Interventional Cardiologist | Ochsner Clinic Foundation, Slidell, Louisiana |
New Orleans, Louisiana
Joined July 2022
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- Following426
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Sunil Upadhaya, MD, FACP retweeted
I created LearnCoronary (learncoronary.com), an interactive tool designed to help general cardiology fellows and other early-career learners better understand coronary angiography and the spatial relationships between different angiographic views.
#cardiotwitter @OpenAI
Sunil Upadhaya, MD, FACP retweeted
🩺 ECG Challenge | *European Heart Journal – Case Reports
Bidirectional ventricular tachycardia in a young woman with prominent U waves: what is the diagnosis?
Can a careful ECG interpretation reveal the underlying disease? This educational ECG Challenge presents a young woman with bidirectional ventricular tachycardia and prominent U waves, guiding readers through the differential diagnosis and highlighting the importance of recognizing ECG clues to identify rare but potentially life-threatening inherited arrhythmic disorders.
📖 Test your diagnostic skills:
ow.ly/7GOw50ZX29u
#EHJCaseReports @KardiologieHH @aayshacader @ANazmiCalik @TJ_Yeo @FarhanaAra @cfcamm
Sunil Upadhaya, MD, FACP retweeted
✍️Coronary 🫀plaque burden and vulnerability are differently associated with Lp(a) and non–Lp(a) apoB particles. Assessing these lipoprotein pools separately may improve plaque characterization, while their ratio helps identify which particle type predominates.
Sunil Upadhaya, MD, FACP retweeted
Not all apoB-containing particles tell the same story.
🔹 Non–Lp(a) apoB → greater coronary plaque burden
🔹 Greater relative Lp(a) contribution → more vulnerable plaque features
New in #EJPC: Balance between apoB and Lp(a) may add another layer to cardiovascular risk assessment and personalized prevention. ow.ly/uL2650ZWCIC
@EJPCEiC @AboyansV @SilCastelletti @PTBuketAkinci @PeroneFrancesco @SMosteoru @TimKambic
Sunil Upadhaya, MD, FACP retweeted
Efficacy and Safety of Flecainide Versus Amiodarone for the Cardioversion of paroxysmal Atrial Fibrillation in Patients with Coronary Artery Disease without evidence of residual ischemia: The FLECA-ED Randomized Clinical Trial
heartrhythmjournal.com/artic…
Sunil Upadhaya, MD, FACP retweeted
Blinded withdrawal of randomized treatment with low-dose digoxin or placebo in heart failure: the DECISION trial academic.oup.com/eurheartj/a… #digoxin #heartfailure via @ESC_Journals
Sunil Upadhaya, MD, FACP retweeted
What I have learned about handling a Suoh wire from watching the experts.
1) The Suoh needs time and distance to work — keep the MC just off the dark part of the wire by default.
2) If the wire tip stops moving, bring the MC a bit closer, then try to advance the wire.
3) If the wire buckles close to the tip, back the MC and re-engage the epicardial loop
4) If the wire buckles away from the tip, bring the MC closer to swallow the buckle.
5) If the epicardial starts to accordion or make a wide loop, gently advance the MC and wire as a unit.
6) Spin the MC, not the wire when crossing a tight loop (if using a torquable MC)
Mentors @DrBIqbal, @KambisMashayek1, @RinfretStephane et al, feel free to add your own wisdom.
And, correct me where I got it wrong! 😅🙏🏼
Learning to Take the Path Less Traveled
Three of the best cases at @ctoessentials 2026 involved epicardial collateral crossing by the best in the business: @DrBIqba, @RinfretStephane, and Alex Nap.
I applied those lessons as soon as I returned to Houston! Here is the case. 😀
Sunil Upadhaya, MD, FACP retweeted
One of the most interesting anomalies i have ever seen. I see LAD from conus and LCX from PL . Any other suggestions? @realarainmd @SVRaoMD @SripalBangalore @ShariqShamimMD @abadkhan2002 @aymanka @mmamas1973
Sunil Upadhaya, MD, FACP retweeted
Invaginated. Then gone.
Incidental LA appendage invagination in a patient undergoing IMPELLA implantation #echofirst
⚠️ Beware of LAA invagination in patients with MCS. It can mimic pathology if you don’t recognize it.
LA appendage Invagination
#HRX2026 @Drdevignair
Done percutaneously with imaging #echofirst #yescct #innovation #CardioTwitter
Sunil Upadhaya, MD, FACP retweeted
I heard so many horror stories of fractured wires and trapped burrs that I play two steps ahead and prevent those issues:
- Change burr after ~4 min of drilling
- Move wire during ablation every 30 seconds
- Change wire after 5-6 min of drilling
With these measures, I never had any rota-induced perforation or burr entrapment that I couldn't solve by just pulling the wire.
Sunil Upadhaya, MD, FACP retweeted
🚨 Now accepting applications for the CHIP/CTO Fellowship at Henry Ford Hospital! 🚨
Advanced training in complex high-risk PCI and chronic total occlusion interventions with a leading interventional cardiology team.
📅 Deadline: October 1st
Link 👇🏻
Sunil Upadhaya, MD, FACP retweeted
If you have time to read the entire new HRS/PACES statement on antiarrhythmic drugs, go for it.
heartrhythmjournal.com/artic…
If you don’t—and just want the meat of it—I asked ASTRA-6 to summarized the highest-yield, practice-changing points below.
And if you haven’t started using AI to keep up with the nonstop explosion of medical knowledge, try it today.
#EPeeps #Electrophysiology #AIinMedicine
Sunil Upadhaya, MD, FACP retweeted
Targeted vitamin D supplementation and major adverse cardiovascular events after myocardial infarction.
Read the results of the TARGET-D trial in #EHJ
academic.oup.com/eurheartj/a…
@escardio @ESC_Journals #myocardialinfarction
Sunil Upadhaya, MD, FACP retweeted
The 3 reasons why AI won't reduce clinician jobs:
—Jevon's paradox (more efficiency, more use)
—"Lump of labor" fallacy (the type of work changes)
—Tasks ≠ Skills
@NEJM @DhruvKhullar
nejm.org/doi/full/10.1056/NE…
Sunil Upadhaya, MD, FACP retweeted
Dissection of coronary arteries after agressive balloon angioplasty is one of the main factors for good stent expansion and favorable f/u outcomes.
#CoronaryArteries #cardiology #interventionalcardiology #uzbekistan
@esbrilakis @gbiondizoccai @sbrugaletta @Obisht @mirvatalasnag @realarainmd @yassersadeknhi @PCRonline @mmamas1973 @DFCapodanno @DrMarthaGulati @aspergian1 @jedicath @FaustoHerediaDr @mmamas1973 @TWilsonMD
Sunil Upadhaya, MD, FACP retweeted
In summary: BVF liberates more debris, but it is small debris, and the large-particle burden is unchanged. This study replaces speculation about risks of BVF with measurement, and was performed by the group that developed the procedure.
Free to read, no paywall:
opensourcecardiology.org/doi…
Chhatriwalla, Huded, Saxon, Cohen, Nazif, Rinaldi, Gada, Seeger, Hart,
Grier, Finn, Virmani, Kawakami, Allen.
#TAVR #StructuralHeart #ValveInValve #CardioTwitter
Sunil Upadhaya, MD, FACP retweeted
Contemporary #decongestion strategies in acute heart failure: an individual patient data analysis of three randomized controlled trials
#AHF @ESC_Journals @EJHFEiC @jozinetm @WilfriedMullens
academic.oup.com/eurjhf/adva…
Sunil Upadhaya, MD, FACP retweeted
Dr. Suman Biswas (@amateursuman) once of Amateur Transplants performs 'Placebo' ('Let it Go') at The BMJ Medics' Revue 2026.
2/2 (see profile feed for first half).