Adam Lee, MD
Research Associate
Medicine
School of Medicine
Dr. Adam C. Lee is a cardiologist who cares for patients with a variety of heart conditions. He specializes in electrophysiology (studying the heart's electrical activity), used to diagnose and treat arrhythmias (abnormal heartbeats).
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He has particular expertise in catheter ablation for complex arrhythmias (using a mapping system to identify and destroy heart tissues that are producing abnormal electrical signals) including epicardial ablation ("outside" the heart) and in patients with complex congenital heart disease. He also performs complex cardiac device procedures, including lead extraction (removing a wire from a pacemaker or implanted defibrillator because of a problem such as infection), conduction system pacing (a new technique where a lead is implanted directly into the heart's own electrical wiring system) and venoplasty (inserting and inflating a tiny balloon to improve blood flow in a vein), particularly to allow placement of additional wires for pacemaker upgrades. He also focuses on minimal-radiation procedures, routinely performing ablations without the use of any X-ray. He is experienced with advanced cardiac technologies, including subcutaneous implantable cardioverter defibrillators (heart monitors that deliver an electric shock if a life-threatening arrhythmia is detected) and leadless pacemakers (small devices implanted directly into a heart chamber to treat certain conditions).
In his research, Lee studies an animal model of heart failure due to a particular disorder of heart muscle called ectopy-mediated cardiomyopathy. To improve patient care, he also studies the best methods of performing ablation for atrial fibrillation and investigates new diagnostic tools for arrhythmias.
Lee earned his medical degree from the University of New South Wales and a master of medicine degree in clinical epidemiology from the University of Sydney. He completed a residency in internal medicine at Royal North Shore Hospital in Sydney. He then completed several fellowships, including cardiology at Liverpool Hospital in Sydney; cardiac electrophysiology at the Prince Charles Hospital in Brisbane, Queensland; and two more in cardiac electrophysiology (one focused on research and one on patient care) at UCSF. He is a fellow of the Royal Australian College of Physicians.
Lee received the UCSF Cardiac Electrophysiology Fellowship Program's teaching award in 2019 and 2020.
Awards
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- UCSF Fellow Teaching Award, UCSF, 2019-2020
- APHRS Young Investigators Award Clinical Session (2nd Prize), APHRS, 2018
- CSANZ Heart Rhythm Prize Session (Finalist), CSANZ, 2018
- Heart Rhythm Fellows Bowel Winner, HRS, 2017
- Heart, Lung and Circulation Best Narrative Review Prize, CSANZ, 2015
- W E Glover Prize for Physiology, UNSW, 2004
Education & Training
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- Cardiac Electrophysiology UCSF 06/2020
- Cardiac Electrophysiology The Prince Charles Hospital 12/2016
- Cardiology Liverpool Hospital 12/2014
- FRACP Cardiology Royal Australasian College of Physicians 12/2014
- Internal Medicine Royal North Shore Hospital 12/2011
- MMed (Clin Epi) Master of Medicine (Clinical Epidemiology) University of Sydney 12/2009
- MBBS (Hons) Medicine University of New South Wales 12/2007
Interests
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- Cardiac Electrophysiology
- Atrial fibrillation
- Cardiology
- PVC mediated cardiomyopathy
- Supraventricular tachycardia
- Catheter ablation
- Epicardial ablation
- Atrial flutter
- Lead extraction
- Ventricular tachycardia
Publications (36)
Top publication keywords:
Tachycardia, VentricularBody Surface Potential MappingAtrial FibrillationPulmonary VeinsElectrocardiographySystoleVentricular Dysfunction, LeftCatheter AblationHeart VentriclesArrhythmogenic Right Ventricular DysplasiaTachycardia, SupraventricularPapillary MusclesTachycardia, Atrioventricular Nodal ReentryHeart AtriaVentricular Premature Complexes
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Selecting High-Power Short-Duration Radiofrequency Ablation: How High Is High?
JACC. Clinical electrophysiology 2023 Lee AC -
A Randomized Trial of High vs Standard Power Radiofrequency Ablation for Pulmonary Vein Isolation: SHORT-AF.
JACC. Clinical electrophysiology 2023 Lee AC, Voskoboinik A, Cheung CC, Yogi S, Tseng ZH, Moss JD, Dewland TA, Lee BK, Lee RJ, Hsia HH, Marcus GM, Vedantham V, Chieng D, Kistler PM, Dillon W, Vittinghoff E, Gerstenfeld EP -
Randomized Comparison of a Radiofrequency Wire Versus a Radiofrequency Needle System for Transseptal Puncture.
JACC. Clinical electrophysiology 2022 Dewland TA, Gerstenfeld EP, Moss JD, Lee AC, Vedantham V, Lee RJ, Tseng ZH, Hsia HH, Lee BK, Wall GC, Chang KR, Yang MH, Marcus GM -
The Value of Programmed Ventricular Extrastimuli From the Right Ventricular Basal Septum During Supraventricular Tachycardia.
JACC. Clinical electrophysiology 2022 Higuchi S, Ito H, Gerstenfeld EP, Lee AC, Lee BK, Marcus GM, Hsia HH, Moss JD, Lee RJ, Dewland TA, Vedantham V, Tseng ZH, Patel AR, Tanel RE, Badhwar N, Pellegrini CN, Kawamura M, Shoda M, Hwang C, … -
The Persistence of an Atrial Tachyarrhythmia Constrained to an Isolated Pulmonary Vein.
JACC. Clinical electrophysiology 2022 Cheung CC, Lee ACH, Marcus GM
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Supraventricular tachycardia with double trouble.
Heart rhythm 2021 Howell SJ, Lee A, Scheinman M -
Importance of the Activation Sequence of the His or Right Bundle for Diagnosis of Complex Tachycardia Circuits.
Circulation. Arrhythmia and electrophysiology 2021 Viswanathan MN, Julie He B, Sung R, Hoffmayer KS, Badhwar N, Lee A, Goldberger JJ, Hsia HH, Jackman WM, Scheinman MM -
Predictors of long-term success after catheter ablation of premature ventricular complexes.
Journal of cardiovascular electrophysiology 2021 Im SI, Voskoboinik A, Lee A, Higuchi S, Moss JD, Hsia H, Tseng ZH, Lee R, Marcus GM, Vedantham V, Scheinman M, Lee B, Park KM, Gerstenfeld EP -
Electrophysiologic and imaging evidence for an occult myopathic substrate in patients with idiopathic ventricular arrhythmias.
International journal of cardiology 2021 Lee AC, Strugnell W, Vittinghoff E, Hamilton-Craig C, Haqqani HM -
Cardiac arrhythmia spot light: Detection of ventricular fibrillation-Not all ICDs are created equal.
Journal of arrhythmia 2021 Lee A, Salazar JW, Tseng ZH -
Electrophysiologic approach to diagnosis and ablation of patients with permanent junctional reciprocating tachycardia associated with complex anatomy and/or physiology.
Journal of cardiovascular electrophysiology 2020 Oesterle A, Lee AC, Voskoboinik A, Moss JD, Vedantham V, Walters TE, Lee BK, Tseng ZH, Gerstenfeld EP, Scheinman MM -
Epsilon Wave Resolution Following Epicardial Ablation in Arrhythmogenic Right Ventricular Cardiomyopathy.
JACC. Clinical electrophysiology 2020 Lee A, Higuchi S, Gerstenfeld EP -
Percutaneous epicardial approach for LAA ligation.
Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing 2020 Sanchez JM, Lee A, Bartus K, Lee RJ -
Site-Specific Epicardium-to-Endocardium Dissociation of Electrical Activation in a Swine Model of Atrial Fibrillation.
JACC. Clinical electrophysiology 2020 Walters TE, Lee G, Lee A, Sievers R, Kalman JM, Gerstenfeld EP -
Right Ventricular Electrogram Characteristics in a T1 Mapping-Validated Normal Population: Implications for Unipolar Voltage Mapping.
JACC. Clinical electrophysiology 2020 Lee AC, Strugnell W, Vittinghoff E, Hamilton-Craig C, Haqqani HM -
Wide Complex Tachycardia in a Woman in Her 30s With Electrolyte Derangements.
JAMA cardiology 2020 Marano PJ, Lee A, Lee BK -
High-power radiofrequency ablation for atrial fibrillation: Establishing a standardized protocol.
Journal of cardiovascular electrophysiology 2019 Lee A, Gerstenfeld EP -
Standard peak-to-peak bipolar voltage amplitude criteria underestimate myocardial scar during substrate mapping with a novel microelectrode catheter.
Heart rhythm 2019 Lee A, Walters TE, Alhede C, Vittinghoff E, Sievers R, Gerstenfeld EP -
Electroporation-Application beyond pulmonary vein isolation?
Journal of cardiovascular electrophysiology 2019 Lee A, Gerstenfeld EP -
Device rounds: Pacemaker 2:1 upper rate behavior-Two causes, one patient.
Pacing and clinical electrophysiology : PACE 2018 Lee A, Moss JD -
Leadless Permanent Pacing: A Single Centre Australian Experience.
Heart, lung & circulation 2018 Denman RA, Lee AC, Mengel C, Townsend S, Betts J, Bovey N, Wright D, Davison O, Haqqani HM -
Frequent Ventricular Ectopy: Implications and Outcomes.
Heart, lung & circulation 2018 Lee A, Walters TE, Gerstenfeld EP, Haqqani HM -
Activation Mapping With Integration of Vector and Velocity Information Improves the Ability to Identify the Mechanism and Location of Complex Scar-Related Atrial Tachycardias.
Circulation. Arrhythmia and electrophysiology 2018 Anter E, Duytschaever M, Shen C, Strisciuglio T, Leshem E, Contreras-Valdes FM, Waks JW, Zimetbaum PJ, Kumar K, Spector PS, Lee A, Gerstenfeld EP, Nakar E, Bar-Tal M, Buxton AE -
Catheter ablation of papillary muscle arrhythmias: Implications of mitral valve prolapse and systolic dysfunction.
Pacing and clinical electrophysiology : PACE 2018 Lee A, Hamilton-Craig C, Denman R, Haqqani HM -
Spontaneous transformation of a concealed to manifest posteroseptal accessory pathway requiring epicardial ablation.
Journal of arrhythmia 2018 Lee A, Lindemann J, Davison O, Wright D, Denman R -
Iatrogenic atrial septal defect with right-to-left shunt following atrial fibrillation ablation in a patient with arrhythmogenic right ventricular cardiomyopathy.
HeartRhythm case reports 2018 Lee A, Mahadevan VS, Gerstenfeld EP -
Ventricular Ectopy in the Context of Left Ventricular Systolic Dysfunction: Risk Factors and Outcomes Following Catheter Ablation.
Heart, lung & circulation 2018 Lee A, Denman R, Haqqani HM -
Ultra-low radiation dose during electrophysiology procedures using optimized new generation fluoroscopy technology.
Pacing and clinical electrophysiology : PACE 2017 Crowhurst J, Haqqani H, Wright D, Whitby M, Lee A, Betts J, Denman R -
Epicardial Brugada syndrome ablation unmasking inferior J waves.
Pacing and clinical electrophysiology : PACE 2017 Lee A, Kohler H, Wright D, Haqqani HM -
Double fire tachycardia induced cardiomyopathy: first ever reported case in Australia.
Internal medicine journal 2017 Adusumalli S, Gluer R, Lee A, Denman R -
Localized atrial reentrant tachycardia in tetralogy of Fallot: Ultra-high-resolution mapping and termination by nonpropagated atrial pacing stimulus.
Heart rhythm 2017 Lee A, Kite J, Davison O, Haqqani HM -
Takotsubo Cardiomyopathy Due to Systemic Absorption of Intraocular Phenylephrine.
Heart, lung & circulation 2016 Lee A, Nguyen P -
Atrial fibrillation ablation by single ring isolation versus wide antral isolation: Effects on left atrial size and function.
International journal of cardiology 2015 Lee A, See VA, Lim TW, Descallar J, Chik W, Ross DL, Thomas SP, Thomas L -
The current and future role of the novel oral anticoagulants--indications beyond atrial fibrillation.
Heart, lung & circulation 2013 Lee A, Rajaratnam R -
AV Dissociation Masquerading as an Accelerated Junctional Rhythm with Retrograde Atrial Activation
AV Dissociation Masquerading as an Accelerated Junctional Rhythm with Retrograde Atrial Activation 2013 Lee A, Richards D, Dimitri H -
Overcoming artifacts and fears: electrophysiology study and radiofrequency ablation in a Parkinsonian patient with supraventricular tachycardia and a brain neurostimulator.
Pacing and clinical electrophysiology : PACE 2011 Kanagaratnam L, Lee A, Whalley D, Figtree GA