Consultant Cardiologist and Electrophysiologist @GSTTnhs

London, England
Joined April 2017
High intensity exercise can improve cardiorespiratory fitness, reduce cardiovascular risk and provide psychological benefit in individuals with hypertrophic cardiomyopathy. However, for these positive effects to have a lasting impact, regular exercise must become a consistent habit. So proud that my PhD work has just been published in EHJ. Thank you to my fantastic supervisory team, collaborators, physiologists and most importantly the incredible participants and cardiac rehabilitation team without whom none of this would be possible. @MichaelPapadak2 @SSharmacardio Dimitra Nikoletou @JODriscoll9 @DrMaiteTome @BehrElijah @DrCJMiles @maclachlan_h @parry_williams @escardio @ehj_ed @CityStG_Health @CRY_UK track.smtpsendmail.com/90321…
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Chris Miles retweeted
#ResearchLetter: This study of 100 subjects found that 3% exhibited a type 1 Brugada pattern following ajmaline provocation. @DrYanushiDW @MichaelPapadak2 @DrCJMiles @Chiara_Scrocco @BehrElijah ahajournals.org/doi/10.1161/…
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When should you investigate RBBB in young or athletic individuals? Published #EJPC ✅1/1000 young individuals have RBBB, commoner in males & athletes; ✅5% have pathology, ASDs but also arrhythmias; ✅Pathology associated with broad RBBB ≥130ms, symptoms, other ECG anomalies.
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Wonderful to see how research we conducted into HCM and high intensity exercise has helped patients to exercise with confidence. Thank you again to the SAFE-HCM team and all my wonderful participants for making this happen. @MichaelPapadak2 @DNikoletou @JODriscoll9 @SSharmacardio
Inspiring story in the Feb issue of ⁦@runnersworld⁩ raising awareness of amazing #research led by ⁦@CRY_UK⁩ & ⁦@BasuJoyee⁩ - understanding your #hearthistory & when it’s safe to exercise after a diagnosis #HCM Thnx to ⁦@tmw1708⁩ & ⁦@AdrianMonti⁩ 🏃‍♂️❤️
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Chris Miles retweeted
New analysis from @REVIVED_BCIS2. PCI remained ineffective regardless of extent of viability. More importantly measuring "hibernation" is not useful, scar burden is major predictor of events and LV recovery. jamanetwork.com/journals/jam…
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Chris Miles retweeted
Our latest paper: Potential Diagnostic Role for a Combined Postmortem DNA and RNA Sequencing for Brugada Syndrome | Circulation: Genomic and Precision Medicine ⁦@SheppardNoelle⁩ ⁦@DrCJMiles⁩ Ang Asimaki and colleagues ⁦@StGeorgesUni⁩ ahajournals.org/doi/10.1161/…
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Interested in finding out more about cardiac adaptation to high intensity exercise in HCM? esc2023-abstract.medicalcong… via @escardio
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Chris Miles retweeted
Ethnic and sex-related differences at presentation in apical hypertrop... sciencedirect.com/science/ar… . HTN, sex and ethnicity play an important role in the pattern of hypertrophy in AHCM. @MichaelPapadak2 @SSharmacardio @BehrElijah @DrCJMiles @DrRaghavBhatia @StGeorgesUni
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Our research on ethnic and sex differences in Apical HCM is online @DrMaiteTome @DrRaghavBhatia @MichaelPapadak2 @BehrElijah @SSharmacardio @AKasiakogias @DrCJMiles @DrSaranMarwaha @ DrNickBunce t.author.email.elsevier.com/…
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Chris Miles retweeted
Interventional management of out-of-hospital cardiac arrest 👩‍⚕️ 👨‍⚕️ bit.ly/3z0aPsY
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🔴 Subepicardial Cardiomyopathy: A Disease Underlying J-Wave Syndromes & Idiopathic VF @CircAHA #CardioEd #Cardiology #CardioTwitter #Epeeps @Chiara_Scrocco @bjboukens
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Subepicardial Cardiomyopathy: A Disease Underlying J-Wave Syndromes and Idiopathic Ventricular Fibrillation @CircAHA ahajournals.org/doi/10.1161/…
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But the subepicardium requires new approaches to imaging to visualise the subtle substrate non-invasively and understand it’s significance in those without cardiac arrest, and the correct role for ablation as a therapy.
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Chris Miles retweeted
#StateOfTheArt: Subepicardial cardiomyopathy - a disease underlying J-wave syndromes and idiopathic ventricular fibrillation @BehrElijah @Chiara_Scrocco @bjboukens @DrCJMiles #AHAJournals ahajournals.org/doi/10.1161/…
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Does a subepicardial microstructural substrate underlie Brugada syndrome, ERS, and iVF? Just out: our Circulation @CircAHA Frontiers article, where we discuss the notion of a subepicardial cardiomyopathy. ahajournals.org/doi/10.1161/… @BehrElijah @StGeorgesUni #EPeeps
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Impact of ethnicity on LV remodelling; 1 in 5 black athletes has concentric remodelling/hypertrophy with RWT up to 0.51 in males & 0.48 in females. In contrast, RWT>0.45 should raise suspicion of HCM in white athletes! Just published #EJPC by @BasuJoyee academic.oup.com/eurjpc/adva…
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Excellent work by the St George’s group showing the incremental value of 12 lead Holter to detect type 1 Brugada pattern in apparently concealed BrS patients. Adds to annual HL ECGs, and a 1% event rate. ⁦@BehrElijah⁩ ⁦⁦@CSHeartResearch⁩ ⁦@MJAckermanMDPhD⁩ ⁦
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📌 EASY-WPW 👉 a novel ECG algorithm for easy & accurate localization of accessory pathways site #ECG #CardioTwitter #EPeeps @adribaran @ECGTalk @DrFerminGarcia @DrJasonAndrade @DhirajGuptaBHRS @SeguraCardio @jvillacastin @smithECGBlog @AskDrShashank @ecgrhythms @iamritu @Hragy
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📚New #AERJournal Article📚 ⚡Don't miss this review on our current understanding of clinical characteristics, genetics, and diagnostic and therapeutic strategies for #CPVT! Access the full review here 👉 ow.ly/U5hk50LqucZ @DrCJMiles @BehrElijah #EPeeps #CardioTwitter
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