Darius Sholevar

Electrophysiologist with Lourdes Cardiology in NJ

[Darius Sholevar @DShole_EP]

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

[Darius Sholevar @DShole_EP]

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

[Darius Sholevar @DShole_EP]

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

[Darius Sholevar @DShole_EP]

@hisbundle @NorthwellHealth @Medtronic Nice shots and congratulations. Will hopefully usher in a new age in smaller icd leads

[Darius Sholevar @DShole_EP]

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

[Darius Sholevar @DShole_EP]

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.

[Darius Sholevar @DShole_EP]

@VirtuaHRS @VirtuaHealth @AatishGarg_EP

[Darius Sholevar @DShole_EP]

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

[Darius Sholevar @DShole_EP]

@AatishGarg_EP @VirtuaHealth @VirtuaHRS @jaykoneru @KennethEllenbo1 @MiguelVldrbno @EPbordeaux @HeathHsalt Great work on first case. 3 minutes of endocardial burns to get bidirectional mitral isthmus block is no joke

[Darius Sholevar @DShole_EP]

@AatishGarg_EP , @VirtuaHealth

[Darius Sholevar @DShole_EP]

45 day post imaging with excellent seal and no clots. Many thanks to Dr Geof Zarrella for excellent images

[Darius Sholevar @DShole_EP]

45 day post imaging with excellent seal and no clots. Many thanks to Dr Geof Zarrella for excellent images

[Darius Sholevar @DShole_EP]

@AatishGarg_EP @VirtuaHealth @HeartVirtua @EPeeps_Bot @HeathHsalt Nice tracings! Nice case of isolated left atrial appendage in atrial fibrillation with exit block after Ostial isolation

[Darius Sholevar @DShole_EP]

Second device placed acutely with good seal of both lobes and good stability

[Darius Sholevar @DShole_EP]

Initial placement in superior right lobe with protrusion but over compressed device in inferior lobe with minimal protrusion

[Darius Sholevar @DShole_EP]

Unable to pass tug test in mid position