Arritmed

Perfil destinado a difundir conhecimento sobre Arritmias Cardíacas e Eletrocardiograma. Instagram:

[Arritmed @arritmed]

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#arritmed #foamed #foamedbra #arritmiascardiacas #arritmias #eletrocardiograma #ecg #fibrilacaoatrial #pillinthepocket #propafenona #prontosocorro

[Arritmed @arritmed]

PILL IN THE POCKET - VOCÊ CONHECE ESSA ESTRATÉGIA PARA REVERSÃO DA FIBRILAÇÃO ATRIAL?

[Arritmed @arritmed]

Referência:
📖 Alboni P, aborto GL, Baldi N, Luzi M, Russo V et al. Outpatient treatment of recent-onset atrial fibrillation with the “Pill-in-the-Pochet” approach. N England J Med 2004; 351:2384-2391

[Arritmed @arritmed]

⚡️Importante: Deve ser administrado 30 minutos antes da propafenona um betabloqueador ou bloqueador do canal de cálcio. O objetivo é para evitar que o paciente evolua com flutter atrial com resposta ventricular rápida (menos de 1% dos casos)

[Prash Sanders @PrashSanders]

Important we re-evaluate what we do after stroke. How much AF do you need before intervening?

[David Duncker @DavidDuncker]

#ESCCongress #arrhythmia HOTLINE

Presentation of the LOOP study by J. Hastrup Svendsen

AF screening with ILR to prevent stroke

@susannaprice @keithachanmd @Hragy @nmsdegroot @EmmaSvennberg @rbcasado @Dominik_Linz @Moscoso_Costa @SilCastelletti @EHRAPresident @HaranBurri

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[Francisco M. Costa @Moscoso_Costa]

One of the most awaited trials for the #ESCCongress. what's next for AF ablation?
@LuigiDiBiaseMD @jorgeERomeroMD @DavidFBricenoMD @EmmaSvennberg @DavidDuncker @rbcasado @Dominik_Linz @PaoloDellaBell1 @arbelo_e @ivroca @cavaco_diogo @nmarrouche #ESCCongress

[Afzal Sohaib @DrAfzalSohaib]

Stroke risk is clearly not binary in AF. Symptoms and duration of AF are likely to play a role. Stroke prevention studies were done on people having AF long enough / frequent / symptomatic enough for it to be caught on ECG / Holter.

[European Society of Cardiology @escardio]

#LOOP Study: continuous heart rhythm monitoring – with anticoagulation if #AFib is detected – does not prevent #strokes in those at risk

#ESCCongress

[Afzal Sohaib @DrAfzalSohaib]

LOOP Study presented at #ESCCongress. Using ILR to detect AF. Study did not meet its primary endpoint. Like with CRYSTAL-AF, lots of AF detected via ILR, but treating this did not translate to reduced stroke / embolic risk.

Summary discussant slide from I van Gelder

[Afzal Sohaib @DrAfzalSohaib]

When to treat asymptomatic ventricular ectopics? Nice summary by Dr Tobias Reichlin at #ESCCongress

[Ritu Thamman MD @iamritu]

#APAF-CRT

AV node Ablation + CRT 🆚 medical rate control in pts w/ symptomatic AF narrow QRS & ≥1HF🏥

🔺Primary:all cause☠️
7 pts (11%) ablation+CRT 🆚 20 pts (29%)med Rx
27% ⬇️risk NNT=3.7

🔺Predefined LVEF analysis ns for EF <35%(small numbers,mean LVEF 41%)
#ESCCongress

[Francisco M. Costa @Moscoso_Costa]

APAF-CRT: Ablate + CRT superior to pharmacological therapy regarding mortality in permanent AF pts with HF irrespective of LVEF.
Do we need a similar trial for LBB or His pacing?
@escardio @kvernooy @DavidDuncker @rbcasado @Dominik_Linz @Moscoso_Costa #ESCCongress #EHRA_ESC

[Dominik Linz @Dominik_Linz]

Congratulations @nmarrouche and the whole team to complete #DECAAFII and present the results during #ESCCongress!

Find in the RT a thread on #DECAAFII by @DagherLilas

@EmmaSvennberg @DavidDuncker @Moscoso_Costa @DrAfzalSohaib @rbcasado @nmsdegroot
@escardio @HRSonline

[EHJ Editor-in-Chief @ehj_ed]

Ablation + CRT was superior to pharmacological therapy in reducing mortality in patients with permanent AF and narrow QRS who were hospitalized for HF, irrespective of their baseline EF according to this study by Brignole et. al.
#ESCCongress #EHJ