Chief Cardiology Fellow, PGY-6 at Bassett Med Centre. Looking forward to board for EP fellowship. https://nitter.cf/t.co/T6JwrN3nsa
Cooperstown, NY
Joined March 2015
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Our recent case at @hrs_journal Vasospastic angina can present with transient ST-segment elevation with syncope due to malignant ventricular arrhythmias without obstructive coronary artery disease. Lnk: doi.org/10.1016/j.hrcr.2026.… @JurgenShtembari
Shrestha DB retweeted
There are few closure devices, each with multiple steps. Memorizing steps outside the cath lab helps.
Sharing online interactive tools (built using @claudeai) for practicing three closure devices.
1-Perclose Proglide: dramkm.netlify.app/images/up…
Shrestha DB retweeted
🫀 In cardiology fellowship, you rarely get to practise the moments that matter most. You can’t rehearse a patient in cardiogenic shock, and you don’t get to take the C arm or run the stimulator yourself until you’re already in the room.
👉 So I built Ventriculus: ventriculus.org
Free cardiology simulators that run on a working model of the heart, in your browser.
• Shock Simulator: manage a cardiogenic shock patients in the CICU, fifteen minutes at a time
• Catheterization Lab: drive the C arm and inject on real 3D anatomy, left and right catheterization
• Electrophysiology Lab: run an EP study, from baseline intervals to ablation
• Device Programmer: pacemakers, ICDs and CRT on a live rhythm
• Plus an ECG Atlas, Echo Guide and Cardiac Pharmacy
Change the heart and everything follows. Free, no ads, no account.
For education, not patient care. Feedback welcome.
#MedEd #FOAMed #CardioTwitter
Dear colleagues,
We are excited to announce that special issue “Advances in Aortic Valve Replacement: Current Techniques, Technology, and Long-Term Follow-Up” in JCM @JCM_MDPI is launched. We cordially invite for potential submissions 👉 mdpi.com/journal/jcm/special…
@kdahal11 #tavr
Potential submission under areas focusing on long-term trial data, durability, reintervention strategies, and evolving technologies that influence outcomes beyond the early procedural period in AVR for aortic valve disease. #tavr #AS @JCM_MDPI @kdahal11. mdpi.com/journal/jcm/special…
Great compilation by @BerkeKorucuMD
Great cheat sheet to help #echofirst #echo101 For cardiology fellow, by cardiology Fellow!
@ASE360 @hahn_rt @JaeKOh2
Dear cardiology fellows 🫀
I built a free TTE cheatsheet with @claudeai I keep open while reading echos: guideline cutoffs, 17-segment walls by view, valve grading and 15 built-in calculators (AVA, SV/CO).
Check it out 👇
echoguide.netlify.app
#EchoFirst #CardioTwitter
Our case, "Right-Sided Dual-Chamber Left Bundle Branch Area Pacing in Persistent Left Superior Vena Cava: A Case Report on Personalized Conduction System Pacing," was published in Case Reports in Cardiology. Link: doi.org/10.1155/cric/9833282
Our Case on PFO presenting as platypnoea-orthodeoxia syndrome in the presence of atrial septum aneurysm in a nonagenarian male patient, just published in @BMJCaseReports. Congratulations @Prajoli_010 @DrMeghaniM Full text: doi.org/10.1136/bcr-2025-271…; researchgate.net/publication…
Video summary of case "Interplay of patent foramen ovale and atrial septum aneurysm in a nonagenarian patient presenting with platypnoea-orthodeoxia syndrome", youtube.com/watch?v=a2NA5flN… @Prajoli_010 @DrMeghaniM @BassettNetwork
Vasospastic angina can present with transient ST-segment elevation with syncope due to malignant ventricular arrhythmias without obstructive coronary artery disease.
Ambulatory Electrocardiogram-Detected ST-Segment Elevation and Ventricular Tachycardia in Coronary Vasospasm
@mesthadb @JurgenShtembari
heartrhythmcasereports.com/a…
This case highlights a rare case of pacing-induced proarrhythmia due to failure of capture during automated ventricular capture management in an individual with CRT-D.
Automated capture management failure leading to ventricular fibrillation: Is automatic capture management for all or personalized pacing programming?
@Hirad7 @mesthadb @JurgenShtembari
heartrhythmcasereports.com/a…
The case highlights a rare but clinically significant vulnerability of AGC-based ventricular sensing that can lead to fatal VF undersensing.
When Automatic Gain Control Fails: Ventricular Fibrillation Undersensing in the Setting of High-Amplitude Ventricular Signals
@Hirad7 @mesthadb @JurgenShtembari
heartrhythmcasereports.com/a…
LV thrombus can occur due to cocaine related cardiomyopathy, due to a prothrombotic
state in the absence of AMI, and mimic an intracardiac mass. Check this out, our case just came out in doi.org/10.1155/cric/3086928 @Prajoli_010 @DrMeghaniM @BassettNetwork
Video summary of the case "Left Ventricular Mass in an Oncology Patient and Cocaine User: Metastasis or Thrombus?": youtu.be/dW9Thr5n5_E @Prajoli_010 @DrMeghaniM @BassettNetwork
Our Case on "A silent culprit: Prosthetic valve endocarditis due to Cutibacterium acnes" in @RadCaseReports Journal: doi.org/10.1016/j.radcr.2026… @DrJVP26 @BassettNetwork
Video summary of the case, reinforcing the importance of maintaining a high index of suspicion for C. acnes in patients with prosthetic valves who present with new valve dysfunction, even in the absence of systemic inflammatory response. youtube.com/watch?v=Gh9lnMPt…
This video gives a layman's summary of our recent publication titled "Ambulatory Electrocardiogram-Detected ST-Segment Elevation and Ventricular Tachycardia in Coronary Vasospasm," published in the HeartRhythm Case Reports: youtube.com/watch?v=PBac3uT-…
I am sharing our case, "When AGC Fails: VF Undersensing in the Setting of High-Amplitude Ventricular Signals," in HeartRhythm Case Reports.
The case highlights a rare but clinically significant vulnerability of AGC-based ventricular sensing that can lead to fatal VF undersensing.
You can view the video here: youtu.be/CWtSHzWqfrs
The full manuscript is available on the journal website: doi.org/10.1016/j.hrcr.2026.…
I would appreciate any comments, feedback, or suggestions you may have. @JurgenShtembari @Hirad7 @hrs_journal