Danesh Modi @DaneshModi
Electrophysiologist @ Cardiology Consultants of Philadelphia Joined December 2017-
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Here is the video of PFA delivered near a LAA occlusion device
Here is the video of PFA delivered near a LAA occlusion device https://t.co/6NJ0Vz6RlK
Left bundle branch area pacing (#LBBAP) is now the frontrunner in conduction system pacing, evolving from niche to widespread use across major CRM companies. @rdschaller & Joseph Brozoski, MD break it down here 👇 spr.ly/601645r4A
#EHRAtopicweek on electrical storm⚡ What to do when amiodarone and propranolol fail and catheter ablation is not feasible? Stellate ganglion block may be helpful. Read more #Europace doi.org/10.1093/europa… @EuropaceEiC
Re Ablation - we know ablation 1. is the most effective method of preventing arrhythmia recurrence. 2. substantially improves QOL and symptoms (vs sham) 3. Significant reduces health care utilisation and cost 4. Is a disease modifying intervention
Global R-wave peak time for diagnosis of left bundle branch capture heartrhythmjournal.com/article/S1547-…
Celebrating the 95th birthday of Prof. Eugene Braunwald. Look at the areas where he contributed the most👇❤️ #Leaders #Cardiology
Mitral annular disjunction is associated with a increased long-term risk of ventricular arrhythmias after mitral valve surgery doi.org/10.1093/eurhea… #VHD #mitralvalve #cardiacsurgery #arrhythmias #cardiotwitter, @ESC_Journals, @escardio
Another case of optimized pacing: LBBP + BBP with optimized heart rate, PR interval resulting in narrow P wave and QRS duration. @Marek_Jastrz_EP @ZacharyWhinnett @Hisdoc1 @Dr_JozaEP @Dominik_Linz @gauravaupadhyay @UyenChauNguyen1
#CardioNuggets : 🫀What is PAPI? PA Pulsatility Index = (PASP - PADP) / RAP A quick invasive marker of RV function! It reflects the RV’s ability to generate pulsatile flow vs its filling pressure. So PAPI assesses the RV’s ability to generate pulsatile flow relative to its…
There is no algorithm that can replace the instincts of an experienced physician when faced with a patient in need. When the doctor who saw this patient in the Emergency Room examined her, spoke with her, and decided to admit her, I know that he did so because he knew best how to…
I stepped out of a new patient’s consult to have this peer to peer call at the only time offered to me. You may remember an insurance company recently insisting that they’d never interrupt patient care for insurance matters. Reality Check…it happens all the time. The doctor I…
How many #EPeeps pacemap at the rate of VT? Pacing faster creates more "TR fusion", making all pacemaps look more "epicardial". Congrats to @yasushinoda1029 @ZJameria on this work that should make us all question determination of initial slurring/ pseudodelta waves. #QSQ…
👇My Last Procedure at HDZ: PFA VT Ablation with @AfferaEP : VT Storm Associated with Mid-Ventricular HCM👇 👉 A young patient with mid-ventricular hypertrophic cardiomyopathy (HCM) presented in VT storm, refractory to therapy (Amiodarone + Lidocaine). She was transferred after…
#EPeeps - our case reporting diffuse right coronary artery spasm occurring 45 minutes post PFA for AFib (PVI & posterior wall). @LiverpoolEP Could there be a link between PFA triggered hemolysis and delayed coronary spasm? Open-access @hrs_journal. heartrhythmjournal.com/article/S1547-…
Cardiology trying to cross the ER without getting noticed.
Nice example of [left-sided] AVNRT ablation from LA targeting left atrial slow pathway (SP)! 👉If no junctional rhythm induced with ablation at inferior ToK (targeting RIE) or CS roof (targeting LIE) ➡️ think left lateral SP. #EPeeps
Nice example of [left-sided] AVNRT ablation from LA targeting left atrial slow pathway (SP)! 👉If no junctional rhythm induced with ablation at inferior ToK (targeting RIE) or CS roof (targeting LIE) ➡️ think left lateral SP. #EPeeps
💯 % Remote support , Post MVR AFL at Metro hosp,calicut @DrArunGopi1 @DineshSharmaEP - from a mapper 683 kms away at home office !!! @AbbottCardio # Ensite connect
She has absolutely no respect for gravity.
An incomplete CTI line with slow conduction can mimic a full CTI block with prolonging transisthmus time and bidirectional block on differential pacing. 🔎 Should we perform an activation map in every case to confirm? 🤔 #EPeeps

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