Amrish retweetledi
INSIGHTS FROM TEN-YEAR FOLLOW-UP OF HIS BUNDLE PACING: A MULTICENTER EXPERIENCE
heartrhythmjournal.com/article/S1547-…
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Amrish
494 posts
@gautamsand Would be curious to hear how often the answer is: When the PFA WACA leaves behind easily induced roof flutter
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For PersAF, how often do you isolate the posterior wall?
#EPeeps
x.com/gautamsand/sta…
Sandeep Gautam@gautamsand
For all #EPeeps Please attend this freewheeling discussion on the role of ablation beyond standard PVI in PersAF. ➡️ Should you isolate PW in all (w #PFA) ➡️ Maybe LAA isolation or mitral/ roof lines? ➡️ What’s the residence and downsides? @HeartRhythmAdvo @HRSonline
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Amrish retweetledi
🚨 New in @JACCJournals 🫀
Integrating #FDGPET 🔥, #whyCMR 🧲 and electroanatomic mapping ⚡ of myocardial inflammation in #CardiacSarcoidosis in #VTablation.
#EPeeps @MGhannamMD @kellyarps @umichmedicine
jacc.org/doi/10.1016/j.…
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If you wonder why AF ablation success rates plateau at 70-80%, this picture explains it 👇🏻
Chris Kowalewski MD@C_KowalewskiMD
The phenotypes of AF. Do you adjust your treatment for them? And how?
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Amrish retweetledi
In patients with #HeartFailure and #LBBB, conduction system pacing (#CSP) was inferior to biventricular pacing (#BiVP) for a composite of death, heart failure events, and LVEF change at 12 months.
ja.ma/3PgczJP
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Amrish retweetledi
Delayed coronary vasospasm after pulsed field ablation for pulmonary vein isolation despite avoidance of coronary-adjacent ablation sites
heartrhythmcasereports.com/article/S2214-…
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Amrish retweetledi
What exactly is #AFib burden? 🤔
It’s a term widely used in arrhythmia research—but still without a unified definition.
#AFib burden can describe:
▪ symptoms during AF
▪ clinical consequences (stroke, HF)
▪ socio-economic impact
▪ or most commonly today — the proportion of time a patient spends in AF
Continuous monitoring (CIEDs, wearables) is reshaping how we measure AF burden and revealing that not all AF is the same.
Two patients may have identical AF burden but different patterns:
🎵 “Legato” – few long episodes
🎶 “Staccato” – many short episodes
Understanding these differences may be key for risk prediction and treatment decisions.
🔖 More on this in #EHRA_ESC Consensus Document of #AFib burden bit.ly/40bOzKg
#EHRAtopicweek
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Amrish retweetledi
Patients with greater Spontaneous echo contrast (SEC) grade displayed a higher incidence of thromboembolic events and device-related thrombus, and combined SEC grade and #AFib type independently predicted these events. Further research is needed. jacc.org/doi/10.1016/j.… #JACCCEP
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Today @heartburn327 performed the world’s first LOTCRTD implant using the @Medtronic C320LBB sheath and the OMNIASECURE lead @ISHVnews for a patient with EF 18%, ant/inf LV scar. Extrastim confirms LBB capture with persistent QLV delay. Great Talent+Great Tech=Great Outcome!
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@AmrishEP @nmarrouche @netta_doc @iamritu @chris_sohns @Phiso_de @westernAFib @jongichun @AriSultanEP @TinaBaykaner 🙏 Is there any data on RR variability in AF & LVEF. I ask because in my region get a lot of pushback when referring AF pts with ⬇️LV for AFA when rate well controlled
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Important talk from @chris_sohns showing the MRI can be used to evaluate for atrial septal fibrosis as a potential pre-ablation predictor of AIC.
It’s #AFib itself that leads to LV dysfunction, (not necessarily heart rate)- #Ablate the AF early esp in HF patients!
#WAFib2026
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@bwoody58 @nmarrouche @netta_doc @iamritu @chris_sohns @Phiso_de @westernAFib @jongichun @AriSultanEP @TinaBaykaner Irregularity in ventricular rhythm and decreased cardiac output --> neurohormonal activation
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@netta_doc @iamritu @chris_sohns @Phiso_de @westernAFib @jongichun @nmarrouche @AriSultanEP @TinaBaykaner Intersting 🙏 how is it proposed that the AF causes LV ⬇️ if it’s not rate?
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@barttels2 @DrSiyabMD @ChristosArgyrop "He is not only dull himself, he is the cause of dullness in others"
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@DrSiyabMD Wasn’t that Robert Duvall’s famous line from Apocalypse Now? “I love the smell of nuance in the morning.”
Sounds like something @ChristosArgyrop would say also.
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A greatly under-appreciated side effect of niche academic debate on twitter is that everyone else (aka gen public) can see it too.
While other docs rightly call out obvious misinformation, John comes out and says well actuallyyyyyy, if you look at the data, he’s not *actually* wrong! See?!
What others see: hmm Aseem Malhotra is making sense… hey look an esteemed cardiologist using papers to support Aseem Malhotra’s claim, looks legit! 🤔
Do you think people realize the nuance that the actual problem (the “fuss”) is not that data itself but the fact that it is being intentionally misused to push a dangerous and misleading narrative that might influence people who actually need their statin the most, to stop taking them? No. Why should they either?
John could have used this opportunity to really highlight that, but he didn’t. Interesting.
The problem is not the data, it is the messaging and narrative.
John Mandrola, MD@drjohnm
You can fuss about the framing but this is NOT misinformation. See bmjopen.bmj.com/content/5/9/e0… AM is really close to correct. Survival (on average) is smaller than you think Even the ICD vs amio for sustained VT is months not years. In the old days authors stated it clearly
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You can fuss about the framing but this is NOT misinformation. See bmjopen.bmj.com/content/5/9/e0…
AM is really close to correct. Survival (on average) is smaller than you think
Even the ICD vs amio for sustained VT is months not years. In the old days authors stated it clearly
Dr. Martha Gulati ♥️🫀❤️🩹🇨🇦@DrMarthaGulati
It’s very sad when a cardiologist spreads misinformation on a medication that has and can save lives. Getting attention seems more important to this guy than saving hearts & lives.
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Amrish retweetledi
The framing *is* the point. He later goes on to lead Joe Rogan into saying so “you’d hope for an extra 2 or 3 yrs” (in a 5 yr trial) {what exactly does he think we are tresting!} and then contrasts it with “4 days!”
It’s dishonest and you giving credence to this charlatan (he has proven himself as a bad faith actor consistently) is concerning!
x.com/MichaelMindrum…
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Amrish retweetledi
An experimental arm designed to test reduction in parachute failure rates demonstrates a 90% reduction... but this led to only a 1 second improvement in life! One second!! How worthless!!
Disclaimer: we stopped measuring the benefit of the "life saved" once people touch ground (dead or alive).
Below is what happens when bad faith actors get their hands on statistics.
Joe Rogan Podcast News@joeroganhq
Dr. Aseem Malhotra: "If you take a statin for 5 years after a heart attack... in that 5 year period, how much would you think or hope it would add to your life expectancy?" Joe Rogan: "25%? 30%?" Malhotra: "Just over 4 days."
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Amrish retweetledi
Metabolomics improves AF risk prediction beyond benchmark clinical & polygenic risk scores in a large population-based cohort. Learn more ➡️ doi.org/10.1161/CIRCEP… @CirculationEP @WeillCornell @DrJCheungEP
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Amrish retweetledi
Endothelial Disruption – A New Complication During Pulsed Field Ablation Using a Pentaspline Catheter
@myafib @ValleyHealthNJ
heartrhythmcasereports.com/article/S2214-…
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