Sam Jacob Chiramel

Football loving interventional cardiologist and electrophysiologist

[🍓🍓🍓 @iruletheworldmo]

i never want to read any other way again.

[Sam Jacob Chiramel @Sam_ChiramelEp]

@DrRajeshG1 Problem is the antibiotics in this situation. He is in failure due to the PVL. Already started septran for Nocardia.

[Sam Jacob Chiramel @Sam_ChiramelEp]

Pt presents with fever for a week. He had an MVR 40 yrs back for IE & redo 3 months back for PV dysfunction. Blood culture shows no growth and PCR sepsis panel has not detected any pathogen. Empiric antibiotics started as per guidelines but patient developed BMsuppresion. 1/2.

[Dr Paddy Barrett @Paddy_Barrett]

Most people don't know HOW to get Heart Healthy.

If you do these 7 things

You reduce your chances of dying from heart disease by 93%!

[Sam Jacob Chiramel @Sam_ChiramelEp]

@paramesh_mohan @EPeeps_Bot @ecgrhythms @GangulyT2 @DidlakeDW @The_Nanashi_O @DruvBhagavan @EKGest @Jagdish26039718 @Sreenath_Sree @DrNithin90 Any reason for opting amiodarone as the drug to revert? Keeps all the options still open. Adenosine would have narrowed it down. Still first dd would be atypical avnrt, concealed posteroseptal pathway as second dd and at least likely

[Sam Jacob Chiramel @Sam_ChiramelEp]

@V_Mardigyan @SivaMulpuruMD @javadm20 @DrJustinZLee @rdschaller @narrowQRS Always thought it was due to increase slack but logically retained torque can cause. Good point 👍🏼

[Sam Jacob Chiramel @Sam_ChiramelEp]

@Tang_Dynasty_ @EPeeps_Bot As of now decided not to ablate.

[Sam Jacob Chiramel @Sam_ChiramelEp]

For cardiology residents, where is the pathway? @EPeeps_Bot

[Sam Jacob Chiramel @Sam_ChiramelEp]

@Tang_Dynasty_ @EPeeps_Bot It was 46yr old with recurrent palpitations. Presented with this ecg. Taken for eps. Had AVNRT with this left posterior pathway ant erp being 440ms and ret erp 390. Modified the slow pathway. Should we ablate the pathway?

[Sam Jacob Chiramel @Sam_ChiramelEp]

@Manekagandhibjp I’m sure our eternal togetherness and extraordinary response in times of disasters is the reason you and your party don’t sleep at night.

[Sam Jacob Chiramel @Sam_ChiramelEp]

@Manekagandhibjp Fourthly, please spew your venomous anti national and communal comments on people who are dumb enough to elect your government...we are a peaceful all inclusive community...it will take more than a bunch of jealous nutty outsiders to make us fight against each other..

[Sam Jacob Chiramel @Sam_ChiramelEp]

karnataka cm : Petition To Retain the Fortress - Sign the Petition! https://t.co/DCobyIFYUZ via @ChangeOrg_India

[Sunil Chhetri @chetrisunil11]

Dear India, THAT is my team and THOSE are my boys! Cannot describe how proud I am at this moment. Not a big result for the table, but in terms of a fight, as big as it can get. Huge credit to the coaching staff and the dressing room. #QATIND

[Sam Jacob Chiramel @Sam_ChiramelEp]

Check out the Christmas Present playlist on Amazon Music https://t.co/iLdTqoMC3J #AmazonMusic

[Sam Jacob Chiramel @Sam_ChiramelEp]

Check out "Simtaangaran" by Bamba Bakya, Vipin Aneja & Aparna Narayanan on Amazon Music. https://t.co/yXAg2o5OHU ⁦@AmazonMusicIN⁩

[Thomas Isaac @drthomasisaac]

We asked Union Gov for financial support of ₹2200 Cr ; they grant us a precious ₹600 Cr . We make no request to any foreign gov but UAE gov voluntarily offer ₹700cr. No, says Union gov , it is below our dignity to accept foreign aid. This is a dog in the manger policy.

[Sam Jacob Chiramel @Sam_ChiramelEp]

My answer is #RogerFederer. #NEXAAcesOfTheDay #NEXAExperience #ExperienceNew