Our recent paper examining arrhythmia recurrence and burden over 3 years of continuous monitoring is now available in JACC Journals Clinical EP. This paper shows several important messages that are relevant to clinicians and patients. a short 🧵 authors.elsevier.com/a/1ji%7EW,siTg…

1. The single-procedure 3-year success of PVI in paroxysmal AF patients was 39.6% when evaluated with the use of continuous rhythm monitoring. But this really does not tell the whole story and is easily misunderstood.

2. Atrial arrhythmia recurrence is “front-loaded” with progressively lower rates of recurrence as time increases from the index intervention. Specifically - almost 2/3 of failures occur within the first 6 months following ablation (including a blanking period)

3. those with recurrence in the first year post ablation had the highest AF burden (0.2%) but The AF burden in those with recurrences after year one was progressively lower (0.05 with recurrence in year two and 0.04 with recurrence in year three)

4. And, the longer you go without a recurrence post ablation the better the chance of remaining arrhythmia-free - At ablation - chance of being free of recurrence at 1 year was 54%, but at 1 year the annual freedom from recurrence was 84.0%, and at 2 years it was 87.2%

So, 1. The highest chance of recurrence is within 6-12 months following ablation, and these recurrences have higher AF burdens (more clinically meaningful) 2. Recurrences after a year are rarer (16% failure between 12-24m, 13% failure 24-36m) and are associated with Low AF burden

⚡️🫀 Suture-based (🪢) versus manual compression (💪🏻) for femoral haemostasis after electrophysiology procedures Our new article in Journal of Cardiovascular Electrophysiology ❗️Figure-of-8 suture with 3-way stopcock associates with ⬇️ 🩸🩸 Prof Dhiraj Gupta Dr Vishal Luther #EPeeps tinyurl.com/2m6nn2wz

Talk about a protected VT isthmus! ✋🛑 Masterclass in scar physiology on display in this pace-map induction w/ variable exit/S-QRS. Cherry on top: One beat advance + reset 🍒😎🔥 Non-inducible from RV and LV PES #AblateVT #Epeeps #Epfellows Smidt Heart Institute at Cedars-Sinai #CedarsSinaiEP

#PFA vs Mapping: "When a Wise Man Points at the Moon, The Fool Looks at the Finger" While the electrophysiology community is increasingly focused on PFA—often promoted by companies as a revolutionary tool to tackle atrial fibrillation—we must remember that true understanding

#Europace #Epeeps 👉Cardioneuroablation for reflex syncope🛌 and functional bradyarrhythmias🫀: Statement of #EHRA Heart Rhythm Society APHRS Official LAHRS 📚🔗doi.org/10.1093/europa… Giulio Conte Francesco Santoro, MD, PhD Marco Vitolo Ⓜ️ Xiaodong Zhang (Andy), MD, PhD, FHRS, FACC Dominik Linz Boriani Giuseppe

javad mikaeili Kevin Brady CarinaHardyEP Wayne Nazem Akoum Jordan Prutkin Fima Macheret, MD, MS Babak Nazer Andreas Müssigbrodt Jeffrey M Vinocur Dr. José Ángel Cabrera Lot of this is in the literature: doi: 10.1161/CIRCEP.120.009552 doi: 10.1111/jce.15387 There is a definite and significant learning curve

The Functional substrate. One of my favorite works from the past is the landmark study by Allessie’s group in 2004, which introduced a pivotal concept in cardiac electrophysiology: the discovery of functional slow conduction at the edge of an artificial line of block. In their

Great memories with great friends . Petr Neuzil is an incredible host and #Prague, Czech Republic is absolutely one of the most beautiful cities I have ever visited . Can’t thank the staff of Nemocnice Na Homolce for the warm hospitality they extended to us. A dream team led by

Antonio Frontera And this has been consistently demonstrated in atrial tachycardia. Extra stimulus from CSd revealing prolongation of complex fractionated signals corresponding to the critical site of atrial reentry! #Epeeps, #FunctionalPhenomena

Vascular Access Complications Following Catheter Ablation of Ventricular Arrhythmias: Impact of Vascular Closure Devices HeartRhythm Cleveland Clinic Heart, Vascular & Thoracic Chadi Tabaja Oussama Wazni Ayman Hussein MD heartrhythmjournal.com/article/S1547-…

Finally! #Epeeps doi.org/10.1093/europa…

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