Electrophysiologist with Lourdes Cardiology in NJ

Joined May 2018
16 Photos and videos
Single point mapping case using optrell catheter for LVOT PVCs. Initial map hampered by scar suggested AMC focus. Beats only 5 msec pre QRS but later from aorta/RVOT/distal CS. Optrell vector map showed initial map was incorrect and successful ablation with long endocardial burn
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Summit pvc ablation early from AIV after nice demonstration off endocardial breakthrough in lvot using Optrell catheter. Did well with combined approach of long endocardial burns and planned ETOH injection
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Beautiful case of typical flutter in patient with azygous continuation of the inferior vena cava. Poor stability from below(grey is ivc course) and ablation performed from right IJ with bidirectional block. Map shows hepatic vein with no electrograms as anchor site for CTI line
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Baseline Ep normal in using rv base and apex pacing. After dobutrex went into orthodromic avrt and after transeptal lv lateral wall pacing told the story
Sometimes EP basics are still needed. Nice young woman with high risk occupation referred for ep study due to high risk occupation and palpitations. Normal ekgs and normal heart monitor during palpitations.
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Difficult mitral isthmus line after mitral flutter induced post atrial fibrillation ablation. Intermittent block with multiple endocardial burns. Bidirectional block after VOM injection with dramatic increase in endocardial scar on right @VirtuaHealth @VirtuaHRS @AatishGarg_EP
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45 day post imaging with excellent seal and no clots. Many thanks to Dr Geof Zarrella for excellent images
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Darius Sholevar retweeted
45 day post imaging with excellent seal and no clots. Many thanks to Dr Geof Zarrella for excellent images
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Second device placed acutely with good seal of both lobes and good stability
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Initial placement in superior right lobe with protrusion but over compressed device in inferior lobe with minimal protrusion
Unable to pass tug test in mid position
Intersteing case of double outlet left atrial appendage with failure of single Watchman FLX implant
Darius Sholevar retweeted
Interesting data from VCU for His bundle pacing. 93% acute success , 24% had >2.5V threshold at followup, 11% needed lead revision! Expecting left bundle pacing data to be significantly better. @KennethEllenbo1 @santosh_padala heartrhythmjournal.com/artic…

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Darius Sholevar retweeted
1 Aug 2018
Well that would explain this arterial waveform, wouldn't it ?!
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