Ahmed Moustafa

*A. lecturer of Critical care & EP (ERTC) @Cairouniv *EP & Devices @hopitalmonaco * EHRA Certified specialist (ECES II) * Member @sfcardio @escardio

[CircEP @CirculationEP]

Consumption of sugar- or artificially sweetened beverages at >2 liters/week is associated with higher AF risk independent of genetic susceptibility @seppo_tan #AHAJournals #Epeeps https://t.co/CKGC79zyRY

[peterkistler MBBS PhD FHRS @peterkistler3]

No progression to perAF after RFA vs Cryo: the CIRCA-DOSE trial https://t.co/m2KBXl7jc9 this trial combined with the advent of PFA: why use Cryo? @DrJasonAndrade

[JICE @JICE_EP]

🚨Latest #FreeRead Article in @JICE_EP

Technological advances in VT Catheter Ablation: the Relentless Quest for Novel Solutions to Old Problems

by @CompagnucciMd Y Valeri, @SergioConti84 @GiuSgarito @natale_md M Casella, @andellorusso

🧐📖https://t.co/J3xyahPin4

#EPeeps

[Penn Electrophysiology Fellowship @PennEPFellows]

#Epeeps Always look at initiation of VF - maybe you can find a trigger!! Common sites include LPF and near moderator band.
Slides borrowed from @Dr_Santangeli
@PennCardiology
@GustavoSGuanda @Stephen_Keane1 @MichaelGurinMD

[Omar M. Abdelfattah, MD, FESC @AbdelfattahMD]

📯Excited to share the first Real 🌍 post Trial Experience (n=23) of Mavacamten in Obstructive HCM‼️led by @mmartinezheart 🖨️ @JACCJournals
At 7 months,
➡️ Mavacamten led to sustained ⬇️ LVOT gradients at Rest/Valsalva with no change in LVEF
➡️ EKG normalization in 21% of oHCM

[Raviele Antonio @drraviele]

📌 After newly diagnosed AF, between 2001-2017
✔️ 1-y CV/cerebrov death ⬇️ by 54% & 59%
✔️ hospitaliz for non-CV/cerebrov causes ⬆️ by 42%
#afib #CardioTwitter @DrMarthaGulati @JagSinghMD @cpgale3 @SeguraCardio @Hragy @AskDrShashank @gonzaeperez @guroledip @DhirajGuptaBHRS

[Chadi Tabaja @Chadi_97EP]

MANIFEST-17k: largest cohort to date investigating real-world performance of Pulsed Field Ablation in 17k patients.
-Low overall rate or adverse events <1%
-Excellent safety with NO atrioesophageal fistula (one of the most feared complications.
- Low rate of generalized spasm (0.02%, lower than with thermal or cryoablation (0.19%).
#AHA2023 @AHAMeetings #Epeeps

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

🚀 Exciting news from #AHA2023 @CircAHA

Honored to be part of The International LBBAP Collaborative Study (I-CLAS). The latest large-scale (1,778 patients), multi-center (15 centers) observational study is being presented at the American Heart Association (AHA) conference.

Arrhythmic Risk with BVP vs LBBAP

https://t.co/oxydAWI2GM

Key takeaways:
Reduced Arrhythmias with LBBAP: LBBAP (Left Bundle Branch Area Pacing) showed a lower incidence of both sustained and non-sustained ventricular tachyarrhythmias (4.2%) compared to BVP (Biventricular Pacing) group (9.3%).

Lower Occurrence of Atrial Fibrillation: New onset atrial fibrillation (AF) was less common in patients undergoing LBBAP (2.8%) compared to those with BVP (6.6%).

#Cardiology #LBBAP #Conductionsystempacing #CRT

[Edgardo Alania @Ed_Alania]

⚡️ Conduction system pacing: overview, definitions, &amp; nomenclature

⚡️Implant, assessment, &amp; management of conduction system pacing @kvernooy @MdHuang

#Cardioed #Cardiology #Epeeps #Cardiotwitter #FOAMed

Links⬇️⬇️

[JICE @JICE_EP]

🚨New #FreeRead Article in
@JICE_EP

Modification of PV Antrum is Associated with Recurrence after Durable PV Isolation for Paroxysmal Atrial Fibrillation

by H Kujiraoka, R Hojo, T Arai, M Takahashi, S Fukamizu, T Sasano

📖🧐https://t.co/PwfCO87vR5

#EPeeps

[JICE @JICE_EP]

🚨New #FreeRead Article in @JICE_EP

Incidence, Distribution, &amp; EGM Characteristics of Endo-Epicardial Connections Identified by Ultra-HD Mapping during a LA Posterior Wall Isolation

by K Nakamura, T Sasaki, E Yamashita, S Naito &amp; Colleagues

☕️📖https://t.co/BFQyX1Nkey

#EPeeps

[CircEP @CirculationEP]

Abnormal atrial potentials in sinus rhythm or atrial pacing suggest slow conduction in atrial tachycardias. Their distribution can help predict tachycardia circuits
#AHAJournals #Epeeps
https://t.co/wl1nGH9kAb

[ALBERTO ALFIE @ALFIEEP1]

Catheter movement greater than 1 mm during half the RFA time in LPSD ablation is associated with recurrences. In HPSD if RFA achieves stability for half the ablation time was not associated with PV reconnections.
@EladAnter

[Philipp Sommer @Phiso_de]

#Epeeps no weekend-work in EP? Today, incessant VT with &gt;50 shocks despite hemodynamic support and sedation…. First epicardial RF terminated in 11s. @HdzNrw @melhamriti @MoneebKhalaph @MBraunEP @chris_sohns #weekend

[M Velia Antonini @FOAMecmo]

Gastrointestinal failure & injury in #ICU?? We do not have proper definition of enteral feeding intolerance: consensus process needed, potentially leading to proper therapy. But how to define enteral function & GI dysfunction? Concomitant symptoms important!
🍽️ 1 symptom in pt with oral intake NOT sufficient to define GI dysfunction
🍽️ 1 symptom without oral intake sufficient to define (risk of) GI dysfunction
🍽️ more symptoms or single severe symptoms define GI dysfunction
🍽️ several severe symptoms (under treatment) define failure
🍽️ 1 immediately lifethreatening condition = 4 points
A Reintam Blaser @ESICM #ESICMwebinar #FOAMcc

[CarinaHardyEP @CarinaHardy4]

#EPeeps Extensive ischemic scar. Impossible to modify large substrate. Where would you burn? Easy induction slow TV. Again ILAM map delimited area of ​​interest.
@DrRoderickTung

@BiosenseWebster #WomenInEP @LAHRSonline1 @SobracO #cardiotwitter #CartoPrimeV7

[Penn Electrophysiology Fellowship @PennEPFellows]

V1 provides localisation to the pap. (Rr, R slurred, RR) @rdschaller

#EPeeps #CardioTwitter @hrs_journal

https://t.co/5PNVO5HDJ1

[Diego Segura-Rodríguez @SeguraCardio]

📌Abnormal Conduction-Induced Cardiomyopathy

#CardioTwitter #CardioEd #Review #TopicOfTheWeek

[JICE @JICE_EP]

🚨New #OpenAccess Research Letter in @JICE_EP

Early Real-World Experience Using Temp-Guided Diamond Tip Facilitated High-Power Ablation for Catheter Ablation of Afib

S Dittrich, @chris_sohns @AriSultanEP @LukerJakob @Phiso_de &amp; @danielsteven_ep

https://t.co/H9fyVqfisU

#EPeeps

[Beverley Sneezum @bes502]

So if #PhysicalActivity reduces all cause mortality more effectively than medication...why do we prescribe so many pills! #Exercise take it daily …because you can’t just swallow the benefits of it! #Heart #Motivation #Education 👉 needed!