Mehrdad Emami

Cardiologist/EP at CHRD. UoA/RAH

[Prash Sanders @PrashSanders]

The Beat @HRSonline - this episode in collaboration with #JHRS @APHRSOfficial @drrpathak @Emami_EP @AkihikoNogami @DrHarisEP @SaurabhkumarEp

[JAMA Cardiology @JAMACardio]

In the randomized LOOP study, AF screening resulted in the coincidental diagnosis of sinus node dysfunction or atrioventricular block in 1 of 5 participants, along with increased pacemaker implantations, but no change in risk of syncope or sudden death. https://t.co/V5JK2iGlQV

[Prash Sanders @PrashSanders]

Great effort @pitmabm and @DH_Lau - #AFib screening in difficult circumstances #CHRD @UniofAdelaide @CentralAdlLHN

[Mehrdad Emami @Emami_EP]

@epfellow Interesting! What would be the mechanism of sudden TCL change?

[Prash Sanders @PrashSanders]

Screening for #Afib - we need to refine more. How do we do better and what do we do with what we find?

Our editorial: https://t.co/Q162RqoDEN
@melissaemm1
#CHRD
@UniofAdelaide @CentralAdlLHN

[Richard Lin @RichardZLin]

I'm pleased to announce our manuscript examining 25-year Australian trends in acute MI, coronary revascularisation procedures and associated costs has been published in @Heart_BMJ. @WongChrisX @PrashSanders @pitmabm @CelineGallaghe2 @TuSamuelJ @thecsanz

https://t.co/5zPLfhBrXw

[Corrado Fiore @fiore_corrado]

1/2
🤔Referred for a strange structure in right atrium.
💡Take a look this 2D/3D TOE focused on RAA anatomy
👉 This "band-like structure" is called TAENIA SAGITTALIS, the most prominent pectinate muscle originates from crista terminalis extending upwards and anteriorly #echofirst

[Mehak Dhande, MD (she/her) @MehakDhande]

📖 re coronary artery spasm & #pulsedfieldablation
🚨not seen w PV/posterior wall
🚨seen w CTI ablation more so without nitroglycerin - none a/w EKG changes @VivekReddyMD @EPentraining @PrashSanders @KTamirisaMD #EPeeps #EPFellows #Cardiology

[Mehrdad Emami @Emami_EP]

#PFA ICE can only confirm PFA catheter (spline) and tissue contact when PFA is used. Spline-tissue proximity does not equate to electrode-tissue contact. @HRSonline @PrashSanders @BorisSchmidt5 @Mel_Gunawardene @EPentraining @MehakDhande

[Mehrdad Emami @Emami_EP]

How close can PFA be delivered to the coronary arteries without causing coronary spasm? #PFA @HRSonline @PrashSanders @EPentraining @MehakDhande @aalahmadmd @BorisSchmidt5 @natale_md

[Mehrdad Emami @Emami_EP]

PFA is emerging as a tissue-selective technology; however, a large clinical series showed the incidence of reversible phrenic nerve palsy. There is still a lot to learn about #PFA @HRSonline @EPentraining @PrashSanders @MehakDhande @aalahmadmd @natale_md

[Clinton Thurber MD @EPentraining]

From @natale_md - PFA effective on posterior wall in persistent AF, durable, in study from @VivekReddyMD #EPeeps @KTamirisaMD @Emami_EP @PrashSanders @MehakDhande @aalahmadmd

[Mehak Dhande, MD (she/her) @MehakDhande]

🔑 points re #pulsedfieldablation
🚨contact is important
🚨disappearance of EGM doesn’t mean durability
🚨safer to stack lesions without esophageal injury
🚨stroke risk exists
@HRSonline @KTamirisaMD @PrashSanders @aalahmadmd

[Mehak Dhande, MD (she/her) @MehakDhande]

To not compare 🍎w🍊. Unipolar/bipolar #pulsedfieldabaltion are not the same.#EPeeps @HRSonline #TheBeatHRS #CardioTwitter

[Mehrdad Emami @Emami_EP]

Tissue proximity is necessary to achieve deep and durable lesions with #PFA. How to determine catheter-tissue proximity when using PFA? @HRSonline @PrashSanders @EPentraining @MehakDhande @KTamirisaMD @aalahmadmd @natale_md

[Clinton Thurber MD @EPentraining]

Durability remains a question in PFA, as some clinical studies have shown late recurrence in AF patients. Much to learn about delivery device engineering, intra-procedural endpoints, pulse settings. Exciting time for PFA! ⚡️ 🫀 @aalahmadmd @KTamirisaMD @PrashSanders #EPeeps

[Prash Sanders @PrashSanders]

Now the vast clinical experience from @natale_md on #PFA #TheBeat @HRSonline

[Mehrdad Emami @Emami_EP]

@HRSonline Wave polarity is important in lesion formation with #PFA @aalahmadmd @PrashSanders @natale_md

[Clinton Thurber MD @EPentraining]

vascular as well

[Clinton Thurber MD @EPentraining]

PFA full ⭕️ from our early days with DC current delivery ⚡️- tune in now via HRS365 with @aalahmadmd #EPeeps #PFA @KTamirisaMD @PrashSanders