Neel Parikh MD, MPH

Cardiology Fellow. Profoundly interested in internal medicine, cardiology🫀, and sports 🏏 🇮🇳🇺🇸

[Harsha Bhogle @bhogleharsha]

This is so typical of Kane Williamson. Just a quiet exit away from the spotlight. One of the finest players of his era, arguably the best batter to emerge from NZ and an outstanding person. Humble, dignified and universally respected.

[CardiovascularCorner @TrackYourHeart]

Although verapamil is contraindicated in most forms of ventricular tachycardia, an important exception is fascicular ventricular tachycardia (also called idiopathic left ventricular tachycardis or Belhassen VT).

Fascicular VT is a rare, idiopathic VT typically seen in young patients without structural heart disease. It originates from the left ventricular fascicular system and may mimic supraventricular tachycardia with aberrancy. Unlike other VTs, this arrhythmia is calcium-dependent, which explains its characteristic termination with intravenous verapamil.

This unique response was first described in 1979 by Belhassen et al., leading to the terms verapamil-responsive VT and Belhassen VT. Because of its infrequency, it is well recognized by cardiologists but often under-recognized in emergency settings

[Jorge Faerron @cardiopedhnn]

Management of patients w an #electrical_storm or clustered #ventricular arrhthmias. Consensus statement of EHA.

https://t.co/Xt9fGyyvXA

[CardiovascularCorner @TrackYourHeart]

Acute MI is not always STEMI.

A major 2025 review highlights why relying only on classic STEMI criteria can miss dangerous coronary occlusions.

A thread on OMI (Occlusion Myocardial Infarction): 🧵

[mandeep singh @mandeep_mayo]

Look at ECG for BBB before Cath

[JAMA @JAMA_current]

#HeartFailure (HF) affects more than 64 million individuals worldwide, and acute HF is associated with 1-year mortality rates of 23.6% in North America and Europe.

Cardiac resynchronization therapy restores synchronous ventricular activation in patients with HF, reduced LVEF, and left bundle-branch block, or in those requiring chronic ventricular pacing, and may improve LV function, decrease HF hospitalizations, and reduce mortality. 🧵

🔗 Learn more in this JAMA Review: https://t.co/HYZqQg8rzi

[American Heart Association @American_Heart]

The American Heart Association mourns the passing of the legendary cardiologist Eugene Braunwald, M.D., widely recognized as one of the most influential figures in the history of cardiovascular medicine. Over seven decades, his work reshaped the understanding and treatment of heart disease, leading many to call him the father of modern cardiology.

Braunwald was a lifelong contributor to the American Heart Association, helping advance its research and scientific mission, and was honored with some of the Association’s highest honors for his lasting influence on cardiovascular care and research. His influence extended well beyond his own discoveries, as generations of Association‑supported investigators, clinicians and academic leaders were trained by Braunwald or guided by the clinical trial standards and mentorship models he helped establish.

https://t.co/ieZuHYMyOP

[Marques Brownlee @MKBHD]

Insane photo from beside the moon
Shot on a Nikon D5
f/8
ISO 400
1/1000s shutter
@NASA: https://t.co/h8TRx6T7zm

[David Kenigsberg, MD @dkenigsberg]

Proud of my @FloridaACC colleagues who represented en masse at @ACCinTouch Annual Meeting #ACC2026 in NOLA last weekend -#leadership #education and #advocacy.
Strong presence. Meaningful impact.

[Neel Parikh MD, MPH @neell27]

@DrRajeshG1 @iamritu I came across this article by @tavrkapadia on VSD management. It was also really informative. https://t.co/6JRKVSxPFG

[Neel Parikh MD, MPH @neell27]

@Drakhil_cardio What is the etiology? Syphilis, connective tissue disorder or Uncontrolled HTN ?

[Abdulla A. Damluji, MD, PhD @DrDamluji]

Hi Everyone -

🥸Here are all the 27 late breaking clinical trials presented at @ACCinTouch (ACC.26) with session number, day, time, and objective.

😱See you in NOLA:

👇👇👇

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

This patient has a congenital heart disease. Most probable diagnosis?

[American College of Cardiology @ACCinTouch]

🆕 ACC/AHA Guideline on the Management of Dyslipidemia offers a comprehensive “one-stop shop” for addressing the evaluation, management & monitoring of individuals w/ dyslipidemias.

Read the full guideline in #JACC: https://t.co/rhUKNIRRL4 #cvLipids #ClinicalGuidelines

[Narendra Modi @narendramodi]

Champions!

Congratulations to the Indian team on winning the ICC Men’s T20 World Cup!

This remarkable triumph reflects exceptional skills, determination and teamwork. They have shown outstanding grit through the tournament.

This victory has filled every Indian heart with pride and joy.

Well done, Team India!

[JACC Journals @JACCJournals]

🆕 ACC/AHA/Multisociety Guideline for the Evaluation & Management of Acute PE in Adults is a de novo document offering comprehensive, evidence‑based recommendations for the evaluation, management & follow‑up of adults w/ acute PE https://t.co/qA7dkZBGZO #JACC #ClinicalGuidelines

[Harsha Bhogle @bhogleharsha]

Wow! Wow! #Zimbabwe. Fantastic. You have been the story of this tournament. @ZimCricketv. And the flag bearers for the seemingly lesser fancied teams.

[Ritika Tuli @RitikaTuliMD]

#CardioNugget

Class Ic antiarrhythmics (Flecainide, Propafenone)

🧠 MOA: Strong fast Na⁺ channel block (slow unbinding) → marked ↓ conduction in fast tissue

📈 ECG: ↑ QRS (classic) ± ↑ PR; minimal QT effect

✅ Use: Rhythm control for AF/atrial flutter/SVT in patients WITHOUT structural heart disease

🚫 Avoid: CAD/prior MI, LV dysfunction/HFrEF, significant structural heart disease → ↑ proarrhythmia risk

⚠️ Pearl: Can convert AF → atrial flutter with 1:1 conduction → often pair with an AV nodal blocker (BB or diltiazem/verapamil) when appropriate

#CardioNuggets #MedEd #CardioTwitter

[David Kenigsberg, MD @dkenigsberg]

Proud of our multidisciplinary team at HCA Florida Westside Hospital that performed an emergent ablation on a patient in sustained hemodynamically unstable VT — with ECMO initiated in the EP lab.

🔗 https://t.co/muNiOb95yG

#EPeeps #VTablation #ECMO #Collaboration #Cardiology

[Neel Parikh MD, MPH @neell27]

@Babar_Basir @SCAI Thank you Dr Basir. It was great hearing your talk.

[Neel Parikh MD, MPH @neell27]

I presented a very challenging ViV - TMVR case at SCAI Shock meeting at Tampa. #Cardiology @SCAI #scaishock2025