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Fabulous day trip to Birmingham for #HRC2024 ⚡️Grateful to have been able to showcase a little snippet of our work from Liverpool Heart Rhythm on post-infarct VT (and when it might appear like SVT 🎭)

No better place to teach on the #EHRA Advanced AFib Ablation course than 3 days in sunny😎 Malaga with such expert faculty and enthusiastic delegates👇 Dr. Helmut Pürerfellner EHRAPresident Philipp Sommer Claire Martin Prof Dhiraj Gupta Melanie Gunawardene Philipp Sommer Tom De Potter Arian Sultan

#EPeeps ⚡️ ❓How do you differentiate scar from borderzone during VT ablation? ❓What voltage threshold do you use? Below, we present ⭐️Dynamic Voltage Mapping ⭐️, a novel approach to substrate mapping. Link: aerjournal.com/articles/dynam… #ablateVT Dr Vishal Luther A thread 🧵 1/x

Fantastic talk by Prof Dhiraj Gupta on the role of concomitant pulmonary vein isolation and left atrial appendage occlusion in select cohorts with atrial fibrillation. BHRS #EPeeps

Thank you Mark Mills for a fantastic summary of PFA practice in the UK! BHRSymposium Prof Dhiraj Gupta

Can you use PFA with Farapulse without GA and without Propafol? We assessed the feasibility in a pilot study LHCH Liverpool Heart Rhythm Dr Vishal Luther link.springer.com/article/10.100…

⚡️ PFA is performed under general anaesthetic or deep propofol sedation. This requires anaesthetic support in many countries, restricting use ➡️ In this study, we tested the feasibility of PFA under mild conscious sedation Prof Dhiraj Gupta #EPeeps Link: link.springer.com/article/10.100…

Post-Infarct Ventricular Tachycardia Masquerading as Supraventricular Tachycardia: Using 3D Mapping to Delineate the Circuit between Scar and His-Purkinje System Justin Chiong, Mark Mills, Dr Vishal Luther heartrhythmcasereports.com/article/S2214-…

Have a look at these ECGs 👀 What diagnosis comes to mind? We describe in Heart Rhythm Case Reports, a fascinating case series of narrow complex post infarct VT 🤯 How does this happen and why? A short 🧵 1/x

In our latest paper, we present data for the first ~1000 AF pulsed-field ablation cases with the pentaspline PFA catheter (Farapulse) across National Health Service England centres 🏥 Check out the open access article in Open Heart: openheart.bmj.com/content/11/2/e… #EPeeps🫀

PFA can be performed under fluoro guidance or high-density mapping. ❓ But what about mapping with the Farawave catheter itself? 📝 We report the feasibility of this approach in JICE link.springer.com/article/10.100… Dr Vishal Luther Prof Dhiraj Gupta #EPeeps 🧵 1/6

Epicardial atrial ablation Liverpool Heart Rhythm 👇 Endo anterior mitral line failed with residual conduction mid-line Block with epi #tactiflex RF near Bachmann’s - via transverse sinus between LAA and LUPV #EPICAF Abbott Cardiovascular Calum Phenton Prof Dhiraj Gupta John Silberbauer

#EPeeps 📖 Please complete our EHRA Scientific Initiatives Committee survey: 💉🩸 Vascular access site management during EP procedures Covers: Vascular access Vascular haemostasis/closure Anticoagulation management Bed rest/ambulation Complications surveymonkey.com/r/VA_EP

#EPeeps - our case reporting diffuse right coronary artery spasm occurring 45 minutes post PFA for AFib (PVI & posterior wall). Liverpool Heart Rhythm Could there be a link between PFA triggered hemolysis and delayed coronary spasm? Open-access HeartRhythm.  heartrhythmjournal.com/article/S1547-…

❓ How good are we as cardiologists at modifying lifestyle and risk factors in patients with atrial fibrillation? 🫀 🏃 🍔 ➡️ Check out the results of our EHRA survey published in Europace: academic.oup.com/europace/artic… Take home messages discussed below 🧵 Europace Editor-in-Chief 1/n

Join the #EHRA_SICsays discussion with Mark Mills & Stefan Simović on the recent #EHRA_ESC survey on Lifestyle and risk factor modification in atrial fibrillation 👉Find out more here 🔗bit.ly/4lT89Vj European Society of Cardiology Julian Chun

#EPeeps - tough case👇 ⚡️VF triggering pathway from CS diverticulum. Neck >5mm from PLV. 🥉Took 3 goes to get rid of it. Bumped each time - gave limited RF - back in 24hr. 🔥 Encircled neck (30W-20sec) with irrigated RF and its FINALLY gone! Liverpool Heart Rhythm #Alwayslearning

❓Is female sex a stroke risk modifier in AF? 📖 Female sex was removed from the CHA2DS2-VASc score in the 2024 ESC AF guidelines Our recent publication in JAHA explores temporal trends in the association between sex and stroke ahajournals.org/doi/10.1161/JA… Prof Dhiraj Gupta

Should we adopt a mandatory waiting time post single-shot PFA PVI? Largest real world data, we show ¼ cases have an acutely reconnected vein post 3D remap #reversibleelectroporation Thanks Abbott Cardiovascular for asking us Liverpool Heart Rhythm to lead on this study. Open access HeartRhythm👇

🚨 New in Europace! 🚨 Our EHRA survey of vascular access in EP shows big variation 🌍 🔹 1 in 5 rarely use US guidance 🔹 60% use figure-of-8 sutures, 33% manual compression 🔹 VCDs rare 🔹 Anticoag & bed rest vary widely 📣 Time to standardise? 🔗 academic.oup.com/europace/artic…