shreel joshi

[Ashkan Ehdaie MD @EhdaieMd]

Alcohol ablation is intoxicating 😉

OSH referral for 3rd-do AFL. Slowing & term of AFL during VoM Etoh 💪🏼🍻 no RF needed for MI block.
@CedarsSinaiMed
Map Cred @AbbottEP_LA
Technique Cred @MiguelVldrbno

[Ashkan Ehdaie MD @EhdaieMd]

The apprenticeship model of teaching in Cardiac EP is obsolete.

Many thanks to the @SimCenterCS @CedarsSinaiMed for providing the resources to restructure and expedite the learning curve for our #EPfellows 💪🏼👏

[Ashkan Ehdaie MD @EhdaieMd]

Always take the time to appreciate the onset of tachycardia…it may seal the diagnosis without any pacing maneuvers.. #ablateVT #BeautifulEP

[Ashkan Ehdaie MD @EhdaieMd]

If you’re not test driving #EGMs you’re missing out on some serious 💎 🎯

Ridiculous wavefront 🌊 slowing w/ RV pacing corresponding to critical diastolic EGMs during VT

Dynamic Maps >> Static Maps #AblateVT

[LA Abbott EP @AbbottEP_LA]

Redo AF with OT activation vectors identifying leaks into the pulmonary veins. #AbbottAF
map credit: @ShreelJ

[Ashkan Ehdaie MD @EhdaieMd]

Like finding a $100 bill 💵 on the street..

700ms 🤯 bridging EGM 💎 during onset of this spontaneous NSVT
#AblateVT #BeautifulEP

[Ashkan Ehdaie MD @EhdaieMd]

How deep is your DEEP?

Septal venous mapping 2 distinct VTs from LV summit w/absurd EGM decrement (NICM)

Term endo/non-inducible

Do we celebrate w/ 10cc venous alcohol or abstain? @MiguelVldrbno #AblateVT #EGMsFirst

[Ashkan Ehdaie MD @EhdaieMd]

🎵……..”X gonna give it to ya”……🎵

Ensite-X team work during persAF

Continuous cyclical activity anterior LAA base during irregular CS activation + RSPV trigger. Basic Source/Driver theory in full effect

@ShreelJ @ElizabethPHeld @CedarsSinaiMed

[Ashkan Ehdaie MD @EhdaieMd]

Scenic view 🏕 of the PS mitral annulus involved in a transmural VT circuit (endo-epi/CS 100ms gap). Delayed term from endo concealed bystander

Map cred: @ShreelJ
Term cred: J.Lerner #EPfellow 💪@CedarsSinaiMed #AblateVT

[Ashkan Ehdaie MD @EhdaieMd]

#EGM Gods dropped another spectacular recording during #ablateVT. Too good to be true?

Far field ☑️
Near field ☑️
Far field ☑️ (🤔again?)

F-N-F signal: suspected recording of mid-myo steep activation gradient (“decel”) at septum w BiVp (NICM). Not seen w septal RVp (pic3)

[Ashkan Ehdaie MD @EhdaieMd]

Completely Epi substrate (peri-adhesion). 2 slow Epi VTs targeted. Map gap = adhesion. No effusion.
Map cred @ShreelJ

[Ashkan Ehdaie MD @EhdaieMd]

There’s only one type of sandwich that belongs in the EP lab….

Wish we could deliver a pulsed field from this.. 😉
#StayHungry #AblateVT #McGriddle

[Ashkan Ehdaie MD @EhdaieMd]

Requisite to "seeing" this ridiculously low voltage EGM is a ridiculously low noise floor

Credit @ShreelJ #AblateVT #EGMsfirst

[Heart Rhythm Case Reports @HRS_CaseReports]

Anatomy of a Steam Pop – Acute Histopathology in Human Myocardium after Ventricular Tachycardia Ablation https://t.co/N7elzAZAk0

[Ashkan Ehdaie MD @EhdaieMd]

Beautiful sight that #EPeeps don't want to see....

Looking forward to the next evolution of ablative technology
#EndoHurdle #EpiBridge

[shreel joshi @ShreelJ]

@AbbottCardio

[Ashkan Ehdaie MD @EhdaieMd]

Is it finally time to abandon the drab grey color for voltage <0.5mV w/ non-linear mini electrodes? There's a lot of electrophysiology below 0.5mV - give it the color spectrum it deserves!
#ablatevt

[Ashkan Ehdaie MD @EhdaieMd]

Is it finally time to abandon the drab grey color for voltage <0.5mV w/ non-linear mini electrodes? There's a lot of electrophysiology below 0.5mV - give it the color spectrum it deserves!
#ablatevt

[Ashkan Ehdaie MD @EhdaieMd]

Proud work parent moment:

Our newly minted 2nd year #EPfellow did her first solo PWI (first pass!) Nicely done Dr Ramireddy. #TeachtoLearn @AbbottCardio @ShreelJ @EugenioCingolan