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1/2 🤔Referred for a strange structure in right atrium. 💡Take a look this 2D/3D TOE focused on RAA anatomy 👉 This "band-like structure" is called TAENIA SAGITTALIS, the most prominent pectinate muscle originates from crista terminalis extending upwards and anteriorly #echofirst

PFA full ⭕️ from our early days with DC current delivery ⚡️- tune in now via HRS365 with Amin Al-Ahmad, MD #EPeeps #PFA Kamala Tamirisa MD Prash Sanders

Striking differences between RF and PFA in esophageal injury in animal models #EPeeps Amin Al-Ahmad, MD Kamala Tamirisa MD Mehak Dhande, MD (she/her) Prash Sanders Andrea Natale MD

vascular as well

#PFA is tissue-selective in pre-clinical studies. However, in clinical trials, there are reports of coronary spasms and reversible phrenic nerve palsy. What would be the mechanism of coronary spasm and PNP with PFA? Amin Al-Ahmad, MD Prash Sanders Andrea Natale MD Heart Rhythm Society

Durability remains a question in PFA, as some clinical studies have shown late recurrence in AF patients. Much to learn about delivery device engineering, intra-procedural endpoints, pulse settings. Exciting time for PFA! ⚡️ 🫀 Amin Al-Ahmad, MD Kamala Tamirisa MD Prash Sanders #EPeeps

Now the vast clinical experience from Andrea Natale MD on #PFA #TheBeat Heart Rhythm Society

To not compare 🍎w🍊. Unipolar/bipolar #pulsedfieldabaltion are not the same.#EPeeps Heart Rhythm Society #TheBeatHRS #CardioTwitter

🔑 points re #pulsedfieldablation 🚨contact is important 🚨disappearance of EGM doesn’t mean durability 🚨safer to stack lesions without esophageal injury 🚨stroke risk exists Heart Rhythm Society Kamala Tamirisa MD Prash Sanders Amin Al-Ahmad, MD

Tissue proximity is necessary to achieve deep and durable lesions with #PFA. How to determine catheter-tissue proximity when using PFA? Heart Rhythm Society Prash Sanders Clinton Thurber MD Mehak Dhande, MD (she/her) Kamala Tamirisa MD Amin Al-Ahmad, MD Andrea Natale MD

From Andrea Natale MD - PFA effective on posterior wall in persistent AF, durable, in study from Vivek Y. Reddy #EPeeps Kamala Tamirisa MD Mehrdad Emami Prash Sanders Mehak Dhande, MD (she/her) Amin Al-Ahmad, MD

PFA is emerging as a tissue-selective technology; however, a large clinical series showed the incidence of reversible phrenic nerve palsy. There is still a lot to learn about #PFA Heart Rhythm Society Clinton Thurber MD Prash Sanders Mehak Dhande, MD (she/her) Amin Al-Ahmad, MD Andrea Natale MD

📖 re coronary artery spasm & #pulsedfieldablation 🚨not seen w PV/posterior wall 🚨seen w CTI ablation more so without nitroglycerin - none a/w EKG changes Vivek Y. Reddy Clinton Thurber MD Prash Sanders Kamala Tamirisa MD #EPeeps #EPFellows #Cardiology

How close can PFA be delivered to the coronary arteries without causing coronary spasm? #PFA Heart Rhythm Society Prash Sanders Clinton Thurber MD Mehak Dhande, MD (she/her) Amin Al-Ahmad, MD Boris Schmidt Andrea Natale MD

#PFA ICE can only confirm PFA catheter (spline) and tissue contact when PFA is used. Spline-tissue proximity does not equate to electrode-tissue contact. Heart Rhythm Society Prash Sanders Boris Schmidt Melanie Gunawardene Clinton Thurber MD Mehak Dhande, MD (she/her)

I'm pleased to announce our manuscript examining 25-year Australian trends in acute MI, coronary revascularisation procedures and associated costs has been published in Heart_BMJ. Chris Wong Prash Sanders Bradley Pitman Celine Gallagher Samuel Tu CSANZ heart.bmj.com/content/early/…

Screening for #Afib - we need to refine more. How do we do better and what do we do with what we find? Our editorial: authors.elsevier.com/a/1gHGK,siTgdC… Melissa Middeldorp #CHRD Uni of Adelaide Central Adelaide

Great effort Bradley Pitman and Dennis H Lau - #AFib screening in difficult circumstances #CHRD Uni of Adelaide Central Adelaide

In the randomized LOOP study, AF screening resulted in the coincidental diagnosis of sinus node dysfunction or atrioventricular block in 1 of 5 participants, along with increased pacemaker implantations, but no change in risk of syncope or sudden death. ja.ma/3XuqL0d

The Beat Heart Rhythm Society - this episode in collaboration with #JHRS APHRS Official Rajeev kumar Pathak Mehrdad Emami Akihiko Nogami Haris Haqqani SaurabhKumar, MBBS, PhD, FCSANZ, FRACP, FHRS