Otakar Jiravsky

EP & Sports Cardiology Consultant @AgelHospital Trinec-Podlesi

[Otakar Jiravsky @OJiravsky]

@sumitvermaep @javadm20 To be honest ...when I switch to full ( and due to PFA higher than in RFA era ) heparin just after femoral venous access obtain, my personall feel is rapid decline in STE after TSP

[ADAS3D Medical @ADAS3D]

A packed day at #PragueRhythm2026, with outstanding presentations focused on imaging-based strategies for VT ablation from some of the world’s leading EP centers.
Great insights from Dr. Yoshi Kimura on VT substrates in congenital heart disease, Dr. @KatjaZeppenfeld on STAR, and Dr. @ivroca on non-invasive ventricular arrhythmogenic substrate assessment with ECGi and CMR. Grateful to all the speakers for sharing their expertise and advancing the role of imaging with ADAS 3D in substrate-guided VT ablation. #Epeeps

[Otakar Jiravsky @OJiravsky]

@Milosval1 píšete že umí být život zachraňující - prosím o publikaci, že v primární prevenci jsou život zachraňující - tedy že snižují "all cause mortality" ( kromě velmi velmi problematické studie JUPITER pls) - určitě najdete data na pokles tzv. MACE, proč tedy není pokles úmrtí ?

[TCTMD @TCTMD]

Cardiac Fibrosis Linked to Ventricular Arrhythmia in Fit Male Athletes: VENTOUX https://t.co/kbE5D7QA9v

[Otakar Jiravsky @OJiravsky]

@Dominik_Linz @drjohnm https://t.co/4IDtpkQmLR… Great comment. I think everyone feels that, in contrast to Prague 25 results, it’s probably better to combine ablation and lifestyle modification. A “Prague X+1” study could show how much better ablation + LFM is vs. ablation alone.

[Otakar Jiravsky @OJiravsky]

@tomdepotter @Kasia_Rajpold How do you achieve such ultra low doses ?

[Otakar Jiravsky @OJiravsky]

@tomdepotter @Kasia_Rajpold A way to minimize the burden on the operator, e.g. ultra-minimizing radiation while maintaining patient safety, is a perfect path to sustainability and X-ray companies should start to take an interest in it.

[Otakar Jiravsky @OJiravsky]

@mmamas1973 Interesting that this study challenging conventional wisdom about PA & mortality is still in preprint since June 2023(https://t.co/Fcw1cx8RKY). Such substantial findings with 30-year follow-up data deserve peer review visibility. Wonder what's causing the delay? 🤔

[CJC Journals @CJCJournals]

The PROTOCOLENERGY trial compares two shock energy algorithms in cardioversion for #AF. Results show similar success rates but fewer skin complications with a lower initial shock. Ideal for patients with BMI < 29-34 kg/m2. Read more 👉 https://t.co/dJ9ztfPOx8 #CJC

[Otakar Jiravsky @OJiravsky]

@obradam @Radix69123161 Krome toho se zda, ze krome tvorby vitD ma slunecni zareni v opacne casti spektra (near infra red) radu jinych na cloveka pozitivnich vlivu ... ty suplementace vit D nezajisti ... na druhou stranu ... pacientum hladinu vit D merim pravidelne a 98% ji ma nizkou ..

[Otakar Jiravsky @OJiravsky]

@syamkumarmd I believe that it will be SVT with LBBB ... we have ablated the same case on Monday this week ... QRS are not so wide ... one can see short time to nadir

[Otakar Jiravsky @OJiravsky]

@braiins @KristianCsep @JosefTetek Braiins Mini Miner ?

[Otakar Jiravsky @OJiravsky]

@syamkumarmd What kind of "risky" do you mind? Is that risky location for ablation ? Yes (but ablate it from NCC). Or risky due to short SPERI/APERP - intermitent manifestation doesn't tell us anything (we have to measure it in EP study) ... but septal localization carry risky feature itself

[Otakar Jiravsky @OJiravsky]

@JACCJournals I would attack the ganglion stellatum rather in the place where I painted the red star, not where the authors placed the arrow

[Otakar Jiravsky @OJiravsky]

@hrs_journal In over 300 patients ablated by me with paroxysmal FS (with PVI) and persistent FS ( with posterior wall isolation and roof and mitral lines), I have not seen an arrhythmia that I would classify as EAAA. After PFA, the patient healed without pericardial inflammation =none blank.

[Otakar Jiravsky @OJiravsky]

@MelbourneEPdoc My PFA experience after more than 300 cases ... PFA PVI skin to skin 30 min. But ... excellent adopted by patients ... i didn't any reason for blanking period ... definitelly better results than RFA when improving 4x2 technique to ICE navigated 8x2 style

[Otakar Jiravsky @OJiravsky]

@FlavioDascenzi @LunaCavigl59398 @BJSM_BMJ @AouSenese @unisiena perfect data ... nice to read such good results - especially for our BAV athletes :-)

[Otakar Jiravsky @OJiravsky]

@Hapa_EP @pjsm83 @dkenigsberg @DanielAlyeshmer @DaneshModi @CarinaHardy4 @B_Naz_MD @Arritmias_HRC @javadm20 @jeffrey_vinocur @EPWaveDoc @Maeskander It's so cool ...never see this AT

[Otakar Jiravsky @OJiravsky]

@obradam A kde je tesťák... a pak telmisartan na ten vyssi tlak z toho ( zlepsuji spotrebu kysliku ...mrk) ... a betablokator na lipolyzu a tepovku a ... sildenafil na doregulovani tlaku ... ten Tvuj zakladni set v lepsich fitkach vylepsuji ... 🤷 sorry jako .. 🥲🥲🥲

[Otakar Jiravsky @OJiravsky]

@EPWaveDoc @RomainVergier @MathildeHrsn1 @CHUM972 @Hapa_EP I have mapped/ablated last week nearly the same AT ...post MVP/MAZE