Top Tweets for #CircEP
Epicardial VT RFCA in pediatric ARVC is underreported but appears safe. Substrate evolves fast; 73% VT-free after repeats, 13% need transplant #EPeeps #PedsCardiology #HeartRhythm #CircEP @wgstevenson1 @ep_travis @Eva_CabreraB @DrSalahwany_EP https://t.co/9PpYzgY03z

So, PFA causes bipolar signals to disappear instantly. How do you know when you're "done"? The answer is in optics. This platform can be adapted to any PFA catheter! #CircEP
Optical imaging PS-OCR can predict long-term chronicity of PFA lesions and guide the ablation procedure with a sensitivity of 96% and a specificity of 83% @MartinsRaphae15 @M_Terricabras @LluisMont2 @Peinado1 @atulverma_md #AHAJournals #Epeeps https://t.co/huA6hLbDLG

2/ left atrial dwell, and radiofrequency times with vHPSD ablation #CircEP #AFib #ablation #very_high_power_short_duration @SzegediNandor @gabor.orban_ep @bogamarton @zoltansallo0121 #AHAJournals #Epeeps https://t.co/WngIIGIQnN
In pts with implanted devices
📌relatively long episodes of AF (≥5.5 h in any given day in the last 30 d) confer
♦️marked (OR >4.2), but
♦️short-term ⬆️ in stroke risk (OR 17.4 within 5 d and 1.0 beyond 30 d of AF episode)
@leftbundle @netta_doc @TJaredBunch #EPeeps #CIRCEP

Meta-analysis: in CRT-eligible pts with NICM, addition of defibrillator therapy is not associated with significant ⬇️ in all-cause mortality @VKutyifa @JagSinghMD @Hisdoc1 @narrowQRS @JonPicciniSr @JorgeERomeroMD @aalahmadmd @DrJasonAndrade @drrakeshg1 @DhirajGuptaBHRS #CIRCEP

Abstinence from alcohol improves clinical outcomes of catheter ablation for AF @DrMarthaGulati @DBelardoMD @DrSheilaSahni @DrMauricioGon @iamritu @SABOURETCardio @rafavidalperez @PrashSanders @AnastasiaSMihai @adribaran @Dominik_Linz @drjohnm
#CIRCEP https://t.co/c8UXBOSYii

Cardio neuromodulation with unifocal right-sided anterior GP ablation is effective & safe in most pts with VVS or functional SND @DrRoderickTung @MDTolgaAksu @Dominik_Linz @CarinaHardy4 @DhirajGuptaBHRS @drrakeshg1 @DrJasonAndrade @adribaran @SABOURETCardio @martinkstiles #CIRCEP

In pts with parox AF, RF and CRYO cath ablation produce similar moderate to high PVI durability (76% vs 81% of veins with all veins isolated in 47% of pts) & marked⬇️in AF burden (99.9% & 99.3%) @DrJasonAndrade @LuigiDiBiaseMD @atulverma_md @DhirajGuptaBHRS @nmarrouche #CIRCEP

CABANA trial: ablation pts -compared to drug pts- show a greater amount of reverse structural remodeling (⬇️in LA volume index & mean PV ostial diameter) & these changes are associated with⬇️risk of recurrence & a trend toward improved outcomes @JonPicciniSr @TJaredBunch #CIRCEP

Metanalysis: In primary prevention pts with LVEF improvement to >35% (1/4 pts) or w/out prior appropriate ICD therapies (2/3 pts) at the time of generator change, the risk of VA remains substantial, suggesting that generator change is a reasonable option in these pts #CIRCEP

In AF pts undergoing RF catheter ablation, the rate of complications, in particular hemopericardium, is significantly higher in elderly people, especially women with thin antral wall thickness @Dominik_Linz @DrJasonAndrade @LuigiDiBiaseMD @Dr_Santangeli @TJaredBunch #CIRCEP

The first clinical use of single pulse irreversible electroporation ablation as a promising new technique for rapid and safe PV isolation in pts with AF has been reported in #CIRCEP @DrRoderickTung @LuigiDiBiaseMD @DrJasonAndrade @EJSMD @DhirajGuptaBHRS https://t.co/5uNqqtdjAE

LBBP is a reliable method for physiological pacing in pts with either a bradycardia/HF pacing indication with high success rates and low complication rates during long-term f-u @Hisdoc1 @DrRoderickTung @gautamsandv @drrakeshg1 @DhirajGuptaBHRS @JorgeERomeroMD @rdschaller #CIRCEP

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