Dr AJIT THACHIL
FULL NAME: DR AJITH THACHIL
ACADEMIC QUALIFICATIONS: MBBS : St. John’s Medical College,Bangalore, Karnataka, India
MD (General Medicine) : B J Medical College, Pune Maharashtra, India
DM (Cardiology) : All India Institute of Medical Sciences, New Delhi, India
Fellowship in Clinical : CARE Hospitals, Cardiac Electrophysiology Hyderabad, Andhra Pradesh, India
TRAINING DETAILS:
CLINICAL EXPERIENCE: Senior Registrar : CARE Hospitals, In Cardiology Hyderabad, Andhra Pradesh, Sept-Dec. 2008 India
Post – doctoral :CARE Hospitals, Fellowship in Hyderabad, Andhra Pradesh, Cardiac Electrophysiology India Jan –Dec.2009
Consultant Cardiologist & :CARE Hospitals, Cardiac Electrophysiologist Hyderabad, Andhra Pradesh, 1 Jan 2010-15 Jan 2012 India
Consultant Cardiologist & :Lakeshore Hospital, Cardiac Electrophysiologist Kochi, Kerala, India 16 Jan 2012 onwards
OTHER FACULTY POSITIONS: Visiting faculty, Cardiac Arrhythmia Center, University of Minnesota, MN, USA, May 2011
Peer reviewer for Indian Pacing and Electrophysiology Journal (official indexed journal of the Indian Heart Rhythm Society)
Peer reviewer for BMC Cardiovascular Diseases
AWARDS: Best presentation award at IHRS 2011 (4th annual conference of the Indian Heart Rhythm Society) for “ Ventricular Tachycardia triggered by an AF suppression algorithm”, Bangalore, India, November 2011
PUBLICATIONS:
• Monomorphic ventricular tachycardia and mediastinal adenopathy due to granulomatous infiltration in patients with preserved ventricular function – Thachil A, et al. Journal of the American College of Cardiology 2011; 58:48
• Substrate Based Ablation of Ventricular Tachycardia Through An Epicardial Approach- Makhija A, et al. Indian Pacing and Electrophysiology Journal 2009; Vol. 9 (6): 364-369
• Hormone Sensitive Idiopathic Ventricular Tachycardia Associated with Pregnancy: Successful Induction With Progesterone and Radiofrequency Ablation - Makhija A, et al - Article first published online : 28 Jun 2010; DOI: 10.1111/j.1540-8167.2010.01797.x
• What should an Intensivist Know about Pacemakers - Bhim Shankar PR, Ajit Thachil, Hygriv Rao B, Narasimhan C – In Critical Care Update-2008; Published By: Jaypee
• Elevated high sensitivity CRP levels in patients with mitral stenosis and left atrial thrombus - Karthikeyan G, et al. International Journal of Cardiology 2007; Volume 122, Issue 3: 252-254
• Primary primitive neuroectodermal tumor: An unusual cause of right ventricular intracavitary obstruction in a child – Thachil A, et al. Annals of Pediatric Cardiology 2008; Vol 1, Issue 2: 147-148

RESEARCH PAPERS
• “Acute effects on ventricular function and dyssynchrony on pacing from the right ventricular outflow tract versus the apex in patients with normal left ventricular function”
• “A comparison of pacemaker lead implantation by fluoroscopically guided axillary venous versus anatomically guided subclavian approach”
• Echocardiographic assessment of mechanical ventricular dyssynchrony (review)
• Permanent pacing for bradycardia - Selecting the appropriate pacemaker (review)
SEMINARS & CONFERENCES: • “Radiofrequency ablation in a case of idiopathic ventricular fibrillation” – presented at the Delhi chapter of the Cardiology Society of India, 2008
• “Isolated late-potential ablation for post- myocardial infarction scar related ventricular tachycardia: intermediate term results” - presented at the 2nd annual conference of the Asia-Pacific Heart Rhythm Society at Beijing, China, October 2009
• “Culprit pulmonary vein isolation as a strategy for paroxysmal Atrial Fibrillation ablation: Long term follow up” – presented at the 61st annual conference of the Cardiology Society of India at Kochi, India, December 2009
• “Focal Atrial tachycardia/Atrial Fibrillation originating from major vascular structures” - presented at the 61st annual conference of the Cardiology Society of India at Kochi, India, December 2009
• “Myocardial Tuberculosis and Tuberculous Sarcoidosis Masquerading as Idiopathic Ventricular Tachycardia” - presented at the 31st Annual Conference of the Heart Rhythm Society at Denver, Colorado, USA, May 2010
• “Complementary Role Of MRI And 18FDG PET-CT In The Assessment Of Ventricular Tachycardia Due To Infiltrative Myocardial Disease” - presented at the 31st Annual Conference of the Heart Rhythm Society at Denver, Colorado, USA, May 2010
• “Subtle Electrocardiographic Findings In Idiopathic Ventricular Tachycardia - A Malignant Subset” - presented at the 31st Annual Conference of the Heart Rhythm Society at Denver, Colorado, USA, May 2010
• “Atrial tachycardia originating from the non-coronary aortic cusp : Clinical and electrophysiological characteristics” – presented at the 3rd annual conference of the Asia-Pacific Heart Rhythm Society at Jeju Island, Korea, October 2010
• “Ventricular sense response causing loss of pacing in a CRT device” – presented at the 3rd annual conference of the Indian Heart Rhythm Society, Hyderabad, Oct. 2010
• “Radiofrequency ablation of scar-related ventricular tachycardia circuits in the presence of left ventricular aneurysms- heterogeneity of approach” –presented at the 62nd Annual conference of the Cardiology Society of India, Kolkata, December 2010
• “Mapping And Ablation Of Fascicular Ventricular Tachycardia: Insights From Intracardiac Echocardiography”- presented at the 32nd Annual Conference of the Heart Rhythm Society at San Francicso, CA, USA, May 2011
• “Catheter Ablation Of Fascicular Tachycardia: Analysis Of 55 Consecutive Patients” - presented at the 32nd Annual Conference of the Heart Rhythm Society at San Francicso, CA, USA, May 2011
• “Role of biomarkers in the diagnosis and monitoring of active cardiac sarcoidosis presenting as ventricular tachycardia”- presented at the 12th edition of Venice Arrhythmias, Venice, October 2011
• “ Ventricular Tachycardia triggered by an AF suppression algorithm” – presented at the 4th annual conference of the Indian Heart Rhythm Society, Bangalore, November 2011
• “Syndrome of arrhythmogenic myocarditis with granulomatous lymphadenopathy: A treatable cause of ventricular tachycardia, and a preventable cause of ventricular dysfunction” – presented at the 63rd annual conference of the Cardiology Society of India, Mumbai, India, December 2011
• “Ventricular Tachycardia and Cardiac Sarcoidosis in Asia”: Faculty lecture, 14th congress of the World Society of Arrhythmias/ ICPES, Athens, Greece, December 2011
• “Myocardial Tuberculosis Presenting As Sustained Ventricular Tachycardia”: Accepted for presentation in the “Featured Posters Session” in conjunction with the opening ceremony of the 33nd Annual Conference of the Heart Rhythm Society to be held at Boston, MA, USA, May 2012
• “Electrogram Characteristics of Successful Ablation in Fascicular VT": accepted for presentation at Cardiostim 2012, the 18th World Congress of Cardiac Electrophysiology to be held at Nice, France, June 2012
AREAS OF SPECIAL EXPERTISE/ WORK EXPERIENCE Pre-implant assessment, implantation and post-implant programming and follow up of ICDs, CRTs, CRT-Ds
During the last 3.5 years, I have been involved in the pre-implant assessment, implantation and follow up of ~ 80 ICDs, 40 CRT devices and 35 CRT-D devices, besides ~ 250 pacemakers. During this period, I have also been involved in the mapping and ablation of various arrhythmias using conventional as well as 3 dimensional electroanatomical mapping systems as detailed below:
Total no. of EPS/RFA procedures: ~ 1500
Ablations: AVNRT ~550, AVRTs ~325, Atrial arrhythmias ~125, Ventricular tachycardias~160
Other ablations done: Renal denervation for control of resistant hypertension, radiofrequency ablation for hypertrophic obstructive cardiomyopathy
RESEARCH ACTIVITIES Associated with the Indian arm of four International Multicentric trials for Elli Lilly, Daiichi Sankyo, GSK and Johnson& Johnson
EFFECT OF INDIAN GOOSEBERRY EXTRACT ON LIPID PROFILE IN HUMAN SUBJECTS- published
ON THE ANTI- INFLAMMATORY EFFECTS OF INDIAN GOOSEBERRY ( to be published)
ECG CHANGES IN LEPTOSPIROSIS
COR-RELATION OF CRP LEVELS TO THE TMT 1 MONTH POST AMI
ACADEMIC PROGRAMMES: Regular Teaching schedule for the DNB, General Medicine and Family Medicine students in Little Flower Hospital.
AREAS OF SPECIAL INTEREST: Being involved in innovative cardiac rhythm management device programming solutions
Evaluating candidature for, implanting and post-implant programming of CRT devices
Establishing national registries for under-recognised arrhythmic entities like granulomatous myocardial disease
Establishing population-based registries and formulating and implementing treatment plans for prevention of sudden cardiac death
Evaluation and treatment of ventricular tachycardia, especially VT with preserved ejection fraction or “structurally normal heart”
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