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#Epeeps Stability is critical to RF ablation. This video highlights how ventilation changes can impact stability/CF. Watch as we changed from standard (500ml &12 breath/min) to High Frequency Low Volume (200ml&30 breaths/min). Notice the respiratory curve and CF graph 1/3

Ivo Roca, FEHRA, FESC Hagai Yavin MD e__peeps Cleveland Clinic @TallRoundsTM The most important consideration is how to deliver maximal current without overheating the sub-endocardium. This is a specific variable for each catheter based on its current density. With 3.5mm, 30-40W for 2-3 minutes (diminishing returns afterward).

Congratulations Hubert Cochet and Pierre Jais and team on a real tour de force: Pulsed field ablation selectively spares the oesophagus during pulmonary vein isolation for atrial fibrillation academic.oup.com/europace/advan… (note: COIs in paper)

Staph bacteremia in pts with CEID & no evidence of device infection, who do not undergo extraction: ✳️19% bacteremia relapse ✳️Relapse correlated with duration of bacteremia ✳️35% 1 yr mortality Empiric extraction associated w 72% decrease in mortality heartrhythmjournal.com/article/S1547-…

JMC Vigilance is all you can call for. However fancy this data from Framingham. No difference between stroke outcomes over long term follow up in secondary vs primary AF when detected clinically. Also recurrence is almost as often with secondary. pubmed.ncbi.nlm.nih.gov/25769640/

Contact Force (>20g) associated with esophageal thermal injury during High-Power Short-Duration #afib ablation. Elad Anter Moussa Mansour Atul Verma Luis C. Saenz, MD Thomas Deneke CircEP ahajournals.org/doi/10.1161/CI…

Congratulations to Marc Wish and the entire @IHVInews EP team on the first Impulse Dynamics Optimizer CCM implant in Northern VA! Very proud to offer this important therapy to patients with advanced HF. #EPeeps Christopher O'Connor Shashank Sinha, MD, MSc, FACC, FAHA, FHFSA Mitchell Psotka

Pleased to share AHA Scientific statement on ‘Managing AF in pts with HFrEF’ just published CircEP. ahajournals.org/doi/10.1161/HA… Many thanks to the writing group and reviewers for making this excellent guidance document possible AHA Science American Heart Association Circulation #Epeeps

Honored and Humbled to have been awarded the AHA Career Development Award! Thankful for my mentors for there ongoing support!

Interesting AF case yesterday.1st time persAF. Following PVI/PWI, rhythm transiently organized into MA flutter periodically, suggesting that it might be a driving circuit for the AF. This led to decision to do lateral MIL. We usually balloon occlude the CS to facilitate this.

Want to train in interventional cardiology with great faculty? And get access to world-class research? Consider applying for Interventional Cardiology fellowship Duke Heart for 2022-2023! DM if you're interested Manesh Patel Schuyler Jones Duke Cardiology

Redo persistent AF/tachyCM Friday with chronic IVC occlusion. Rather than transhepatic (requires interrupting AC), decided to do Pasquale Santangeli technique of left axillary.

MicraCED linked device registration w/Medicare to eval safety. No difference in complications or survival at 30d. Higher rate perf/effusion (Micra 0.8% vs TVP 0.4%) & lower rate device-related comps (Micra 1.4% vs TVP 2.5%). #EPeeps ja.ma/2Z2nttb via JAMA Cardiology

Congrats to #DukeEP Larry R. Jackson II, MD, MHSc who just received official notification of his K-award on Shared Decision Makong to Reduce Racial Disparities in OAC Use in Patients with #Afib from @nih_nhlbi #EPeeps Duke Clinical Research Institute Duke Department of Medicine Heart Rhythm Society

Device infections are NOT uncommon. 1️⃣Let’s inform our patients of the signs and symptoms of CIED infections 👩🏿‍⚕️ 2️⃣Let’s inform them that antibiotics aren’t enough 💊 3️⃣Let’s extract. The risk of extraction is low 👨🏽‍⚕️ We can do this. We can beat this. 💪🏾#Treat2BeatCIEDInfection

Dr Sean Pokorney highlighting the critical importance of timely extraction for CIED infection #ACC22 #EPeeps #Cardiotwitter ⁦Bruce Wilkoff⁩ ⁦JMC⁩ ⁦Robert Schaller⁩ ⁦Duke Heart⁩

Wanted to share our VOM EtOH experience for AF ablation over last 3 years. We initially reserved it only for highly selected patients though over the last year has become more routine. Disclaimer - not yet through peer review or published. medrxiv.org/cgi/content/sh…

Stalled progression and adjunctive mechanical tool use - important insights from the Duke LM Team: James Sampognaro, Maham Karatela, Rob Lewis, Sean Pokorney, DM Hegland, Eric Black-Maier Duke Heart DukeCTSurgery #EPeeps