Electrophysiologist @ Cardiology Consultants of Philadelphia
Joined December 2017
- Tweets 1,564
- Following 377
- Followers 1,060
- Likes 1,847
159 Photos and videos
Pinned Tweet
19 Feb 2020
Time to termination? <1 second.
Cost of termination? $88,825.39.
Seems reasonable...
Posted with patient's permission.
#EPeeps
14
24
49
Danesh Modi retweeted
Mar 11
In patients with #HeartFailure and #LBBB, conduction system pacing (#CSP) was inferior to biventricular pacing (#BiVP) for a composite of death, heart failure events, and LVEF change at 12 months.
ja.ma/3PgczJP
4
47
150
14,061
Danesh Modi retweeted
Mar 11
Among patients with heart failure and LBBB, LBBP demonstrated superior long-term clinical outcomes compared to BiVP, driven primarily by reduced rates of heart failure hospitalization.
ja.ma/3PtxDwq
1
31
91
22,839
Danesh Modi retweeted
Jan 16
Explaining options to people for the first time:
996
1,638
15,417
1,313,483
Danesh Modi retweeted
This is my greatest work
625
5,964
143,912
3,957,025
Danesh Modi retweeted
8 Nov 2025
Should we be surprised?
PROTECT-AF (rejected by FDA)
PREVAIL (did not meet NI for 2/3 PEPs)
PRAGUE -17 (met NI for NACE, not for ischemic outcomes)
OPTION (did not ‘win’ using procedural bleeding).
Class 2 recommendation by guidelines is charitable.
Enthusiasm >> evidence!
2
8
42
5,291
Danesh Modi retweeted
8 Nov 2025
LAAC vs best medical care
Thrombotic events - higher
Bleeding events -- higher (counting procedure; also see AVERROES)
CV death -- higher (please don't dare tell me that it was noise because if you do, let's relook at PROTECT and PREVAIL
LAAC done in experienced labs
#AHA25
6
45
154
37,716
Danesh Modi retweeted
11 Aug 2025
Here is another look at 20,000 fps. This is less than a millisecond and was a barely perceptible spark seen with the naked eye. The electrode is touching the fabric of the device but still arcing to the underlying metallic frame.
9 Aug 2025
Here is the video of PFA delivered near a LAA occlusion device
5
19
68
11,952
Danesh Modi retweeted
29 Nov 2025
Make your A.fib clinic faster!
Send this QR code or this link to your patients *before* their appointment and they'll arrive fully educated! 👍
youtu.be/oy9g9gnD9cQ
2
5
41
5,032
Danesh Modi retweeted
3 Oct 2025
Great talk @DJ_Lakkireddy on important limitations of PFA outside of the veins. Single digit long term durability in La Fazia et al. Dual energy sources can’t come soon enough for redo ablations. There need not be discussions with current PFA iterations for VT.
ahajournals.org/doi/10.1161/…
1
28
109
13,564
Danesh Modi retweeted
22 Oct 2025
PVI is the one area where RCTs have been unable to supercede anecdotes – because operator bias is so powerful.
Only two randomized trials have shown efficacy beyond PVI (CONVERGE and VENUS), yet only a minority have adopted. And multiple PWI studies show no systematic benefit when applied widely, yet the majority continue to do so in persistent patients.
The time is ripe for personalization targeting individual mechanisms, as one size has been proven to not fit all.
19 Oct 2025
What’s the obsession with PWI in AF ablation? It may appear “safe & easy” @drjohnm BUT no randomised evidence & there is downside #TWIC Oct 10
8
30
119
24,292
Danesh Modi retweeted
3 Nov 2025
Free read at @JICE_EP. There are many variables to consider for PFA. We examined one parameter (interpulse delay) and found that lesions were larger when the time between pulses was increased, regardless of total energy delivered.
rdcu.be/eMG7u
2
15
50
3,131
Danesh Modi retweeted
9 Nov 2025
It’s not unexpected. It’s totally predictable.
medscape.com/viewarticle/per…
1
10
1,234
Danesh Modi retweeted
8 Nov 2025
Worse is that in many places in the US, a LAAC is totally covered by insurance and apixaban is 500 per 90 days.
Add to the patients incentives, the fact that docs and hospitals make money on the procedure
It's like a lesson in behavioral economics 101
An unstoppable force
2
13
963
Danesh Modi retweeted
20 Jul 2019
Mahaim in High-Res: Not many chances to map the "AV node on the right free wall (Jackman)"! @TakuroNishimur2 @ZJameria #EPFellows academic.oup.com/europace/ad…
6
73
208
Danesh Modi retweeted
9 Aug 2025
Here is the video of PFA delivered near a LAA occlusion device
9 Aug 2025
Visible Arcing Observed with Pulsed Field Ablation Applications Delivered Near a Left Atrial Appendage Occlusion Device - Heart Rhythm heartrhythmjournal.com/artic…
13
124
324
96,057
Danesh Modi retweeted
30 Jun 2025
Left bundle branch area pacing (#LBBAP) is now the frontrunner in conduction system pacing, evolving from niche to widespread use across major CRM companies.
@rdschaller & Joseph Brozoski, MD break it down here 👇 spr.ly/601645r4A
6
22
1,400
Danesh Modi retweeted
4 May 2024
#EHRAtopicweek on electrical storm⚡
What to do when amiodarone and propranolol fail and catheter ablation is not feasible? Stellate ganglion block may be helpful.
Read more #Europace
doi.org/10.1093/europace/eua…
@EuropaceEIC
5
74
192
26,564
Danesh Modi retweeted
5 Apr 2025
Re Ablation - we know ablation
1. is the most effective method of preventing arrhythmia recurrence.
2. substantially improves QOL and symptoms (vs sham)
3. Significant reduces health care utilisation and cost
4. Is a disease modifying intervention
1
13
44
2,712
Danesh Modi retweeted
11 Nov 2024
Global R-wave peak time for diagnosis of left bundle branch capture
heartrhythmjournal.com/artic…
15
34
4,474