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Clinical Cardiac Electrophysiology Fellowship

Overview from the program director

The clinical cardiac electrophysiology fellowship at the University of Kansas Medical Center is a one year accredited program that provides comprehensive training for a career in academic and clinical electrophysiology. The program is ACGME accredited and fulfills requirements for training as indicated in the July 1, 2007 ACGME Program Requirements for Graduate Medical Education in Cardiovascular Diseases. The cardiology program at KUMC currently has 36 cardiovascular physicians with active general cardiology, interventional cardiology and electrophysiology services, including subspecialty fellows in these disciplines. The KUMC cardiovascular medicine and cardiac surgery program is consistently ranked as one of the top 50 programs in the nation by the US news and World Report. The University of Kansas Hospital Electrophysiology program is also pleased to offer an additional non-accredited Advanced Electrophysiology Fellowship in ablation and complex lead extraction. This second year of fellowship training is geared toward fine tuning skills in both complex atrial and ventricular arrhythmias. The trainee will have the opportunity to utilize various types of advanced mapping and ablation techniques including ultrasound guided mapping, epicardial mapping and ablation, and cryoablation. In addition, the fellow will gain exposure to high risk lead extractions from a high volume center. During this year, the fellow is also expected to enhance his/her research experience with an independent project to be submitted for publication at a peer reviewed journal at the conclusion of their training. We feel the second year of fellowship training is necessary to produce a well-rounded, competent electrophysiologist. The KU Hospital is a 623-bed academic tertiary care referral center for the Kansas City metropolitan area, western Missouri, and eastern Kansas. It includes a 72-bed state of the art, Center for Advanced Heart Care that opened in 2006. KU Hospital and clinics feature a robust electronic medical record system from Epic Systems Corporation. The Clinical Cardiac Electrophysiology Fellowship is a high volume program performing a wide variety of procedures. There are four electrophysiology laboratories (including a hybrid operating room suite where high risk lead extractions and complex ablation procedures are done with readily available cardiothoracic surgical support). The case load continues to grow every year. In calendar year 2013, almost 2400 procedures were performed with over 300 atrial fibrillation ablations, 150 biventricular ICD, and almost 900 SVT ablations. Our state of the art EP lab rooms include 3D noncontact mapping (Biosense Carto and ESI) as well as Stereotaxis navigation systems.  We are a regional referral center for complex ventricular arrhythmias and lead extractions with patients traveling throughout all areas of the Midwest. In October 2012 we opened the first "MediGuide" enabled suite which allows us to significantly decrease radiation exposure to patients and physicians. In addition, we are one of the leading performers of epicardial left atrial appendage ligations. This program is a joint venture between interventional cardiology and electrophysiology. The fellow will work with six electrophysiology specialists who are all high volume operators. The electrophysiology fellow will obtain experience in performing comprehensive electrophysiology procedures including ablation of both supraventricular and ventricular arrhythmias. In addition, the fellow will become proficient at implantation of pacemakers, defibrillators, and biventricular devices. Both inpatient and outpatient consultations as well as the management of arrhythmia patients will be emphasized during the fellowship year.
Apart from a well-rounded experience in the electrophysiology laboratory, the fellowship program provides other learning activities such as monthly journal clubs, weekly didactic and clinical conferences, as well as monthly morbidity and mortality conferences. A monthly research conference and Cardiology Grand Rounds are also offered to round out the fellow's educational experience. The electrophysiology section is actively involved in a variety of research activities including both multi-center studies and investigator initiated trials. We are currently involved in more than 20 clinical trials, a number of which are unique phase 3 trials.  We routinely present at national meetings of the Heart Rhythm Society, American Heart Association, and American College of Cardiology. In 2013, 22 abstracts were accepted for presentation at Heart Rhythm Society. Academic research is considered an important part of the fellowship with the expectation that the clinical cardiac electrophysiology trainee will complete at least one project with submission of at least one abstract and one manuscript to a peer reviewed journal. After completion of the one year accredited fellowship program the fellow will meet all requirements to be able to sit for the ACGME sponsored clinical cardiac electrophysiology boards. The University of Kansas Medical Center's Clinical Cardiac Electrophysiology program offers an intense high volume, academic experience that will result in development of superior cognitive, clinical and procedural skills required for a successful career in clinical cardiac electrophysiology.  

CCEP Fellowship Applicants
Please contact: Anna Bryan, for applications, questions or concerns.
Email: abryan@kumc.edu

Faculty

R Pimentel Rhea C. Pimentel, MD, FACC
CCEP Fellowship Director
Associate Professor of Medicine - Cardiology
rpimentel@kumc.edu
Medical School: Feinberg School of Medicine, Northwestern University (Chicago, IL)
IM Residency: University Hospitals of Cleveland (Cleveland, OH)
CV Fellowship: Washington University School of Medicine (St. Louis, MO)
CCEP Fellowship: Washington University School of Medicine (St. Louis, MO)
L Berenbom Loren D. Berenbom, MD
Professor of Medicine - Cardiology
ldberenbom@kumc.edu
Medical School: Feinberg School of Medicine, Northwestern University (Chicago, IL)
IM Residency: Washington University School of Medicine (St. Louis, MO)
CV Fellowship: Washington University School of Medicine (St. Louis, MO)
CCEP Fellowship: Washington University School of Medicine (St. Louis, MO)
R Dendi Raghuveer Dendi, MD
Clinical Assistant Professor of Medicine - Cardiology
rdendi@kumc.edu
Medical School: Osmania Medical College (Hyderabad, India)
IM Residency:  SUNY Health Science Center at Syracuse (Syracuse, NY)
CV Fellowship: University of Iowa Hospitals and Clinics (Iowa City, IA)
CCEP Fellowship: Beth Israel Deaconess Medical Center (Boston, MA)
Martin Emert Martin P. Emert, MD
Clinical Associate Professor of Medicine - Cardiology
mpemert@kumc.edu
Medical School: University of Missouri, Kansas City School of Med (Kansas City, MO)
IM Residency: Case Western Reserve, University Hospitals of Cleveland (Cleveland, OH)
CV Fellowship: Washington University School of Medicine (St. Louis, MO)
CCEP Fellowship: Washington University School of Medicine (St. Louis, MO)
Y. Madhu Reddy Y.Madhu Reddy, MD, FACC, FHRS                                                          Associate Professor of Medicine - Cardiology                                          Director, Division of Cardiac Electrophysiology
yreddy@kumc.edu
Medical School: Armed Forces Medical College (Pune, India)
IM Residency: Creighton University School of Medicine (Omaha, NE)
CV Fellowship: Creighton University School of Medicine (Omaha, NE)
CCEP Fellowship: University of Kansas (Kansas City, KS)
Seth Sheldon Seth H. Sheldon, MD                                                                            
Clinical Assistant Professor of Medicine - Cardiology
ssheldon@kumc.edu
Medical School:
University of Kansas (Kansas City, KS)
IM Residency:
Mayo School of Graduate Medical Education (Rochester, MN)
CV Fellowship:
Mayo School of Graduate Medical Education (Rochester, MN)
CCEP Fellowship:
University of Michigan (Ann Arbor, MI)

Current Fellows

Valay Parikh

Valay Parikh, MD
Clinical Cardiac Electrophysiology Fellow

Medical School: Smt.NHL Municipal Medical College, Ahmedabad, India
Residency: Staten Island University Hospital, Staten Island, NY
Fellowship: Staten Island University Hospital, Staten Island, NY(Cardiology)

Research interests: Ventricular Tachycardia, Left Atrial Appendage Closure, Atrial Fibrillation, Arrhythmia Mapping.

Ongoing Research Projects:

  • Same Day Discharge after Cryoballoon Ablation for Atrial Fibrillation is Safe: a Multi-Center Experience.Role: Principal Investigator. Status: Manuscript in process.         
  • Is 'Figure-of-8' Suture Technique Safe for Venous Hemostasis for Cryoballoon Ablation without Reversing Heparin Effect? Role: Principal Investigator. Status: Manuscript in process.   ·        
  • Evaluation of the Recordings of Diaphragmatic Compound Motor Action Potential During Cryoballoon Ablation for Atrial Fibrillation in Preventing Phrenic Nerve Injury- A multicenter cryoconsortium study. Role: Site sub-Investigator. Status: Data collection.

Publications:

  • Parikh V, Motivala A, Dai D, Roe M, Abbott J, Prasad A, Mukherjee D. Predictors, trends and outcomes of β-blocker prescriptions at discharge in patients with stable angina without prior history of Myocardial Infarction or Systolic Heart Failure undergoing elective PCI: Insights from the NCDR registry. Accepted for JACC Interventions; To be published in Aug 2016.   ·              
  • Parikh V, Agnihotri K, Kadavath S, Patel NJ, Abbott JD. Clinical Application of Fractional Flow Reserve-Guided Percutaneous Coronary Intervention for Stable Coronary Artery Disease. Curr Cardiol Rep. 2016 Mar;18(4):32.   ·              
  • Patel NJ, Edla S, Deshmukh A, Nalluri N, Patel N, Agnihotri K, Patel A, Savani C, Patel N, Bhimani R, Thakkar B, Arora S, Asti D, Badheka AO, Parikh V, Mitrani RD, Noseworthy P, Paydak H, Viles-Gonzalez J, Friedman PA, Kowalski M. Gender, Racial, and Health Insurance Differences in the Trend of Implantable Cardioverter-Defibrillator (ICD) Utilization: A United States Experience Over the Last Decade. Clin Cardiol. 2016 Jan 22. doi: 10.1002/clc.22496.
  • Parikh V, Kowalski M. Comparison of Phrenic Nerve Injury during Atrial Fibrillation Ablation between Different Modalities, Pathophysiology and Management. Journal of Atrial Fibrillation. 2016 January.   ·              
  • Parikh V, Agarwal V, Rijal J, Chainani V, Bekheit S, Kowalski M. The rate of complications associated with concomitant use of dabigatran with cryoballoon ablation for atrial fibrillation. Journal of Atrial Fibrillation. 2014 June.   ·              
  • Patel N, Deshmukh A, Pant S, Singh V, Patel N, Arora S, Shah N, Chothani A, Savani G, Mehta K, Parikh V, Rathod A, Badheka A, Lafferty J, Kowalski M, Mehta J, Mitrani R, Viles-Gonzalez J, Paydak H. Contemporary Trends of Hospitalization for Atrial Fibrillation in the United States, 2000 through 2010: Implications for Healthcare Planning. Circulation. 2014 May. Doi: 10.1161/CIRCULATIONAHA.114.008201. PMID: 24842943.   ·              
  • Agarwal V, Parikh V, Otterbeck PE, Lafferty J. Myxedema Coma Induced by Short-term Amiodarone Therapy. Am J Med Sci. 2014 Mar;347(3):258-9. doi:10.1097/MAJ.0000000000000241. PMID: 24521765. ·              
  • Shah N, Parikh V, Patel N, Patel N, Badheka A, Deshmukh A, Rathod A, Lafferty J. Neutrophil lymphocyte ratio significantly improves the Framingham risk score in prediction of coronary heart disease mortality: insights from the National Health and Nutrition Examination Survey-III. Int J Cardiol. 2014 Feb 15;171 (3):390-7. doi: 10.1016/j.ijcard.2013.12.019. Epub 2013 Dec 23. PMID: 24388541. ·              
  • Lakhani M, Saiful F, Parikh V, Goyal N, Bekheit S, Kowalski M. Recordings of diaphragmatic electromyograms during cryoballoon ablation for atrial fibrillation accurately predict phrenic nerve injury. Heart Rhythm. 2014 Mar;11(3):369-74. doi: 10.1016/j.hrthm.2013.11.015. Epub 2013 Nov 16. PMID: 24252287 ·              
  • Parikh V, Barsoum EA, Morcus R, Azab B, Lafferty J, Kohn J. Unique presentation of Twiddler's syndrome. World J Cardiol. 2013 Jun 26;5(6):207-9. doi: 10.4330/wjc.v5.i6.207. PMID: 23802049. ·              
  • Kowalski M, Parikh V. Role of the new target specific oral anticoagulants in the management of anticoagulation for cardioversion and atrial fibrillation ablation. J Thromb Thrombolysis. 2013 Aug;36(2):175-86. doi:10.1007/s11239-013-0915-y. PMID: 23605999. ·              
  • Bibawy JN, Parikh V, Wahba J, Barsoum EA, Lafferty J, Kowalski M, Bekheit S. Pantoprazole (proton pump inhibitor) contributing to Torsades de Pointes storm. Circ Arrhythm Electrophysiol. 2013 Apr;6(2):e17-9. doi: 10.1161/CIRCEP.112.000101. PMID: 23592872. ·              
  • Parikh V, Shariff MA, Saiful FB, Rizvi SB, Goyal N, Asgarian KT, McGinn JT Jr, Snyder T, Singh VA. CASE REPORT Anomalies Associated With Congenitally Corrected Transposition of Great Arteries: Expect the Unexpected. Eplasty. 2013;13:e6. Epub 2013 Jan 24. PMID: 23409204. ·              
  • De C, Phookan J, Parikh V, Nagrani T, Lakhani M, Forte F, Lafferty J. Decitabine induced transient cardiomyopathy: a case report. Clin Med Insights Oncol. 2012;6:325-9. doi: 10.4137/CMO.S8598. Epub 2012 Oct 3. PMID: 23071426.   ·              
  • Shah N, Parikh V, Mobarakai N. Unusual Presentation of Lemierre Syndrome: A Case Report. Infectious Disease in Clinical Practice, March 2013.   ·              
  • Lucas BP, Candotti C, Margeta B, Mba B, Kumapley R, Asmar A, Franco-Sadud R, Baru J, Jacob C, Borkowsky S, Evans AT.(Data Collection).Contributions to peer-reviewed clinical research publications, participation cited but not by authorship: Hand-carried Echocardiography by Hospitalists: A Randomized Trial. Am J Med. 2011 Aug;124(8):766-74.          

Oral and Poster Presentations:

  • Parikh V, Motivala A, Roe M, Dai D, Abbott J, Prasad A, Mukherjee D. Outcomes and Predictors of β-blockers Prescriptions at Discharge in Patients With Stable Angina Without Prior History of Myocardial Infarction or Systolic Heart Failure Undergoing Elective PCI: Results From the NCDR Cath-PCI Registry. Accepted for American Heart Association (AHA), Nov 2014.
  • Patel N, Nalluri N, Deshmukh A, Pant S, Parikh V, Chothani A, Mehta K, Shah N, Savani G, Singh V, Grover P, Patel N, Rathod A, Arora S, Badheka A, Paydak H, Viles-Gonzalez J and Kowalski M.: Gender and Health Insurance Disparities in the Use of Implantable Cardioverter Defibrillator Therapy: A United States Experience over last decade. Heart Rhythm Society(HRS), May 2014.   ·              
  • Gaddam S, Nagrani T, Parikh V, Azab B, Popalzai M, McCord D, McGinn J, Lafferty J : Bypass Surgery Complicated by Heparin Induced Thrombocytopenia and Recurrent Stent  Thrombosis Requiring Bypass Graft Surgery of the Stented Artery.  American College of Cardiology 60th Annual Scientific Session and Innovation in Intervention: i2 Summit (ACC), Apr 2011.        
  • Parikh V, Pandya B, Agarwal V, Khan A, Kenigsberg D, O'Neill G, Kowalski M, Aryana A. Same Day Discharge after Cryoballoon Ablation for Atrial Fibrillation is Safe: a Multi-Center Experience. Heart Rhythm Society (HRS), May 2016.   ·             
  • Moradiya Y, Murthy S, Parikh V, Modi S, Naval N. Incidence and Predictors of Recurrent 30-Day Readmissions after Hospitalization for Heart Failure, Myocardial Infarction and Pneumonia. American Heart Association (AHA) Quality of Care and Outcomes Research 2015 Scientific Sessions. May 2015.   ·             
  • Parikh V, Agarwal V, Torbey E, Bekheit S, Koneru J, Ellenbogen K, Kowalski M. Compound Diaphragmatic Action Potentials Can Prevent Phrenic Nerve Injury During Cryoballoon Ablation of Atrial Fibrillation. Heart Rhythm Society (HRS), May 2014.   ·             
  • Torbey E, Parikh V, Agarwal V, Bekheit S, Kowalski M. Treatment of Long Persistent Atrial Fibrillation by Single Cryoballoon Ablation of the Pulmonary Veins, LA Roof Line and Ablation of Left Lateral Ridge From Within the Appendage. Heart Rhythm Society (HRS), May 2014.   ·             
  • Patel N, Deshmukh A, Pant S, Parikh V, Chothani A, Mehta K, Shah N, Singh V, Grover P, Savani G, Patel N, Panaich S, Arora S, Rathod A, Badheka A, Coffey J, Maskoun W, Paydak H, Kowalski M and Viles-Gonzalez J.: Trends in Intracardiac Echocardiography Utilization During Atrial Fibrillation Ablation and its Impact on Safety Outcomes. Heart Rhythm Society (HRS), May 2014.   ·             
  • Patel N, Nalluri N, Deshmukh A, Pant S, Parikh V, Chothani A, Mehta K, Shah N, Savani G, Singh V, Grover P, Patel N, Rathod A, Arora S, Badheka A, Paydak H, Viles-Gonzalez J , Kowalski M.: Gender and Health Insurance Disparities in the Use of Implantable Cardioverter Defibrillator Therapy: A United States Experience over last decade. Heart Rhythm Society (HRS), May 2014.   ·            
  • Gaddam S, Nalluri N, Parikh V, Bhat T, Tamburrino F, Mccord D. Biodegradable polymer drug eluting stents vs. first generation drug eluting stents: a meta-analysis of randomized controlled trials. SCAI Scientific Sessions May 2014.   ·             
  • Parikh V, Agarwal V, Bachlani G, Chen E, Torbey E, Sullivan E, Bekheit S, Kowalski M. Does pre-procedural Dabigatran escalate the need of higher heparin dosage during atrial fibrillation ablation procedure? Boston AF symposium, Jan 2014.   ·             
  • Parikh V, Patel N, Savani G, Bhalara V, Patel NJ, Chothani A, Shah N, Sullivan E, Mehta K, Singh V, Deshmukh A, Rathod A, Badheka AO, Kowalski M, Mitrani RD, Viles-Gonzalez J. Implication Of Obesity On Length Of Stay And Cost In Atrial Fibrillation Patients- An Objective Evidence. American Heart Association (AHA), Nov 2013.   ·        
  • Parikh V, Agarwal V, Pandya B, Schwartz L, Shah N, Bekheit S, Kowalski M. Does pre-procedural Dabigatran escalate the need of higher heparin dosage during atrial fibrillation ablation procedure? Heart Rhythm Society (HRS), May 2013.   ·             
  • Shah N, Patel N, Grover P, Chothani A, Mehta K, Deshmukh A, Singh V, Rathod A, Paydak H, Parikh V, Savani G, Marzouka G, Kowalski M, Badheka AO, Mitrani RD, Viles-Gonzalez, J. Patients with Atrial Fibrillation and Left Ventricular Hypertrophy Have Significantly Increased Mortality When Treated With Rhythm Control Strategy: a post-hoc analysis from AFFIRM trial. Heart Rhythm Society (HRS), May 2013.   ·             
  • Patel N, Shah N, Grover P, Singh V, Marzouka G, Parikh V, Deshmukh A, Rathod A, Badheka A, Lafferty J, Mehta J, Mitrani RD. Optimal Blood Pressure in Patients with Atrial Fibrillation. American College of Cardiology (ACC), March 2013.   ·             
  • Shah N, Patel N, Rathod A, Badheka A, Deshmukh A, Asti D, Parikh V, Lafferty J. Reclassification of cardiovascular risk in National Health and Nutrition Examination Survey (NHANES) III cohort using neutrophil lymphocyte ratio. American College of Cardiology (ACC), March 2013.   ·             
  • Roland N, Parikh V, Pompa T, Khan S, Adedayo A. Pasteurella: Think beyond the bite. American Medical Association (AMA), Nov 2012.   ·             
  • Shah N, Parikh V, Mobarakai M. A 'forgotten' case of sepsis and pneumonia in a 30 year old male. Society of General Internal Medicine (SGIM) conference, May 2012.
  • Parikh V, Modi S, Moradiya Y.: Takotsubo Cardiomyopathy in Cerebrovascular Diseases: Effect on Outcomes and Resource Utilization. Annual AMA Medical Student Section and Resident and Fellow Section Research Symposium, Nov 2011. 

Other Publications:

  • Parikh V, Jaeger M, Atkins D. The 4th International Symposium on Left Atrial Appendage: Updates in the Science of the Left Atrial Appendage. EP Lab Digest, June 2016
  • Parikh V, Bekheit S. Highlights from 9th Annual Electrophysiology Symposium at Staten Island University Hospital. EP Lab Digest, March 2014.
  • Parikh V, Torbey E, Kowalski M, Wohler A. Advancing EP Services with a Closed-Chest Hybrid Approach for AF Ablation: Experience at The Heart Institute at Staten Island Hospital. EP Lab Digest, February 2015.

Last modified: Aug 13, 2018
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