Eric Karabut

Panameño nacido en Rusia. Cardiólogo especialista en Arritmias. Cardiólogos Asociados de Panamá.

[Nassir Marrouche @nmarrouche]

Very important message from our group. In patients with recurrent AF after a first ablation, what we do next matters. Repeat catheter ablation was associated with a 35% lower risk of death, stroke, or HF hospitalization compared with cardioversion, with an NNT of only 14.

This challenges the idea that management of recurrent AF should simply be based on operator preference. Recurrence after ablation should not be viewed as failure—it may be an opportunity to intervene again and improve meaningful clinical outcomes.

Congratulations to @mabou_khalil @HanFengGHD @QMarashly and the entire team. #AFib #Ablation #EPeeps
@PrashSanders @shivkumarmd @gautamsand @S_NarayanMD @Phiso_de @drsuneet @drjohnm @drluissaenz @leftbundle @KennethEllenbo1 @DrBradleyKnight @DrRoderickTung @atulverma_md

[Eric Karabut @EKarabut]

@PlayBookTrades Thanks. Blessings.

[Ramez Morcos, M.D. M.B.A @MorcosRamez]

In fellowship, I was taught that Fluoroscopy is my friend… but the more I grew in EP, the more I realized ICE is actually my best friend — and I honestly don’t want to stay “friends” with fluoro anymore. For many reasons.

Crystal ICE from @JNJNews has completely changed how I approach transseptal work. Amazing technology — and I can’t wait to see what NuVision Nav adds on top of this.

Here’s the exact workflow I use for fluoroless transseptal with Crystal ICE:

1️⃣ Baseline BiV view (ICE in the RV)
I always start by dropping the ICE into the RV and getting a clean BiV view with a slight clockwise rotation. Simple orientation before anything else.

2️⃣ The SVC view — the real workhorse
This is the view that makes zero-fluoro possible.
Withdraw to the RA, small clock/counter-clock movements, and open the SVC fully. You should clearly see: Wire in the SVC Sheath (Vizigo in my case). if this view isn’t perfect, I don’t move on. This is the anchor for fluoroless TSP.

3️⃣ Superior limbus + IAS alignment
From the SVC view, I tilt right and posterior (first knob away, second knob toward me). As I slide the sheath down, the view comes and goes — totally normal. Tiny rotations bring it back. The important moment is seeing the sheath fall off the superior limbus. If you miss that, you drift into the IVC and lose your orientation.

4️⃣ Home IAS view + tenting
Once I’m on the fossa, I fine-tune anterior/posterior rotation until the tenting is clean and stable. If tenting isn’t obvious, don’t puncture. When everything lines up, cross under ICE alone — zero fluoroscopy.

#EP #ICE #TSP #Fluoroless @BayCare

[Cardiology Today @CardiologyToday]

Adults with #AFib who drank a cup a day of caffeinated #coffee were less likely to have recurrent AF or atrial flutter compared with those who avoided all caffeinated products

https://t.co/FoaNXTjEDy

@WongChrisX @gregorymmarcus #AHA25 @Gohealio @HeartNews

[Raviele Antonio @drraviele]

https://t.co/LH23dK2vSf

[HeartRhythm @hrs_journal]

The functional substrate in patients with atrial fibrillation is predictive of recurrences following catheter ablation

https://t.co/xaS0r7uJD7

[HeartRhythm @hrs_journal]

Left bundle branch block-induced cardiomyopathy: a distinctive form of cardiomyopathy that might require a dedicated form of treatment

https://t.co/Vg3o4fbjE7

[CBS News @CBSNews]

Panamanian gymnast Hillary Heron became the first to land a complicated tumbling move named after Simone Biles - while competing against the American superstar at the Paris Olympics. https://t.co/SyLzAnJ8mk

[Umair Khalid @Umair2017]

Interesting valve case of #Bicuspid AV stenosis:

📌57 yr old. Asymptomatic. By 2D, valve appears to open, but by Doppler, peak velocity = ~ 5 m/s. No other reason for ⬆️gradients.

Management? 🤔

#Tweetorial below

🧵1/6

#CardioTwitter #Cardiology #CardioEd #MedTwitter

[EP Lab Digest @EPLabDigest]

Featured video content! @RLMitraMDPhD shares his approach to zero-fluoroscopy catheter ablation for all endovascular #EP procedures, including #AFib and #Vtach ablation.
https://t.co/UJ6IxiwiGx #EPeeps

[Eric Karabut @EKarabut]

@ReyinaRK Feliz cumple

[Cleveland Clinic @ClevelandClinic]

Dr. Jessica Caldwell shares her top 3 tips for how to keep your brain healthy as you age and reduce your chances of Alzheimer's. #WorldAlzheimersDay 🧠

[American College of Cardiology @ACCinTouch]

ACC released Expert Consensus Decision Pathway on Cardiac Amyloidosis earlier this year. This ECDP and associated treatment algorithms should be used in concert with established guidelines for the management of #HeartFailure. https://t.co/Z35HcdBIgJ #ACCLatinAmerica

[American Society of Echocardiography @ASE360]

The development of strain as a clinical tool over the past 30 years has provided a technique that is accurate and reliable. Explore our Strain Imaging Resources webpage! https://t.co/HN93Jse41E

The resources page features:
❤️ Webinars
❤️ Guidelines
❤️ Cases
❤️ Videos
❤️ Articles

[Edward J Schloss MD @EJSMD]

Ultrasound guidance for axillary vein access in pacer/ICD implant. Discussion of technique and live demonstration.

6 min video created for HRS, but unpublished until now.
#EPeeps

[Tolga Aksu, MD @MDTolgaAksu]

Dear Colleagues
As you know that Türkiye has recently been struck by devastating earthquakes. 10 cities have been severely affected. In this difficult time, to ask for your support, we organize an online EP meeting to discuss novel and advanced EP techniques with leading experts

[Arash Arya @ArashArya_EP]

#EPeeps
Among patients with HFpEF and pacemakers, treatment with a moderately accelerated, personalized pacing rate was safe and improved quality of life, NT-proBNP levels, physical activity, and atrial fibrillation compared with the usual 60 bpm setting.
https://t.co/feOVGrBUlj

[The BMJ @bmj_latest]

Over the past 200 years, there have been seven cholera pandemics, and today’s surge is the largest in a decade.

To overcome this preventable disease we need to invest in failing infrastructure and tackle crises at cholera’s roots, says @petra_khoury @ifrc https://t.co/5bScjnICRT

[The BMJ @bmj_latest]

“My main worry is that I think people are already burning out and leaving. Once they’re gone, they’re gone.”

Doctors in England have told The BMJ that the pressure they are facing this winter is the toughest in memory, given unprecedented levels of demand
https://t.co/DAszyZHUO4

[American College of Cardiology @ACCinTouch]

The ACC has created the Cardiac #Amyloidosis 💻 course to build competence in timely detection & diagnosis of this rare condition. Learn to select appropriate testing, recognize findings suggestive of amyloidosis, review 🆕 treatment options & more!

🔗 https://t.co/az6q9epxjf