Jonathan Ariyaratnam
@JonathanAriya
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Cardiac Electrophysiology Fellow, Centre for Heart Rhythm Disorders | University of Adelaide | Royal Adelaide Hospital
Joined November 2019
Honoured to present our work on cardiorespiratory fitness and atrial remodeling at #HRS24 @HRSonline last week. Manuscript available online as simultaneous publication at @JACCJournals
https://t.co/NzPozQy53c
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🚨 New from #CHRD in JACC EP: Obesity presents a unique phenotype of HFpEF In AF patients, obesity & ↑ epicardial adipose tissue drive higher atrial pressures, pericardial restraint & greater prevalence of HFpEF Targeting weight loss may improve symptoms & reduce HF risk.
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Obesity is a major driver of AFib. Our latest review in @HeartLungCirc explores the pathophysiological links & how lifestyle & pharmacological therapies may help reduce AF burden. 📄 : https://t.co/X93Jn6jd8s
@Elliott_AD @JonathanAriya @melissaemm1 @PrashSanders
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Looking forward to presenting the CAAN-AF study as a Late-Breaking Clinical Trials: recent advances in CIED therapies at #ESC2025 @escardio Link to methodology paper: DOI: 10.1016/j.hroo.2025.07.018 @UniofAdelaide #CHRD
@nhmrc
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@JonathanAriya shows that many AF ablation patients have subclinical HFpEF — elevated filling pressures, impaired reserve, yet no ‘diagnosis.’ If it’s there and it matters, shouldn’t we be treating HFpEF while we ablate? 🔥❤️🩹 #AFib #HFpEF #CSANZ2025
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HFpEF + AFib = a toxic duo. @JonathanAriya work shows AF isn’t just a bystander — it worsens haemodynamics, drives symptoms, and fuels hospitalisations. If AF is part of the problem, shouldn’t ablation be part of the solution? 🔥❤️🩹 #AFib #HFpEF
#CSANZ2025
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🚨 New study out now! Can your pacing lead handle a hypertrophied septum? We developed an ex-vivo ovine model to test Stylet Driven vs Lumen Less Leads in thick septa. 🧠 SDLs went deeper, faster, and with less torque. 📄 https://t.co/dVN4BpynDV
#EPeeps #LBBAP #CardioTwitter
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Not all symptoms are equal‼️ @JonathanAriya outlining the significance of Exertional Symptoms 🗣️ in the LAST-AF cohort. Another piece in the puzzle for EARLIER detection of HFpEF in patients with AF #HRS2025 #CHRD
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"Invasive and non-invasive assessment to determine correlation of symptoms and HFpEF in patients with AF" 🌟 A fantastic presentation by @JonathanAriya, shedding light on the significant impact of HFpEF in patients, even following successful AF ablation. @UniofAdelaide #CHRD
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Outstanding talk as usual from @PrashSanders! #Obesity leads to #HFpEF physiology thru ⬆️ volume load ⬆️ pericardial restraint (epicardial fat) ⬆️ atrial cardiomyopathy Which leads to #AFib from ⬆️ intracardiac pressures ⬇️ cardiac reserve ⬇️ exercise capacity #WAFib2025
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impact of atrial fibrillation on oxygen uptake and hemodynamics in patients with heart failure: A systematic review and meta-analysis
academic.oup.com
AbstractAims. Atrial fibrillation (AF) may exacerbate exercise intolerance and haemodynamic limitations in individuals with heart failure (HF). Therefore,
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#JACCCEP multicenter RCT shows that CSI in addition to PVI & roofline ablation for first-time procedures in a small population of pts w/ paroxysmal & early persistent #AFib does not reduce AF recurrence after 2 yrs follow-up https://t.co/R4HPXJP0uj
@JonathanAriya @PrashSanders
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A big few days at The Asia Pacific Heart Rhythm Society Scientific Sessions in Sydney for the Centre for Heart Rhythm Disorders team sharing our research over: 🗣️ 27 talks 📊 26 posters @UniofAdelaide @sahmriAU @SAHMRI_Heart #CHRD #APHRS2024
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#APHRS2024 #JACCCEP LBCT SimPub: Adjunctive coronary sinus isolation as part of a de novo ablation strategy does not confer any additional benefit above pulmonary vein isolation and roofline for the treatment of high-burden atrial fibrillation. https://t.co/KZAEQVTwi0
#AFib
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#APHRS2024 #LBCT Coronary Sinus Isolation for high burden #AFib presented by @JonathanAriya Published simultaneously in @JACCJournals
https://t.co/4YdYkaMujo
@PrashSanders @melissaemm1 @Ant_G_Brooks @Kadhimad @Rajiv_EP @drrpathak
#CHRD @UniofAdelaide @CentralAdlLHN
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🧍♀️ associated with lower LA strain, perhaps some reason why women experience higher arrhythmia recurrence @aphrs2024 @PrashSanders
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@Kadhimad describing the ‘Freeman’ experience on MRI for patients with CIEDs. No major or minor adverse events. MRIs are ‘very largely’ safe for patients with CIEDs @aphrs2024
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@JonathanAriya discussing the association and mechanisms of cardiorespiratory fitness and AF in the Physical Activity and Endurance Athletes and AF session. #APHRS2024
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Looking at current interventions and future opportunities, @JonathanAriya of @UniofAdelaide discusses heart failure and AF at the @OzCvA Atrial Fibrillation Clinical Theme Workshop. @VandenbergJamie @PrashSanders @JonKalmanEP
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Do we need to screen HFpEF for AF? Should you try DCC to assess symptom burden when sinus rhthym is restored? Intervene early, pursue sinus rhythm aggressively, reduce and reverse remodelling? A lot of yeses today!!! @Phiso_de Michele Brignole, @RositaZakeri, @nmarrouche
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