xuxiaoyong

[xuxiaoyong @glmfe1]

Pulsed-field ablation and ultra-high-resolution mapping are opening a new era in AT treatment

[EHRAPresident @EHRAPresident]

⚡ #EHRATopicWeek on Atrial Tachycardias

Catheter ablation has become the preferred treatment strategy for most symptomatic or recurrent ATs, while antiarrhythmic drug therapy often shows limited long-term efficacy.

📌 Key concepts from the latest evidence:
• Beta-blockers and calcium channel blockers remain important for rate control
• Catheter ablation is now first-line in many patients
• High-resolution electroanatomical mapping has transformed our understanding of AT circuits
• Entrainment and activation mapping remain essential tools for distinguishing focal vs reentrant mechanisms
• Pulsed-field ablation and ultra-high-resolution mapping are opening a new era in AT treatment

💡 Success in AT ablation depends on identifying the “critical isthmus” — the key region maintaining the arrhythmia — while durable bidirectional block is increasingly recognized as a crucial procedural endpoint.

Importantly, recurrence remains a major challenge, especially in patients with structural heart disease, prior AF ablation, or extensive atrial scarring

Find out more in the #EHRA_ESC Consensus document on Atrial Tachycardias 👉https://t.co/T5EGaHI51q
@escardio @EuropaceEiC

[xuxiaoyong @glmfe1]

Where to burn?#epeep @Hapa_EP

[xuxiaoyong @glmfe1]

Outpatient parenteral or oral antibiotic therapy for infective endocarditis

[xuxiaoyong @glmfe1]

@DavidCallans when can we see this amazing book？

[xuxiaoyong @glmfe1]

SOO？#EPeeps @Hapa_EP

[xuxiaoyong @glmfe1]

SOO? #EPeeps @Hapa_EP

[xuxiaoyong @glmfe1]

SOO? @Hapa_EP #EPeeps

[xuxiaoyong @glmfe1]

SOO？#EPeeps @Hapa_EP

[xuxiaoyong @glmfe1]

@Hapa_EP @MASA02460147 Yes, PVCs are eliminated.✌️

[xuxiaoyong @glmfe1]

SOO？#EPeeps @Hapa_EP

[xuxiaoyong @glmfe1]

SOO #EPeeps @Hapa_EP

[xuxiaoyong @glmfe1]

SOO？#EPeeps @Hapa_EP

[xuxiaoyong @glmfe1]

@Hapa_EP @MASA02460147 The origin is the anterolateral papillary muscle with a local activation time of 23ms. NO ICE.

[xuxiaoyong @glmfe1]

@Hapa_EP @narrowQRS @CarinaHardy4 @ericlim1975 @javadm20 @finnakerstrom @MicheleB_MD @EPWoodsShop @ACH_epteam @Arritmias_HRC @rdschaller @TinaBaykaner @Siddmann @SplitHis @SchakrabartiEP @jczerpa @XCosteas @jeffrey_vinocur @natale_md Aorta or/and pulmonary artery contacting LA may be related to spontaneous scars.
https://t.co/bBJRyByqLR

[xuxiaoyong @glmfe1]

SOO? #EPeeps @Hapa_EP

[xuxiaoyong @glmfe1]

@Hapa_EP The PVC originates from left posterior fascicle，with a local activation time of 36 ms. HV（sr)=56ms,HV(pvc)=16ms

[xuxiaoyong @glmfe1]

A 43-year-old woman without structural heart disease, experienced sudden death in hospital. After successful CPR, ECG showed frequent PVCs. PVC-induced Ventricular fibrillation is highly suspicious. SOO? #EPeeps @Hapa_EP

[xuxiaoyong @glmfe1]

What’s the diagnosis? Multifocal atrial tachycardia or atrial fibrillation?#EPeeps #ECG

[xuxiaoyong @glmfe1]

SOO #EPeeps @Hapa_EP

[peterkistler MBBS PhD FHRS @peterkistler3]

PVI Vs PVI+PWI outcome in 338 patients with perAF at 12 mths presented at #ESC2022 ⁦@davidchieng⁩ ⁦@DrHariSugumar⁩