Kousik Krishnan

Cardiac Electrophysiologist Edward Hospital. Former Team Cardiologist- Chicago Bulls/Sox/Fire, Father of 3, Engineer and Marathon runner.

[Kousik Krishnan @krishmd]

Ocean Trial - Real world decision making poll.

A yr after a successful Afib ablation with monitoring in a chadsvasc 3 pt.

Is ocean (and other trials) enough or do we need more?#epeeps

[Sandeep Gautam @gautamsand]

📢LBCT #HRS2026 — REAL AF Registry (VLCC PFA)
(Simultaneous pub @hrs_journal ) #SciComms @krishmd @paulzei
*⃣Real-world variable loop circular catheter (VLCC) PFA safety—beyond the trials:
➡️Real AF Registry data of 1,014 AF ablations w Varipulse PFA
• Complications: 0.6%
• No device-related events
• No stroke, death, or esophageal injury
➡️Most events linked to adjunctive RF—not PFA itself
➡️Efficiency:
• 99.6% acute PVI
• 86.5% same-day discharge
• ~65% zero fluoroscopy 🙂
🎯Takeaway: VLCC PFA is shifting AF ablation toward a safer, faster, outpatient-first paradigm
⚠️ Caveat: Observational registry data with rare events, no randomized comparator, and operator-dependent workflows—interpret cautiously
https://t.co/yzCBWNBmh2

[Kousik Krishnan @krishmd]

@DJ_Lakkireddy @drrakeshg1 @Drdevignair @KTamirisaMD @drsuneet @JagSinghMD @SDoshiMD

[Kousik Krishnan @krishmd]

Please join us for a fun evening at HRS
#epeeps

[Kousik Krishnan @krishmd]

Once you see the variability in the femoral vascular anatomy, you will understand why some complications happen with manual palpating of the artery and blind access. This is not expensive technology and really should be the standard.

[EHJ Editor-in-Chief @ehj_ed]

ULYSSES trial: Ultrasound-guided venous access significantly reduces vascular complications and arterial punctures during atrial fibrilation ablation vs conventional approach. Time to move from optional to standard of care. Read more in #EHJ.
https://t.co/xbJQIDHgDv
#AF #echo #vascularcomplication #cardiotwitter @ESC_Journals @escardio

[Kousik Krishnan @krishmd]

@EJSMD @doctorwes Wes was my first ep chief at my first job out of fellowship. Thank you for your efforts on this front. Meaningful work and change may be slow, but it won’t change without people like you.

[JICE @JICE_EP]

🚨Newest #FreeRead Article in
@JICE_EP

Real-World Strategies for PFA Using a Variable-Loop Circular Catheter: a Compendium of Best Practices from Early Adopters

by @LuigiDiBiaseMD, @BrettGidneyMD, @krishmd Arfaat Khan, @ZagrodzkyJD, @drimdadahmed, David Weisman, Jitender Munjal, Jonathan Dukes, Alexandru Costea, Xiao-Dong Zhang, Charles Athill, Linda Justice, @AllysonVarley, Susan M. Bezenek, @josoriomd, @paulzei & @cporterfieldmd

#EPeeps

[William H. Sauer, MD @True_EP]

There may be concerns about lesion size/durability when using higher irrigation rates to cool PFA electrodes. We performed experiments using an in vitro model to demonstrate the equivalence of cellular electroporation at different irrigation rates.

https://t.co/QDmD0nnCBz

[Heart Rhythm Advocates @HeartRhythmAdvo]

#EPeeps: you won't want to miss our upcoming town hall in November to hear from HRA and HRS leadership on the Evolving EP Practice Landscape. Register at https://t.co/sgEr4yIuL7

[Kousik Krishnan @krishmd]

https://t.co/IFOgMRoct9

[Sandeep Gautam @gautamsand]

All #EPeeps
Time for the 2025 #HRSTweetup #2025PaceSetter #HRS2025
Thursday 04/24/25 at 6 PM PST at The Marina Kitchen Bar at Marriott Marquis San Diego Marina https://t.co/L9Ptyi7BAp

Roll in & out or stay.
Enjoy, meet your peers, imbibe. 🎉🎉🍾🍾
Meet IRL folks you know only from profile pics & X aliases
⭐️⭐️Fellows/ Trainees - Don't worry about💲(Be reasonable 😎)
@KTamirisaMD @MGKatz036 @Nishaki1 @True_EP @jeffrey_vinocur @JRWinterfield @sgreenbergmd @ftrae @drjohnm @DrDave01 @omarjavedbaqal @np_varghese @DJ_Lakkireddy @drrakeshg1 @drsuneet @doctorwes

[Kousik Krishnan @krishmd]

Want to find out more about volunteering for an EP based medical mission? Come to our reception on Thursday night of HRS to find out more #EPeeps

https://t.co/Q8h3TMvpCC

[Kousik Krishnan @krishmd]

@Mdmetzl @EndeavorHlth Very important topic.

[Sandeep Gautam @gautamsand]

👉Interested in contributing to the 'Art Rhythm' section @hrs_journal ?
🤔What's that, you ask?
❤️ You must have noticed the bold heart motif cover pages
🔎 Look in TOC for artist reference
💪We are recruiting submissions.
✍️DM me if interested 🙏 #EPeeps #CardioTwitter

[Kousik Krishnan @krishmd]

@drjohnm Safe and effective. I use fluoro for procedures I have to. Fortunately my professional life is 75% ablation, which affords a large % of my day being lead free. Staff enjoy not wearing lead as well.

[Kousik Krishnan @krishmd]

@drjohnm ZF probably isn’t for you and may be harmful to the patient. Also, with good ice skills, I don’t understand what I would ever see on fluoro that isn’t better visualized on ice with 3d mapping. It’s a marriage of this imaging and having good skills with ice that make it n/2

[Kousik Krishnan @krishmd]

@praneet_manekar @HeartOTXHeartMD Ebsteins.
Mahaim pathway.

[ZOLL Cardiac Management Solutions @zoll_cms]

#CardioFellows -- Do you want to understand pacemakers and ICDs better? Join us tonight for part one of our webinar, focused on pacemakers. @krishmd presents “Introduction to Pacemakers” and Dr. Ali H. Shakir presents “Introduction to Pacemaker ECGs.” Register now: https://t.co/fjv5AUNoSM

[ZOLL Cardiac Management Solutions @zoll_cms]

#Cardiology #Fellows -- Mark your calendars now for our three-part webinar, "Understanding Pacemakers and ICDs" on Feb. 3, 6, and 10. Presenters will be @krishmd, Dr. Ali H. Shakir, @DrVerdino, @gauravaupadhyay, and @NishantVermaMD. See the full agenda and register: https://t.co/ZRwex7SX25