Vivek Mutha

Cardiologist & Electrophysiologist Northern Hospital / Knox Private Hospital / Warringal Private Hospital

[Vivek Mutha @VivekMutha3]

@MelbourneEPdoc @drsuneet You mean false negative

[Vivek Mutha @VivekMutha3]

@worldisall @DrTobyGilbert https://t.co/4WsN3OUcA4

[Vivek Mutha @VivekMutha3]

@DrAnoop_Koshy @theMJA Sometimes to decrease the period of grief - this resource is useful https://t.co/bVHdVPYMjC

[Sanjay Gill MD @SanjayGill1]

Flight attendant: Is there a doctor on this flight?

Mom: *nudging me* that’s you, go help

Me: I can’t Mom...

Mom: Why not son? You’re a Cardiologist!!

Me: Yeah, but apparently I’m no better than meds 😢

#ISCHEMIA

[Vivek Mutha @VivekMutha3]

@MKIttlesonMD The question is what treatment all the commenting doctors want if it were them. I tend to offer same treatment options to patients if permitted by rules.

[HeartRhythm @hrs_journal]

Discussion —

20% of S-ICD replacements had ineffective defibrillation test at 65J associated w increased shock impedance.

Clinical characteristics & PRAETORIAN score did not predict DFT failure.

Mechanism may be device fibrotic encapsulation.

https://t.co/Hp7iVZQP7j

fin/

[Vivek Mutha @VivekMutha3]

LAO 20

[Vivek Mutha @VivekMutha3]

Right sided implant - threshold 0.5 at 1 msec. 70 yr female prolonged HV interval. #dontdisthehis #cardiotwitter #eppeeps

[Vivek Mutha @VivekMutha3]

Tried to shape it. Moderate RA enlargement

[Asrar ul Haq @M_Asrarulhaq]

Better out than in I guess... #cardiotwitter #EchoFirst #imagefirst

[JK Han MD @netta_doc]

Pacing induced CM from @drsuneet

*moving the RV lead position doesn't improve dyssynchrony
*REPLACE: 19% complication rate for CRT upgrades
*Very conservative guidelines from HBP
*Need RCTs to better understand physiologic pacing & optimal way to pace #PPS2019

[Vivek Mutha @VivekMutha3]

@M_Asrarulhaq @Heart_of_Melb

[Vivek Mutha @VivekMutha3]

Right sided his implant. Any tips ?
Usual c315 is harder to manipulate
#dontdisthehis #eppeeps
@gopi_gdanda1 @UwaisMohamed8

[Vivek Mutha @VivekMutha3]

Overlay of venogram on fluoroscopy shows real time position of needle in relation to vein ( prior shot) #pacemaker #EPpeeps #cardiotwitter

[Vivek Mutha @VivekMutha3]

@RacingInsider @theage @heraldsunsport @theagesport

[Vivek Mutha @VivekMutha3]

@RacingInsider If you are truly serious - my challenge would be get an external party to do the audit of prior racing horses and publish it before Melbourne cup day. Otherwise it is just lip service. There are a thousand skeletons in your cupboard

[Anne Kroman @docAnneSquared]

There is something about a 30-40 min coupling interval between two overnight pages and I hit the sleep refractory period - and I can not go back to sleep no matter what... #medtwitter #EPeeps

[Vivek Mutha @VivekMutha3]

@MKIttlesonMD You either get your angiogram or we get you lunch. win-win

[Vivek Mutha @VivekMutha3]

@yasirakhtarMD @u_shakur The same late divergence was seen and questioned in Plato trial.

[Vivek Mutha @VivekMutha3]

@MKIttlesonMD Risk equals to harm multiplied by outrage