Consultant Cardiologist / Cardiac Electrophysiologist Sir Charles Gairdner Hospital Perth Cardiovascular Institute 🇬🇧🛬🇦🇺
Perth, Australia
Joined January 2019
- Tweets76
- Following118
- Followers138
- Likes96
Balvinder Handa retweeted
In March, an Imperial College team published results of AVATAR--a 3-arm trial comparing standard CB AF ablation, AAD, and CB ablation *Without* confirming PV isol
Guess what? There were no diff in symptomatic AF bw the two ablation approaches! Both better than drugs
academic.oup.com/europace/ar…
Why has no one talked about this story? No media coverage.
It's totally provocative b/c it challenges the current practice of confirming PVI . #EPeeps
cc @bordistef @RolandTilz @bogdienache @ftrae @DhirajGuptaBHRS @EPWaveDoc @DrRoderickTung @LuigiDiBiaseMD
Great great stuff from my adopted homeland, Australia kept it tight and Travis smashed it home despite the conditions, despite the crowd and despite the expectations. 🇦🇺
Balvinder Handa retweeted
⚡️⚡️⚡️
Can we predict VT episodes that will spontaneously terminate to withhold unnecessary ICD shocks?
Our latest paper in #EHJDigital
academic.oup.com/ehjdh/advan…
@arunsau_ @junyu0chen @LiborPastika @Dr_Keene @ZacharyWhinnett @DocOfHearts @ImperialNHLI @ImperialEP @BruiningNico
Great to be part of the incredible team @ImperialEP exploring the role of ganglionated plexi in AF.
🚨Latest #OpenAccess Article
@JICE_EP
Feasibility Mapping & Ablating Ectopy-Triggering Ganglionated Plexus Reproducibly in Persistent AF
by C Coyle @DrMYKim @Dr_Keene @vish_luther @BalvinderHanda @DrFuSiongNg @DocOfHearts @PrapaKanagarat1
☕️ doi.org/10.1007/s10840…
#EPeeps
Balvinder Handa retweeted
Most ECGs are printed on paper 📜📜
Thus not suitable to train AI-ECG models
So we developed an automated ECG digitisation algorithm to extract digital ECG signals 🖥️🖥️
Well done @DrKiranPatel1 @arunsau_ @NikeshBajaj et al
@ImperialNHLI @ImperialEP
nature.com/articles/s41598-0…
Great to be involved with this incredible study @DrMYKim @ImperialEP
What are the immunohistochemical characteristics of atrial sites that trigger atrial arrhythmias in response to high-frequency stimulation?
Our paper now out in Europace.
Amazing work by @DrMYKim and colleagues @ImperialNHLI @ImperialEP - well done!
academic.oup.com/europace/ad…
Balvinder Handa retweeted
Balvinder Handa retweeted
@ZacharyWhinnett presenting the results of @TheBHF HOPE-HF - improvement in symptoms in a double blinded study of HBP for long PR non-LBBB + heart failure
UK Update In Conduction System Pacing
@Dr_Keene @ImperialEP
Balvinder Handa retweeted
Great talk by @nmarrouche on DECAAF II at #AFIB2022, stressing the need to personalise AF treatments (and nice to see our work cited!)
@BalvinderHanda @DocOfHearts @miz_rashid @Krishia_OB
Great to see my mentor @DrFuSiongNg present some of my PhD work on Granger Causality mapping in AF at #HRS2022. Disappointed I couldn't make it in person this year.
It was great fun presenting on Granger causality mapping at the AF mapping session with other experts, including @S_NarayanMD @VivekReddyMD @Prof_Schilling @AndreasRillig Karl-Heinz Kuck and Peter Spector #HRS2022.
Throwing all the CARTO tools at this. Complex dual loop AT driven by anterior macro-reentry - previous bilateral WACA, MI + roof line. Non inducible eventually. Steered clear of fully bisecting the circuit at the risk of isolating the LAA. #EPeeps @DocOfHearts @CristinaTorrinh
Balvinder Handa retweeted
Thanks to my European colleagues @Moscoso_Costa @RicciardiDanilo and others who helped by comparing their expert ECG interpretation against the neural network.
Balvinder Handa retweeted
How much emphasis is put on the A:V ratio when ablating AVNRT? SP site w/ "ideal A:V" on A2B2. Wavefront-corrected OT EGM would typically be seen as too large of an A. Has an error in directional sensitivity been assumed as physiology? #OmnipolarTechnology challenges convention.
On a week of complex CRT implants this one took me by surprise on injecting contrast! Still managed to get a good result from subselecting a more proximal branch. Who has seen this before? A previous mitral isthmus line may offer us the clue here. @ZacharyWhinnett @drboonlim
Great AT case in a patient with previous endocardial + surgical AF ablation.Slow conduction via previous atriotomy scar maintaining macro re-entry. Ablation at site leading to non-inducibility. Made easier with Ripple+ CARTO @ImperialEP @CristinaTorrinh @DrFuSiongNg @DocOfHearts
Balvinder Handa retweeted
We previously showed existence of different AF "electrophenotypes" using intracardiac electrograms. We recently extended this work, using the 12-lead ECG to classify AF organisation & mechanism. @FrontPhysiol @ImperialNHLI @ImperialEP @TheBHF @ImperialBRC
frontiersin.org/article/10.3…
Balvinder Handa retweeted
Low-Voltage MultiPulse Therapy, a novel therapeutic approach of early & sometimes painless cardioversion of #AFib via chronic #CIEDs, may ⬇️ symptom burden & delay progression of AF. bit.ly/3CZzyOO
#JACCCEP #EPeeps #CardioTwitter #epICD @DrFuSiongNg @iefimov
ALT Low-Voltage MultiPulse Therapy to Terminate Atrial Fibrillation MultiPulse Therapy is a sequence of far- and near-field stimulations that terminated atrial fibrillation with an average voltage and energy of 50 V (interquartile range: 25 to 75 V) and 0.58 J (interquartile range: 0.15 to 1.15 J), respectively.