One of my favorite cases in fellowship. Bundle Branch Reentry VT (BBRVT) in a patient with no underlying ventricular escape. Even better, performed it with Nilesh Mathuria . Strong work Summit Pandat, MD !! #AblateVT

Don’t forget about bedside maneuvers. Terminating an SVT with carotid massage can mimic using “The Force”. Not only does it help your patient but also can astonish nurses/residents/fellows. #WinWin #Epeeps

Ischemic cardiomyopathy. VT with multiple ICD shocks. Induced unstable VT while mapping. Substrate modification. Pace mapped. ICE was critical to confirm contact on the anterolateral pap. Non inducible with triples. #AblateVT #SternCardiovascular

Very proud of our EP group in #Oxford #Mississippi for performing a Vein of Marshall alcohol ablation for long-standing persistent atrial fibrillation. Huge thanks to @MiguelVldrbno for the years of education and mentorship on ethanol ablation. #Epeeps #SternCardiovascular

Eliminate ABIMs MOC requirement - Sign the Petition! chng.it/tZ8CHsD7 via Change.org

Our first leadless #Aveir pacemaker implant with Abbott Cardiovascular in #Oxford MS. Excited about the future of leadless pacemakers and bringing this technology to the community. #Epeeps #Pacing

An example of why pacing for the phrenic nerve (and it’s course) is important prior to ablation. Successful PVI without injury to the phrenic nerve. #Epeeps #NoElevatedHemidiaphragm #SafetyFirst

Pleased to participate in expanding the knowledge on DRT after LAAO👇 1. SOA review featuring a novel classification of DRT & HAT jacc.org/doi/10.1016/j.… 2. Global DRT registry analysis focused on persistent/recurrent DRT jacc.org/doi/10.1016/j.… @drpaulfriedman #CardioTwitter

Patient with 3 prior ablations presents with incessant atypical flutter. During 3rd injection of ethanol in the VOM, near-field mitral annular signals melt away. Endocardial line terminates flutter. CS ablation results in mitral isthmus block. #Epeeps #VeinOfMarshall

Finally got to update my X profile. #GirlDad

One of the many reasons why I order a cardiac CTA prior to Watchman implant. LAA morphology, sizing and most importantly - free of thrombus. #Yikes #Epeeps

PROMPT-AF Trial (PVI + lines + Vein of Marshall ethanol infusion vs PVI alone for #AFib #ablation) * 70.7% vs 61.5% freedom from atrial arrhythmias w/o AAD in intervention arm (p=0.045, HR 0.73) * Longer procedure/fluoro/ablation times & more effusions #AHA24 #EPeeps

BREAKING NEWS ‼️❤️ The U.S. Senate voted to unanimously pass the bipartisan HEARTS Act. Our statement from @Nancyatheart. ⬇️

PFA is amazing. We all know that. My hope in 2025 is that more EP’s try to learn and implement Vein of Marshal ethanol ablation into their practice. Recent case: On 3rd ablation - Previous CTI, PVI, PW Large VOM, 5cc ethanol, mitral block and PW isolation #Epeeps #VOM #Afib

Dear Jim Collins CPC CCC Pre ablation, it is standard for a cardiologist to bill for a TEE that clears the left atrial appendage. If I clear the left atrial appendage myself using intracardiac echo (ICE), am I allowed to bill for this separately since I am doing the same thing?

Lucky to provide cardiac electrophysiology services to a town, (#Oxford ) and state, (#Mississippi ) I truly love. #SternCardiovascular #Baptist Make an appointment today! sterncardio.com

Hey #EPeeps. Could we one day “see” our ablation lesions? Initial proof of concept in-vivo data using #photoacoustic imaging. More to learn! Collaboration with Drs Carly Filgueira lab Houston Methodist CV and Richard Bouchard MD Anderson Cancer Center JACC Journals jacc.org/doi/10.1016/j.…

Very proud of our EP program in #Oxford MS. We launched both Varipulse and Affera. Unbelievable ablation technologies for our patients in the community. On the CRM side, we performed our first leadless dual chamber Aveir pacemaker and had fun with a persistent left SVC case.

Master the Vein of Marshall. This step by step guide details a precise, reproducible approach to ethanol infusion to improve outcomes in persistent AF and enhance mitral isthmus block. doi.org/10.1111/jce.16… Apoor Patel Miguel Valderrabano #Epeeps #Afib #CardioTwitter