Sugandhi Gopal

interventional cardiologist - entrepreneur, getting ECGs to anyone anywhere anytime !

[Sugandhi Gopal @sucarditek]

@kylenabecker Well phrased ( of course , you are a writer ! ) i agree with your post completely !

[Sugandhi Gopal @sucarditek]

@r0ck3t23 Yes - this requirement is not met at all in our school systems. ! I had a lot of these issues when my daughter was being educated !

[Sugandhi Gopal @sucarditek]

@MelbourneEPdoc @ftrae @drjohnm @bogdienache @NEJM They should have declaration of conflict interest from the reviewers as well - why only from authors ? Currently the “ big “ journals are like medical mafia ! LAA devices and AF ablation works because “they” say so

[Sugandhi Gopal @sucarditek]

@theUMreal As I wrote a new concept in medicine , grok wanted to be co author ! Raised alarms that it was becoming human with more the dirty side in thoughts - not the generous side caring about others !

[Sugandhi Gopal @sucarditek]

@elonmusk True. And it is really insanely good !

[Sugandhi Gopal @sucarditek]

At @sucarditek
short Holters crush it on pathology yield!31 min → ~45% supraventricular ectopics in bi/trigeminy + epic "bird wing" Poincaré (double lobes = short-long RR pattern).Stable 60 bpm HR. If caught in 30 mins, why long Holters? —short wins when dense!
#ECG #Holter

[Sugandhi Gopal @sucarditek]

@newscientist Suddenly fat is beautiful ( medically at least ? ) Ruben ! You were right !

[Sugandhi Gopal @sucarditek]

@ecgandrhythmRoe @ecgrhythms @DaveRichley @syamkumarmd @MaruanCarlos @AThomazAndrade @melhamriti @Arron_Pearce_ @EcgOxford @doctor_roig @marioalrb84_a @MagnusNossen @NaokiThukishima @Koichi16423232 @ecgotaku @FloydECGs Curila K, Jurak P, Chelu MG, Upadhyay G, Sedlacek K, Osmancik P. Is it a true left bundle branch block or not? J Interv Card Electrophysiol. 2023. SpringerLink PDF Springer- misclassification affects CRT candidacy and outcomes

[Sugandhi Gopal @sucarditek]

@ecgandrhythmRoe @ecgrhythms @DaveRichley @syamkumarmd @MaruanCarlos @AThomazAndrade @melhamriti @Arron_Pearce_ @EcgOxford @doctor_roig @marioalrb84_a @MagnusNossen @NaokiThukishima @Koichi16423232 @ecgotaku @FloydECGs Routine conventional ECGs can misclassify or miss cardiac conditions in ~20–30% of cases, conduction abnormalities specially in LBBB. In contrast, ultra high‑frequency ECG (HFECG) reduces misdiagnosis rates to below 10%,

[Sugandhi Gopal @sucarditek]

@ManualOMedicine @DrJNELLY95 @IhabFathiSulima @smithECGBlog @Ecgloverr @TrackYourHeart @Interve15538505 @radcliffeCARDIO @kisubi_hospital @UgandaPhysician @InternalmedMak @MUST_EM @kirudduNRH @lacor_hospital @MiguelP23970914 @amalmattu @DrAkhilX @DrOribaDan @ecgandrhythmRoe @ecgrhythms @EM_RESUS @KostekMilan @syamkumarmd @RobertHermanMD @PendellM seems to be having a significant concavity upwards in the raised ST segment - please evaluate for pericarditis also - a quick echo before activating cath lab please

[Sugandhi Gopal @sucarditek]

an interesting patient with a LOT CRT - what is triggering the arrhythmia ? the rest of the tracing ?

[Sugandhi Gopal @sucarditek]

@ecgandrhythmRoe @IhabFathiSulima @DrRajeshG1 @DrparrayMD @drahmedmohsen85 @TruthinMindBody @MubarakAlhatemi @Merieste @Ahmed43101178 @tbouthillet @PeterItebimien @DrDave01 @Vadeboncoeur_Al @PendellM @josecruz2102 @iBurhanMD Atrial flutter with variable block in first half of recording , converted to a slow sinus rhythm - qrs has a notch - slightly widened. ? Digoxin effect

[Sugandhi Gopal @sucarditek]

@DrRajeshG1 Even if it is preexcitation how to you rule out ischaemia. ? After all his presenting complaint was chest pain

[Sugandhi Gopal @sucarditek]

@i_m_prapti Lying to me is really an insult to my intelligence and it really upsets me !

[Sugandhi Gopal @sucarditek]

@niccruzpatane Mind blowing and Tesla worthy !

[Sugandhi Gopal @sucarditek]

@ecgandrhythmRoe Both strips show a VT triggered by an ectopic with R on T.

[Sugandhi Gopal @sucarditek]

@Vtxt21 Modi is responsible for Ukraine war and what goes on in Trumpet’ s brain ?

[Sugandhi Gopal @sucarditek]

@echotalk Could also do a leg raising and fluid challenge unless bicycle ergometry is available- we have to look more closely at frequency changes from cardiac bio potentials as route to diagnosis.

[Sugandhi Gopal @sucarditek]

@TheLancet And to many international citizens

[Sugandhi Gopal @sucarditek]

@TheLancet Is been like that for last 30 years ! Just lower the thresholds for suspicion.