Asia Pacific Heart Rhythm Society (APHRS) scientific statement on stroke prevention strategies in patients with device-detected atrial fibrillation: the 4S-DDAF approach @LHCHFT @LivHPartners @APHRSOfficial @DhirajGuptaBHRS #Afib https://t.co/joLuslqXMF

I never thought that we would reach a stage that half of new doctors don't have jobs and are forced into benefits- yet we have people with no medical training doing the jobs of doctors! You couldn't make this stuff up

It saddens me greatly to echo this As a doctor of 18 years I would not recommend medicine as a career for A-level students Leave uni with £100K debt, competitive entry, rigorous exams, significant sacrifices ….for ⬆️% unemployment & replaced by those without a medical degree

1️⃣ Most people don’t realize how unusual the UK’s doctor-training model is until they compare it internationally. France, Germany, Australia, the Netherlands — all move doctors to independent practice years faster. The UK isn’t the norm. It’s the outlier.

OCEAN Trial 📌 In 👥 at risk for #stroke who had undergone successful AF #ablation at least 1 y erlier 👉 #rivaroxaban not superior to #aspirin to prevent embolic events #EPeeps #afib #CardioTwitter #MedTwitter @atulverma_md @PrashSanders @DrJasonAndrade @DhirajGuptaBHRS @Hragy

Presented at #AHA25: In patients with atrial fibrillation after successful ablation, rivaroxaban therapy did not lead to a significantly lower incidence of a composite of stroke, systemic embolism, or new covert embolic stroke than aspirin therapy. Full OCEAN trial results:

Phrenic Nerve Injury after Pulsed-Field Ablation: Quantification of Symptom Burden @DrMarkMills @DhirajGuptaBHRS @vish_luther https://t.co/WqMNBvjlxT

⚖️ Is it ethical *not* to reuse medical devices? 💬 “In countries where most patients will never afford a pacemaker, a reused one can save a life.” — @IsraelCarsten 🎧 Listen to the podcast episode 👉 https://t.co/XUQYLkAXrv 📊 The @EuropaceEiC report (Bonny et al., 2018)

Recent data suggest phrenic nerve injury occurs in up to 40% after pentaspline PFA. In our Farapulse PVI cohort, day-1 dyspnoea worsened in only 3%, suggesting largely subclinical injury. Read our letter in @hrs_journal: https://t.co/pqblWl5dNb @DhirajGuptaBHRS @vish_luther

#EHRAtopicweek on Sustainability in EP ✅ Reusing pacemakers and catheters is: 🩺 Safe — The recent Europace #EHRA_ESC Young EP survey found that over two-thirds (67.8%) of EPs have used reprocessed materials, most viewing them as safe and cost-effective. Published studies show

Honoured to conduct a fabulous 8 day ablation proctoring roadshow in India. Performed dozens of complex cases with local cardiologist colleagues in Hyderabad, Bengaluru, Delhi & finished by delivering talks at the IHRS meet in Vizag. India on cusp of massive EP boom: Jai Hind!

Now ONLINE Vascular access & closure management for electrophysiological interventions in 2025: Clinical Consensus Statement #EHRA @escardio @HRSonline 📖 https://t.co/yq10oVCBZk @GiulioConte9 @FraSantoroMD @marcovitoloMD @AndyZhangMD @Dominik_Linz @DavideMei93 @LuigiDiBiaseMD

Our consensus document on vascular access for EP procedures is in print! Group effort by #EHRA, #EAPCI and #ESC CV Surgery Working Group. https://t.co/Z1CHFB4afS

The new atrio-esophageal fistula

One of the many aspects of electrophysiology that I love is that you have to be a regular doctor, not just a proceduralist. This of course requires training in IM. But having to spend that much time in general medicine seems off.

In England, EP training is being squeezed by the need for dual accreditation in general internal medicine. We argue that this risks a generation of underprepared specialists. Our article in AER : https://t.co/xx4WVIVmLp @tom__slater @drashnisbet @DhirajGuptaBHRS @johnpaisey

📚New #AERJournal Article: "Electrophysiology Training in Crisis" 📚 Just Published! 🔓Access it here 👉 https://t.co/6KAweQL5t9 @dhirajguptabhrs @johnpaisey #Electrophysiology #Arrhythmia #MedEd #CardioEd

It’s been an absolute pleasure to have @DrMarkMills with us @LiverpoolEP @LHCHFT for his PhD for the past few years. He should be proud of all his achievements, and he is clearly destined for great things . All the best!

🚀 JCE paper: LAA diameter does not change after PFA! 👉 Our results support the safety of PFA and lay the groundwork for future studies investigating combined PVI + LAAO procedures. Great collaboration with @DhirajGuptaBHRS and Jakub Baran 📄

📌 Should blanking period after AF #ablation be maintained or abandoned? 👉 Pros 👉 Cons #EPeeps #afib #CardioTwitter #MedTwitter @drjohnm @purerfellner @DrJasonAndrade @natale_md @DhirajGuptaBHRS @PrashSanders @Dominik_Linz @JonPicciniSr @JagSinghMD @tomdepotter @ftrae @Hragy