Liverpool Heart Rhythm

Sharing Heart Rhythm innovation, technology and research from the world renowned Liverpool Heart & Chest Hospital @LHCHFT

[Mark Mills @DrMarkMills]

Delayed diffuse coronary artery spasm following pulsed-field ablation of AF - fantastic discussion by @justinchiong_ today at #EHRA26.

@LiverpoolEP @LHCHFT

[Mark Mills @DrMarkMills]

Our new study in JACC EP: the HARNESS RCT

A simple/low-cost method involving a figure-of-8 suture secured with a 3-way tap reduced access-site complications and improved efficiency compared with manual compression after AF ablation

https://t.co/oVvKuPbYLu

@DhirajGuptaBHRS

[HeartRhythm @hrs_journal]

Characterisation of Acute Residual Pulmonary Vein Connections Using Electroanatomical Mapping During Pulsed-Field Ablation of Atrial Fibrillation #OpenAccess

@DrMarkMills @Vish_Luther @DhirajGuptaBHRS

https://t.co/HLbGs3A8YQ

[Liverpool Heart Rhythm @LiverpoolEP]

Beautiful VT diastolic signals hiding beneath the Aortic Valve mapped with #Optrell.
@vish_luther @justinchiong_

[Liverpool Heart Rhythm @LiverpoolEP]

An example of Dynamic-voltage-mapping👇.
= superimposing activation on a voltage map to define scar.
Future study of @justinchiong_

@DrRoderickTung @tomdepotter @aportasanchez @DrMarkMills @ivroca @TimothyMaherMD1 @Arritmias_HRC @MartinsRaphae15

[HeartRhythm @hrs_journal]

Phrenic Nerve Injury after Pulsed-Field Ablation: Quantification of Symptom Burden

@DrMarkMills @DhirajGuptaBHRS @vish_luther

https://t.co/WqMNBvjlxT

[Mark Mills @DrMarkMills]

Recent data suggest phrenic nerve injury occurs in up to 40% after pentaspline PFA.

In our Farapulse PVI cohort, day-1 dyspnoea worsened in only 3%, suggesting largely subclinical injury.

Read our letter in @hrs_journal:

https://t.co/pqblWl5dNb

@DhirajGuptaBHRS @vish_luther

[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

[Mark Mills @DrMarkMills]

Last day as an EP Clinical Research Fellow at @LiverpoolEP. Loved my time at @LHCHFT and will miss it dearly! Now just crossing my fingers for my PhD viva.

Grateful to my supervisors @DhirajGuptaBHRS @vish_luther and @LiverpoolCCS and my friend and colleague Peter Calvert.

[HeartRhythm @hrs_journal]

Diffuse right coronary artery spasm occurring forty-five minutes post pulsed field ablation for atrial fibrillation #OpenAccess

@vish_luther @LiverpoolCCS @LiverpoolEP @LHCHFT @justinchiong_ @DhirajGuptaBHRS

https://t.co/VAyxueaz9K

[Mark Mills @DrMarkMills]

“Characterization of acute residual pulmonary vein connections using electroanatomic mapping during pulsed-field ablation of atrial fibrillation”

Our open access article/PDF is now available in Heart Rhythm @hrs_journal

https://t.co/exLmPJ2Z1O

@vish_luther @DhirajGuptaBHRS

[Mark Mills @DrMarkMills]

⚡️How do women and men differ after AF ablation?

In our study of 69,000+ patients, women reported more cardiac, respiratory, GI, and neurological symptoms within 1 month. We discuss potential reasons & solutions.

📄 https://t.co/gf2MWsQP9D

@DhirajGuptaBHRS @vish_luther #EPeeps

[JAHA @JAHA_AHA]

Female sex independently modified stroke in atrial fibrillation between 2000–2019, though its impact attenuated over time. #AHAJournals @DrMarkMills @LHCHFT https://t.co/0955FoO5xd

[Dr Vishal Luther @vish_luther]

This is good news👇
Pleased to see our publications from @LiverpoolEP used in these @NICEComms recommendations.

@DrMarkMills @DhirajGuptaBHRS

[HeartRhythm @hrs_journal]

Characterisation of Acute Residual Pulmonary Vein Connections Using Electroanatomical Mapping During Pulsed-Field Ablation of Atrial Fibrillation #OpenAccess

@DrMarkMills @Vish_Luther @DhirajGuptaBHRS

https://t.co/HLbGs3A8YQ

[Mark Mills @DrMarkMills]

🚨 New in Europace! 🚨

Our EHRA survey of vascular access in EP shows big variation 🌍

🔹 1 in 5 rarely use US guidance
🔹 60% use figure-of-8 sutures, 33% manual compression
🔹 VCDs rare
🔹 Anticoag & bed rest vary widely

📣 Time to standardise?
🔗 https://t.co/COiVO1mVc0

[Dr Vishal Luther @vish_luther]

Should we adopt a mandatory waiting time post single-shot PFA PVI?
Largest real world data, we show ¼ cases have an acutely reconnected vein post 3D remap #reversibleelectroporation
Thanks @AbbottCardio for asking us @LiverpoolEP to lead on this study.
Open access @hrs_journal👇

[Mark Mills @DrMarkMills]

❓Is female sex a stroke risk modifier in AF?

📖 Female sex was removed from the CHA2DS2-VASc score in the 2024 ESC AF guidelines

Our recent publication in @JAHA_AHA explores temporal trends in the association between sex and stroke

https://t.co/aeIoKgeT5L

@DhirajGuptaBHRS

[Dr Vishal Luther @vish_luther]

#EPeeps - tough case👇
⚡️VF triggering pathway from CS diverticulum. Neck >5mm from PLV.
🥉Took 3 goes to get rid of it. Bumped each time - gave limited RF - back in 24hr.
🔥 Encircled neck (30W-20sec) with irrigated RF and its FINALLY gone! @LiverpoolEP
#Alwayslearning

[EHRAPresident @EHRAPresident]

Join the #EHRA_SICsays discussion with @DrMarkMills & @simovicst on the recent #EHRA_ESC survey on Lifestyle and risk factor modification in atrial fibrillation

👉Find out more here 🔗https://t.co/YYoS0RrnZJ

@escardio @jongichun