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Mapping the Functional Phenomena in the Left Atrium in Patients with Atrial Fibrillation. (Conventionally, 3D) Delivering an extrastimulus from coronary sinus every three sinus beats can be interesting. Conventionally. By simply observing the electrograms and the response

Functional phenomena predict recurrences of #AtrialFibrillation— finally on-line #HeartRhythmJ! One of our key discoveries is that many of these functional phenomena have normal bipolar voltage and are strongly linked to extracardiac structures (aorta and esophagus). Link

A must read article from Antonio Frontera & colleagues! Great concept! #FunctionalPhenomena! #Epeeps doi.org/10.1016/j.hrth….

Happy to have contributed to this relevant study on AF substrate mapping. Congratulations Antonio Frontera and colleagues ! Konstantinos Vlachos Stelios Tzeis

new & improved Actually Smart Summon makes Costco look easy

The functional substrate in patients with atrial fibrillation is predictive of recurrences following catheter ablation heartrhythmjournal.com/article/S1547-…

PVI+DZ would be an important mechanistic advance in the field.

32M w/WPW and left posterior AP. Inducible AVRT; antegrade ERP <170 ms. #EPeeps, look at those juicy signals in the sweet spot, mapped while pacing the epiLV (🙏Dr. Jackman!): less than 4 s RF #ablation and AP gone! Overall 41" fluoro (including transseptal puncture)! #LowFluoro

The Functional Substrate Predicts Recurrences of Atrial Fibrillation” is now online in Heart Rhythm Journal and free to download! 🔗authors.elsevier.com/a/1k3tC5VtUyWX… *Dual high-density mapping during sinus and paced rhythms is able to unmask functional, rhythm-dependent phenomena that

Presented at #AHA24: Among patients with ventricular tachycardia and ischemic cardiomyopathy, catheter ablation as an initial therapy led to a lower risk of adverse outcomes than antiarrhythmic drug therapy. Read the full VANISH2 trial results: nej.md/3Z5ECOD

Deeply honored and thrilled to have had the privilege of contributing to a Consensus Statement by the European Society of Cardiology (ESC) on Drug Therapy and Catheter Ablation for the Management of Arrhythmias in LVAD Patients. This document, now published in the Europace

Atrial fibrillation nomenclature, definitions, and mechanisms: Position paper from the international Working Group of the Signal Summit heartrhythmjournal.com/article/S1547-…

Must read 🆕 #ESC_EHRA Consensus Paper on arrhythmia management in #LVAD pts. tinyurl.com/5cn7en7d Focus on: 🔎Drug therapy 🔎Catheter ablation 🔎Peri-procedural aspects EHRAPresident ESC Council on Stroke Chairperson European Society of Cardiology Europace Editor-in-Chief Antonio Frontera Petr Peichl Thomas Deneke @simivicst #EPeeps

The Right Ventricular Moderator Band: From Leonardo da Vinci’s Drawings to Current Cardiac Imaging doi.org/10.1016/j.jacc… Cardiac Anatomy cardiacanatomyatlas.com

75yo w/ ischemic cardiomyopathy & recurrent atrial tachycardia. Ablation targeted both anatomical & electrical isthmi, resolving initial arrhythmia but inducing a second. Posterior circuit ablation achieved success. No tachycardia post-procedure. EP_Bot

Do you always rely on sinus rhythm voltage during atrial mapping? 👇 Change in atrial voltage maps during Cs pacing compared to sinus rhythm in a re-do procedure after PVI. Decremental pacing clearly elucidates functional substrate. pubmed.ncbi.nlm.nih.gov/40391692/ #EPeeps Pacing and Clinical Electrophysiology