Harold Rivner

Electrophysiologist at Mycardiologist in Miami/Boca area

[Harold Rivner @HaroldRivner]

Used Tactiflex Duo first time (*Investigational Use Only)
TCL 215 ms - 280 bpm
Midmyocardial/Epicardial Scar
Endocardial Ablation Only
No longer Inducible

[Harold Rivner @HaroldRivner]

@drjohnm It’s a small study with follow up at 6 months. It’s just a bad study. I wouldn’t take too much away from it

[Harold Rivner @HaroldRivner]

@drjohnm @AndrewFoy82 I think they need to show the break down of bleeding complications by device type in Closure AF. It is know that watchman 2.5 and amulet have a much higher bleeding risk than watchman flx. Any thoughts?

[Harold Rivner @HaroldRivner]

WiSE-CRT

84 year old man NHYH III HF
EF 35-40%
PCWP 25
CHB with RV Pacing
CT Venogram Confirmed L Axillary Vein Occlusion with Collaterals

Baseline QRS ~170 ms with QS V1
WiSE-CRT Electrode Placed Basal Lateral Endocardium
Post QRS ~130 ms with R wave V1

#EPPEEPS
#WiSE-CRT

[Harold Rivner @HaroldRivner]

Closure-AF

[Harold Rivner @HaroldRivner]

I feel like I missing something

How does a trial that mixes 40 percent amulet (with known higher bleeding risk) , ten percent watchman 2.5 (before flexball) and 40 percent watchman flx tell us anything about outcomes of watchman flx?
#eppeeps

[Harold Rivner @HaroldRivner]

It would be like comparing outcomes of savr and tavr with a huge transapical arm

[Harold Rivner @HaroldRivner]

I have not see this level of bleeding clinically

[Harold Rivner @HaroldRivner]

@drjohnm Do you think the superiority design of Xarelto versus aspirin for ocean trial was reasonable? To me it should have been non inferiority

[Harold Rivner @HaroldRivner]

@drjohnm Do we know which LAAC device was used?
There was a major design change between Watchman 2.5 and Watchman FLX that makes it safer and easier to implant. It is also easier to recapture and move it to make sure you get a better seal.

[Hen Mazzig @HenMazzig]

Rom Braslavsky was repeatedly pressured to convert to Islam. His captors even offered him more food if he would renounce his faith, but he always refused. He said that telling himself he was a strong Jew helped him endure.

Segev Kalfon and Rom Braslavsky, two proud, strong Jews.

[Elkana Bohbot is Home @bringelkanahome]

My beloved Elkana,

Today we celebrate seven years of marriage. Seven years since that day I looked into your eyes and knew it was you — you were the one I wanted to live with, dream with, laugh and cry with, to build a home, a life, and an endless love.
No one could have imagined that fate would test us in such a cruel way. That two of those years would be stolen from us — torn from our hands, our hugs, our laughter, our everyday life.

It was 738 days without you, but every single one of them belonged to you. There wasn’t a morning I didn’t think of you, or a night I didn’t talk to you in silence, hoping my thoughts could travel through the air and reach wherever you were.

I fought for you with everything I had — for your freedom, for your life, for the promise we made to love each other “in health and in sickness, in joy and in sorrow, until the world fades away.”
And today, having you back, I know our love is stronger than fear, greater than darkness, and more eternal than distance.

When I look at Reem, I see the same light in his eyes that shines in yours. He reminded me every day why I couldn’t give up — because our love was never just a story of two people, but of a family that held on to hope even when everything seemed lost.

Elkana, my love, my life, my everything —
These seven years are proof of who we are: two souls that cannot be broken, that find each other even in the abyss. You are my strength, my peace, my destiny.
Thank you for coming back to me. Thank you for existing. Thank you for loving me even when the world tried to tear us apart.

I love you with a depth that words could never contain.
I love you more than ever, more than before, more than fear, more than time.

[Noa Argamani @ArgamaniNoa]

Two years. Two years passed since the last moment I saw Avinatan, the love of my life. Two years since the moment terrorists kidnapped us, put me on a motorcycle, and tore me away from Avinatan before the eyes of the entire world.

From that moment, our journey in captivity was separated. I was held captive with children, women, and the elderly, while Avinatan was held alone. I was mostly kept inside houses, while Avinatan was only in the tunnels. Hamas released videos and signs of life from me, while there was no information at all about Avinatan. I was held captive by Hamas for 246 days, while Avinatan was held for 738 days. I came back in a heroic rescue operation, and Avinatan returned in a deal.

But both of us, against all odds, came home and were reunited!

I cannot put into words the range of emotions I felt when I saw him for the first time after so long. Each of us faced death countless times, and yet, after two years apart, we are finally taking our first steps together again in the State of Israel.

At last, we can begin our healing together. The recovery will be long; we still haven’t truly processed what has happened here over these past two years. But we won. We won our personal war, and the war of all those who fought alongside us to reach this moment. And now, the time has come to begin our shared journey together.

I want to say a huge thank you, first and foremost, to the @IDF soldiers and security forces who have been fighting for so long and risk their lives for us every single day. Thank you to our family, friends, and to the people of Israel, Am
Yisrael, who raised their voices when we couldn’t speak. To the people around the world who embraced us, to all the incredible individuals who supported us through the hardest times and never lost hope throughout this long period. To the US government, which opened its doors to me and was always there to listen, especially @SEPeaceMissions Steve Witkoff, @jaredkushner, and the exceptional, President @realDonaldTrump.

To all the people who too stood beside our hostages and understood that light must overcome darkness.

We will never forget the fallen and the murdered, and we will not stop fighting until every fallen soldier and hostage is brought home for a proper burial in Israel.

Thank you, thank you, thank you!

This could never have happened without you.

We are back ❤️

[Harold Rivner @HaroldRivner]

@ConnectEp @VivekReddyMD @shivkumarmd @SanaAlkhatib9 @KennethEllenbo1 @VKutyifa @shunmug_his_mdu @pugazhendh44472 @DrRoderickTung @HRSonline Have you considered making an app? I love the content but would make it much easier if it saved my time points on the video because it always restarts on the website between views. Thank you

[JICE @JICE_EP]

🚨New #FreeRead in @JICE_EP

EGM Morphology Recurrence Guided Catheter Ablation for Repeat Ablation of Persistent Atrial Fibrillation

R Mitrani, @ghaith_zaatari J Bohorquez, J Ng, @RivnerHarold A Velasquez @DrLitsaL R Arora & @DrJGoldberger

🧐📖 https://t.co/a7z7hYBiIZ

#EPeeps

[JACC Journals @JACCJournals]

In this new #JACCCEP study, @ghaith_zaatari & #EPeeps from @UMiamiHealth find that electrogram morphology recurrence mapping for #PersAF provides a robust new method for quantifying consistency & rapidity of activation direction at multiple atrial sites. https://t.co/kclYNX8eJ2

#ACC23 #WCCardio #AFib #epAblation

[StopAfib.org @stopafib]

URGENT ACTION REQUESTED: Request that Medicare preserve your ability to get a Catheter Ablation. #afib #atrialfibrillation #catheterablation #Medicare #advocacy #HRS https://t.co/fppmKLMUNf

[Harold Rivner @HaroldRivner]

@drjohnm @Rick_Pescatore I am a first year ep fellow. I listen to your podcast and I am very interested. Do you have a guide on axillary ultrasound access. Also do you have any concerns about higher risk of infection when using the ultrasound probe from possible contamination?

[Harold Rivner @HaroldRivner]

@Lguevaramath @ivanovich13 @torresviera @jjamaro @DrPontecarlosi Thank you to @DrJGoldberger and @DrMarzouka for your mentorship on this article!