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Large-scale aggregate data for left bundle branch area pacing as first line for CRT: climbing 🧗the pyramid of evidence Roderick Tung UAZ Medicine - Phoenix Hospital Clínic link.springer.com/article/10.100… * Mortality benefit -as primary endpoint- with LBBAP * Refers to: link.springer.com/article/10.100…

Tapped out on this Summit PVC. Earliest site GCV within 1cm of LM. Ablated from LVOT, RVOT, prox GCV. Half NS, 30W lesions for 3 min endocardial, only got temp suppression. Any other conventional options? Roderick Tung Amin Al-Ahmad, MD Anand Alex Turin AFPanico #EPeeps

A case of the missing 20ms… Despite double ant line, mitral flutter didn’t terminate. Map shows incomplete histogram due to epi bridge. Found endo landing zone laterally on base of appendage #EPeeps AFPanico Alex Turin Gina Glover Roderick Tung Amin Al-Ahmad, MD Anand

70 F with DCM, EF 35%, LBBB. Declined ICD. At implant, RV-LV 20ms was best, but left it adaptivCRT to test. Here are no pacing, adaptiv, RV-LV 20ms (still best) at 2 mo fu. How do you program your #LOT-CRT? @AjayPMD Roderick Tung Robert Schaller AFPanico Andreas Müssigbrodt #EPeeps

Another summit PVC, 23% burden. This time successfully ablated from the LA vestibule. Earliest signal was only ‘on time’, but site was close enough to the epicardium Gina Glover AFPanico Amin Al-Ahmad, MD JMC Roderick Tung Amole Ojo Anand Alex Turin #EPeeps

This weekend is week 2 of the Virtual Nigerian Cardiovascular Symposium *(Cardiovascular Imaging and Electrophysiology)* Ijeoma Ekeruo MD Emmanuel Ekanem Modele Ogunniyi, MD, MPH Dr. Funso Odunukan Ijeoma Isiadinso MD MPH FACC FASNC Punch Newspapers Hakeem Ayinde cvefonline.org/2024-symposium. Register 👇🏾 bit.ly/NCVS2024

#PVI is not blanket Rx for AF. We #EPeeps need to do a better job in identifying AF mechs on a patient to patient basis. Else, one would erroneously conclude dt #CBA is d best ablation modality for #PersAF Roderick Tung JMC AFPanico Amin Al-Ahmad, MD heartrhythmjournal.com/article/S1547-…

80 F for redo #AF abl. Previous PVI, PWI, CTI durable from previous year. AF is often driven by progressive atrial myopathy. Lifestyle modification I feel is not discussed enough #AfibAwarenessMonth AFPanico Alex Turin peterkistler MBBS PhD FHRS Faisal Merchant Prash Sanders #EPeeps

While #PVI is the foundational empiric Rx for #AF, tailoring therapy by understanding AF mechanism is often useful. In this #PAF case, #AF organized to AT after PVI, and was terminated on posterior wall. #EPeeps AFPanico Alex Turin Amin Al-Ahmad, MD Gina Glover

#Fluoroless transseptal via lower edge of ASD occluder device for redo fib and mitral flutter #EPeeps Amole Ojo Mansour Razminia AFPanico Alex Turin Dana Johnson MD MPH Amin Al-Ahmad, MD JMC Roderick Tung Daniel Alyesh

What’s happening? EP fellows chime in Faisal Merchant Mikhael El-Chami Alex Turin Amole Ojo AFPanico JMC Kalyanam Shivkumar MD PhD Roderick Tung Amin Al-Ahmad, MD Sergio Pinski Gregory Michaud Anand #EPeeps

The Most Significant Updates in Electrophysiology in 2024 hmpgloballearningnetwork.com/site/eplab/let…

The ultimate #cardioneuroablation debate. Let’s go! 8am, Room 33A-C Tolga Aksu, MD #HRS2025

The most important data out of this past weekend for me was the NEMESIS-PFA study. PFA causes extensive collateral damage and LA dysfunction compared to RF. More ablation isn’t better. AFPanico #HRS2025 #EPeeps