Chris Miles
@DrCJMiles
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Consultant Cardiologist and Electrophysiologist @GSTTnhs
London, England
Joined April 2017
Our study on sudden death and LV involvement in arrhythmogenic #cardiomyopathy published ahead-of-print in @CircAHA
https://t.co/qPc5s4NUlN
@SheppardNoelle @BehrElijah @SSharmacardio @MichaelPapadak2 @gherardobis @bdebneygray @DrMaiteTome Thanks: @CRY_UK @TheBHF @StGeorgesUni
ahajournals.org
Background: Arrhythmogenic cardiomyopathy (ACM) is an inherited heart muscle disorder characterized by myocardial fibrofatty replacement and an increased risk of sudden cardiac death (SCD). Origina...
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High intensity exercise can improve cardiorespiratory fitness, reduce cardiovascular risk and provide psychological benefit in individuals with hypertrophic cardiomyopathy. However, for these positive effects to have a lasting impact, regular exercise must become a consistent
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#ResearchLetter: This study of 100 subjects found that 3% exhibited a type 1 Brugada pattern following ajmaline provocation. @DrYanushiDW @MichaelPapadak2 @DrCJMiles @Chiara_Scrocco @BehrElijah
ahajournals.org
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When should you investigate RBBB in young or athletic individuals? Published #EJPC ✅1/1000 young individuals have RBBB, commoner in males & athletes; ✅5% have pathology, ASDs but also arrhythmias; ✅Pathology associated with broad RBBB ≥130ms, symptoms, other ECG anomalies.
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Wonderful to see how research we conducted into HCM and high intensity exercise has helped patients to exercise with confidence. Thank you again to the SAFE-HCM team and all my wonderful participants for making this happen. @MichaelPapadak2 @DNikoletou @JODriscoll9 @SSharmacardio
Inspiring story in the Feb issue of @runnersworld raising awareness of amazing #research led by @CRY_UK & @BasuJoyee - understanding your #hearthistory & when it’s safe to exercise after a diagnosis #HCM Thnx to @tmw1708 & @AdrianMonti 🏃♂️❤️
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New analysis from @REVIVED_BCIS2. PCI remained ineffective regardless of extent of viability. More importantly measuring "hibernation" is not useful, scar burden is major predictor of events and LV recovery. https://t.co/UiEVOE1QpA
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Our latest paper: Potential Diagnostic Role for a Combined Postmortem DNA and RNA Sequencing for Brugada Syndrome | Circulation: Genomic and Precision Medicine @SheppardNoelle @DrCJMiles Ang Asimaki and colleagues @StGeorgesUni
ahajournals.org
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Interested in finding out more about cardiac adaptation to high intensity exercise in HCM? https://t.co/z1PoO8eD0P via @escardio
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Ethnic and sex-related differences at presentation in apical hypertrop... https://t.co/TfPALXOsLl . HTN, sex and ethnicity play an important role in the pattern of hypertrophy in AHCM. @MichaelPapadak2 @SSharmacardio @BehrElijah @DrCJMiles @DrRaghavBhatia @StGeorgesUni
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Our research on ethnic and sex differences in Apical HCM is online @DrMaiteTome
@DrRaghavBhatia @MichaelPapadak2 @BehrElijah @SSharmacardio @AKasiakogias @DrCJMiles @DrSaranMarwaha @ DrNickBunce https://t.co/VDlcVyBFhg
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Interventional management of out-of-hospital cardiac arrest 👩⚕️ 👨⚕️ https://t.co/LESBZoU4Ur
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🔴 Subepicardial Cardiomyopathy: A Disease Underlying J-Wave Syndromes & Idiopathic VF @CircAHA #CardioEd #Cardiology #CardioTwitter #Epeeps @Chiara_Scrocco @bjboukens
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Subepicardial Cardiomyopathy: A Disease Underlying J-Wave Syndromes and Idiopathic Ventricular Fibrillation @CircAHA
https://t.co/9RHIF3U0fT
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@CircAHA @Chiara_Scrocco @bjboukens @DrCJMiles @ArthurWilde5 But the subepicardium requires new approaches to imaging to visualise the subtle substrate non-invasively and understand it’s significance in those without cardiac arrest, and the correct role for ablation as a therapy.
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#StateOfTheArt: Subepicardial cardiomyopathy - a disease underlying J-wave syndromes and idiopathic ventricular fibrillation @BehrElijah @Chiara_Scrocco @bjboukens @DrCJMiles #AHAJournals
https://t.co/brITevJfIh
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Very happy to see our review online! Subepicardial Cardiomyopathy: A Disease Underlying J-Wave Syndromes and Idiopathic Ventricular Fibrillation.@BehrElijah @RubenCoronel4 @DrCJMiles
https://t.co/AT6wnxbCGh
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Does a subepicardial microstructural substrate underlie Brugada syndrome, ERS, and iVF? Just out: our Circulation @CircAHA Frontiers article, where we discuss the notion of a subepicardial cardiomyopathy. https://t.co/gILjFQgWKT
@BehrElijah @StGeorgesUni #EPeeps
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Impact of ethnicity on LV remodelling; 1 in 5 black athletes has concentric remodelling/hypertrophy with RWT up to 0.51 in males & 0.48 in females. In contrast, RWT>0.45 should raise suspicion of HCM in white athletes! Just published #EJPC by @BasuJoyee
https://t.co/SOOyY1amru
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Excellent work by the St George’s group showing the incremental value of 12 lead Holter to detect type 1 Brugada pattern in apparently concealed BrS patients. Adds to annual HL ECGs, and a 1% event rate. @BehrElijah @CSHeartResearch @MJAckermanMDPhD
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📌 EASY-WPW 👉 a novel ECG algorithm for easy & accurate localization of accessory pathways site #ECG #CardioTwitter #EPeeps @adribaran @ECGTalk @DrFerminGarcia @DrJasonAndrade @DhirajGuptaBHRS @SeguraCardio @jvillacastin @smithECGBlog @AskDrShashank @ecgrhythms @iamritu @Hragy
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Arrhythmogenic cardiomyopathy and differential diagnosis with physiological RV remodelling in athletes using CMR @nory_88 @SPapatheodorou @DrCJMiles @DrMaiteTome @harshil_dhutia @mariatome @BehrElijah @SSharmacardio @gherardobis et al #sportscardiology
https://t.co/671UQxPvSe
pubmed.ncbi.nlm.nih.gov
To describe the overlap between structural abnormalities typical of arrhythmogenic right ventricular cardiomyopathy (ARVC) and physiological right ventricular adaptation to exercise and differentiate...
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