Esseim Sharma, MD, FHRS
@EsseimS
Followers
419
Following
2K
Media
11
Statuses
234
Cardiac Electrophysiologist @UHhospitals by the way of @BrighamWomens and @BrownMedicine | Tweets are my own opinion
Cleveland, OH
Joined August 2019
Our multicenter study on the role of CSD in patients with inherited arrhythmia syndromes. Promising data for this bailout strategy. Congrats to the team👏 @hrs_journal @drluissaenz @shivkumarmd @JonChrispinMD @faisalfsyed @BradfieldMD @carlostapiasMD
Cardiac sympathetic denervation for refractory ventricular arrhythmias in patients with inherited cardiomyopathies @ASarkarMD
https://t.co/8xltHaIwE1
0
9
21
This bipolar cable was created by me w/ David Chang @TheSteigasaurus @JorgeERomeroMD @utedrow and @True_EP's published technique. Check it out: https://t.co/4JPbXo7UkW
0
8
19
Patient with intramural outflow tract PVCs. Failed sequential PVC ablation on either side. Bipolar ablation performed with Stereotaxis catheter via transseptal at earliest in LVOT &manual cath in RVOT w/ elimination after 30s. No PVCs at 3 months. #BipolarAblation #EPeeps
2
8
32
Happening right now. PFA live case with Farapulse Drs Mauricio Arruda & Essein Sharma #LAHRS2025
0
5
18
Was an honor to join Dr. Mauricio Arruda in performing a live concomittant PFA AF ablation and ICE-guided LAAO with Farapulse, the Opal mapping system, and WatchmanFLX for #LAHRS 2025 in Buenos Aires. Great discussion and result! @shishem @HarringtonHVI
1
2
18
Congratulations to Dr Robert Kerley, the recipient of the Mark E. Josephson Abstract Competition & VT Innovation Award!! @RobNKerley @True_EP @Brigham_EP @BrighamFellows #ablateVT @VTSymposium
3
6
53
#JustPublished: PFA for Scar-VT in the VCAS Trial #AHAJournals
@jskoruth @DrKeitaW @VivekReddyMD
https://t.co/pVdWPWBpGw
ahajournals.org
Background: Unlike the tremendous progress made in atrial fibrillation ablation, the greatest unmet clinical need is for innovative ablation treatments for scar-related ventricular tachycardia (VT) –...
0
7
13
Discontinuation of Anticoagulant Therapy After Catheter Ablation for Atrial Fibrillation
jamanetwork.com
This randomized clinical trial compares discontinuing vs continuing oral anticoagulant therapy in patients without documented atrial arrhythmia recurrence after catheter ablation for atrial fibrill...
2
33
81
Flecainide in Structural Heart Diseases: A Contemporary Reappraisal Beyond the CAST Trial https://t.co/4fLlVvdReg
1
42
99
Outstanding Late Breaking session on advances in CIED 👏👏 1) Treebard registry showing ↗️ in CV mortality and HF hospitalization with LBBP vs RVP 🇮🇹 2) PhysioSync HF showing LBBP showing inferiority ⬇️‼️vs CRT-P in HFrEF (85% NICM) 🇧🇷 More in the thread 👇 @escardio
1
18
71
📉 Low or even low-normal #potassium raises #arrhythmia risk in CVD pts w/ #ICD 🫀 In a Danish RCT (n=1200), actively raising plasma K+ to high-normal (4.5–5.0 mmol/L) ↓ risk of ICD therapy, arrhythmia/HF hospitalization, or death (HR 0.76, p=0.01). #ESCCongress @drjohnm
1
23
57
Remote diffuse multi-coronary artery spasm following pulmonary vein and posterior wall isolation, using a focal monopolar pulsed-field ablation catheter @jamesgmannion
https://t.co/oMFGA3akav
0
22
70
We’ve seen this phenomenon with all PFA catheters delivering energy on or very near to exposed metal. Stay tuned for a more thorough evaluation to be published in the near future. @danielcamposll
Visible Arcing Observed with Pulsed Field Ablation Applications Delivered Near a Left Atrial Appendage Occlusion Device @True_EP
https://t.co/Wb0dQgewu4
11
41
170
PFA of the cavotricuspid isthmus and mitral isthmus is associated with acute spasm, and mild narrowing of the coronary arteries at 3 months. Vasodilators may help, but long-term follow-up is needed due to stenosis risk. https://t.co/rvF9G1IHHf
#JACCCEP #epAblation #PFA
0
33
126
BREAKING: MAGiC Sweep™, the world's first robotically navigated high-density EP mapping catheter, received FDA clearance🎉
5
8
36
After this, no other inducible VT. Post-map showed no other interesting signals or WADLs. Pt doing well in follow-up. This case nicely highlights that while functional mapping and image-guided ablation have lots of benefits, IMO induction of VT is still key!
1
0
1
Fortuitously, after ablation, while pacing inside 1mm WT area (catheter location in pic), in an area without isochronal crowding or interesting WADLs, VT was induced. Exact same morphology with pacing, with interesting mid-diastolic potential. Ablation here terminated VT.
1
0
0
InHeart imaging was used; wall thickness shown below. Image registration was quite accurate. Ablation was performed to cut off WADL and CT-identified wall thickness channels.
1
0
0