Balvinder Handa
@BalvinderHanda
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Consultant Cardiologist / Cardiac Electrophysiologist Sir Charles Gairdner Hospital Perth Cardiovascular Institute 🇬🇧🛬🇦🇺
Perth, Australia
Joined January 2019
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
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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. 🇦🇺
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⚡️⚡️⚡️ Can we predict VT episodes that will spontaneously terminate to withhold unnecessary ICD shocks? Our latest paper in #EHJDigital
https://t.co/PvVplEsCyZ
@arunsau_ @junyu0chen @LiborPastika @Dr_Keene @ZacharyWhinnett @DocOfHearts @ImperialNHLI @ImperialEP @BruiningNico
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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 ☕️ https://t.co/jFbuK6sONZ…
#EPeeps
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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
https://t.co/avqxI9Np5y
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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! https://t.co/CUfuIUYEq4
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@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
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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
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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.
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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
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Thanks to my European colleagues @Moscoso_Costa @RicciardiDanilo and others who helped by comparing their expert ECG interpretation against the neural network.
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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.
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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
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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
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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
https://t.co/XeelNRMuhN
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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. https://t.co/kY5KDXe8X1
#JACCCEP #EPeeps #CardioTwitter #epICD @DrFuSiongNg @iefimov
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