Balvinder Handa

Consultant Cardiologist / Cardiac Electrophysiologist
Sir Charles Gairdner Hospital
Perth Cardiovascular Institute
🇬🇧🛬🇦🇺

[Balvinder Handa @BalvinderHanda]

@DrFuSiongNg @HRSonline @arunsau_ @jobrkr @BZeidaabadi @DrKiranPatel1 @DocOfHearts @ImperialEP @ImperialNHLI Blast from the past! Recall the game fondly. Hoping to make it across next year.

[Balvinder Handa @BalvinderHanda]

@drjohnm Brilliant trial and Prapa's vision has always been incredible. There was so much I learned about Cryo and workflow from Prapa post AVATAR era (even when we were looking for electrical confirmation). Not mapping PVs during ablation was politically unpalatable to the reviewers.

[John Mandrola, MD @drjohnm]

In March, an Imperial College team published results of AVATAR--a 3-arm trial comparing standard CB AF ablation, AAD, and CB ablation *Without* confirming PV isol

Guess what? There were no diff in symptomatic AF bw the two ablation approaches! Both better than drugs

https://t.co/9wELERP8ET

Why has no one talked about this story? No media coverage.

It's totally provocative b/c it challenges the current practice of confirming PVI . #EPeeps

cc @bordistef @RolandTilz @bogdienache @ftrae @DhirajGuptaBHRS @EPWaveDoc @DrRoderickTung @LuigiDiBiaseMD

[Balvinder Handa @BalvinderHanda]

@OrthopodReg There are many complexities to how healthcare functions in Australia with fractional contracts and much more substantial private overlay. The market for this in some specialities is >50%. It's difficult to compare the two. At least some movement here in UK.

[Balvinder Handa @BalvinderHanda]

Great great stuff from my adopted homeland, Australia kept it tight and Travis smashed it home despite the conditions, despite the crowd and despite the expectations. 🇦🇺

[Balvinder Handa @BalvinderHanda]

Travis Head!! What an inning. 🇦🇺🇦🇺

[Fu Siong Ng @DrFuSiongNg]

⚡️⚡️⚡️

Can we predict VT episodes that will spontaneously terminate to withhold unnecessary ICD shocks?

Our latest paper in #EHJDigital
https://t.co/PvVplEsCyZ

@arunsau_ @junyu0chen @LiborPastika @Dr_Keene @ZacharyWhinnett @DocOfHearts @ImperialNHLI @ImperialEP @BruiningNico

[Balvinder Handa @BalvinderHanda]

@UKGastroDr @FPARCP Perhaps the best approach is to remove the word physician from the title altogether when one has no medical degree. Maybe just medical assistants.

[Balvinder Handa @BalvinderHanda]

@MedCrisis I find it extremely nauseating (and I am a British Cardiologist who is working in Australia).

[Balvinder Handa @BalvinderHanda]

Great to be part of the incredible team @ImperialEP exploring the role of ganglionated plexi in AF.

[JICE @JICE_EP]

🚨Latest #OpenAccess Article
@JICE_EP

Feasibility Mapping & Ablating Ectopy-Triggering Ganglionated Plexus Reproducibly in Persistent AF

by C Coyle @DrMYKim @Dr_Keene @vish_luther @BalvinderHanda @DrFuSiongNg @DocOfHearts @PrapaKanagarat1

☕️ https://t.co/jFbuK6sONZ…

#EPeeps

[Balvinder Handa @BalvinderHanda]

@DrFuSiongNg @imperialcollege @ImperialNHLI @icsmsu @ImperialMed I literally have no recollection of nominating you!

[Balvinder Handa @BalvinderHanda]

@gandhigasdoc Warming a spot on the specialist register.

[Fu Siong Ng @DrFuSiongNg]

Most ECGs are printed on paper 📜📜

Thus not suitable to train AI-ECG models

So we developed an automated ECG digitisation algorithm to extract digital ECG signals 🖥️🖥️

Well done @DrKiranPatel1 @arunsau_ @NikeshBajaj et al

@ImperialNHLI @ImperialEP

https://t.co/avqxI9Np5y

[Balvinder Handa @BalvinderHanda]

@Ed_Gerst Pace and ablate. It doesn't appear that LA will be making much of a haemodynamic contribution with that level of scar even in sinus rhythm

[Balvinder Handa @BalvinderHanda]

Great to be involved with this incredible study @DrMYKim @ImperialEP

[Fu Siong Ng @DrFuSiongNg]

What are the immunohistochemical characteristics of atrial sites that trigger atrial arrhythmias in response to high-frequency stimulation?

Our paper now out in Europace.

Amazing work by @DrMYKim and colleagues @ImperialNHLI @ImperialEP - well done!

https://t.co/CUfuIUYEq4

[Balvinder Handa @BalvinderHanda]

@PrashSanders @ChristianHeeger @RolandTilz @AlexGPott @Phiso_de @ShaojieChen1 @Dominik_Linz @danielsteven_ep @AndreasMetzner7 @ManningerMartin @YoungDgk @AGEP_DGK @purerfellner @DGK_org I agree, US guided access is a must and hard to imagine a time without it. I have had only a handful of access complications from a good few thousand punctures. Especially necessary when we are hepranising our EP patients. Also, saves time and makes thing a lot easier with

[Balvinder Handa @BalvinderHanda]

@javadm20 At our centre, we all pace the phrenic high up in SVC for right sided PVs with a quad. Then pace with lower output, establish a threshold and go slightly above. During the freeze, one hand over abdomen and stop at any sign of loss / attenuation. Right lower PV before right upper.

[Balvinder Handa @BalvinderHanda]

@MelbourneEPdoc Relatively regularly, what is your experience/ thoughts on extracting them?

[Balvinder Handa @BalvinderHanda]

@rkhamis @ImperialNHLI @imperialcollege @TheBHF Congratulations Ramzi. Well deserved.

[Fu Siong Ng @DrFuSiongNg]

@EmmaSvennberg @CarolineRoney @S_NarayanMD @M_Cluitmans @tomribeiroecg @ahortaribeiro @Moscoso_Costa @RicciardiDanilo @ivroca @SNedios