Alex James, MD

Hi everyone! My name is Alex and I will be applying to cardiology fellowships this season. I come from Landmark Medical Center in Rhode Island where I’m a third year internal medicine resident. I look forward to meeting you all! My passion is electrophysiology!

🆕 Disección aórtica tipo B: Manejo práctico para el cardiólogo clínico. 📕 N Engl J Med 📁 Resumen del artículo en cardioteca.com/cardiologia-cl…

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@SrihariNaiduMD @TanyaSh112 @SwatiChand_ @purviparwani @JamalRanaMD @DrMarthaGulati @DLBHATTMD @djc795 @HarisPatail @JasonKatzMD @docbhardwaj @EllauziRama @pkothapalliMD @Pooh_Velagapudi @adityadoc1 @AmroAglanMD @nymedcollege @duanepinto @Babar_Basir @PerwaizMeraj @agtruesdell @Medtronic @WMCHealth @dlubarskymd @DougDrachmanMD @drmalissawood @ACCinTouch Where is this collection?

The aforementioned fellow with the classic EP collection ⬆️ @TanyaSh112 @SwatiChand_ @purviparwani @JamalRanaMD @DrMarthaGulati @DLBHATTMD @djc795 @HarisPatail @JasonKatzMD @docbhardwaj @EllauziRama @pkothapalliMD @Pooh_Velagapudi @adityadoc1 @AmroAglanMD @nymedcollege

Fellow on HCM rotation asked what’s in the case. Here’s my dad’s collection of history of pacemakers. From 1950s bulky devices to leadless wonders, they’ve come a long way. Decades later, they still do what they do best: keep hearts (& history) ticking Which is the earliest?

@MiguelP23970914 If irregular Cannon = VT If irregular V waves = AF. This was MVP severe MR, PH, TR with AF and fast ventricular rate. During rounds while looking at JVP, I also first thought irregular cannon waves and looked at the monitor which showed AF

🧵on the history of Bachman bundle, interatrial block and internodal tracts In 1910 the internodal tracts were dismissed.

Coronary CT will become the non-invasive standard to evaluate patients with stents It will also help in understanding the root cause of stent restenosis (mechanical vs. neoatherosclerosis) and guide treatment @djc795 @ziadalinyc @Heart_SCCT @SCAI @crfheart eurointervention.pcronline.com/article/photon…

Our structural heart team performed their first transcather tricuspid valve replacement (TTVR) using a new FDA approved device, designed to treat severe tricuspid regurgitation without open-heart surgery. @RaniKHasan @frahman480 @MatthewCzarnyMD @HopkinsACCMCard

Critical isthmus of VT is confined to small area despite extensive substrate! 👇 Epicardial map of ARVC demonstrating figure-of-8- reentry colocalized with DZ of ILAM. #EPeeps

Outcome of Pentaspline PFA outside PVs 👇 Acute success does not necessarily translate into long-term success.

Coronary artery anatomy

Safety of pulsed field ablation of atrial fibrillation in patient with Left Ventricular Assist Device and heparin-induced thrombocytopenia heartrhythmcasereports.com/article/S2214-…

This pt on DDD pacemaker had a few episodes of “giddiness” for which she was admitted and Holter was connected.same day we asked the pacemaker tech to have a look at the parameters.He told all parameters were normal.X-ray shows normal leads.Holter shows a strip of CHB. What to do

Today in EPlab:56 yo man with 41% PVC density and PVC induced cardiomyopathy. RVOT map with #ORION showed EGM preceding QRS by 22 ms. RF at this site was unsuccessful. Mapping sinuses of Valsalva showed in the RCC an early EGM.RF ablation in this point led to disappearence of PVC

Single shot AT ablation,using Affera system. @ipetemil @Kariki_O @athsaplaouras @SteliosDragasis @K_Letsas @TomohiroNagao @PetrosSkalidis #Onasseio Hospital

Coronary artery anatomy😍

Our observations regarding colocalization of conduction tissue with scar in pt undergoing Vf ablation. @timucin_alt @akyurek_omer #Epeeps onlinelibrary.wiley.com/doi/10.1111/pa…

Fascinating VT ablation case: basal inferolateral SUBENDOCARDIAL infarction. Voltages mostly preserved (bipolar & unipolar). No LAVA or late potentials on sinus rhythm/S1. S3 PROTOCOL unmasked deceleration zones, matching channel areas seen with ADAS @JuditMasC_

Coronary arteries and arterial territories on Echocardiography😍

In the SUPPRESS-AF subanalysis, LVA ablation added to PVI was effective only in patients with enlarged left atrium (LAD >44mm), while no benefit was seen in smaller atria. Larger LA patients may benefit most #AHAJournals #Epeeps doi.org/10.1161/CIRCEP…