Cardiac Electrophysiologist @UHhospitals by the way of @BrighamWomens | Husband to @IrisyshengMD and proud girl dad | Tweets are my own opinion
Cleveland, OH
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Young pt w/ Kawasaki's and recurrent VT despite amio. Great ex. of coronary aneurysms on 3D inHeart model. Discrete inferior scar arising from dominant RCA. Wall thinning matched up perfectly w/ scar and WADL mapping. VT free >6 mo & counting. #AblateVT @inheartmedical
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I’m all in on the flecainide redemption tour
2026 HRS/PACES scientific statement on the use of antiarrhythmic drugs in understudied clinical scenarios
@DanielPMorin
heartrhythmjournal.com/artic…
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Beautifully executed trial and LOVE the ICM in every pt.
In hindsight, the conventional ≥30 sec
was the wrong endpoint. PIFPAF is “negative” (and underpowered) there.
BUT burden 6.9% vs 11% with PWI, recurrence ≥1 day 9.9% vs 24.3%.
IMO this is a win for PWI w/ PFA.
Presented at #ESCCongress:
Among patients with symptomatic persistent #AtrialFibrillation, adding posterior wall isolation to pulsed field ablation-based pulmonary vein isolation did not significantly reduce recurrence of atrial tachyarrhythmia compared with pulmonary vein isolation alone.
Continuous implantable cardiac monitor follow-up showed recurrence in about half of patients receiving posterior wall isolation and in more than half receiving pulmonary vein isolation alone.
🔗 ja.ma/4qJnD0A
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Esseim Sharma, MD, FHRS retweeted
REAL-WORLD MANAGEMENT AND LONG-TERM OUTCOMES AFTER THE FIRST HOSPITALIZATION FOR SUSTAINED VENTRICULAR TACHYCARDIA IN PATIENTS WITH PRIMARY PREVENTION IMPLANTABLE DEFIBRILLATORS: A GLOBAL COHORT ANALYSIS #OpenAccess
heartrhythmjournal.com/artic…
@ShaminHayat @EsseimS
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Esseim Sharma, MD, FHRS retweeted
Congratulations to Dr. Esseim Sharma on this complex VT procedure and excellent outcome👏🏻
A great example of how pre-procedural cardiac imaging can provide valuable insights in complex VT cases. Thank you for sharing.
#epeeps #VTablation #cardiacimaging #electrophysiology
5/ VT morphology didn't look particularly epicardial, but was clearly LV apical.
Could pre-op imaging predict whether epi-only can succeed? @inHeartmedical showed extensive wall thinning + potential VT channels right in the predicted area of interest. Promising!
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This is amazing 👏
BREAKING🚨:
I've been awarded a National Heart Foundation Kickstart SA Postdoctoral Fellowship!
Project one is CAPTURE, RCT of live pacing during left bundle branch area pacing versus no pacing.
To celebrate, I built ScrewUp, the game of LBBAP with continuous pacing.
Playable in any browser. Vibe-coded with love.
Thanks to @Vortexium32 , @FlindersUniNews , @SAHeartStroke, @SACVRN for the encouragement and support. Exciting few years to come.
Play ScrewUp here:
u5tnu4slwi.execute-api.ap-so…
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Esseim Sharma, MD, FHRS retweeted
Concomitant cryoballoon pulmonary vein and posterior wall isolation in persistent atrial fibrillation
heartrhythmjournal.com/artic…
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1/Recurrent VT. Multiple ICD shocks and admissions in a month. Dual AADs failing.
And a large, incompletely calcified LV thrombus sitting right over the circuit.
What would you do? 🧵
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2/The options all have trade-offs: endo only, epi only, endo/epi, EtOH, SBRT. Limited data on any of them in this setting.
@utedrow recently reported ablating straight through a calcified thrombus with Sphere-9 (link at the end of this thread 👇).
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Dr. Tedrow's Sphere-9 through-thrombus case: jacc.org/doi/10.1016/j.jacep…
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All putative channels cut off. Noninducible at the end. Remap w/ no residual signals. No recurrence so far.
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Glad to see I’m not the only neurotic cardiologist listening to the @AcquiredFM podcast on Vanguard who couldn’t let this slide 😂😂
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