Balvinder Handa

@DrFuSiongNg @HRSonline @arunsau_ @jobrkr @BZeidaabadi @DrKiranPatel1 @DocOfHearts @ImperialEP @ImperialNHLI Blast from the past! Recall the game fondly. Hoping to make it across next year.

⚾️⚾️⚾️ Keeping the @HRSonline tradition alive by taking the team @arunsau_ @jobrkr @BZeidaabadi out to ball game, after a day at conference Some pics too of previous HRS baseball with research fellows @DrKiranPatel1 and @BalvinderHanda @DocOfHearts @ImperialEP @ImperialNHLI

@drjohnm Brilliant trial and Prapa's vision has always been incredible. There was so much I learned about Cryo and workflow from Prapa post AVATAR era (even when we were looking for electrical confirmation). Not mapping PVs during ablation was politically unpalatable to the reviewers.

In March, an Imperial College team published results of AVATAR--a 3-arm trial comparing standard CB AF ablation, AAD, and CB ablation *Without* confirming PV isol Guess what? There were no diff in symptomatic AF bw the two ablation approaches! Both better than drugs #400219529" target="_blank" rel="nofollow noopener">academic.oup.com/europace/artic… Why has no one talked about this story? No media coverage. It's totally provocative b/c it challenges the current practice of confirming PVI . #EPeeps cc @bordistef @RolandTilz @bogdienache @ftrae @DhirajGuptaBHRS @EPWaveDoc @DrRoderickTung @LuigiDiBiaseMD

@OrthopodReg There are many complexities to how healthcare functions in Australia with fractional contracts and much more substantial private overlay. The market for this in some specialities is >50%. It's difficult to compare the two. At least some movement here in UK.

Me, looking at current 🇬🇧 consultant pay offer (and associated silliness like “use your admin time to do not-admin”) Also me currently earning more than an NHS consultant, while a Fellow *Sigh* #medtwitter

Great great stuff from my adopted homeland, Australia kept it tight and Travis smashed it home despite the conditions, despite the crowd and despite the expectations. 🇦🇺

Travis Head!! What an inning. 🇦🇺🇦🇺

⚡️⚡️⚡️ Can we predict VT episodes that will spontaneously terminate to withhold unnecessary ICD shocks? Our latest paper in #EHJDigital academic.oup.com/ehjdh/advance-… @arunsau_ @junyu0chen @LiborPastika @Dr_Keene @ZacharyWhinnett @DocOfHearts @ImperialNHLI @ImperialEP @BruiningNico

@UKGastroDr @FPARCP Perhaps the best approach is to remove the word physician from the title altogether when one has no medical degree. Maybe just medical assistants.

PA title & introduction guidance issued from @FPARCP On introduction to patients /colleagues: PAs MUST make it clear INITIALLY they are a “Physician’s Associate” & THEN explain recognised abbreviation is PA If enquiry RE role PAs SHOULD explain qualification & training 1/5

@MedCrisis I find it extremely nauseating (and I am a British Cardiologist who is working in Australia).

I’m really happy for people who’ve moved to Australia & having a great time. Loved visiting best mates from uni. But think I’ve had my fill of smug posts about how great it is. Unless there’s some AI filter that can remove smug Australia medicine posts, going to have to unfollow

Great to be part of the incredible team @ImperialEP exploring the role of ganglionated plexi in AF.

@DrFuSiongNg @imperialcollege @ImperialNHLI @icsmsu @ImperialMed I literally have no recollection of nominating you!

The wonders of the @imperialcollege internal mail system! ✉️📫📮📦 So this arrived in my office today… Absolutely amazed it made it after all this time! Better (5 years) late than never! Thanks @BalvinderHanda for the nomination! @ImperialNHLI @icsmsu @ImperialMed

@gandhigasdoc Warming a spot on the specialist register.

Outcome 6 y'all!! Now give me my CCT!

Most ECGs are printed on paper 📜📜 Thus not suitable to train AI-ECG models So we developed an automated ECG digitisation algorithm to extract digital ECG signals 🖥️🖥️ Well done @DrKiranPatel1 @arunsau_ @NikeshBajaj et al @ImperialNHLI @ImperialEP nature.com/articles/s4159…

@Ed_Gerst Pace and ablate. It doesn't appear that LA will be making much of a haemodynamic contribution with that level of scar even in sinus rhythm

Another redo-redo s/p MAZE/LAA isolation and catheter ablation with continued AF. Not much LA voltage left, yet continued AF. Did not tolerate dofetilide (prolonged QTc) or propafenone. What to do #EPEEPS?

Great to be involved with this incredible study @DrMYKim @ImperialEP

@PrashSanders @ChristianHeeger @RolandTilz @AlexGPott @Phiso_de @ShaojieChen1 @Dominik_Linz @danielsteven_ep @AndreasMetzner7 @ManningerMartin @YoungDgk @AGEP_DGK @purerfellner @DGK_org I agree, US guided access is a must and hard to imagine a time without it. I have had only a handful of access complications from a good few thousand punctures. Especially necessary when we are hepranising our EP patients. Also, saves time and makes thing a lot easier with

@ChristianHeeger @RolandTilz @AlexGPott @Phiso_de @ShaojieChen1 @Dominik_Linz @danielsteven_ep @AndreasMetzner7 @ManningerMartin @YoungDgk @AGEP_DGK @purerfellner @DGK_org We have had almost no groin complications since we started using US guided as a routine for access. Also, hard to imagine not having complications based on frequent location vein compared to the artery

What’s your approach? Ultrasound guided venous puncture for cardiac access or just by palpitation? Please vote! @RolandTilz @AlexGPott @Phiso_de @ShaojieChen1 @Dominik_Linz @danielsteven_ep @AndreasMetzner7 @ManningerMartin @YoungDgk @AGEP_DGK @purerfellner @DGK_org

@javadm20 At our centre, we all pace the phrenic high up in SVC for right sided PVs with a quad. Then pace with lower output, establish a threshold and go slightly above. During the freeze, one hand over abdomen and stop at any sign of loss / attenuation. Right lower PV before right upper.

Not a good ending for a Cryo-PVI; but I hope it will improve!How do you predict & prevent? plz. Share your experiences! #Epeeps!

@MelbourneEPdoc Relatively regularly, what is your experience/ thoughts on extracting them?

Lead extracting #Epeeps, do you implant the active fixation Attain Stability CS lead?

@rkhamis @ImperialNHLI @imperialcollege @TheBHF Congratulations Ramzi. Well deserved.

Honored and v. grateful to be awarded the academic title of Reader in Cardiology @ImperialNHLI @imperialcollege.Thank you to family, mentors, colleagues, students,fellows and patients for all the support and mostly to @TheBHF for funding my research and the amazing journey 🙏

@EmmaSvennberg @CarolineRoney @S_NarayanMD @M_Cluitmans @tomribeiroecg @ahortaribeiro @Moscoso_Costa @RicciardiDanilo @ivroca @SNedios