Maria Viqar, MD

#Cardiac Electrophysiologist #cardiologist #helping one heart at a time- views are my own

[Roderick Tung @DrRoderickTung]

Dramatic vagal response during cardioneural ablation of LIGP region with sinus suppression followed by high grade AV block. #CNA

Clinical cardioinhibition event sample 👇
🎞️credit: our new mapping specialist @masonmaps

[Claire Martin @CMartinCardio]

Very pleased to report successful first use of pulsed field ablation for VT ablation via a retrograde approach in patient with previous failed ablation of an intramural circuit. No VT inducible post ablation. No spasm on angiography. @RoyalPapworth #farapulse #bsci #EPeeps

[Fergie J. Losiniecki, MD, FACC, FHRS @FergieLosiniec1]

LV summit PVC today tackled with the best team! Thanks @mbelshazly for letting me be so hands on and learn so much from you! As a first year EP fellow I got to perform alcohol ablation to a septal branch of the AIV on this normal Tuesday. No PVCs after infusion.

[Jeffrey M Vinocur @jeffrey_vinocur]

#EPeeps A story of evolving AV block:
📈 Vp
📉 activity
📈 resting HR

[Timothy Markman @Dr_Markman]

#EPeeps At CRT-D upgrade, easily cannulated what seemed in RAO to be MCV branch. Here is LAO venogram: reasonable target for LV lead? @PennEPFellows @rdschaller @seth_j_worley @SergioPinski @narrowQRS @Dr_Nazarian_EP @Dr_Smietana @shivkumarmd

[Raviele Antonio @drraviele]

📌 In 👫 with no history of treated VT/VF who undergo ICD generator change
👉 a higher LVEF cutoff -45% instead of 35%- improves identification of 👫 at low risk of experiencing appropriate ICD therapy
#EPeeps #CardioTwitter #SCD @DrMarthaGulati @JagSinghMD @aalahmadmd @ftrae

[Kevin Brady @Hapa_EP]

4th ablation for this patient presenting in AAFL! When we put ablator at the critical isthmus, it bump-terminated into another LA flutter. Without remap, burning an anterior line from RSPV to scar + valve failed to terminate this 2nd AFL, which then degenerated into AF. #EPeeps

[Dr. Gomathi @Drgomathi_tn]

The wife brought her 40 yo husband to the ER after an episode of light-headedness &palpitations. ECG was taken. What is the diagnosis?
A. Mobitz type I
B. Mobitz type II
#MedTwitter #medicine #MedEd #CardioTwitter #heart #medicalstudents #Clinical

[Dr Ulhas Pandurangi @UlhasDr]

Mechanism of termination of tachycardia?

[Robert Herman, MD, PhD @RobertHermanMD]

Easy #ECG for mid-week — or is it?
What is your interpretation?

#CardioTwitter #FOAMed

[Gregory Michaud @DrGregMichaud]

#Epeeps.. SVT with aberrancy or VT?

[Roderick Tung @DrRoderickTung]

Basal inferoseptal LV in ICM by posteromedial papillary muscle. This morphology not typical of initial Circ description by Wilber 1995 of MA VT. The V5 transition really warrants all votes for RV and ARVC, but note that QRS exits are spatially remote (3-5cm) from the action. 1/3

[Maria Viqar, MD @DrMariaViqar]

@SergioPinski typical CCW Flecainide / responsible for brugada pattern

[Maria Viqar, MD @DrMariaViqar]

@NishantVermaMD @DrBradleyKnight @NMCardioVasc @True_EP can you please share the link

[Maria Viqar, MD @DrMariaViqar]

@cleebennett happy birthday #covid19doc

[Kashif Pirzada, MD @KashPrime]

Front-line providers need to consider anti-coagulating their rapidly deteriorating COVID-19 patients. Could it be that severe endothelial dysfunction, resulting in microvascular thrombosis, is playing a major role in the rapid deterioration that we see in days 7-10?
1/

[Maria Viqar, MD @DrMariaViqar]

@BiosenseWebster @Allred_J @josoriomd @AmberSeiler1 @BriggySmalls13 excellent webinar

[Dr. Márcio Figueiredo EP @figueiredo_ep]

Live webinar on telemedicin in EP... Very important! Thanks @BiosenseWebster and @Pinar__Kurt ! #EPeeps #EPeepsTele