Tilak Pasala

Fluid Mechanics of Coronary Artery Disease Math Fundamentals in Medicine: Lumped Element Model open.substack.com/pub/tilakpasal…

@adnanalkhouli @MITSloan @MayoClinicCV Congratulations!

Completing my Executive MBA at @MITSloan was a transformative journey of challenges, growth, and expanded horizons Deeply grateful to my wife, mentors & @MayoClinicCV for their amazing support ❤️ Ready to tackle the future with renewed energy and enthusiasm

Substack(#5) - Artificial Intelligence in Healthcare (Part 3): Medical Image Analysis and Applications - I open.substack.com/pub/tilakpasal… AI in Healthcare series Part 1: Terminology and Fundamentals - open.substack.com/pub/tilakpasal… 2: Scope of Large Language Models - open.substack.com/pub/tilakpasal… A two-part article on the role of AI in medical image analysis. In this part, we will review the basics of image processing techniques and advanced neural networks. In the next, we will delve deeper into the applications of these neural networks. #ArtificialIntelligence #NeuralNetworks #healthcare #HealthTech

Substack(#4) - Artificial Intelligence in Healthcare (Part 2): Scope of Large Language Models (LLMs) open.substack.com/pub/tilakpasal… Check out a customized chatGPT-4 for PubMed searches I have been working on - chat.openai.com/g/g-0e7Ms1sjv-… #ArtificialInteligence #LLMs #healthcare #HealthTech

Substack(#3) Artificial Intelligence in Healthcare (Part 1): Terminology and Fundamentals open.substack.com/pub/tilakpasal… In this multiple-part series (most likely, fingers crossed), join me in learning about AI in Healthcare. We will start with understanding the basic terminology and fundamentals of AI and an overview of its applications in Healthcare. Happy Holidays! #ArtificialIntelligence #healthcare #consulting

Substack(#2) Determining the TAVR Valve Stock Inventory in Hospitals Leveraging math fundamentals and data analysis can drive informed TAVR valve stock inventory decisions. Greater efficiency ==> Better outcomes. #structuralheart #tavr #probability #BusinessOperations open.substack.com/pub/tilakpasal…

@Akram_Kawsara @adnanalkhouli @ppsengupta1 @BadhwarVinay @RameshDaggubati @kadiyala2000 @WVUHeart @sudarshanballa @WVUMedicine @amerysayed Could consider AtriClip from AtriCure as an option. Interesting to know how you ended up doing it. Keep us posted. Thx.

Our Watchman procedure from this morning, what do you think?!! @adnanalkhouli @ppsengupta1 @BadhwarVinay @RameshDaggubati @kadiyala2000 @WVUHeart @sudarshanballa @WVUMedicine @amerysayed

@evandrofilhobr @aidanraneymd @Almanfi_Cardio @ekgpdx @GuiAttizzaniMD @GilbertTangMD Two other tips - 1. The minus knob on the SGC will angulate clip posteriorly, riding the aorta, giving a better approach to grasp posterior leaflet. 2. If all else fails, brief adenosine arrest will allow the prolapsed posterior leaflet to rest on the MitraClip. @SachinGoelMD

Primary MR due ruptured mitral chordae tendineae related to A1P1. High surgical risk pt. Any tips for MitralClip? @aidanraneymd @Almanfi_Cardio @ekgpdx @GuiAttizzaniMD @GilbertTangMD

@LucySafi @tilakpasala @dudiyyuriy Thank you Lucy, Tilak, Yuriy, and entire @HackensackUMC team for a very productive day and great start to the CorCinch-HF Pivotal Study

Thank you @AncoraHeart for a great training session today! Looking forward to December! @tilakpasala @dudiyyuriy

QRS remained narrow for 36 hours. Performed EP study: PR 288, QRS 84, AH 210, and HV 56 which was surprising. One explanation for narrow QRS - transient injury to left bundle leading to prolonged PR and simultaneous right and left bundle conduction, hence narrow QRS.

92-yr-old man with severe AS and severe MR (P2 flail). pre-EKG: RBBB, LAFB, 1st-degree block (PR 250 ms). Large aortic annulus (~800) and LVOT. TAVR (29 Sapien S3+5 cc) and MitraClip (2 clips with a reduction in MR to mild to moderate) performed. Post-TAVR EKG below. What next?

What would you do next?

Procedural fluoroscopy and TEE

@SachinGoelMD @MayraGuerreroMD @PSorajja @tavrkapadia @akcmahi @PradeepYadavMD @bapat_savrtavr @J_M_McCabe @EleidMack @ChetRihal @adnanalkhouli @NadeenFaza @SLittleMD @cardiacpolymath @PaulMahoneyMD @SusheelKodaliMD @DrMoritzWvB @n_kleiman @MReardon19 @HMethodistCV @DrTGupta That's a great case! @SachinGoelMD. Really like how you measured the puncture site to MV distance. @CDeStephanMills

ICE guided (unable to TEE due to an atomic reasons) Valve in ring TMVR @MayraGuerreroMD @PSorajja @tavrkapadia @akcmahi @PradeepYadavMD @bapat_savrtavr @J_M_McCabe @EleidMack @ChetRihal @adnanalkhouli @NadeenFaza @SLittleMD @cardiacpolymath @PaulMahoneyMD @SusheelKodaliMD

Second part of @drmortkern’s lecture focusing on “Intracoronary physiology” during @IowaACC and ACC Early Career Section “Interventional Cardiology Board Review”. @ACCinTouch @MahiAshwath @Pooh_Velagapudi @SDRoyMD @MeeraKondapane1 @tilakpasala

Hemodynamic effects of reducing tricuspid regurgitation from torrential to mild-moderate with 3 MitraClip XTW. Pressure tracings recorded via the clip G4 guide. #tricuspid @SorinVPislaru @michelenahector @tjsimard @aelsab @SEH_MD @kashishgoelmd @drpaulfriedman

@adnanalkhouli @SorinVPislaru @michelenahector @tjsimard @aelsab @SEH_MD @kashishgoelmd @drpaulfriedman @JeremyThaden @EleidMack @azeemlatib @mirvatalasnag @FelixValencia10 @benhibbertMDPhD @cardiacpolymath @ChetRihal @GreggWStone @hahn_rt Great result!! Also, appears (drop in RA pressure over the reduction of TR) to be the best available parameter of predicting the success of treatment. The patient should feel a lot better.

Check out our article: Novel Use of Echo Fusion and Cardiac Computed Tomographic Imaging Guidance for Percutaneous Paravalvular Leak Closure ⁦@CASEfromASE⁩ ⁦@tilakpasala⁩ ⁦@HackensackUMC⁩ ⁦@ASE360⁩ cvcasejournal.com/article/S2468-…

Since everyone is talking reform, dear editors plz consider 1.Standardize submission processes 2.Pick reviewers/AEs who judge study quality not its fitting w their views 3. 3-months for a decision is too long 4.Allow >24h 2edit the proofs. #cardiotwitter plz add to the wish list!