🙂🔥👇
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Ruled out?
49%AT
9%AVNRT
17%AVRT
24%A and C
128 votes • Final results
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Correct Answer: AVN only Key points for #EPfellows ✅ surface EKG first ✅ single atrial sequence ✅ beat 2 vs 4 - fused vs V capture ✅ shorter VA fused vs pure V = nodal response. ✅beats 1 & 3 - narrow QRS pure H capture ✅ beat 1 = A + H capture = SA very short
Sometimes you just want a little bread and butter 🍞🧈 to kick off an #EPfellow teaching session What is the route of retrograde conduction during parahisian pacing? @CedarsSinaiMed #CedarsSinaiEP Poll below 👇👇
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Sometimes you just want a little bread and butter 🍞🧈 to kick off an #EPfellow teaching session What is the route of retrograde conduction during parahisian pacing? @CedarsSinaiMed #CedarsSinaiEP Poll below 👇👇
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Mechanism of retrograde
42%AVN + AP
5%AP only
47%AVN only
6%Inconclusive
154 votes • Final results
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