Luis G. González

Cardiólogo - Electrofisiólogo / Líder emergente @SIAC_cardio / #Editor alianza @smexcardiologia / @MedscapeES

[JACC Journals @JACCJournals]

In patients with #AFib undergoing ablation, a PVI-only approach shows noninferior rhythm control efficacy and comparable procedural safety in patients with #HFrEF compared with those without HFrEF. https://t.co/Dc2am0hMho #JACCCEP

[HeartRhythm @hrs_journal]

Reassessing Stroke Prevention After Atrial Fibrillation Ablation: Lessons from OCEAN, ALONE AF and OPTION Trial

@DJ_Lakkireddy

https://t.co/zzlyUTGwgs

[American College of Cardiology @ACCinTouch]

2️⃣0️⃣ years after PVI during catheter ablation, stable sinus rhythm was maintained in a quarter of pts w/ symptomatic drug-refractory paroxysmal #AFib, including those taking antiarrhythmic drugs & those who had multiple ablation procedures. 🔗 https://t.co/YC3O9yNYbZ #JACCCEP

[Europace Editor-in-Chief @EuropaceEiC]

#Europace #EPeeps

⚡️Shortest Pulmonary Vein AF Cycle Length Identifies PVI Responders: The FARS-AF II Study

📋https://t.co/ZzxxNpTC3a

@GiulioConteMD @FraSantoroMD @marcovitoloMD @Dominik_Linz @AndyZhangMD @DavideMei93 @LuigiDiBiaseMD

[Roderick Tung @DrRoderickTung]

Pulsed-Field vs Thermal Ablation of Atrial Fibrillation in Patients From the Marshall Islands: A Study of Generalized Coronary Spasm | JACC: Clinical Electrophysiology https://t.co/SZMqG4GIxW

[Jacopo Imberti @JacopoImberti]

#AFib+HFrEF: State-of-the-Art Review📚

Recent data show SR restoration ⬆️ LV function & ⬇️death/HF hosp vs medical therapy.
🤔Should ablation be first-line or are we over-selecting responders?
🖇️https://t.co/6eq9GCyWfW

@JACCJournals @LuigiDiBiaseMD @nmarrouche @DhirajGuptaBHRS

[HeartRhythm @hrs_journal]

Prevalence of Left Atrial Thrombus in Patients with Atrial Flutter in Comparison to Atrial Fibrillation

https://t.co/fLnMME7iIg

[Panteleimon Papakonstantinou @PanteleimonPap2]

“Managing Atrial Fibrillation in Heart Failure: In Whom, When, and How?”

Int J Heart Fail. 2026 Jan 21;8(1):12-23.

🔗 https://t.co/2UhtVrKJ4j

@LiverpoolCCS

#AtrialFibrillation #HeartFailure #Electrophysiology #Cardiology #EP #EPeeps

[LAHRS @LAHRSonline1]

Congreso #Ritmo26
11-13 Marzo, Córdoba, España 🇪🇸

Los socios LAHRS con cuota al día cuentan con becas en la inscripción PRESENCIAL a dicho evento
Este beneficio tiene validez hasta el día 23 de Febrero
Solicite su beca a [email protected]

https://t.co/jmaQ05s5sl

[LAHRS @LAHRSonline1]

🆕🆕Consenso 2025 de upgrade y downgrade en CIED
EHRA, APHRS, CHRS, HRS, LAHRS
@ESC_Journals @EuropaceEiC
@HRSonline @APHRSOfficial
https://t.co/6eTQD1cpVr

[HeartRhythm @hrs_journal]

Impact of Atrial Fibrillation Ablation on Bi-Atrial Strain: Differences between Left and Right Atrial Function

@touchiiiii

https://t.co/lj9hjnYBDx

[Federico Migliore @Fede79Miglio]

Antiarrhythmics Management During Electrophysiology Procedures: A Stepwise Approach - Mugnai - Journal of Cardiovascular Electrophysiology - Wiley Online Library https://t.co/tWHGMHSKHz

[Edgardo Alania @Ed_Alania]

🔴Atrial fibrillation & HFpEF: diagnostic challenges & therapeutic opportunities @Heart_BMJ #Cardiology #CardioX #CardioEd

[Roderick Tung @DrRoderickTung]

Congrats to @Peteweissmd and collaborators on this first-ever Early Feasibility Study to evaluate Ultra-Low Cryoablation for Scar-Related VT Ablation. We greatly appreciate @US_FDA initiatives to prioritize early technology evaluations in the US. #FirstinPHX #ablateVT
https://t.co/qdAmeGA1Lv

[LAHRS @LAHRSonline1]

Congreso #HRS2026

Beneficio Socios LAHRS
Bonificación del 75% en la inscripción PRESENCIAL al congreso HRS en la ciudad de Chicago 🇺🇸

Solicite su código de beca a [email protected]
https://t.co/70d94Xa5d1

[Oliverio @LuisOliverio]

Recién salidas del horno: Guía AHA, 2026, de Evento Vascular Cerebral (EVC) Isquémico. Cambios o puntos relevantes:

🔴 Tenecteplase vs. Alteplase (Cambio Mayor) Se recomienda el uso de Tenecteplase (0.25 mg/kg, bolo único, máx. 25 mg) como una alternativa de primera línea, no inferior a la Alteplase, para pacientes elegibles en la ventana de 4.5 horas. Nota: La dosis de 0.4 mg/kg de Tenecteplase no se recomienda por falta de beneficio adicional y mayor riesgo de seguridad.

🔴 Ictus Leve No Incapacitante: En pacientes con déficits leves que no son incapacitantes (ej. síndrome sensitivo aislado, NIHSS bajo sin impacto funcional) dentro de las 4.5 horas, no se recomienda la trombolisis IV. Se prefiere la doble antiagregación plaquetaria (DAPT).

🔴 Trombectomía (EVT) en "Large Core": Se amplía la indicación de trombectomía mecánica para incluir pacientes con infartos de núcleo isquémico grande establecidos (ASPECTS 3-5), (antes eran excluidos).

🔴 Se desaconseja la reducción intensiva de la PAS (<140 mmHg) tras una reperfusión exitosa. Objetivo: TA <180/105 mmHg en las primeras 24 horas.

🔴 Oclusión de Arteria Basilar: realizar trombectomía en pacientes con oclusión de la arteria basilar a las <24 horas si NIHSS ≥10.

🔴 Control Glucémico: mantener entre 140-180 mg/dL.

🔴 Ventanas Extendidas de Trombolisis: Se recomienda el uso de trombolisis IV en ventana extendida (4.5 a 9 horas o ictus del despertar) en pacientes seleccionados mediante imagen avanzada que demuestre mismatch (DWI-FLAIR o Perfusión).

🔴 Nuevas Guías Pediátricas: Por primera vez se incluyen recomendaciones específicas para pediatría

Vamos a revisarlas a fondo para actualizar las apps.

[Europace Editor-in-Chief @EuropaceEiC]

#Europace #Epepps

🤔What is the Impact of Saline Irrigation on Hemolysis, Silent Cerebral Lesion, Thermal Dynamics and Bubble Formation in PFA ❓

check here
🔗https://t.co/YMXt2Fi5uJ

@GiulioConte9 @FraSantoroMD @marcovitoloMD @Dominik_Linz @DavideMei93 @AndyZhangMD

[JAMA Cardiology @JAMACardio]

Among 409 patients undergoing #transcatheter aortic valve replacement, intraprocedural block occurred in the atrioventricular node or His bundle, with site-specific predictors for intraprocedural and delayed heart block.

https://t.co/KOQePnxJB0

[HeartRhythm @hrs_journal]

The anatomy of atrial conduction: a review of anatomical landmarks integrated with computed tomographic virtual dissection to provide a road map for right atrial pacing #OpenAccess

@JustinTretterMD

https://t.co/v1axQpuSJ7

[EuroIntervention @EuroInterventio]

The D-PACE score and algorithm is a simple tool to predict the occurrence of high-grade AVB between 24 hours and 30 days after #TAVI, thus being potentially helpful to select patients for early discharge without compromising safety.
READ OUR #EIJBestOf PAPER 👇

https://t.co/bDkyH3buNv

@fra_bendandi @Ale_Mazzapicchi @gabriele_ghetti @Vale_Frittitta @AlessandroCom20 @ssammartino98 @dipietro_elena @tambucor @barbanti_marco
@PalmeriniTullio @saia_francesco