EP consultant at AdventHealth Central Florida 2020 to 2024 SRH, Greenwood, SC CCEP fellowship @ Mayo Clinic Arizona. Personal thoughts - not medical advice.
Orlando, FL
Joined February 2010
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Vatsal Ladia retweeted
Important PVI-SHAM-AF trial—but interpretation matters. This was not ablation vs “nothing.” The sham arm included deep sedation, an invasive cath-lab procedure, intensive follow-up and, importantly, cardioversion when patients were in AF—itself an effective rhythm-control intervention.
Yet ablation still produced substantially better rhythm control (73% vs 52% freedom from AF).
With QoL assessed at only 6 months, are we measuring the effect of ablation—or comparing two active rhythm-control strategies?
I would be cautious concluding that ablation does not improve symptoms. The study may instead demonstrate how difficult it is to design a truly inert sham for AF.
#AFib #CatheterAblation #RhythmControl #PVI #ESCCongress @PrashSanders @drjohnm @chris_sohns @peterkistler3 @DJ_Lakkireddy @DrRoderickTung @TinaBaykaner @DrJasonAndrade @SteffelJ @netta_doc @TulaneHeart
One of the #ESCCongress highlights:
#HOTLINE #LBCT
PVI-SHAM-AF
🫀262 patients (~1/2 women! 👏🏽)with symptomatic AF → ablation vs sham
🫀At 6 mo, AF-related QoL improved in BOTH groups, with no significant benefit from ablation (P=.36)
🫀But ablation improved freedom from AF: 73% vs 52%.
Better rhythm control ≠ necessarily better QoL @RoWachter
I love the sham trials!
Lancet: doi.org/10.1016/S0140-6736(2…
A month at advent, health central florida division @AdventHealthCFL 3 A fib , 1 a tach , a wpw and a fascicular vt .... cannot get better than that....
Incessant VT, definition of LV summi early breakout , successful endocardial low output long duration with ice image lesion @EPeeps_Bot #EPeeps #tactiflex @SelfRegional
What is the next step for this Friday afternoon add on case for BiV CRTD?
#Epeeps #CardioTwitter #Cardiology #Echocardiography
Vatsal Ladia retweeted
This letter signed by over 500 Hoosier physicians expresses disappointment with the treatment of Dr. Caitlin Bernard and was published today in the @indystar
This affects the entire house of medicine
Vatsal Ladia retweeted
#EPeeps Ever wonder the origin of the Swartz sheaths?
With a little 🕵️♂️ work and a little help from my friends (🧵), I think I tracked it down —
Check out the hand-shaped modifications described in this early report of endocardial/transseptal approach WPW ablation
Ablation on pathway gone ....more EGMs coming .....excellent mapping @HighPwrShortGal
#EPeeps
Great case @SelfRegional using new technologies with mapping system
Trying the new EnSite advanced mapping software, OT Near Field. Any low-frequency signal automatically shaded dark to help answer the age old question... is it far-field? OT NF "Emphasis" map confirms the classic EP maneuver, pacing from LAA. @AbbottCardio #EPeeps #OTNearField
As if there were not enough retarded people doing mass shootings since retards are passing this bill
live5news.com/2023/02/22/con…
Sure.... Make legal stay in the US expensive and inconvenient.... Cause you can always walk to the Southern border and just walk in .....
thehill.com/latino/3797171-d…
Vatsal Ladia retweeted
In the #Syncope Series Podcast, Drs. Brian Olshansky & Satish Raj discuss autonomic function testing in patients w/ syncope & suspected postural orthostatic tachycardia syndrome (POTS).
🎧 Listen to the podcast & learn more from #ACCEd: bit.ly/3HioSMY
#CardioTwitter
Vatsal Ladia retweeted
📌 In pts with AF, if you intensively ⬇️ BP
👉 you signific. ⬇️ the risk of CV events
👉 but ⬆️ the risk of dementia
#afib #bloodpressure #CardioTwitter @DrMarthaGulati @AnastasiaSMihai @JagSinghMD @PrashSanders @iamritu @AskDrShashank @gonzaeperez @Hragy @ShelleyZieroth
Vatsal Ladia retweeted
TRANSFORM-HF findings from #AHA22 suggest no real difference in deaths/hospitalizations in #HeartFailure pts taking either torsemide or furosemide. Future work should now focus on appropriate dosing of diuretics & medication adherence, researchers said. bit.ly/3h8C66J
