Alex James, MD

PGY3 Internal Medicine Resident. MD from Temple. Insta: alexjjamesmd. Persian.

[Alex James, MD @alexjamesmd]

Hi everyone! My name is Alex and I will be applying to cardiology fellowships this season. I come from Landmark Medical Center in Rhode Island where I’m a third year internal medicine resident. I look forward to meeting you all! My passion is electrophysiology!

[CardioTeca @cardioteca]

🆕 Disección aórtica tipo B: Manejo práctico para el cardiólogo clínico.

📕 N Engl J Med
📁 Resumen del artículo en https://t.co/nLsltgwUNk

[Matters of the Heart 🫀 @MattersoftheH14]

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[Alex James, MD @alexjamesmd]

@SrihariNaiduMD @TanyaSh112 @SwatiChand_ @purviparwani @JamalRanaMD @DrMarthaGulati @DLBHATTMD @djc795 @HarisPatail @JasonKatzMD @docbhardwaj @EllauziRama @pkothapalliMD @Pooh_Velagapudi @adityadoc1 @AmroAglanMD @nymedcollege @duanepinto @Babar_Basir @PerwaizMeraj @agtruesdell @Medtronic @WMCHealth @dlubarskymd @DougDrachmanMD @drmalissawood @ACCinTouch Where is this collection?

[Srihari S. Naidu, MD @SrihariNaiduMD]

Fellow on HCM rotation asked what’s in the case. Here’s my dad’s collection of history of pacemakers.

From 1950s bulky devices to leadless wonders, they’ve come a long way.
Decades later, they still do what they do best: keep hearts (& history) ticking

Which is the earliest?

[Dr G Rajesh (Gopalan Nair Rajesh). @DrRajeshG1]

@MiguelP23970914 If irregular Cannon = VT
If irregular V waves = AF.
This was MVP severe MR, PH, TR with AF and fast ventricular rate. During rounds while looking at JVP, I also first thought irregular cannon waves and looked at the monitor which showed AF

[Milan Koštek @KostekMilan]

🧵on the history of Bachman bundle, interatrial block and internodal tracts
In 1910 the internodal tracts were dismissed.

[Carlos Collet MD PhD @ColletCarlos]

Coronary CT will become the non-invasive standard to evaluate patients with stents

It will also help in understanding the root cause of stent restenosis (mechanical vs. neoatherosclerosis) and guide treatment

@djc795 @ziadalinyc @Heart_SCCT @SCAI @crfheart

https://t.co/7nwapXoDs0

[Johns Hopkins Cardiology @hopkinsheart]

Our structural heart team performed their first transcather tricuspid valve replacement (TTVR) using a new FDA approved device, designed to treat severe tricuspid regurgitation without open-heart surgery. @RaniKHasan @frahman480 @MatthewCzarnyMD @HopkinsACCMCard

[Hikmet Yorgun @hikmetyorgun]

Critical isthmus of VT is confined to small area despite extensive substrate!
👇
Epicardial map of ARVC demonstrating figure-of-8- reentry colocalized with DZ of ILAM. #EPeeps

[HAIDER AL TAII @HaiderTaii]

Outcome of Pentaspline PFA outside PVs 👇 Acute success does not necessarily translate into long-term success.

[CardiovascularCorner @TrackYourHeart]

Coronary artery anatomy

[Heart Rhythm Case Reports @HRS_CaseReports]

Safety of pulsed field ablation of atrial fibrillation in patient with Left Ventricular Assist Device and heparin-induced thrombocytopenia
https://t.co/jaNBI4NVGy

[Dr G Rajesh (Gopalan Nair Rajesh). @DrRajeshG1]

This pt on DDD pacemaker had a few episodes of “giddiness” for which she was admitted and Holter was connected.same day we asked the pacemaker tech to have a look at the parameters.He told all parameters were normal.X-ray shows normal leads.Holter shows a strip of CHB. What to do

[Olga Durán Bobin @odbobin]

Today in EPlab:56 yo man with 41% PVC density and PVC induced cardiomyopathy. RVOT map with #ORION showed EGM preceding QRS by 22 ms. RF at this site was unsuccessful. Mapping sinuses of Valsalva showed in the RCC an early EGM.RF ablation in this point led to disappearence of PVC

[Michail Efremidis @MEfraimidis]

Single shot AT ablation,using Affera system.
@ipetemil @Kariki_O @athsaplaouras @SteliosDragasis @K_Letsas @TomohiroNagao @PetrosSkalidis #Onasseio Hospital

[CardiovascularCorner @TrackYourHeart]

Coronary artery anatomy😍

[Emir Baskovski @baskovski]

Our observations regarding colocalization of conduction tissue with scar in pt undergoing Vf ablation. @timucin_alt @akyurek_omer #Epeeps
https://t.co/qwxAXESq3p

[Rodolfo San Antonio @Dr_SanAntonio]

Fascinating VT ablation case: basal inferolateral SUBENDOCARDIAL infarction. Voltages mostly preserved (bipolar & unipolar). No LAVA or late potentials on sinus rhythm/S1. S3 PROTOCOL unmasked deceleration zones, matching channel areas seen with ADAS @JuditMasC_

[CardiovascularCorner @TrackYourHeart]

Coronary arteries and arterial territories on Echocardiography😍

[CircEP @CirculationEP]

In the SUPPRESS-AF subanalysis, LVA ablation added to PVI was effective only in patients with enlarged left atrium (LAD >44mm), while no benefit was seen in smaller atria. Larger LA patients may benefit most #AHAJournals #Epeeps
https://t.co/cPgpvdOJHu