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    Zian Tseng, MD, MAS

    TitleAssociate Professor
    SchoolUCSF School of Medicine
    DepartmentMedicine
    Address555 Mission Bay Blvd South
    San Francisco CA 94158
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      Collapse Biography 
      Collapse Education and Training
      University of California, San FranciscoM.A.S. in Clinical Research Graduate Division (Advance Training in Clinical Research)2008
      University of California, San Francisco Clinical Fellowship
      University of California, San Francisco Residency School of Medicine
      University of California, San FranciscoM.D.School of Medicine1998

      Collapse Overview 
      Collapse Overview
      Zian H. Tseng, M.D., M.A.S., a cardiologist and a cardiac electrophysiologist, joined the faculty in 2004, bringing expertise in risk stratification of patients prone to sudden death and ventricular arrhythmias. Dr. Tseng, a Bay Area native, was the top 1998 graduate from the UCSF School of Medicine, where he also completed a year of graduate studies in Biomedical Sciences and a Master's in Advanced Studies in Clinical Research. He completed his clinical training in internal medicine, cardiology, and cardiac electrophysiology at UCSF.

      CLINICAL INTERESTS:
      1) Treatment of complex supraventricular arrhythmias, including catheter ablation of atrial fibrillation and left atrial tachycardias occurring after atrial fibrillation ablation
      2) Treatment and catheter ablation of ventricular tachycardia, including epicardial mapping and ablation
      3) Treatment, risk stratification, and catheter ablation of arrhythmias in adult patients with congenital heart disease
      4) Risk stratification and treatment of patients with high risk arrhythmia syndromes
      5) Implantation of intracardiac devices for treatment of heart failure (resynchronization) and risk of sudden cardiac death (defibrillators)
      6) Application of new device technologies, such as performing percutaneous epicardial left atrial appendage (LAA) ligation in patients with atrial fibrillation in conjunction with Dr. Randall Lee

      RESEARCH INTERESTS:
      1) Principal Investigator for the Comprehensive Characterization of Sudden Cardiac Death in San Francisco, a 5-year NIH/NHLBI grant awarded in 2010 aiming to more accurately define sudden cardiac death (SCD), arrhythmic sudden death, and its risk factors, in collaboration with the County Medical Examiner
      2) Genetic epidemiology and risk factors for sudden cardiac arrest
      3) Sudden cardiac death and ventricular arrhythmias in the setting of HIV disease
      4) Sudden neurologic death
      5) Sudden death risk and public/health policy for use of Tasers (electrical conductive devices) by law enforcement agencies


      Collapse ORNG Applications 
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      Collapse In The News
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      Collapse Bibliographic 
      Collapse Publications
      Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help.
      List All   |   Timeline
      1. Nguyen KT, Gladstone RA, Dukes JW, Nazer B, Vittinghoff E, Badhwar N, Vedantham V, Gerstenfeld EP, Lee BK, Lee RJ, Tseng ZH, Olgin JE, Scheinman MM, Marcus GM. The QT Interval as a Noninvasive Marker of Atrial Refractoriness. Pacing Clin Electrophysiol. 2016 Oct 18. PMID: 27753113.
        View in: PubMed
      2. Kim AS, Moffatt E, Ursell PC, Devinsky O, Olgin J, Tseng ZH. Sudden neurologic death masquerading as out-of-hospital sudden cardiac death. Neurology. 2016 Oct 18; 87(16):1669-1673. PMID: 27638923.
        View in: PubMed
      3. Tseng ZH. Risk of Cardiovascular Implantable Electronic Device Malfunction With Radiation Therapy: Location, Dose, or Energy? JAMA Intern Med. 2015 Oct 1; 175(10):1698-9. PMID: 26280759.
        View in: PubMed
      4. Tseng ZH, Hayward RM, Clark NM, Mulvanny CG, Colburn BJ, Ursell PC, Olgin JE, Hart AP, Moffatt E. Sudden Death in Patients With Cardiac Implantable Electronic Devices. JAMA Intern Med. 2015 Aug; 175(8):1342-50. PMID: 26098676.
        View in: PubMed
      5. Ito H, Kawamura M, Badhwar N, Vedantham V, Tseng ZH, Lee BK, Lee RJ, Marcus GM, Gerstenfeld EP, Scheinman MM. The Effect of Direct Current Stimulation versus T-Wave Shock on Defibrillation Threshold Testing. Pacing Clin Electrophysiol. 2015 Oct; 38(10):1173-80. PMID: 26137999.
        View in: PubMed
      6. Bhatt AB, Foster E, Kuehl K, Alpert J, Brabeck S, Crumb S, Davidson WR, Earing MG, Ghoshhajra BB, Karamlou T, Mital S, Ting J, Tseng ZH. Congenital heart disease in the older adult: a scientific statement from the American Heart Association. Circulation. 2015 May 26; 131(21):1884-931. PMID: 25896865.
        View in: PubMed
      7. Hayward RM, Dewland TA, Moyers B, Vittinghoff E, Tanel RE, Marcus GM, Tseng ZH. Device complications in adult congenital heart disease. Heart Rhythm. 2015 Feb; 12(2):338-44. PMID: 25460176.
        View in: PubMed
      8. Hayward RM, Tseng ZH. Arrhythmias in Complex Congenital Heart Disease. Card Electrophysiol Clin. 2014 Sep 1; 6(3):623-634. PMID: 25197326.
        View in: PubMed
      9. Refaat MM, Hotait M, Tseng ZH. Utility of the exercise electrocardiogram testing in sudden cardiac death risk stratification. Ann Noninvasive Electrocardiol. 2014 Jul; 19(4):311-8. PMID: 25040480.
        View in: PubMed
      10. Singh DK, Viswanathan MN, Tanel RE, Lee RJ, Lee BK, Marcus GM, Olgin JE, Han F, Vedantham V, Tseng ZH, Pellegrini C, Kawamura M, Gerstenfeld EP, Badhwar N, Scheinman M. His overdrive pacing during supraventricular tachycardia: a novel maneuver for distinguishing atrioventricular nodal reentrant tachycardia from atrioventricular reciprocating tachycardia. Heart Rhythm. 2014 Aug; 11(8):1327-35. PMID: 24793458.
        View in: PubMed
      11. Hoffmayer KS, Dewland TA, Hsia HH, Badhwar N, Hsu JC, Tseng ZH, Marcus GM, Scheinman MM, Gerstenfeld EP. Safety of radiofrequency catheter ablation without coronary angiography in aortic cusp ventricular arrhythmias. Heart Rhythm. 2014 Jul; 11(7):1117-21. PMID: 24732373.
        View in: PubMed
      12. Stepanyan G, Badhwar N, Lee RJ, Marcus GM, Lee BK, Tseng ZH, Vedantham V, Olgin J, Scheinman M, Gerstenfeld EP. Safety of new oral anticoagulants for patients undergoing atrial fibrillation ablation. J Interv Card Electrophysiol. 2014 Jun; 40(1):33-8. PMID: 24643666.
        View in: PubMed
      13. Kawamura M, Badhwar N, Vedantham V, Tseng ZH, Lee BK, Lee RJ, Marcus GM, Olgin JE, Gerstenfeld EP, Scheinman MM. Coupling interval dispersion and body mass index are independent predictors of idiopathic premature ventricular complex-induced cardiomyopathy. J Cardiovasc Electrophysiol. 2014 Jul; 25(7):756-62. PMID: 24612052.
        View in: PubMed
      14. Refaat MM, Aouizerat BE, Pullinger CR, Malloy M, Kane J, Tseng ZH. Association of CASQ2 polymorphisms with sudden cardiac arrest and heart failure in patients with coronary artery disease. Heart Rhythm. 2014 Apr; 11(4):646-52. PMID: 24444446; PMCID: PMC3989347.
      15. Moyers BS, Secemsky EA, Vittinghoff E, Wong JK, Havlir DV, Hsue PY, Tseng ZH. Effect of left ventricular dysfunction and viral load on risk of sudden cardiac death in patients with human immunodeficiency virus. Am J Cardiol. 2014 Apr 1; 113(7):1260-5. PMID: 24521717; PMCID: PMC3959566.
      16. Hayward RM, Ursell PC, Foster E, Tseng ZH. Sudden death due to nonarrhythmic cause in a patient with L-TGA. Ann Noninvasive Electrocardiol. 2014 May; 19(3):293-7. PMID: 24118753; PMCID: PMC4033714.
      17. Hsu JC, Badhwar N, Gerstenfeld EP, Lee RJ, Mandyam MC, Dewland TA, Imburgia KE, Hoffmayer KS, Vedantham V, Lee BK, Tseng ZH, Scheinman MM, Olgin JE, Marcus GM. Randomized trial of conventional transseptal needle versus radiofrequency energy needle puncture for left atrial access (the TRAVERSE-LA study). J Am Heart Assoc. 2013 Oct; 2(5):e000428. PMID: 24045120; PMCID: PMC3835257.
      18. Tseng ZH, Moyers B, Secemsky EA, Havlir DV, Hsue PY. PR Interval and sudden cardiac death in patients with HIV infection. J Infect Dis. 2013 Jan 1; 207(1):199-200. PMID: 23186784; PMCID: PMC3523799.
      19. Sung RK, Kim AM, Tseng ZH, Han F, Inada K, Tedrow UB, Viswanathan MN, Badhwar N, Varosy PD, Tanel R, Olgin JE, Stephenson WG, Scheinman M. Diagnosis and ablation of multiform fascicular tachycardia. J Cardiovasc Electrophysiol. 2013 Mar; 24(3):297-304. PMID: 23110306.
        View in: PubMed
      20. Tseng ZH, Secemsky EA, Dowdy D, Vittinghoff E, Moyers B, Wong JK, Havlir DV, Hsue PY. Sudden cardiac death in patients with human immunodeficiency virus infection. J Am Coll Cardiol. 2012 May 22; 59(21):1891-6. PMID: 22595409; PMCID: PMC3356565.
      21. Mandyam MC, Vedantham V, Scheinman MM, Tseng ZH, Badhwar N, Lee BK, Lee RJ, Gerstenfeld EP, Olgin JE, Marcus GM. Alcohol and vagal tone as triggers for paroxysmal atrial fibrillation. Am J Cardiol. 2012 Aug 1; 110(3):364-8. PMID: 22521307; PMCID: PMC3398200.
      22. Hsu JC, Badhwar N, Lee BK, Vedantham V, Tseng ZH, Marcus GM. Predictors of fluoroscopy time and procedural failure during biventricular device implantation. Am J Cardiol. 2012 Jul 15; 110(2):240-5. PMID: 22483384; PMCID: PMC3383869.
      23. Hong TT, Cogswell R, James CA, Kang G, Pullinger CR, Malloy MJ, Kane JP, Wojciak J, Calkins H, Scheinman MM, Tseng ZH, Ganz P, De Marco T, Judge DP, Shaw RM. Plasma BIN1 correlates with heart failure and predicts arrhythmia in patients with arrhythmogenic right ventricular cardiomyopathy. Heart Rhythm. 2012 Jun; 9(6):961-7. PMID: 22300662; PMCID: PMC3349006.
      24. Steinhaus DA, Vittinghoff E, Moffatt E, Hart AP, Ursell P, Tseng ZH. Characteristics of sudden arrhythmic death in a diverse, urban community. Am Heart J. 2012 Jan; 163(1):125-31. PMID: 22172446; PMCID: PMC3241924.
      25. Azadani PN, Tseng ZH, Ermakov S, Marcus GM, Lee BK. Funding source and author affiliation in TASER research are strongly associated with a conclusion of device safety. Am Heart J. 2011 Sep; 162(3):533-7. PMID: 21884872.
        View in: PubMed
      26. Hsu JC, Friday J, Lee BK, Azadani PN, Lee RJ, Badhwar N, Tseng ZH, Olgin JE, Marcus GM. Predictors of axillary vein location for vascular access during pacemaker and defibrillator lead implantation. Pacing Clin Electrophysiol. 2011 Dec; 34(12):1585-92. PMID: 21819433.
        View in: PubMed
      27. Deo R, Vittinghoff E, Lin F, Tseng ZH, Hulley SB, Shlipak MG. Risk factor and prediction modeling for sudden cardiac death in women with coronary artery disease. Arch Intern Med. 2011 Oct 24; 171(19):1703-9. PMID: 21788534; PMCID: PMC3547327.
      28. Aouizerat BE, Vittinghoff E, Musone SL, Pawlikowska L, Kwok PY, Olgin JE, Tseng ZH. GWAS for discovery and replication of genetic loci associated with sudden cardiac arrest in patients with coronary artery disease. BMC Cardiovasc Disord. 2011; 11:29. PMID: 21658281; PMCID: PMC3141757.
      29. Hoffmayer KS, Yang Y, Joseph S, McCabe JM, Bhave P, Hsu J, Ng RK, Lee BK, Badhwar N, Lee RJ, Tseng ZH, Olgin JE, Narayan SM, Marcus GM, Scheinman MM. Predictors of unusual ECG characteristics in cavotricuspid isthmus-dependent atrial flutter ablation. Pacing Clin Electrophysiol. 2011 Oct; 34(10):1251-7. PMID: 21605144; PMCID: PMC3395429.
      30. Yang Y, Varma N, Badhwar N, Tanel RE, Sundara S, Lee RJ, Lee BK, Tseng ZH, Marcus GM, Kim AM, Olgin JE, Scheinman MM. Prospective observations in the clinical and electrophysiological characteristics of intra-isthmus reentry. J Cardiovasc Electrophysiol. 2010 Oct; 21(10):1099-106. PMID: 20455984.
        View in: PubMed
      31. Marcus GM, Smith LM, Ordovas K, Scheinman MM, Kim AM, Badhwar N, Lee RJ, Tseng ZH, Lee BK, Olgin JE. Intracardiac and extracardiac markers of inflammation during atrial fibrillation. Heart Rhythm. 2010; 7(2):149-54. PMID: 20022819; PMCID: PMC2900773.
      32. Hsu JC, Tanel RE, Lee BK, Scheinman MM, Badhwar N, Lee RJ, Tseng ZH, Olgin JE, Marcus GM. Differences in accessory pathway location by sex and race. Heart Rhythm. 2010 Jan; 7(1):52-6. PMID: 19914144; PMCID: PMC2818171.
      33. Tseng ZH, Vittinghoff E, Musone SL, Lin F, Whiteman D, Pawlikowska L, Kwok PY, Olgin JE, Aouizerat BE. Association of TGFBR2 polymorphism with risk of sudden cardiac arrest in patients with coronary artery disease. Heart Rhythm. 2009 Dec; 6(12):1745-50. PMID: 19959123; PMCID: PMC2789271.
      34. Sakhuja R, Smith LM, Tseng ZH, Badhwar N, Lee BK, Lee RJ, Scheinman MM, Olgin JE, Marcus GM. Test characteristics of neck fullness and witnessed neck pulsations in the diagnosis of typical AV nodal reentrant tachycardia. Clin Cardiol. 2009 Aug; 32(8):E13-8. PMID: 19479968; PMCID: PMC3200305.
      35. Tseng ZH. Genetic association studies of sudden cardiac death/arrest: the importance of context. Heart Rhythm. 2009 Sep; 6(9):1315-7. PMID: 19716088; PMCID: PMC2755515.
      36. Lee BK, Vittinghoff E, Whiteman D, Park M, Lau LL, Tseng ZH. Relation of Taser (electrical stun gun) deployment to increase in in-custody sudden deaths. Am J Cardiol. 2009 Mar 15; 103(6):877-80. PMID: 19268749.
        View in: PubMed
      37. Kim AM, Turakhia M, Lu J, Badhwar N, Lee BK, Lee RJ, Marcus GM, Tseng ZH, Scheinman M, Olgin JE. Impact of remote magnetic catheter navigation on ablation fluoroscopy and procedure time. Pacing Clin Electrophysiol. 2008 Nov; 31(11):1399-404. PMID: 18950296.
        View in: PubMed
      38. Turakhia M, Prasad M, Olgin J, Badhwar N, Tseng ZH, Lee R, Marcus GM, Lee BK. Rates and severity of perforation from implantable cardioverter-defibrillator leads: a 4-year study. J Interv Card Electrophysiol. 2009 Jan; 24(1):47-52. PMID: 18855128.
        View in: PubMed
      39. Pellegrini CN, Lee K, Olgin JE, Turakhia MP, Tseng ZH, Lee R, Badhwar N, Lee B, Varosy PD. Impact of advanced age on survival in patients with implantable cardioverter defibrillators. Europace. 2008 Nov; 10(11):1296-301. PMID: 18818212; PMCID: PMC2721725.
      40. McCabe JM, Smith LM, Tseng ZH, Badhwar N, Lee BK, Lee RJ, Scheinman MM, Olgin JE, Marcus GM. Protracted CRP elevation after atrial fibrillation ablation. Pacing Clin Electrophysiol. 2008 Sep; 31(9):1146-51. PMID: 18834466; PMCID: PMC2596767.
      41. Deo R, Lin F, Vittinghoff E, Tseng ZH, Hulley SB, Shlipak MG. Kidney dysfunction and sudden cardiac death among women with coronary heart disease. Hypertension. 2008 Jun; 51(6):1578-82. PMID: 18391103.
        View in: PubMed
      42. Tseng ZH, Aouizerat BE, Pawlikowska L, Vittinghoff E, Lin F, Whiteman D, Poon A, Herrington D, Howard TD, Varosy PD, Hulley SB, Malloy M, Kane J, Kwok PY, Olgin JE. Common beta-adrenergic receptor polymorphisms are not associated with risk of sudden cardiac death in patients with coronary artery disease. Heart Rhythm. 2008 Jun; 5(6):814-21. PMID: 18534365; PMCID: PMC2743540.
      43. Marcus GM, Smith LM, Whiteman D, Tseng ZH, Badhwar N, Lee BK, Lee RJ, Scheinman MM, Olgin JE. Alcohol intake is significantly associated with atrial flutter in patients under 60 years of age and a shorter right atrial effective refractory period. Pacing Clin Electrophysiol. 2008 Mar; 31(3):266-72. PMID: 18307620.
        View in: PubMed
      44. Marcus GM, Smith LM, Vittinghoff E, Tseng ZH, Badhwar N, Lee BK, Lee RJ, Scheinman MM, Olgin JE. A first-degree family history in lone atrial fibrillation patients. Heart Rhythm. 2008 Jun; 5(6):826-30. PMID: 18468961; PMCID: PMC2474569.
      45. Marcus GM, Smith LM, Glidden DV, Wilson E, McCabe JM, Whiteman D, Tseng ZH, Badhwar N, Lee BK, Lee RJ, Scheinman MM, Olgin JE. Markers of inflammation before and after curative ablation of atrial flutter. Heart Rhythm. 2008 Feb; 5(2):215-21. PMID: 18242542; PMCID: PMC2247371.
      46. Turakhia M, Tseng ZH. Sudden cardiac death: epidemiology, mechanisms, and therapy. Curr Probl Cardiol. 2007 Sep; 32(9):501-46. PMID: 17723906.
        View in: PubMed
      47. Turakhia MP, Varosy PD, Lee K, Tseng ZH, Lee R, Badhwar N, Scheinman M, Lee BK, Olgin JE. Impact of renal function on survival in patients with implantable cardioverter-defibrillators. Pacing Clin Electrophysiol. 2007 Mar; 30(3):377-84. PMID: 17367357.
        View in: PubMed
      48. Viswanathan MN, Tseng ZH, Goldschlager N, Lee BK. Unusual atrial-paced tachycardia after pacemaker implantation: what is the mechanism? Heart Rhythm. 2007 Jun; 4(6):800-2. PMID: 17556209.
        View in: PubMed
      49. Marcus GM, Ren X, Tseng ZH, Badhwar N, Lee BK, Lee RJ, Foster E, Olgin JE. Repeat transseptal catheterization after ablation for atrial fibrillation. J Cardiovasc Electrophysiol. 2007 Jan; 18(1):55-9. PMID: 17081207.
        View in: PubMed
      50. Marcus GM, Yang Y, Varosy PD, Ordovas K, Tseng ZH, Badhwar N, Lee BK, Lee RJ, Scheinman MM, Olgin JE. Regional left atrial voltage in patients with atrial fibrillation. Heart Rhythm. 2007 Feb; 4(2):138-44. PMID: 17275746; PMCID: PMC1868443.
      51. Marcus GM, Tseng ZH. Three leads via the coronary sinus. Heart Rhythm. 2006 Aug; 3(8):985-6. PMID: 16876754.
        View in: PubMed
      52. Marcus GM, Varosy PD, Scheinman MM, Tseng ZH. Threentry: what is the mechanism? Heart Rhythm. 2006 Jun; 3(6):746-7. PMID: 16731483.
        View in: PubMed
      53. O'Connell JW, Schreck C, Moles M, Badwar N, DeMarco T, Olgin J, Lee B, Tseng Z, Kumar U, Botvinick EH. A unique method by which to quantitate synchrony with equilibrium radionuclide angiography. J Nucl Cardiol. 2005 Jul-Aug; 12(4):441-50. PMID: 16084433.
        View in: PubMed
      54. Horwich T, Foster E, De Marco T, Tseng Z, Saxon L. Effects of resynchronization therapy on cardiac function in pacemaker patients "upgraded" to biventricular devices. J Cardiovasc Electrophysiol. 2004 Nov; 15(11):1284-9. PMID: 15574179.
        View in: PubMed
      55. Tseng ZH, Yadav AV, Scheinman MM. Catecholamine dependent accessory pathway automaticity. Pacing Clin Electrophysiol. 2004 Jul; 27(7):1005-7. PMID: 15271025.
        View in: PubMed
      56. Lee KW, Kayser SR, Hongo RH, Tseng ZH, Scheinman MM. Famotidine and long QT syndrome. Am J Cardiol. 2004 May 15; 93(10):1325-7. PMID: 15135720.
        View in: PubMed
      57. Veal E, Eisenstein M, Tseng ZH, Gill G. A cellular repressor of E1A-stimulated genes that inhibits activation by E2F. Mol Cell Biol. 1998 Sep; 18(9):5032-41. PMID: 9710587; PMCID: PMC109088.
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