Erwin Ciechanski, MD

Young EP

[EHRAPresident @EHRAPresident]

Today, #EHRA_ESC brings you a sub-analysis of the STABLE-SR-II trial exploring benefits of low-voltage area ablation in persistent AF

STABLE-SR-II is a multicentre, single-blinded, randomized controlled trial comparing PVI alone vs PVI + LVA (0.1–0.4 mV) ablation

This subanalysis focused on patients with ➕ LVA

The primary endpoint ➡️ ⏱️ Freedom from AT/AF (>30s) at 18 months after a 90-day blanking period

LVA ablation strategies included:
• 🧱 “Homogenization”
• 🧩 “Defragmentation” in transition zones (0.4–1.3 mV)
• 🌀 “Dechanneling” of the substrate

🔗 https://t.co/Aj5GnUwKhc @EuropaceEiC

[EHRAPresident @EHRAPresident]

News from @PROFID_EU

The first patient has been enrolled in Denmark — marking a major milestone for this landmark trial aiming to redefine how we prevent sudden cardiac death after MI 🫀🇩🇰

Let this be the spark! ✨

📖 Read more in Cardiac Rhythm News https://t.co/IOw4VLGNJi

[EHRAPresident @EHRAPresident]

During #EHRA2025, the new #EHRA_ESC Consensus on CSP was presented by @HaranBurri & Michael Glikson⚡🫀

What’s inside?
📚 Updated scientific evidence
🛠️ Overview of CSP techniques
🏥 Clinical scenario guidance
🤝 Emphasis on patient education & shared decision-making

#EHRAtopicweek

[Erwin Ciechanski, MD @ErwCiech]

Evolution of Theories on Doxorubicin-Induced Late Cardiotoxicity-Role of Topoisomerase https://t.co/SIqAjwbN49 #mdpiijms przez @IJMS_MDPI

[Erwin Ciechanski, MD @ErwCiech]

Congratulations 👏 🍾 Totally agree with that, I am deeply honored that I could train EP in number one cardiology department in Spain ☺️

[Jose Luis Merino @joselmerino]

"Thrilled to share that our cardiology department has once again been ranked #1 in Spain! A huge congratulations to all my colleagues and staff for their dedication and meticulous work. 👏💙 #Teamwork #ExcellenceInCardiology" @CardiologiaLa @RaulmorenoMD
https://t.co/yx465snJL5

[Erwin Ciechanski, MD @ErwCiech]

@szczasny @EP_WSS

[José Alderete M @JAldereteM]

Case of the week at @Clinica_Teknon EP Lab:
Mahaim accessory pathway ablation

31 yo🙎🏻‍♂️with highly symptomatic SVT episodes, and a 24h Holter showing regular wide complex tachycardia (LBBB-like pattern).

Baseline ECG shows normal QRS, without pre-excitation

A) Normal HV interval

[Erwin Ciechanski, MD @ErwCiech]

@daviddoiny @Alejand11050916 @Aperezsilva77 @JorgeFigueroaMD @mauseabello @joselmerino @EsteFalconi Abrazos ☺️

[Erwin Ciechanski, MD @ErwCiech]

@drjohnm We need longer follow up, late cardiotoxicity usually develops years after exposure.
Two questions:
1. Amount of patients recieving dexrazoxane ? Is there any interaction between arni and dex ?
2. What was the cumulative dox dose?
3. What were the LVEF and LVEDD values ?

[Erwin Ciechanski, MD @ErwCiech]

@josemig_carreno @Dr_Pmorina That seams reasonable 👏 however in our Department LBBAP is golden standard nowadays, even to classical CRT with use of single ventricular lead- LBBP CRT in naive patients, especially with proximal LBBB without distal IVCD.

[Erwin Ciechanski, MD @ErwCiech]

@EP_WSS Next step 👏

[Erwin Ciechanski, MD @ErwCiech]

@FedericoLandra1 @DrBerruezo @escardio @EHRAPresident @aportasanchez @DrHemels Congratulations 🥂🥳

[EHRAPresident @EHRAPresident]

#EHRA2025 Abstract submission deadline is extended until November 13th at 12:00 CET 🕛
Hurry up and present your results to the worldwide audience 🌍

[Erwin Ciechanski, MD @ErwCiech]

EHRA 2025 abstract registry in now closed, did You make it ? ☺️

See you in Vienna !
https://t.co/ajNRmIZA3n

[Lublin_EP @EP_WSS]

Another excellen case on EnSite X- full VT cycle mappend with HD Grid in endo and epicardium! Arrhythmia termination during RF delivery with non-inducibility at the end of the procedure.

Case by @szczasny
Mapping by @denyfication @MappingMeters

[Marek Jastrzębski @Marek_Jastrz_EP]

Transseptal Transition Patterns online! First delineation of COI amp. through septum; COI drop pattern; validation of lead depth-dependent V6RWPT shortening criterion, andmore! doi.10.1016.j.jacep.2024.07.025 @Hisdoc1
@HaranBurri
@kvernooy
@curilakarol
@OCanoPerez
#dontdisthehis

[Erwin Ciechanski, MD @ErwCiech]

@Meugeniamartin @Azlaragarcia Abrazos ME ❤️

[Erwin Ciechanski, MD @ErwCiech]

Another great Polish Coardiology Society Congress coming to an end, thanks for the lectures !
#PTK #ESC

[Tom De Potter @tomdepotter]

Excellent work. We’ve always paced fairly fast (400-450ms) because it makes capture so much more consistent. Sometimes you just get lucky 😀

[Lublin_EP @EP_WSS]

Our first endo/epi VT ablation!

Case by @szczasny and team with a help from dr M. Peller from UCK WUM.
Excellent mapping by @DrollanOner from #Carto