Nikhil Shah, MD(@NikhilShahMD) 's Twitter Profileg
Nikhil Shah, MD

@NikhilShahMD

Cardiac Electrophysiologist at @getReliant Medical Group via @LaheyHospital and @UFHealth

(Thoughts + tweets are my own)

ID:1154534910356611072

linkhttp://www.shah.md calendar_today25-07-2019 23:32:27

1,4K Tweets

1,0K Followers

750 Following

Nikhil Shah, MD(@NikhilShahMD) 's Twitter Profile Photo

Interesting findings however I would love to see an analysis based off AF duration: early pers vs pers vs longstanding pers. My impression is that early pers ablation outcomes may be similar to parox AF duration to healthier substrate, these pts often need PVI only

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Nikhil Shah, MD(@NikhilShahMD) 's Twitter Profile Photo

Beautiful series of images/posts that remain true about my 8 years of training and even now as an early career physician

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Tony Breu(@tony_breu) 's Twitter Profile Photo

1/15
Why are statins administered at night?

In this tweetorial I'll discuss the mechanistic and historical reasons for the frequently used QHS dosing schedule. And why it's often unnecessary.

But before we get there, I'm curious: when do you prescribe/order/take statins?

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Nishaki Mehta MD(@Nishaki1) 's Twitter Profile Photo

New afib guidelines 2023 by Dr Joglar.
Coffee is not bad for AF, unless specific trigger for a patient ( my editorial note)
I plan to use Atria and Garfield score for CKD and dementia in addition to C2V scores
With CM, target HR<80 at rest and <110 with exercise

New afib guidelines 2023 by Dr Joglar. Coffee is not bad for AF, unless specific trigger for a patient ( my editorial note) I plan to use Atria and Garfield score for CKD and dementia in addition to C2V scores With CM, target HR<80 at rest and <110 with exercise #ACC24
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Richard Ferraro(@RichardAFerraro) 's Twitter Profile Photo

Finally and I found a way to remember antiarrhythmic classes without EVER forgetting or having to memorize. Read this thread to learn how:

Finally #MedTwitter and #MedX I found a way to remember antiarrhythmic classes without EVER forgetting or having to memorize. Read this thread to learn how:
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Nikhil Shah, MD(@NikhilShahMD) 's Twitter Profile Photo

ASCs are safe, efficient and fantastic for patient care. The next big step in the EP lab (after PFA) is into the ASC setting.

We want HRS to actively encourage CMS to fund cardiac ablation codes in ASCs. please sign the petition! chng.it/Z6pMHtHK

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Nikhil Shah, MD(@NikhilShahMD) 's Twitter Profile Photo

Accuracy of Wearable Heart Rate Monitors During Exercise in Sinus Rhythm and Atrial Fibrillation jacc.org/doi/10.1016/j.…

important to note that wearables are inaccurate in assessing rate control in a fib. Great study demonstrating limitations of this tech

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HeartRhythm(@hrs_journal) 's Twitter Profile Photo

Ventricular Septal Defect as a Complication of Bipolar Radiofrequency Ablation for Ventricular Tachycardia
Timothy Maher, MD
heartrhythmjournal.com/article/S1547-…

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A&Z MD(@AZMD_1) 's Twitter Profile Photo

Should standard health insurance plans cover gym memberships?

Also, please comment if you think the insurance companies would save or lose money by doing this.

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HeartRhythm(@hrs_journal) 's Twitter Profile Photo

Lead performance of stylet-driven leads in left bundle branch area pacing: results from a large single-center cohort and insights from in-vitro bench testing
heartrhythmjournal.com/article/S1547-…

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javad mikaeili(@javadm20) 's Twitter Profile Photo

Another negative study! 👇 Impact of Left Atrial Posterior Wall Ablation During Pulsed Field Ablation for Persistent Atrial Fibrillation! jacc.org/doi/10.1016/j.…

Another negative study! 👇 Impact of Left Atrial Posterior Wall Ablation During Pulsed Field Ablation for Persistent Atrial Fibrillation! jacc.org/doi/10.1016/j.…
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Albert Lin, MD(@AlbertLinMD1) 's Twitter Profile Photo

Congratulations to all the structural ICs that have worked in developing novel therapies for TR. My hope is that ICs consult EPs (esp those with extraction experience) early for TTVr candidates with pacing/ICD leads for management options. tctmd.com/news/fda-appro…

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Nikhil Shah, MD(@NikhilShahMD) 's Twitter Profile Photo

There is now data to support why the zio patch is my favorite ambulatory monitor iRhythm Technologies. Great work by the team who put this paper together!

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Nikhil Shah, MD(@NikhilShahMD) 's Twitter Profile Photo

I'm a big believer in scheduled melatonin for ICU patients for a similar reason. This is a terrific idea! Easy and cheap to incorporate into patient care.

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Ikram Haq, MD(@IkramHaqMD) 's Twitter Profile Photo

Very nice visual illustrating LBBB by Strauss et al. (PMID: 21376930)

The 1st notch occurs approx 50ms after QRS onset & represents depolarization of the septal endocardium.

The 2nd notch occurs when depolarization reaches epicardium of LV lateral wall

Very nice visual illustrating LBBB by Strauss et al. (PMID: 21376930) The 1st notch occurs approx 50ms after QRS onset & represents depolarization of the septal endocardium. The 2nd notch occurs when depolarization reaches epicardium of LV lateral wall #Epeeps #CardioTwitter
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