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

Thanks to the 🇮🇹#Epeeps Association AIAC for hosting a presentation of our book "An atlas of #ConductionSystemPacing"! Join us tomorrow at 6.00 pm CET, here👉us02web.zoom.us/j/82142263433 (free webinar link). #CSP #DontDisTheHis #LBBAP With Francesco Zanon & G. Dell'Era 🙏

#Epeeps, look at the map and juicy diastolic buffet (©️Roderick Tung) of this persistent atypical atrial flutter in a 76M with ICM and HFpEF s/p CTI-dependent flutter ablation 1year earlier. A wide ant. LA scar was the substrate: SR during RF #ablation 🔥on the anterior line!

Grateful for having our abstract accepted for presentation at #EHRA2025. Topic: #CSP vs #BiV upgrade in patients with #HF and pacing-induced cardiomyopathy. #Epeeps, stay tuned and see you soon in Vienna! #DontDisTheHis #LBBAP #CRT

64M w/mechanical Ao valve & mitral ring presented with symptomatic persistent atrial flutter. #Epeeps, here the HD mapping, identifying a post-incisional RA macro-reentry: filtering for high frequency signals helped in reducing the #ablation area. RF there🔥and AFl gone! Kevin Brady

69M with CRTD indication for HFrEF, DCM, LBBB, NYHA III. #Epeeps, always look carefully at ECG details, as they can often suggest you the optimal resynchronization strategy! And #DontDisTheHis! Gopi Dandamudi Dr. Pablo Moriña Vázquez Marek Jastrzębski curilakarol micogriecomd Óscar Cano

17yoF with recurrent palpitations and normal heart. Easy inducibility of an orthodromic AVRT using a left-sided accessory pathway. #LowFluoro (1'20" XRays) transseptal approach. AP mapping with juicy potentials: RF #ablation in the sweet spot and AP gone in a second!🔥#Epeeps

#Epeeps, here 👇 our recently published study about the short-term safety profile of two different single chamber #leadless pacemakers! With Pietro Palmisano and many colleagues from a nationwide 🇮🇹 registry.

54M with high burden, refractory monomorphic PVCs complicated by LV systolic dysfunction (EF 46%, no LGE on MRI). Challenging #ablation of the left-sided focus, finally getting complete PVC suppression at the aortomitral continuity. #LowFluoro (1s!) and only 1 catheter! #ablateVT

#EHRA2025 has been a great opportunity to learn from Masters, to meet friends and colleagues and to share ideas and views with them. Thanks to EHRAPresident and all the organizers of this fantastic Congress! European Society of Cardiology #Epeeps

A 58M was referred for redo #ablation of a right anterior para-septal manifest accessory pathway with frequent AVRT episodes. AP gone after careful mapping and about 1 s radiofrequency in the sweet spot.🔥No need for fluoroscopy! #NoFluoro #MapMoreBurnLess #Epeeps

11(a record for me!)F with WPW and 240 bpm orthodromic AVRT. #Epeeps, enjoy the juicy AP potentials seen during prox CS pacing, taking advantage of the oblique course of AP (🙏Prof. Jackman!). RF #ablation almost immediately effective in the sweet spot. #NoFluoro and no sedation!

Challenging implantation of a #leadless PM in a 74yo lady w/perm AF and symptomatic asystolic episodes: a marked scoliosis required careful manoeuvres. Thanks to Eng F. Carrozzo for the valuable technical support, in his last procedure yesterday as an Abbott employee!#Epeeps

Proud of our brilliant #EPeeps fellow, Salvatore Bonanno, here 👇🏻 in one of his first procedures of "pace and ablate", with conduction system pacing #CSP! Congrats! 👏🏻💪🏻 #LBBAP linkedin.com/posts/salvator…

#Epeeps, please do not abandon His bundle pacing! Look at our latest data here👉tinyurl.com/HBPCOI about long-term outcome of #dontdistheHis with CurrentOfInjury vs #LBBAP. And guess what..? No difference in the risk of lead-related complications! Francesco Zanon Dr. Pablo Moriña Vázquez

Thought-provoking #LBBAP case today: how many #Epeeps would have stopped lead advancement at spot a) or b) instead of looking for QRS transition on UNI capture threshold test (only seen -and multiple- at spot c)? Would you have considered #ConductionSystem captured in spots a/b?

#Epeeps, here my first PM implant using a persistent left sup. vena cava. In my few previous cases with this anomaly, indication was #CSP, CRT or ICD and I chose the right side. Not this time. Be creative with your stylets and consider longer leads for RV! linkedin.com/posts/cesario-…

LV summit PVC #ablateVT in a 64M with high burden, refractory monomorphic PVCs complicated by LV dysfunction (EF 40%, no LGE on MRI). Best precocity with juicy signals only in the great cardiac vein. RF 🔥on the endocardial aspect of LV summit suppressed PVC in seconds. #NoFluoro

59F with drug-refractory 2:1 paroxysmal AT; myopericarditis 5y ago. HD mapping revealed huge scars in the RA with reentry in between. #Epeeps, enjoy the pretty signals (& DiastolicBuffet©️) in the isthmus and all around! RF #ablation in the sweet spot restored SR. ..and #NoFluoro