Cardiology Toolbox - Genetics for Cardiologists on #ESCTV this morning @JacobTfelt highlighting clinical red flags and family history tools for clinicians to think about in daily clinical practice
🖥️ A new study suggests that while #AI and large language models such as OpenAI’s GPT-4 show potential in aiding 12-lead ECG interpretation, effectiveness varies significantly with clinical context. GPT-4 alone in its current form may not provide accurate 12-lead ECG interpretation. Read more ⬇️
https://t.co/MCQOACFrPs
#CJC
#EHRAtopicweek ⚡ HOT & LOT-CRT
In some heart failure patients, LV lateral wall delay isn’t just a simple LBBB — it's driven by complex conduction system disease, myocardial scar, or electrical uncoupling.
🧠 Studies show CSP alone can’t always correct this. Even BiV-CRT has its limits due to non-physiological pacing, RV lead effects, and venous anatomy.
💡 That’s where HOT (His-Optimized CRT) and LOT (LV-Optimized CRT) come in.
👉 Consider HOT/LOT-CRT:
✅ At initial implant if CSP or BiVP give suboptimal ECG results
✅ As an upgrade if clinical or ECG response to CRT is suboptimal — especially in non-specific IVCD or mixed conduction disease
🔗https://t.co/YScGRlTJtM
@escardio@HaranBurri
Great start of the #EHRA_ESC CIED course in Vienna, Austria 🇦🇹
More than 150 participants dive deep into pacemaker, ICD and CRT learning and challenging troubleshooting cases!
With Julia Vogler, Carslten Israel, @drpmoskal, Torken Steel, Jan de Potter, @HaranBurri
#EHRA_ESC Survey on Cardioneuroablation: Key Insights!
🌍 202 participants from 40 countries
🎯 71% of responders target GPs systematically in both RA and LA; 16% ablate LA GPs only in no response after ablation in RA
🫀 90% rely on anatomical approach, 📈 59% prefer EGM-based, 🖼️ 20% use preprocedural imaging
✅ 80% efficacy reported
🔗 Find out more: https://t.co/iohaHYCYDp
🔥 During #EHRA2025, we witnessed some amazing late-breaking clinical trials!
The SINGLE SHOT CHAMPION trial, led by @TobiasReichlin & @CSticherling, was a randomized, controlled, non inferiority trial conducted at two centers in 🇨🇭
💥 210 patients with paroxysmal AF were randomized to either PFA ⚡ or cryoballoon ❄️ ablation, and all received an implantable loop recorder for continuous monitoring and were followed for 1 year. 📡
🔗https://t.co/jPwo3bAOM3
#EHRAtopicweek
Another #EHRA_ESC Consensus document unveiled at #EHRA2025 is Epicardial Ventricular Arrhythmia Ablation Consensus Statement by @ArashArya_EP & @LuigiDiBiaseMD 📕
This document is your go-to guide for tackling one of the most complex areas in EP💥
Inside you'll find expert insights on:
🏥 Institutional setup
👥 Patient selection
🛠️ Procedural tips & tricks
⚠️ Complication prevention
📘 Whether you're just starting or refining your epicardial ablation skills, this is a must-read for anyone in the EP world
👉 Dive into the consensus https://t.co/dEFv8KQ8el
#EHRAtopicweek @escardio
Single Shot Champion Trial - NEJM
🌟 PFA or cryo for paroxysmal AF
👉non-inferiority trial
👉n=210 patients, 1:1 randomization
❤️🔥ILR implanted in all patients
Primary endpoint 1st recurrence >= 30s
🙌non-inferiority met!
🙌lower rate of recurrences
🙌complications low in both
Final day at #EHRA2025 — let’s finish strong! 💥
These are my must-see sessions today:
1⃣ Consensus on Pharmacological Provocation Testing – 08:30, Room 3
2⃣ LBS: Ventricular Tachycardia – 10:45, Room 1
3⃣ AI in Arrhythmia Care – 13:15, Room 4
4⃣ Closing Session – 14:25, Room 4
The two 🆕 consensus paper presented TODAY at #EHRA2025 - Both of them published in @EuropaceEiC
1️⃣ Conduction System pacing
🔗🔗https://t.co/wGxBDcOCWS
&
2️⃣ Antiarrhythmic drugs
🔗🔗https://t.co/L5uAv8RBKv
Read them NOW!
@EHRAPresident
Fabulously theatrical opera and a memorable evening with inspirational colleagues at #EHRA2025 Faculty dinner at the historic Palais Ferstel #EHRAmotions
❓Does the PR interval matter for cardiac risks?
Chaoqun Zheng at the Young Investigator Award:
🫀 National cohort study using Danish Nationwide ECG cohort
🫀 9.022.066 ECGs
🎯 Short, long and temporal changes in the PR interval associated with risk and mortality!