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Andres Enriquez Profile
Andres Enriquez

@andresenriqueza

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Cardiac Electrophysiologist at Hospital of the University of Pennsylvania @PennMedicine

Philadelphia, PA
Joined October 2012
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@andresenriqueza
Andres Enriquez
5 years
Our approach for SOO of ventricular arrhythmias @adribaran @DrFerminGarcia @drluissaenz @DavidBriceno_EP
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@andresenriqueza
Andres Enriquez
2 years
Cardioneuroablation in a patient with swallow-induced AV block and recurrent syncope. Easily reproducible. Here the "wholegrain cheese sandwich test" pre and post-ablation @MDTolgaAksu @adribaran @hhuang123 @Dr_Santangeli @DrRoderickTung @josoriomd @JorgeERomeroMD @ftrae
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@andresenriqueza
Andres Enriquez
2 years
What's the best surrogate for VT isthmus: Late potentials, deceleration zones or decremental potentials? Our experience from a small series of cases @aportasanchez @adribaran @JorgeERomeroMD @Dr_Santangeli @DrFerminGarcia @victorneirav @utedrow
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@andresenriqueza
Andres Enriquez
5 years
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@andresenriqueza
Andres Enriquez
3 years
our first ethanol ablation for mitral annular flutter, previous failed ablation, block achieved after endocardial, CS ablation and OH, done with my friend @W_Abuzeid with tips from @MiguelVldrbno
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@andresenriqueza
Andres Enriquez
5 years
area of slow conduction unmasked by extrastimuli (confluence of 5 isochrones in small area), this correlated with diastolic activity, long stim-qrs and VT termination @DrFerminGarcia @Dr_Santangeli @drluissaenz @DrRoderickTung @adribaran @victorneirav @NasserJAlhammad
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@andresenriqueza
Andres Enriquez
3 years
Finally Ensite X is in Canada. Our first case: reentry around the left pulmonary veins, patient with MVR and surgical AF ablation 6 m ago @ReenaLal3 @BURAKCMD2 @phil_vasil @JasonBaley @adribaran @RedfearnDamian
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@andresenriqueza
Andres Enriquez
5 years
"Ablation strategies for intramural Ventricular Arrhythmias" in Heart Rhythm with a group of great colleagues @ftrae @Dr_Santangeli @victorneirav @DrFerminGarcia @MiguelVldrbno
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@andresenriqueza
Andres Enriquez
5 years
today's case. ablation of posterolateral accessory pathway in Ebstein, important to define the electrical AV ring @ALFIEEP1 @CarinaHardy4 @DrFerminGarcia @ReenaLal3 @drluissaenz @Dr_Santangeli @victorneirav @adribaran @NasserJAlhammad @JasonBaley
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@andresenriqueza
Andres Enriquez
6 years
Importance of atrial epicardial bundles and need for transmural lesions. Roof dependent flutter in presence of posterior wall isolation @drluissaenz @DrFerminGarcia
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@andresenriqueza
Andres Enriquez
5 years
Intramural PVC. Successful bipolar ablation from RVOT and LVOT. Nonischemic cardiomyopathy with 40-50% PVC burden. 3 prior failed ablations, including epicardial @JasonBaley @victorneirav @GBisleri @adribaran @Dr_Santangeli @DrFerminGarcia @drluissaenz @DavidBriceno_EP
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@andresenriqueza
Andres Enriquez
5 years
one of my patients got this amazing tattoo after ablation of a PVC from mitral annulus (uploaded with his authorization). considering getting one myself @adribaran @DrFerminGarcia @glover_benedict @CarinaHardy4 @ALFIEEP1 @Dr_Santangeli @rdschaller @drluissaenz @victorneirav
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@andresenriqueza
Andres Enriquez
5 years
In ischemic VT with inf. substrate the isthmus may be protected by the posteromedial pap muscle requiring epi approach @DrFerminGarcia @drluissaenz @DavidBriceno_EP @Jackson_J_Liang @Dr_Santangeli @Daniele_Muser @rdschaller @DavidCallans @carlostapiasMD
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@andresenriqueza
Andres Enriquez
3 years
Thanks to the editors @JoseJalife4 @wgstevenson1 @dzipes for my free copy of Cardiac Electrophysiology 8th edition
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@andresenriqueza
Andres Enriquez
5 years
wire mapping of basal septal substrate in nonischemic CMP as reported by @DavidBriceno_EP and @DrFerminGarcia done with BMW guidewire and microcatheter @W_Abuzeid
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@andresenriqueza
Andres Enriquez
4 years
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@andresenriqueza
Andres Enriquez
6 years
2 almost incessant PVCs/NSVT (40% burden) ablated from right-left junction and inferior mitral annulus, very accurate maps with HD Grid @DrFerminGarcia @drluissaenz @adribaran @Dr_Santangeli @JasonBaley @victorneirav @rdschaller
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@andresenriqueza
Andres Enriquez
5 years
Epicardial connection at posterior wall after box lesion set. isolation with a lesion at the middle of the box @ReenaLal3 @JasonBaley @drluissaenz @DrFerminGarcia @RedfearnDamian @adribaran @Dr_Santangeli @CarinaHardy4 @DrRoderickTung @rdschaller
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@andresenriqueza
Andres Enriquez
6 years
Our approach to parahisian VT/PVCs (Penn and FCI) @DrFerminGarcia @drluissaenz @DRDIEGOQRS @Jackson_J_Liang
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@andresenriqueza
Andres Enriquez
5 years
Non pulmonary vein triggers of Atrial Fibrillation - Atrial tachycardia from the coronary sinus ostium
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@andresenriqueza
Andres Enriquez
7 years
first case of his pacing in Chile :) patient with baseline 2:1 Av block @Hisdoc1 @DrFerminGarcia @Dr_Santangeli @rdschaller @adribaran
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@andresenriqueza
Andres Enriquez
1 year
This would be my other one
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@C_KowalewskiMD
Chris Kowalewski MD
1 year
The Veenhuyzen paper is an absolute masterpiece concerning SVT differentiation…. I re-read it frequently… are there other papers in EP that are just as good? ⁦ @paulzei ⁩ ⁦ @nmarrouche ⁩ ⁦ @PrashSanders ⁩ ⁦ ⁦⁦ @EPeeps_Bot ⁩ ⁦⁦⁦ @CardioNerds
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@andresenriqueza
Andres Enriquez
6 years
Beautiful collaboration between PennMedicine, Fundación CardioInfantil and Tel Aviv @DrFerminGarcia @drluissaenz @RaphaelRosso @FSilvestryMD
@DrFerminGarcia
Fermin Carlos Garcia
6 years
Published today @CircAHA “Use of Intracardiac Echocardiography in Interventional Cardiology: Working with the Anatomy Rather than Fighthing it” Circulation. 2018;137:2278-2294 @andresenriqueza @drluissaenz @RaphaelRosso @PennMedicine @PennMedNews
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@andresenriqueza
Andres Enriquez
3 years
I m very happy to join Henry @hhuang123 and a group of talented colleagues as part of the Editorial Board of @JICE_EP
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@andresenriqueza
Andres Enriquez
5 years
unexpected site of origin for negative concordance VT
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@andresenriqueza
Andres Enriquez
6 years
Our experience with arrhythmic mitral valve prolapse
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@andresenriqueza
Andres Enriquez
6 years
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@andresenriqueza
Andres Enriquez
3 years
AVNRT with aberrancy
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Preexcited tachycardia
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@andresenriqueza
Andres Enriquez
5 years
Charlas de hospital by @adribaran best Latin American fiction work since 100 years of solitude
@DrDiegoDelgado
Dr. Diego Delgado
5 years
@SIAC_cardio @CongresoSIAC19 @adribaran My friend Dr Adrian Baranchuk signing his book “Charlas de Hospital”. Gracias Adrian querido!
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@andresenriqueza
Andres Enriquez
4 years
All EPs live for that sacred moment of arrhythmia termination :)
@DanielAlyeshmer
Daniel Alyesh
4 years
Why I love EP. LV Summit PVC with myopathy eliminated within five seconds with RF from LVOT. Initial suppression from AIV, likely intramural with endocardial exit. #EPeeps #ablationissalvation #HDGrid
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@andresenriqueza
Andres Enriquez
5 years
The pleasure is mine @ALFIEEP1 and admiration iz mutual
@ALFIEEP1
ALBERTO ALFIE
5 years
#LAHRS2019 Nice to meet you in person @andresenriqueza An extraordinary young EP that moves the field forward. One more EP I admire so much I met in #LAHRS2019 . See you soon.
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@andresenriqueza
Andres Enriquez
3 years
Nice. I had this right accessory pathway last week. Preexcitation came back quickly after ablation with a direct approach (left), then successfully eliminated with a U curve from the ventricular side (right)
@DrAJRestrepo
Alejandro Jimenez Restrepo
3 years
Successful RFA from below the TA on the atrial side as described by @andresenriqueza @drluissaenz @DrFerminGarcia after 3 failed RFA from the ventricular side (under the valve and at the posterior TV PM)
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@andresenriqueza
Andres Enriquez
1 year
How often do you see accelerated junctional rhythm following Cardioneuroablation? Increased automaticity of the denervated AV node? @MDTolgaAksu @jczerpa @Dr_Markman
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@andresenriqueza
Andres Enriquez
2 years
@MohammadRafez
Mohammad Rafez
2 years
Leo is angry with the match official.❗ Messi: "What are you looking at, fool? What are you looking at? Go, go there..." Me: "Calm down, calm down Leo..." #WorldCup #Messi 𓃵
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@andresenriqueza
Andres Enriquez
7 years
Non-PV trigger from SVC. Once the vein is isolated the atria covert to sinus rhythm 😮
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@andresenriqueza
Andres Enriquez
5 years
@DrPengShengChen
Peng-Sheng Chen, MD
5 years
Coming soon to HeartRhythm: A contemporary review by Andres Enriquez, et al: "How to Use the 12-lead ECG to Predict the Site of Origin of Idiopathic Ventricular Arrhythmias"
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@andresenriqueza
Andres Enriquez
5 years
#LAHRS2019 ep rockstars in Guadalajara lahrs meeting. Live case by @andreanatalemd panel @DrFerminGarcia @Dr_Santangeli @drluissaenz @DrRoderickTung Andre d’Avila
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@andresenriqueza
Andres Enriquez
9 months
Poll for cardiac EPs/EP fellows. After a celebration with friends a couple of nights ago I had a 7 hr episode of AF (first ever). Considering that AF represents a big part of our practice, I wonder how many of you have experienced AF yourselves.
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Yes and I had an ablation
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@andresenriqueza
Andres Enriquez
6 years
Differentiating Ventricular From Supraventricular Arrhythmias Using the Postpacing Interval After Failed Antitachycardia Pacing
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@andresenriqueza
Andres Enriquez
7 years
Energy drink induced VF. Two cases in less than 1 month at UPenn
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@andresenriqueza
Andres Enriquez
3 years
The answer is AVNRT with aberrancy. Fusion beats are virtually pathognomonic of VT but this seems to be an exception to the rule: SVT with aberrancy and a well-timed PVC from the ipsilateral ventricle (eg RBBB aberrancy and PVC from right ventricle), resulting in a narrower beat
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@andresenriqueza
Andres Enriquez
3 years
Temporary-permanent pacemaker system implanted and started on IV Ceftriaxone as reported by @ChangNancyWang . Lyme serology pending. After 5 d conduction gradually improving. Today in Wenckebach
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@andresenriqueza
Andres Enriquez
3 years
Looking forward to attending this year
@VArrhythmias
Venice Arrhythmias
3 years
The advance program of #VA2022 is available for download here 👇 Sign up now to secure your spot at the best Workshop on Cardiac Arrhythmias! ⏳EARLY BIRD FEE: 100€ off until January 31st ⌛️ Click
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@andresenriqueza
Andres Enriquez
3 years
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@andresenriqueza
Andres Enriquez
6 years
still waiting for the published version of CABANA, as i m still waiting for the published version of VEST trial
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@andresenriqueza
Andres Enriquez
4 years
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@andresenriqueza
Andres Enriquez
10 months
Thanks @DrKoplan and @True_EP for the invitation to participate in The Lead Podcast with my friend @andres_miranda4 Great EP journal club #EPeeps
@HRSonline
Heart Rhythm Society
10 months
NEW EPISODE OF THE LEAD! [Ep. 37] A Discussion of Efficacy Of Early Catheter Ablation For Atrial Fibrillation After Admission For Heart Failure 🎙️Host: @bakoplan 🎤 Guests: @andres_miranda4 and @andresenriqueza Listen on #HRS365 , #ApplePodcasts , #GooglePodcasts , or #Spotify
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@andresenriqueza
Andres Enriquez
4 years
Congratulations to @Daniele_Muser @GaetanoNucifora and @Dr_Santangeli for this important multicenter study on the prognostic role of MRI in apparently idiopathic ventricular arrhythmias @CircAHA
@Dr_Santangeli
Pasquale Santangeli
4 years
Excited to share the results of this multicenter registry led by @Daniele_Muser @GaetanoNucifora - In patients with apparently idiopathic non-sustained VA, nonischemic LV scar with a ring-like pattern is associated with malignant arrhythmic events.
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@andresenriqueza
Andres Enriquez
3 years
congratulations! beautiful entrainment and map
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@andresenriqueza
Andres Enriquez
5 years
cholestatic hepatitis 3 wks after starting propafenone (jaundice, choluria, vomiting, Bili 133, AST 84, ALT 245, GGT 376, ALP 332). has anybody seen it before? @Dr_Santangeli @adribaran @Dr_ChrisSimpson @DrFerminGarcia @drluissaenz @glover_benedict @Aperezsilva77 @DrRoderickTung
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@andresenriqueza
Andres Enriquez
5 years
Dr Arthur McDonald, Nobel prize from Queen’s presenting at our Medical Grand Rounds. Neutrinos are like timbits. They come in 3 flavours
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@andresenriqueza
Andres Enriquez
4 years
I ve been waiting for this movie for decades. after the unsuccessful attempt by @alejodorowsky and the fiasco in 1984
@lucy_sky02
Lucy In The Sky
4 years
More than Tenet, I'm looking forward to watching Dune this year. #Dune #dunemovie #Dune2020
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@andresenriqueza
Andres Enriquez
6 years
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Andres Enriquez
5 years
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@andresenriqueza
Andres Enriquez
5 years
Scenario 1. Male patient 68 y. Found to have LBBB on ECG. Upon interrogation he refers an episode of nonprodromal syncope 2 months ago. Echo with mild LV hypertrophy. What would you do?
2-week event recorder
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Electrophysiology study
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Implantation of pacemaker
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@andresenriqueza
Andres Enriquez
4 years
Great case chamo
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@andresenriqueza
Andres Enriquez
5 years
Won’t miss it
@drluissaenz
Luis C. Saenz, MD
5 years
@BrianGreet @DrFerminGarcia @narrowQRS @rahul3000 @ALFIEEP1 @SriniDukkipati @jskoruth @billwhangep @Aamir_A_Sofi @mohitkturagam @TahmeedC @andresenriqueza the reported findings definitely changed our way to test PW isolation/we are prospectively collecting the data after new approach/see more in SF
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@andresenriqueza
Andres Enriquez
4 years
Admirable
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@andresenriqueza
Andres Enriquez
6 years
for those who missed it (like me)
@VTSymposium
VT Symposium
6 years
Now Available - Access 2018 On-Demand Video Presentations from the @VTSymposium
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@andresenriqueza
Andres Enriquez
6 years
congratulations!!
@W_Abuzeid
Waël Abuzeid
6 years
Great teamwork and Patient care. Proud to be a part of this team @GBisleri @QueensuDOM @Dr_ChrisSimpson @adribaran @J_Abunassar @KingstonHSC
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@andresenriqueza
Andres Enriquez
4 years
very reasonable and helpful guide
@DRDIEGOQRS
Dr. Diego Rodriguez
4 years
Chloroquine QTc management
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@andresenriqueza
Andres Enriquez
5 years
Scenario 2. Male patient 55 y. Found to be in persistent AF during preoperative evaluation for minor surgery. He undergoes cardioversion but goes back into AF after 2 months. Active and denies any symptoms. Echo with mild LA dilatation. What would you do?
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Offer catheter ablation
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@andresenriqueza
Andres Enriquez
1 year
@CardioBornan @yelym2 @ALFIEEP1 @andres_miranda4 @adribaran @sebagz1 @FScazzuso @gonzaeperez @SergioPinski Test genético, discutir rol del estudio electrofisiológico para estratificación de riesgo, sin contraindicacion para actividad física si paciente asintomático
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@andresenriqueza
Andres Enriquez
5 years
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@andresenriqueza
Andres Enriquez
5 years
@gonzaeperez @SohaibHaseeb5 @adribaran @SIAC_cardio muchas gracias Gonzalo, sera un placer trabajar juntos en @SIAC_cardio
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@andresenriqueza
Andres Enriquez
4 years
beautiful map and ice images
@Brandon_LeePY
Brandon Lee
4 years
Terminate the scar-related PM papillary muscle VPC by one shot. Wonderful #PDXMapping method borrow from @forkknifecab_EP . Nice intracardiac echo view to see pap location, scar area, and RF lesion @MRazminia Credit: @EPS_MARXTAIJI @AbbottCardio #Ensite
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@andresenriqueza
Andres Enriquez
4 years
@Variety
Variety
4 years
The Avengers cast is assembling to raise money for Joe Biden. Here's how you can watch
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@andresenriqueza
Andres Enriquez
4 years
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