Vivek Iyer

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Vivek Iyer

Vivek Iyer

@kevivek

Cardiac Electrophysiology, Marin General Hospital and @marINrhythm. Love seeing cool cases!

San Francisco, CA Katılım Kasım 2013
93 Takip Edilen230 Takipçiler
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Columbia Nursing
Columbia Nursing@ColumbiaNursing·
Join the Center for Research on People of Color for the first annual Kathleen Hickey Endowed Lectureship in Science of Cardiovascular Care. It will be held virtually on February 17th, 2022 from 4pm to 5pm featuring Dr. Hasan Garan. Register: bit.ly/3JIbmnc
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Pasquale Santangeli
Pasquale Santangeli@Dr_Santangeli·
Live case with @BiosenseWebster Varipulse PFA technology - great integration with the mapping system with ability to track catheter position and avoid fluoroscopy
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Vivek Iyer
Vivek Iyer@kevivek·
@ElaineWanMD Actually NICM, LBBB and ICD with ATP/shocks. The diagnosis was prob a fascicular VT rather than bundle branch reentry VT based on the HVs, but fun to think about slightly shorter HV during VT with BBR VT due to asymmetric ante and retro conduction times? Too sick to prove.
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Elaine Wan
Elaine Wan@ElaineWanMD·
@kevivek Good you put the His catheter in. Structurally normal heart?
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Vivek Iyer
Vivek Iyer@kevivek·
#EPeeps may all our most complex arrhythmias this week turn out to be this.
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Vivek Iyer
Vivek Iyer@kevivek·
@Ed_Gerst Psaf so heterogenous (we need to fine tune subtypes). But lspaf with dilation /scar I think it’s a good lesion set in CF and high power era. Often see noninducibility, and in our data 22% redos (~2 years), a starting gambit. If others do less though- I don’t think it’s wrong :)
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Edward Gerstenfeld
Edward Gerstenfeld@Ed_Gerst·
@kevivek So if you do perform PW isolation R U always doing mitral isthmus line? Seems the only remaining path is mitral flutter. But not sure prophylactic line is always warranted.
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Edward Gerstenfeld
Edward Gerstenfeld@Ed_Gerst·
Pt referred for repeat RFA for flutter. 1 prior AF RF done at OH for recent persistent AF: PVI, PWiso, septum, base of LAA, CS. Baseline voltage map shown. Had septal and CL mitral flutter. How much is too much for a first ablation??Not sure a scorched atrium approach always best
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William Whang
William Whang@billwhangep·
interesting paper from Sinai colleagues demonstrating evidence of myocardial inflammation in patients with MVP, even those who are asymptomatic
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Tolga Aksu, MD
Tolga Aksu, MD@MDTolgaAksu·
Congratulations to @50wattdoc and team. 👏👏👏 A 4-year follow-up history w HPSD. The 4-year freedom from AF after multiple ablations were PAF: 87.0%, per AF: 71.9% and LSPAF: 64.9%. Single procedure success was 74.9% for TactiCath™ and 64.7% for SmartTouch®(P<0.001)
HeartRhythm@hrs_journal

High Power Short Duration Atrial Fibrillation Ablations using Contact Force Sensing Catheters: Outcomes and Predictors of Success Including Posterior Wall Isolation, by @rogerwinklemd and colleagues heartrhythmjournal.com/article/S1547-…

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Vivek Iyer
Vivek Iyer@kevivek·
@EPWoodsShop @SergioPinski @dredcronin Mechanism is likely APD shortening as APs achieve new steady state. The mechanism of restitution depends on different currents in atrium, HPS, ventricle
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Gavin Newsom
Gavin Newsom@GavinNewsom·
When it comes to re-opening, SCIENCE -- not politics -- must be California's guide. CA has developed 6 indicators that will help guide how and when we decide to re-open our economy. This isn’t about an on/off switch. This will be a thoughtful process -- led by public health...
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Vivek Iyer
Vivek Iyer@kevivek·
@amcj1 A yankauer with suction when cautery is needed (can’t hurt).
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