no longer active on here. 🧠⚡️🫀 Autonomic Dz @stanford Post-doc @uclaCVfellows Cardiology @CleveClinicFL IM @univmiami, COM @Alfaisaluniv. #FREE_PALESTINE 🍉

Joined October 2018
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Replying to @ASarkarMD
#CVFS Our mission: supporting fellows w/ successful careers. @FloridaACC support recognition by board member, @nshaik14 @CarlosAlfonsoMD on behalf of @drdavemd. #ACC_FIT @ACCinTouch @Ed_Chu_MD @ggvela @Weijia_LiMED @SukhpreetKaur_1 @GustavoVargasMD @Dhiran_Verghese
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Here is a supplemental image from that article showing the absence of muscle fibers at the very tip of the apex.
You've seen the apex on echo a thousand times. You've never seen it like this. Exclusive to the #JACC Amara Yad image series, the LV apex’s spiral vortex of muscle fibers converging on a point so thin that light shines right through. More: bit.ly/4n7Iglq @shivkumarmd
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Grateful to contribute alongside this pioneering team advancing #Neuromodulation in patients with inherited cardiomyopathies. @shivkumarmd @BradfieldMD @hrs_journal Looking forward to further exploring the neural interface to the heart #AutonomicMedicine @StanfordMed @Stanford_Neuro
Cardiac sympathetic denervation for refractory ventricular arrhythmias in patients with inherited cardiomyopathies @ASarkarMD heartrhythmjournal.com/artic…
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22 Oct 2025
Yes, the data in the Lancet review—and likely the highlighted figure—draws from credible sources like CMS expenditure reports, DOJ fraud settlements, and peer-reviewed studies on administrative costs and outcomes. US healthcare spending exceeds peers without matching life expectancy or quality gains, largely due to profit-driven models in insurance and providers. The article's synthesis holds up under scrutiny, though policy fixes remain debated.
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tuning back into @X . fortunate to be at @CleveClinicFL with CCP pioneers @MarceloHelguera , @SergioPinski , @BaezEP and witnessing the evolution since before 2016! grateful to have this documented @JICE_EP
14 Jun 2025
🚨New #OpenAccess Article in @JICE_EP Safety & Performance of the Medtronic 3830 Lead in His-bundle & Left Bundle Branch Area Pacing: A single-Center Experience 🧐📖 doi.org/10.1007/s10840-025-0… by Alejandro Sanchez-Nadales, @ASarkarMD, @jsleimanMD, Andres Sanchez-Nadales, @MileydisAlonso, @JohnBibawyMD, @MarceloHelguera, @SergioPinski & @BaezEP #EPeeps
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What if your favorite soda is secretly killing you? Sugary drinks are behind 2.2 million new diabetes cases and 1.1 million heart disease deaths every year. In some countries, nearly HALF of all diabetes cases are caused by soda. Are you still drinking it?🧵
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Sleep onset between 10-11 PM is associated with the lowest incidence of cardiovascular disease. 🧵1/10
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Harvard has set an example for other higher-ed institutions – rejecting an unlawful and ham-handed attempt to stifle academic freedom, while taking concrete steps to make sure all students at Harvard can benefit from an environment of intellectual inquiry, rigorous debate and mutual respect. Let’s hope other institutions follow suit.
“No government—regardless of which party is in power—should dictate what private universities can teach, whom they can admit and hire, and which areas of study and inquiry they can pursue.” - President Alan Garber hrvd.me/GarberRespond347t
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How to differentiate between incomplete Right bundle branch block(or other Brugada phenocopies) and type 2 Brugada syndrome? 1-Beta angel more than 58 indicates Brugada syndrome 2-The base of the triangle 4 mm or more indicates Brugada syndrome sciencedirect.com/science/ar…
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🧵Atrial Overdrive Pacing (AOP) is an under-utilized maneuver during SVT study! Here is a quick run👇 1/ AOP can help distinguishing AVNRT from Junctional tachycardia (specially helpful in A-on-V tachycardia): 👉A-H-H-A response: Junctional 👉A-H-A response: AVNRT Example #1 ⬇️ #Epeeps
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13 Mar 2025
This statement provides resources for the understanding and use of direct-to-consumer genetic tests in clinical care. ✍🏼 @LelandEHull @AaronAdayMD @QuanBuiMD @JasmineLuzum @JamesMuturi5 @hannah_wand @AnwarChahal @EP_mom1 @akwitek @silvana_molossi @pnatarajanmd
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🧬 24% of patients with heritable arrhythmias & cardiomyopathies carry a disease-causing variant—but only 8% see changes in clinical management. How do we close the gap? Read the study: jacc.org/doi/10.1016/j.jacc.… #JACC #Genetics #CardioScience #PrecisionMedicine #cvGenetics
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For all #EPeeps 🧑‍🎓 In the next few weeks, I will be posting X threads on the 10 top-cited @hrs_journal articles of 2024. A lot of great science to choose from, so let’s dive right into the first of these (in no particular order!) 1⃣ Let's start with an excellent practical approach to VT ablation by my former @brigham co-fellow @jeffw and my former @mizzou fellow @jpayne **‘A novel automated peak frequency annotation algorithm for identifying deceleration zones and ventricular tachycardia ablation sites’ Heart Rhythm, Volume 21, Issue 1, 27 – 33 heartrhythmjournal.com/artic…
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The first pacemaker was primitive. It failed. Again and again. But trial and error is how innovation works. Every failure taught researchers something new. Today, millions of people rely on pacemakers—because two doctors dared to take a risk, and one woman refused to give up.
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🌟 Excited to share our recent study! 🌟 📊 The largest epidemiological study of Type 1 BrP 🌍 📌 First to reveal the frequency and etiology of Type 1 BrP. 🧬 Hispanics are 3x more likely to have Type 1 BrP compared to non-Hispanic Whites! #Epeeps #Brugada
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An honor to deliver the award to a pioneer a leader and my own mentor @HRSonline @MonteHeart @MontefioreNYC
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👉 #Epeeps “Back to basics—learn electrophysiology,” as Prof. Mark Josephson urged in Electrophysiology at a Crossroad (2007). ✅ Today, we continue to inspire #EPeeps to truly “go back to basics—learn electrophysiology”, focusing on its fundamental link with 🫀 #anatomy. 🤩 Together with Prof. @Phiso_de & PD @GuramImnadze, it was an honor to host an amazing group of electrophysiologists at our Clinical #AnatomyforEP course at @HdzNrw! @chris_sohns @melhamriti, @MoneebKhalaph, @VanessaSciacca_, @jacabreracardio @joselmerino @EHRAPresident @ChristianHeeger, @evgeny_lyan @AGEP_DGK @YoungDgk @AbbottNews @BSCCardiology @jjmt_ep @Medtronic #AnatomyforEP #Electrophysiology #MedicalEducation #EPTraining #Cardiology #BackToBasics
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👉 #EPeeps, enjoy #AnatomyForEP! 🫀 🤩 Excited to introduce our new series: ✨ “Inside the 3D Map – EPAnatomy with MD” ✨ 💡 Making complex concepts easy! 😊 🧐 Case: Supero-paraseptal (antero-septal) AP ablated from NCS. 👏 Congrats Dr. @MoneebKhalaph on the elegant #RFA, & 🙏 huge thanks to @JessicaRiede & @carlottarie for the fantastic 3D maps! 🔎 Think about supero-paraseptal (antero-septal) AP when on #ECG: ✅ Positive Delta wave in II, III, aVF ✅ Isoelectric or /- Delta wave in V1 👉 If these signs are present during #EPMap: ✔️ Check proximity to HIS! ✔️ Map from RA & assess the risk of HIS damage ✔️ High risk? → Map in Non-Coronary Sinus (NCS) ✔️ Keep this in mind for Parahisian AT/VT 📍 #Map_Monday at @HdzNrw. 🙏 Special thanks to Prof. @Phiso_de & all #EP_HDZ team for inspiration & support! @chris_sohns, @GuramImnadze, @melhamriti, @Thomas Fink, @VanessaSciacca_, @MBraunEP, @KarHarutyun, @BocchiniYuri 👉 #EPeeps, join our next courses! 📅 07.02.2025 & 23.05.2025 🔗 Info: bit.ly/4fERvVD 🙏 Huge appreciation for the support & sharing: @ChristianHeeger, @purerfellner, @GerdHindricks, @DanielScherr3, @DrV_Mann, @Dominik_Linz, @evgeny_lyan, @jongichun, @AndreasMetzner7, @DavidDuncker, @RolfWeinertMD, @HaranBurri, @joselmerino, @DrHemels, @Mel_Gunawardene, @t_xenos, @EHRAPresident, @AGEP_DGK, @jjmt_ep. 🔹 #YoungEP #Electrophysiology #Cardiology #HeartRhythm #MedicalInnovation #CatheterAblation #MedicalEducation #MedTech #CardiacMapping #3DMapping
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Atrioventricular node artery may arise from the right, left, or both coronary arteries, w/ variable course in inferior pyramidal space. Understanding its anatomy & variations is vital during catheter ablation or surgery to prevent arterial injury. jacc.org/doi/10.1016/j.jacca… #JACCCaseReports #epAblation #cvImaging @shivkumarmd
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