Arian Sultan

Senior Consultant EP/Cardiology

[AGEP @AGEP_DGK]

Happy Halloween from #AGEP
@AndreasRillig @AriSultanEP @DrV_Mann @Mel_Gunawardene @ChristianHeeger

[Prash Sanders @PrashSanders]

🔥 Beyond placebo!

Does AF ablation really improve quality of life?

Our meta-analysis of sham-controlled RCTs shows that with AF ablation:

✅ +13.5 AFEQT points
✅ 51% lower AF recurrence
✅ Benefit beyond active-treatment controls

....and this is with SHORT follow-up and an "active treatment" control!

📖 Kakarla et al. Heart Rhythm, 2026. https://t.co/iSDQC1kPIP

@Dr_Saikiran_K @Hidehiro_1986 @DrJasonAndrade @JonathanAriya @Mel_Gunawardene @nmarrouche @melissaemm1 @Elliott_AD @peterkistler3

#AtrialFibrillation #EP

#CHRD @HRSonline @thecsanz @hrs_journal

[Nassir Marrouche @nmarrouche]

@PrashSanders @TinaBaykaner45 @netta_doc @leftbundle @HRSonline @Phiso_de @AriSultanEP @drjohnm @KTamirisaMD @lamcardio @lamajebbawi @OmarKreidieh1 @QMarashly

[EHRAPresident @EHRAPresident]

Do oesophageal temperature probes actually make left atrial ablation safer and are we still using them?
That’s the question behind the new EHRA Scientific Initiatives Committee survey on the contemporary use of oesophageal temperature probes (ETPs) during left atrial ablation and the subject of our latest #EHRA_SICsays conversation with @AriSultanEP.

232 physicians from 37 countries responded and the picture is far from uniform. ETPs are used predominantly during thermal ablation, while their use with pulsed field ablation is uncommon. Even when probes are used, temperature thresholds and the response to temperature excursions vary considerably between centres.
The key issue isn’t simply whether we monitor temperature. It’s what that monitoring actually achieves. Current randomized and observational evidence has not established that ETPs prevent oesophageal injury or atrio-oesophageal fistula, and 56% cited lack of evidence for AEF prevention as a reason for not using them. Meanwhile, the growing use of PFA is reshaping oesophageal protection strategies altogether.

🎙️ Watch the discussion with @AriSultanEP 👇
📄 Read the full manuscript: https://t.co/46SFvcd9R1

Does oesophageal temperature monitoring still have a place in your left atrial ablation workflow?

#EHRA_SICsays #EHRA_ESC #EPeeps #AtrialFibrillation #CatheterAblation #PulsedFieldAblation #Electrophysiology
@LauraPerotta @JarkkoKarvonen @jongichun @micaela_ebert @DrCherylTeresEP @HaranBurri @veramasloo @drtahasahin @AugustoMeretta @JacopoImberti @cespon_maria @jadczyk @Fede79Miglio @CarolRemme @LA_Stanciulescu @VerenaTscholl @Amar__taha @mattans5 @AmrAbdin10 @JuliaCTourigny @DrMarkMills @RachelterBekke @FraSantoroMD @Pierre_Olt @cris_lozano @LinaMarcantoni @ChristianHeeger

[EHRAPresident @EHRAPresident]

Most EP specialists master the craft.
Few learn to lead the field.

#EHRA_ESC @DASCAMaastricht exists for that second group — and the application deadline has just been extended to 22 June 2026!

This isn't another CME box to tick. It's the highest level of #EHRA_ESC's flagship educational programme, co-designed with Maastricht University, built specifically for arrhythmia specialists who want to move from clinical excellence into real leadership — in research, in institutions, in the future of EP.

You leave with:
🎓 A Certificate of Advanced Studies from Maastricht University
🔬 An optional PhD pathway
🤝 Direct mentorship from European leaders in the field
📚 4 intensive in-person modules + online introductory session
⚡ ~55 hours of structured learning per module — small groups, hands-on, no fluff

This is where the next generation of EP leaders is shaped.

The window is still open — but not for long.

Apply by 22 June 2026 👉 🔗 https://t.co/RlMxE3F6fo

@kvernooy @JordiHeijman @EmmaSvennberg @Dominik_Linz @mspartalis5 @KurathKoller @DS_DoreenSch @Phiso_de @SergeBoveda @joselmerino @DavidDuncker @simovicst

[Europace Editor-in-Chief @EuropaceEiC]

#Europace #Epeeps

🎯Pulsed Field Ablation for the Interventional Treatment of Atrial Fibrillation. A Scientific Statement of EHRA, HRS, APHRS, LAHRS, CHRS

🔗📚 https://t.co/I9CbtVlDG7

@GiulioConteMD @FraSantoroMD @marcovitoloMD @Dominik_Linz @AndyZhangMD @DavideMei93

[J.Francisco-Pascual @J_Francisco_EP]

📢📢A must-attend course if you are preparing for the EHRA accreditation exam in electrophysiology. Last seats available‼️ #EHRA @EHRAPresident @aportasanchez @martaderiva @bordistef @AriSultanEP @amazzanti79 @ivroca #EPeeps

[Nassir Marrouche @nmarrouche]

Love the conversation! Educational #wafib2026 @WesternAF

[Arian Sultan @AriSultanEP]

@ivroca @Dr_Santangeli @CircAHA @aportasanchez @tolosanaviu @Pepe_OrtizPerez @masitges @shivkumarmd @martaderiva @EHRAPresident @SergeBoveda @AnaGarcalvarez2 @VivekReddyMD 💪🏻👍🏽

[JK Han MD @netta_doc]

Do we still need RF #ablation? asks @AriSultanEP

Resounding NO from @drjohndayMD! Others are more reserved - it still has its place!

What do u think?

#WAFib2026

[Andreas Metzner @AndreasMetzner7]

👉Our SIC Survey on Hybrid AF Ablation is still open! Please support us!! It only takes 10 minutes!🙏
@AndreasRillig @laura_rottner @ChristianHeeger @chris_sohns @RolandTilz @AGEP_DGK @Phiso_de
https://t.co/eLlVcDMVxF

[Julian Chun @jongichun]

👋🏻Do you think AF Surgery is a relevant option?

Pls. share your thoughts 🧠!

https://t.co/M1o39jhjbC

#epeeps @EHRAPresident @AndreasMetzner7 @AriSultanEP @MaesenBart @ChristianHeeger @drjohnm @LauraPerrottaEP @ftrae @purerfellner @BorianiGiuseppe @SergeBoveda @ThorstenHanke

[Europace Editor-in-Chief @EuropaceEiC]

📣EHRA Document 📚
#Europace
Afib management by targeting comorbidities and reducing AF burden: the 10th AFNET/EHRA consensus conference just published 🚀
🌐https://t.co/bwPpdrkCxg

@EHRAPresident @GiulioConte9 @Dominik_Linz @AndyZhangMD @FraSantoroMD @DavideMei93 @marcovitoloMD

[Marco Bergonti @MBergonti]

⚡️PFA for AF ablation in 2025 🔥

Where are we standing and where are we going? 🛗

Results from the recently published #EHRA #Survey

https://t.co/PXhPscIHeE

@EHRAPresident @EuropaceEiC @jongichun @GiulioConte9 @ftrae @ChristianHeeger @AriSultanEP

[EHRAPresident @EHRAPresident]

💬 Why this matters?
✔️ First multicentre dataset on lattice-tip VA ablation
✔️ Shows feasibility in extremely challenging substrates
✔️ Provides essential safety signals as dual-energy PFA/RF tools expand
✔️ A study @AndreaSarkozy highlights as key for the evolving VA landscape

#EHRAtopicweek

[Julian Chun @jongichun]

❓What is a major complication due to ablation?
Proposal to better quantify complications in (RC)trials...!

Kudos Stefano and EHRA SIC!

@bordistef @ChristianHeeger @joselmerino @EHRAPresident @HaranBurri @BorianiGiuseppe @SergeBoveda @drjohnm

https://t.co/642GjnLHcf

[Dr Vishal Luther @vish_luther]

Back from 3 days in gorgeous Rome as faculty & lecturer for the “EHRA Advanced AF Ablation course”. Great to represent @LiverpoolEP and meet so many AF enthusiasts from around Europe! I feel I learned as much from this stellar faculty as the delegates did! #alwayslearning

[Arian Sultan @AriSultanEP]

@DavidDuncker @AGEP_DGK Danke lieber David.🙏🏼🙏🏼🙏🏼

[Arian Sultan @AriSultanEP]

@DrNabilPaktin Thank you 🙏🏼🤩

[Lukas Urbanek @LukasUrbanek11]

⏳ Deadline approaching! Just 24 hours left to join the EHRA Survey on post-LAAC antithrombotic therapy.
Your input = better understanding of real-world decisions
🔗 https://t.co/Oq3ZmefbOZ
#CardioTwitter #laac
@jongichun @ChristianHeeger @dvidschaack @DrMarkMills