Heartland Lead Management Symposium co-sponsored by Univ of Iowa and Mayo- Awesome opportunity for fellows & EPs. Register: uiowa.cloud-cme.com/course/courseo… #EPEEPS Allen Amorn MD Univ of Iowa Cardiovascular Fellowship Program Javaria Ahmad Aakash R Sheth, MD Rashad Khazi Syed

Simple trick - saved many procedures. 315H curve lands the lead on midseptum, while the more superior HB and prox LBB region is difficult to reach in approx 30% of cases - manual reshaping is the way to go (or 304H sheath - my standard now) #EPeeps, #dontdisthehis Paweł Moskal

Get updated in EP and CHF care if you are in the region. Team building tips by Iowa MBB Coach Fran McCaffery during special evening reception at Kinnick. Univ of Iowa Cardiovascular Fellowship Program Internal Medicine at Iowa @iowa Peter D. Farjo MD MS Michael Powers Chapman Arter Cathy Pierce @MooreElizabethA Udhayvir Grewal

There is a lot to uncover with RBBB physiology. We should question everything. #PPS8

Congratulations to St. David’s Medical Center & Drs. Andrea Natale & Amin Al-Ahmad for completing the first U.S. procedure using the Affera™ Mapping and Ablation System & all-in-one Sphere-9™ catheter. Learn more: bit.ly/3UH2t4E See risk info: bit.ly/4fzWl6e

Possibly the greatest single male athletic performance of all time

Parahisian PVC, always a challenge to ablate arrhythmias in this region. “We aware of your neighbors Fermin Carlos Garcia used to say”. Ablated from RCC. Andres Enriquez Luis Quininir, MD ECES FACC 🇨🇱 Roderick Tung Henry D. Huang

“I QUIT FOOTBALL” Dave Portnoy is sick of the refs giving the Chiefs every inch

Iconic Figure: My journey with the CARTO system, by Shlomo Ben-Haim, MD, DSc heartrhythmjournal.com/article/S1547-…

An image from the Amara Yad project renovation of McAlpine’s work-shows so many details that are highly relevant to clinical scenarios! Roderick Tung Usha Tedrow Edward Gerstenfeld Chittur Sivaram RTHahnMD Link to open access atlases from the Amara Yad project

Our recent review - Contemporary Trends in Pulsed Field Ablation for Cardiac Arrhythmias mdpi.com/2308-3425/12/1… Thanks to Tolga Aksu, MD, Hagai Yavin MD and our Rush University System for Health CV fellows Jonathan Gordon & Mark Prasad for helping put this together

Cardiac venous system mapping for ventricular arrhythmia localization, by Matthew Hanson, Carli Peters MD, Andres Enriquez, and Fermin Carlos Garcia Queen's University #EPeeps heartrhythmopen.com/article/S2666-…

Which Ablation Strategy Is the Most Effective for Treating Persistent Atrial Fibrillation? A Systematic Review and Bayesian Network Meta-Analysis of Randomized Controlled Trials heartrhythmjournal.com/article/S1547-…

Greatest 9 seconds in hockey history

Muscular arquitecture of the left atrium the 🔹subepicardial septopulmonary bundle overlaps with the 🔹subendocardial septoatrial bundle . Sharing with an enthusiastic group of young EP. Understanding anatomy is key to advancing the treatment of atrial fibrillation

A Rare, Potentially Fatal Complication of Fluoroless Atrial Fibrillation Ablation heartrhythmcasereports.com/article/S2214-…

Complications happen—to EVERY operator, but, I stand by my contention that flouroless ablation is an unnecessary parlor trick. 1-2 min of X-ray is not a problem. Plus, the same operator doing a zero fluoro case, often does a CRT device w 45+ min of fluoro.

Johnson and Johnson varipulse PFA AF ablation cases to resume after pause due to strokes. All is well, say the company as long as you adhere to the instructions for use. There are two other PFA devices on the market with proven safety. And no stroke signal. And no restrictive

This might be the best SNL skit in the last 20 years

Here is an actual macroscopic visualization of the AV node. This is such a crucial structure in the heart and has implications for the treatment of so many cardiac conditions.