د.فهد المحمادي Fahad Almehmadi MD, MPH, FHRS
@DFahadAlmehmadi
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أستاذ مساعد @KSAU_Jeddah استشاري كهربائيه القلب بالحرس الوطني 🇸🇦🇨🇦🇺🇲 @Harvard , @UofT , @WesternU Alum Electrophysiologist,
Jeddah,Kingdom of Saudi Arabia
Joined April 2020
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I owe many people in pictures tons, they taught me all the EP I know. it started by
@GeorgeKleinMD
4 decades ago. Through your work and mentoring, you have impacted the lives of many all over the globe. Congratulations Dr. Klein on such an impactful career &happy semi-retirement.
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يعتبرالكَيْ الحراري من أنجع طرق علاج الرجفان الأذيني. إجراءٌ قلَّ ما يجري إلا في المراكز المتقدمة. بفضل من الله، تمكنا من اجراء ٩ عمليات كيْ بمركز الملك فيصل لأمراض القلب بالحرس الوطني بجده خلال الأسبوعين الماضيين بنجاح والحمد لله. إجراءٌ أصبح أقرب إلى الروتين بفضل الله.
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Can't ask for better EP mates, another great day in the lab with my brothers Amin and Atef
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Please join us tomorrow for our first electrophysiology webinar, which will tackle the important topic of
" Inherited Arrhythmia Disorders."
@SHC_GOV
@AdelTash
,
@YAHYAHEBAISHI
,
@naeemalshoaibi
@WaelAlqarawi
@AhmedBAlsalem
@Mo_PedsEP
💻Live course 📷 Wednesday, Sept
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شكرا للدعوه الكريمة من زملاء نظم القلب في المركز الوطني لطب القلب بمدينه الماتي بكازاخستان. تم اجراء حالات عده من الكي المعقد بنجاح بفضل الله عز و جل . حالات جميله ونقاش عملي بناء.
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Pinwheel LA flutter with tachycardiomyopathy in a patient with prior anterior LA flutter ablation, almost full CL at anterior LA wall, beautiful
#EnsiteX
map by
@Mohamed74057845
, with immediate termination upon ablation.
#Epeeps
,
@NGHAnews
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كان لي شرف تمثيل مركز الملك فيصل لأمراض القلب بالمشاركه مع نخبه من زملائي من أطباء القلب في #ملتقى_القلب_الوطني_الثاني. شكرا دكتور عادل طاش
@AdelTash
و دكتور يحيى الحبيشي
@YAHYAHEBAISHI
على الدعوه.
#ملتقى_القلب_الوطني_الثاني
ملتقى علمي جدا ثري بآخر التحديثات في مجال الرعاية الصحية لأمراض القلب
شكرا للمركز الوطني للقلب ولمديره د عادل طاش
@AdelTash
وجميع الإستشاريين المشاركين
@AlkashkariWail
@Falmutairi2018
@DrAlsaiediAB
@DFahadAlmehmadi
@atifalzahrani
@AlrahimiJ
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Some fun during PVI. Persistent conduction despite full LSI-guided WACA. Using
#OTNearField
leak mapped to pinpoint accuracy to septopul bundle on Rt./carina on Lt. Ablation during
#LiveView
. was sweet. Excellent support from
@Mohamed74057845
.
#epeeps
,
@NGHAnews
@AbbottCardio
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Another Case from our lab at King Faisal Cardiac Center
@NGHAnews
.
High-burden PVC with late precordial transition on pre-procedure ECG(should be a quick RVOT-free wall). RVOT map showed nothing earlier than -42ms in RVOT with a large breakout where ablation failed. RCC was
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I was honored to be part of such an esteemed panel
@YAHYAHEBAISH
, Prof Hersi, discussing the latest Arrhythmia updates at the Riyadh First Cluster Interventional Cardiology Conference
@Cluster1_Riyadh
.
Great Conference and fantastic hospitality.
Thank you to Dr. Mubarak
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يسرني استقبالكم في عياداتي كل يوم خميس بمركز الأعمال بمستشفى الحرس الوطني بجده
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Young pt. with recurrent syncope & cardio-inhibitory resp. (9 sec. sinus pause) on ILR. CNA targeting Fragmented GP signals,
#Ensite_X
. No syncope > 6 months post abl. Can't thank
@enes_elvin
enough for his support.Mapped by
@Mohamed74057845
,
@AbbottCardio
,
@NGHAnews
.
#eppeeps
.
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Was honored and humbled to share a podium with EP giants. Great meeting by Silk Road Heart Rhythm Society in Tblisi, Georgia. Beautiful Country and wonderful times with Dr Roin Rekvava. Dr. Magdy
@joselmerino
@enes_elvin
@can_yontar
@HappyEP
.
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Ischemic CMP, EF 15%, recurrent VT & ICD Tx. High PAINESD score, IABP supported clinical VT mapping
#HDgrid
&
#Ensite_X
& Abl. Gone on first burn. awesome anesthesia and Interv. Cardiology
@rashaalbawardy
support. Mapped by
@Mohamed74057845
,
@AbbottCardio
.
@AlrahimiJ
@NGHAnews
.
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ابارك لاخي و عضيدي المهندس
@Raeyd_S
حصوله على ماجستير اداره الاعمال من الجامعه السعوديه الالكترونيه. نفع الله بك و بعملك و زادك علما و رفع قدرك في الدنيا و رزقك من فيض نعيمه في الاخره.
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Complex arrhythmia ablation workshop with
#EnsiteX
v3 at Syzganov Scientific Centre in Almaty, Kazakhstan. Great team with great hospitality led by Dr. Adil Baimbetov. Great and challenging cases were performed by Dr. Kenzhebek Bizhanov and Dr. Nurbolat Bigeldiev
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Finally, fluoroless PVC ablation with ease using
#EnsiteX
, thanks to the excellent support of
@Mohamed74057845
.
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Case collection from King Faisal Cardiac Center,. I can't thank Dr. Jamilah Alrahimi
@AlrahimiJ
and Dr. Mohammad Alzahrani
@SurgMBA
enough for their endless support since the launch of the physiologic pacing program.
Learned from the best
@enes_elvin
and
@GuramImnadze
. Thanks
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Patient with PVI flutter, Micro-reentry mapped to left Carina/ridge with >50% of CL confined to one region. Juicy signal on
#HDgrid
, Thanks to
@Hapa_EP
for posting a similar case on X. Termination on the first burn.Mapped by
@Mohamed74057845
,
@AbbottCardio
,
@NGHAnews
.
#epeeps
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Another fun day at
@NGHAnews
Electrophysiology Lab. with
@Mohamed74057845
@AbbottCardio
. Manifist Lt Post AP with bidirectional conduction. Beautiful map with AP potential at the target site, AP conduction gone in 2 seconds of RF.
#epeeps
,
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Patient with NICMP/LBBB+ failed LV lead. large RA+ tortuous CS making reach/cannulation difficult using large Sheath/AL2/EP catheter. Anchor-balloon using 3mm compliant coronary balloon in AIV to create rail+support CS sheath cannulation
@seth_j_worley
,
@enes_elvin
#epeeps
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Denonvo incessant LA flutter in a HD patient with occluded SVC and Lt. femoral vein. TS puncture went fine with ICE. Using
#EnsiteX
, plenty of LA scar with a circuit around right veins. Slowing and termination during ablation always sweet.
@Mohamed74057845
.
@NGHAnews
.
#epeeps
.
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One of 2 LCC PVC cases this wk. Pat. with PVC CMPthy. Using
#EnsiteX
, ablated from both sides cup. ICE was gold to assure safety, though stability was not easy when ablating below LCC,
#epeeps
, would TS be the way, any tricks?
@Mohamed74057845
@AtifAlqubbany
@NGHAnews
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Incessant Atrial flutter post MV replacement (tissue) and 2 prior LA ablation. Extensive scaring, counter-clockwise peri-mitral & what appears to be 3 macro reentries sharing a common isthmus on the anterior LA wall. Ablated successfully.
@NGHAnews
#EPeeps
#HDGrid
@cortezdias
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High-burden, PVC with ATV3 + notch in V1. RVOT map (-50ms pre, small r in Uni) ablation ineffective. LVOT map (ILT) ( -76ms pre, QS in Uni + fantastic signal) Ablation using a Candy-cane config did the work. Fantastic support of
@AbbottCardio
,
@Mohamed74057845
#EPeeps
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@narrowQRS
@jeffrey_vinocur
@EPeeps_Bot
@ALFIEEP1
@SergioPinski
@True_EP
This is a common pitfall of para Hisian pacing , it is easy when Stim-A does not change with no concern of Atrial capture, contrary is not. That's why we looked into the magnitude of the change in Stim- A interval with loss of his bundle capture. CS catheter was more helpful.
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#EPeeps
any pearls of using esophageal catheter as a reference in mapping atypical flutter? Inherited a case from another center with 2 LV, 2 RV and one RA leads with suboptimal Biv-pacing. Tried placing a dec-nav in esophagus, signals were too small to be used.
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Proud of our superstars. Well done team
A great live transmissions to "4th EGYValves" in Cairo from King Faisal Cardiac Center for National Guard. An Evolut Medtronic valve implanted live in BAV. No ECG changes, no PVL, MPG 4 with live demonstration for coronary re-access. Thanks to
@rashaalbawardy
and
@DrAlsaiediAB
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Can't beat the rush when preexcitation goes away upon ablation. Postro-septal AP gone in one second of RF, with an excellent signal at the target site, phenomenal map as usual by
#Ensite
@Mohamed74057845
@AbbottCardio
.
#EPeeps
.
@NGHAnews
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PM pap Muscle PVC in a patient with RHD + thickened subvalvular apparatus done using
#HDGrid
,
#EnSiteX
, and ICE. Point Density Exclusion (PDX) is again quite handy. Another less Freq PVC from RVOT mapped with Pace-mapping. Case supported by
@Mohamed74057845
#EPeeps
,
@NGHAnews
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Lucky to be part of such a wonderful team. Great first go with Visigo sheath .. more milestones to come
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Always thought this was possible. Not sure if any seen this before. it will change the way I do things. Grid through a short sheath for an RA procedure, at the end, had resistance during catheter removal. Lo and behold, Grid snared the sheath.
#EPpeeps
.
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Combined Atrial fibrillation (no more than 40 W guided by LSI after Stroke concerns) and CTI ablation with
#EnsiteX
. I was more excited with ablation EGM at time of CTI block than LiveView. Again case made easy with the support of
@Mohamed74057845
.
#EPeeps
.
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So proud of our trainee
@AlHusayniF
.
Very well done
@SAlawwad2
,
@KhaledAlquefli
. I'm sure next year will be only better
Keep shining
I had the honor to participate in the FIT jeopardy this year representing Saudi Arabia with awesome teammates
@SAlawwad2
@KhaledAlquefli
#ACCMidEastMed
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Watching our fine interventionalist
@AlkashkariWail
@rashaalbawardy
@DrAlsaiediAB
doing TAVI was great after all. Micra case in a patient who failed right femoral TV pacer in periphry with a sizable right groin hematoma. Couldn't see vein well on US for a safe puncture
#EPeeps
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Was an absolute pleasure having
@Arritmias_HRC
for 2 days at our site. Fun cases, for more collaboration to come.
Abbott workshop in complex ablation in Jeddah King Faizal Cardiac Centre. Great cases with
@AtifAlqubbany
,
@DFahadAlmehmadi
and Dr Amin Zagzoog. Excellent team!
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"من لا يشكر الناس، لا يشكر الله"
I can't thank my dear friend
@enes_elvin
enough for his mentorship, teachings, and guidance in supporting the kickstart of our physiological pacing program..
Still, tons to learn...
Thank you, Enes.
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Symptomatic PVC ,10 % burden, refractory to drugs, occuring withing 3 hours where the rest of day is quiet.ECG localized to low mid RVOT septum.First EPS, no PVCs despite aggressive attempts to trigger . Second attempt, was able to trigger and ablate as shown.
#EPeeps
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Incessant ORT using Left-Free-wall AP ablated during RV entrainment to maximize catheter stability. Immediate elimination of AP conduction.
#EnSiteX
, Case made easier with the support of
@Mohamed74057845
,
#epeeps
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Resolution we get from getting ICE into the LA is unparalleled especially with ridge ablation. Thank you
@MRazminia
for your videos and illustrations
#EPeeps
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An outstanding trainee
@AlHusayniF
learning from an outstanding tutor
@AlkashkariWail
.
82y♂️ unstable angina. Heavily calcified RCA, barley hydrophilic wire passed. Rotablation 1.25, then 1.5 burr. Then HD IVUS-->4x30 Onyx Frontier.
Congratulations to
@AlHusayniF
, our fellow for his first Rota case.
King Faisal Cardiac Center
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Join our electrophysiology sessions at the 32nd Saudi Heart Association annual conference.
@TheSaudiHeart
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Honored to share a podium with my colleagues Dr. Yahya Alhebaishi,
@lalshengeiti
,Dr.Ahmed Alfaqeeh,
@naeemalshoaibi
, and Dr.Mohammad Amin at IEPC 360-Ventricular Tachycardia Educational Course held at Prince Sultan Cardiac Center in Riyadh
@AbbottGlobal
.
.
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High burden PMPM PVC, guided by ICE and PDX
#Ensite_X
, signal at tip of PM (-80ms pre), ICE more valuable during ablation as only 3 gm of contact was possible as catheter slipped, on money when looking on ICE. Mapped by
@Mohamed74057845
,
@AbbottCardio
,
@NGHAnews
.
#eppeeps
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الشرف لي د. ابراهيم. محظوظين بكفاءات مثلك في مركز الملك فيصل للقلب بالحرس الوطني
@NGHAnews
تشرفت اليوم بالمشاركة كمتحدث مع الزميل العزيز د. فهد المحمادي في مؤتمر القلب الدولي الأول برعاية جامعة أم القرى.
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I can not think of anyone more deserving
@AlkashkariWail
.
زادك الله من فضله و كرمه اخي وائل
I am very honored by the grand prize I received by the organizing committee of the
#ICC
-R1 conference namely
@Dr_Mubarak_
and the entire members of the Heart Center at King Saud Medical City and
@Cluster1_Riyadh
as appreciation for my sincere serving as president for the Saudi
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For those preparing for their annual internal medicine exam. Please join us in the extensive 4- day virtual review course presented
@the_Chapter_
Internal medicine senior resident? Are you preparing for the board examination?
The 2nd annual
#internalmedicine
board review course Is back!...
to cover all subspecialties based on the SCFHS blueprint.
Register at:
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Phrenic Nerve Preservation using Carbon Dioxide Insufflation During Sinus Node Ablation Procedure
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This is an artifact caused by placing the ECG lim leads on an artery, usually radial or brachial. Hall mark of it is the consistant artifact ( with every beat) during repolarization.
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@rdschaller
@DaneshModi
@CMovsowitz
Best of luck. Not saying that I have the skills to pull such a case off. But
@seth_j_worley
have some tricks up his sleeves for sure.
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Join us today at the Saudi Heart Association annual meeting day 3
@TheSaudiHeart
- morning talks:8 electrophysiology talks about advances in arrhythmia and device care.
- afternoon: combined EP and cardiac imaging talk about MRI imaging in patients with CIED
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Happened today during PVA. Half dose UFH given after vascular access. Minimally inturrupted DOAC protocol. Makes me wonder of how many of these we miss without ICE guidance.
#EPPeeps
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نعتزّ ونفخر بوطننا🇸🇦 الذي كان -منذ تأسيسه- قبل ثلاثة قرون على يد الإمام محمد بن سعود -رحمه الله- حصنًا منيعًا ضد من عادى، ومقصدًا رحبًا لكل من طلب الأمن والاستقرار. #سورنا_العالي #يوم_التأسيس
#سورنا_العالي
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@DrAlsaiediAB
@SurgMBA
@AlrahimiJ
@bogamisa
@AlkashkariWail
@rashaalbawardy
@MogneeA
@atifalzahrani
@ibrahimjelaidan
@AhmedAwadallah_
Always a pleasure to work with our super-star interventiona/structurall team
@DrAlsaiediAB
@AlkashkariWail
@MogneeA
,
@rashaalbawardy
,
@ibrahimjelaidan
,
@dymdym20
,
@AlrahimiJ
,
@bogamisa
for more collaboration to come
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@enes_elvin
@alsertdemir
Very nicely done enes ma sha allah. I tried once doing it without a sheath , it did not work ,
What lead did you use , is it tendril? And what stylet color did you use , did you shape it like a Mond-preshaped Abott stylet ?
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Join us on cardiology MCQ board review in 40 minutes
@the_Chapter_
نبدأ بعد قليل فعاليات اليوم الرابع من الدورة التفاعلية الأولى لمراجعة تخصص الباطنة:
The 1st Annual Internal Medicine Board Review Course
برنامج معد بدقة ومخصص لامتحانات الترقية واختبارات شهادة
الاختصاص السعودية.
لمزيد من المعلومات:
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@Hapa_EP
@javadm20
@CarinaHardy4
@Maeskander
@B_Naz_MD
@NazemAkoum
@FimaMDMS
@DaneshModi
@jeffrey_vinocur
@EPWaveDoc
@dkenigsberg
Hopefully not. We will have focal PFA technologies if a switch in energy used is imminent.
Point by point PVI is kind of a meditation to the operator
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@SurgMBA
@TawfeikAlyafi
@AlrahimiJ
@AlkashkariWail
@AtifAlqubbany
@bogamisa
@atifalzahrani
@drkhaledmakki
@rashaalbawardy
@DrAlsaiediAB
@ibrahimjelaidan
@MogneeA
@HaniMufti
@mahmouduky
Thank you Dr Mohammad, this would not have neen possible without your endless support to all of us.
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ابارك لاخي
@Abdullrahman_SM
تخرجه من كليه الهندسه. نفع الله بعلمك و انار دربك
تم بحمدالله تخرجي من كلية الهندسة قسم الهندسة الكهربائيه بكرتبة الشرف الاولى اسأل الله لي ولكل أحبابي حياة كريمة مليئة بالنجاح والتوفيق يارب العالمين ، أسرتي الكريمه لو لا الله ثم انتم لما كنت على ما أنا عليه شكرا لكم من كل قلبي♥️🎓🎊🎊
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@enes_elvin
@alsertdemir
@ugurcanpolatmd
@prof_serkan_cay
@Msalmanghazni
@kvernooy
@curilakarol
@BIOTRONIK_News
Great case Enes. Having DF1 lead is quite handy here , probably we shall shift back to DF1 lead more and more for ICDs
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@Hapa_EP
@jacabreracardio
@DrFerminGarcia
@drluissaenz
@DrRoderickTung
@GkhanAksan
@CarinaHardy4
@ALFIEEP1
@DaneshModi
@dkenigsberg
@EPWaveDoc
@JonPicciniSr
@javadm20
@NazemAkoum
@FimaMDMS
@Ed_Gerst
Nice case as usual. Those ones are tough but I agree with
@javadm20
. Pattern of activations looks like Septopul bundle with goal of isolating Rt. Veins along with Carina line to target Spb
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@BarkaganMichael
@jeffrey_vinocur
@ALFIEEP1
@narrowQRS
@SergioPinski
@True_EP
Stim-A interval is too long for inadvertent Atrial capture
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ما شا الله تبارك الله . بالتوفيق اخي
@Dr_Zainalabdin
#نشرة_الرابعة | كيف يعمل "قلب برلين" الصناعي؟ استشاري جراحة قلب الأطفال د. عمر زين العابدين يوضح ما جرى لطفلة بعد زراعة قلب مؤقت لها في #الرياض
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@leilii
I agree with my colleagues.
-Starts with sinus .
- A wider beat in middle could be fused as it was preceded with p wave .
-Narrower beat after either junctional or Pac hidden within the end of T
-Wider is accelerated idioventricular rhythm with VA conduction
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@EPWaveDoc
@AGEP_DGK
@rythmo_sfc
@drjohnm
@WaintraubX
@clementy_ep
@RomainVergier
@Phiso_de
@GerdHindricks
@ArashArya_EP
@SNedios
@shilbert_md
@ALFIEEP1
I find them giving false sense of assurance, in vivo studies showed lag of up to 20 seconds of ablation before temp rise. People will pay less respect to back wall because temp hasn't changed. Seen 2 fistulas in training , both with probes, both we could never predicted.
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@Ahmed__Mokhtar
Did both go through an ASD to left side . Looks patient have an ET tube and an NG tube ( not good )
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Proud of you my friend
@WaelAlqarawi
I just received this incredible book from my Canadian colleagues and friends: Martin Green &
@AndrewKrahnMD
Absolutely a MUST read x cardiologists and EPs.
@SCC_CCS
@CHRS_SCR
@SCC_CCS_Trainee
@SCC_CCS_CEO
@LAHRSonline1
@WArrhythmia
@sociedadsadec
@ISE_YCommunity
Bravo!!!
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@AlkashkariWail
@aminjeddah
@AtifAlqubbany
@naeemalshoaibi
@drsghamdi
@CARDIOLOGUE99
شكرا اخوي وائل . شرف لي ان يذكر اسمي مع زملائي الافاضل
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@christophgelle1
@NGHAnews
Signal was just saying " ablate me , ablate me " did not think of anything else
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@zaclill
A lead not screwed all way in device , lost Av synchrony due to intermittent noise on A lead leading to unneeded mode switch
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That's no good
😲 I am schocked!
HPSD associated with 4x higher risk of Brain Ischemic Lesions according the POWER FAST III trial by
@joselmerino
& Sergio Castrejon
Who does not like Fast & Furious? Is this a good time to stop HPSD? Would a POWER-TURBO / Cryo/PFA tell us differently?
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@mattaustein
@grazianaviola
@EPeeps_Bot
Agreed
U don't want to deal with it on full heparinization , you may run into bleeding - post procedure stroke risk reduction dilemma
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Beautiful case as usual
@enes_elvin
Another LAMRT, s/p cryo PVI 2022. Very sick LA. Gorgeous signals in the anterior wall. Credits to great
@BiosenseWebster
mapper
@aykutkarakurtt
@Arritmias_HRC
@DFahadAlmehmadi
#Epeeps
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@ALFIEEP1
@nlcabanillas
@DhirajGuptaBHRS
@josoriomd
I still tend to use Pentaray , but eventually will abandon , even gaps can be mapped with escape mapping described
@FYang_EP
. Would rather have my ICE in LA rather than a pentaray
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@FabricioCaied
@KardiologieHH
I'm no iterventional cardiologist. But this is just brilliant.
@AlkashkariWail
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@mattyortman
@EPeeps_Bot
That's one of the reasons we tend to avoid anterior line if possible , 1) too long where mapping gaps can be difficult especially with big LA 2) close proximity to His region3) Doing it after a failed posterior line may isolate appendage necessitating LAA closure
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@syamkumarmd
@EPeeps_Bot
@BotCardiology
@NimaZamiri
@GhaithAlmidani
@dog_oculus
@laura_goodliffe
@ecgrhythms
@UlhasDr
@mahishasur
@adribaran
@DidlakeDW
@MaruanCarlos
@MattMelcherPA
@ALFIEEP1
@Doc_AleCuesta
Flutter with 1:1 and abbarent conduction
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@Msalmanghazni
@enes_elvin
Masha allah .
@enes_elvin
teachings and guidance are touching patients everywhere. His support helped me adding many services at my center. May allah bless you and your family brother
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ما شا الله تبارك الرحمن . ابارك لاخي الطبيب المبدع
@Almotasembilla1
حصوله على جائزه الطبيب المتميز . ما شا الله من أمهر أطباء الجهاز الهضمي و المناظير بشهاده الجميع . له بصمه واضحه في واحد من اكبر مراكز الجهاز الهضمي في المملكه . زادك الله من فضله اخي ابو عبد العزيز
الحمد لله والشكر على فضله ، تم تكريمي من قبل قسم الباطنه في الحرس الوطني بجائزه الطبيب المتميز
@DrSamaherAshram
@Surg_MBA
@ibrahimjelaidan
@Dr_Almoaid
@NGHAnews
@DFahadAlmehmadi
@DrMajedAbdulhaq
@majidalsahafi
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