Shivam Saxena (@HeartShiv) profile picture

Shivam Saxena

@HeartShiv

EP fellow @CardioUVA, medical education enthusiast, and a huge fan of sour gummy candy. #cardioed #echofirst

 Charlottesville, VA
Joined February 2020
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  • Followers347
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Photo by Shivam Saxena (@HeartShiv)Photo by Shivam Saxena (@HeartShiv)Photo by Shivam Saxena (@HeartShiv)Photo by Shivam Saxena (@HeartShiv)Photo by Shivam Saxena (@HeartShiv)Photo by Shivam Saxena (@HeartShiv)Photo by Shivam Saxena (@HeartShiv)Photo by Shivam Saxena (@HeartShiv)Photo by Shivam Saxena (@HeartShiv)Photo by Shivam Saxena (@HeartShiv)
UVA dinner at #HRS2023. ⁦@OliverMonfredi⁩ ⁦@Nishaki1⁩ ⁦@rohitlikeaboat⁩ ⁦@salernomdphd⁩ ⁦@CardioUva⁩
Image from Pamela Mason (@PamelaMasonEP)
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Replying to @syamkumarmd @EPeeps_Bot @dog_oculus @GhaithAlmidani @NimaZamiri @Deborah70932266 @bordistef @ShaojieChen1 @MattMelcherPA
Retrograde VA jump in second slide- maybe could provoke slow-fast AVNRT? At shorter coupling intervals, infrahisian conduction delay (longer VH) leading to gap phenomenon and shortening of HA interval.
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Sorry, fast-slow atypical AVNRT. Also, pacing from RVOT helps to see retrograde His.
It's always fun to look at tele. #EPeeps #ECG #CardioTwitter
Image from Shivam Saxena (@HeartShiv)
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Shivam Saxena retweeted
Pamela Mason (@PamelaMasonEP) profile picture
Pamela Mason@PamelaMasonEP1 May 2022
UVA Electrophysiology ⁦@ChrisKramerMD⁩ @JustToBHeard⁩ ⁦@XuGaoMD⁩ #Epeeps ⁦@CardioUva⁩ #HRS2022 #hrs
Image from Pamela Mason (@PamelaMasonEP)
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History of prior SVT ablation? Thoughts? #EPeeps #ECG #CardioTwitter
Image from Shivam Saxena (@HeartShiv)
Image from Shivam Saxena (@HeartShiv)
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Replying to @syamkumarmd @NimaZamiri @laura_goodliffe @GhaithAlmidani @yaS0_0Ser @dog_oculus @MartowMartow @UlhasDr @ecgrhythms @adribaran @SergioPinski @EPeeps_Bot @BotCardiology @ELabartkava
Interesting ECG. My guess is orthodromic AVRT with alternating conduction over fast and slow pathway (QRS alternans). There is also a “pseudo” electrical alternans due to rapid heart rate.
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Correction: I meant cycle length alternans instead of QRS alternans in tweet above.
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Welcome to the new ⁦⁦⁦@UVACardsFellows⁩ ! We expect great things from you over the next few years…⁦@CardioUva⁩ ⁦@UvaDOM⁩ ⁦@uvahealthnews⁩ ⁦@VSoukoulis⁩ ⁦@mikevalentineMD⁩ ⁦@ACCinTouch⁩ ⁦@ToddVillinesMD⁩ ⁦@Pamela_K_1⁩
Image from Christopher Kramer MD (@ChrisKramerMD)
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Patient presents with intermittent palpitations. Thoughts? Next steps for treatment? #ekg #ecg #cardiotwitter
Image from Shivam Saxena (@HeartShiv)
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For specialists, when you write an outpatient progress note, who is your primary audience? Feel free to reply with other answers I did not include (eg. the patient, other providers in your practice) #MedTwitter #cardiotwitter #EPeeps
35%Referring Provider/PCP
61%Your future self
0%Billing/Insurance
4%Lawyer/CYA
54 votes • Final results
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What's going on? #ECG #EKG #cardiotwitter #MedTwitter
Image from Shivam Saxena (@HeartShiv)
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Wish me luck on my first peer-to-peer review tomorrow! Hopefully they'll approve the echocardiogram I ordered for my patient who had an anterior STEMI 4 months ago with a new cardiomyopathy. #Healthcare
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EKG of the day. #Inauguration2021
Image from Shivam Saxena (@HeartShiv)
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I can't believe it's taken me this long to finally see the @HamiltonMusical on Disney+. An absolutely stellar cast with phenomenal performances! But I have to say, it was #JonathanGroff's as King George III that truly stole my heart. Da-da-da-da-da...
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Consult for a patient in the ICU with only this telemetry strip available for review. Is this VT or artifact - how can you be sure? #cardiotwitter #EKG #ECG #MedTwitter
Image from Shivam Saxena (@HeartShiv)
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Really excited to be headed to UVA for EP fellowship! Looking forward to be a part of the growing and phenomenal #EPeeps community! @CardioUva @Pamela_K_1 @JustToBHeard.
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Does @CNN allow @wolfblitzer to ever sleep?
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An excerpt from the summary page of an exercise treadmill stress test. What medication is this patient taking? #cardiotwitter #ECG
Image from Shivam Saxena (@HeartShiv)
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Yup - they were on flecainide! Just a simple example of the use-dependence nature of Class I antiarrhythmics and specifically, the QRS prolongation seen with Class IC drugs.
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Consult for bradycardia. What’s the rhythm? #ECG #cardiotwitter
Image from Shivam Saxena (@HeartShiv)
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Agree with all of you. Sinus brady and AIVR with AV dissociation (during sleep). There is evidence of fusion in 2nd, 3rd, and last beat of this telemetry strip. I've labeled the P-P intervals - sinus rate slowly increases and the last sinus beat is able to conduct with fusion.
Image from Shivam Saxena (@HeartShiv)
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