Back from 3 days in gorgeous Rome as faculty & lecturer for the “EHRA Advanced AF Ablation course”. Great to represent @LiverpoolEP and meet so many AF enthusiasts from around Europe! I feel I learned as much from this stellar faculty as the delegates did! #alwayslearning

Last day as an EP Clinical Research Fellow at @LiverpoolEP. Loved my time at @LHCHFT and will miss it dearly! Now just crossing my fingers for my PhD viva. Grateful to my supervisors @DhirajGuptaBHRS @vish_luther and @LiverpoolCCS and my friend and colleague Peter Calvert.

Diffuse right coronary artery spasm occurring forty-five minutes post pulsed field ablation for atrial fibrillation #OpenAccess @vish_luther @LiverpoolCCS @LiverpoolEP @LHCHFT @justinchiong_ @DhirajGuptaBHRS https://t.co/VAyxueaz9K

“Characterization of acute residual pulmonary vein connections using electroanatomic mapping during pulsed-field ablation of atrial fibrillation” Our open access article/PDF is now available in Heart Rhythm @hrs_journal https://t.co/exLmPJ2Z1O @vish_luther @DhirajGuptaBHRS

⚡️How do women and men differ after AF ablation? In our study of 69,000+ patients, women reported more cardiac, respiratory, GI, and neurological symptoms within 1 month. We discuss potential reasons & solutions. 📄 https://t.co/gf2MWsQP9D @DhirajGuptaBHRS @vish_luther #EPeeps

Female sex independently modified stroke in atrial fibrillation between 2000–2019, though its impact attenuated over time. #AHAJournals @DrMarkMills @LHCHFT https://t.co/0955FoO5xd

This is good news👇 Pleased to see our publications from @LiverpoolEP used in these @NICEComms recommendations. @DrMarkMills @DhirajGuptaBHRS

Characterisation of Acute Residual Pulmonary Vein Connections Using Electroanatomical Mapping During Pulsed-Field Ablation of Atrial Fibrillation #OpenAccess @DrMarkMills @Vish_Luther @DhirajGuptaBHRS https://t.co/HLbGs3A8YQ

🚨 New in Europace! 🚨 Our EHRA survey of vascular access in EP shows big variation 🌍 🔹 1 in 5 rarely use US guidance 🔹 60% use figure-of-8 sutures, 33% manual compression 🔹 VCDs rare 🔹 Anticoag & bed rest vary widely 📣 Time to standardise? 🔗

Should we adopt a mandatory waiting time post single-shot PFA PVI? Largest real world data, we show ¼ cases have an acutely reconnected vein post 3D remap #reversibleelectroporation Thanks @AbbottCardio for asking us @LiverpoolEP to lead on this study. Open access @hrs_journal👇

❓Is female sex a stroke risk modifier in AF? 📖 Female sex was removed from the CHA2DS2-VASc score in the 2024 ESC AF guidelines Our recent publication in @JAHA_AHA explores temporal trends in the association between sex and stroke https://t.co/aeIoKgeT5L @DhirajGuptaBHRS

#EPeeps - tough case👇 ⚡️VF triggering pathway from CS diverticulum. Neck >5mm from PLV. 🥉Took 3 goes to get rid of it. Bumped each time - gave limited RF - back in 24hr. 🔥 Encircled neck (30W-20sec) with irrigated RF and its FINALLY gone! @LiverpoolEP #Alwayslearning

Join the #EHRA_SICsays discussion with @DrMarkMills & @simovicst on the recent #EHRA_ESC survey on Lifestyle and risk factor modification in atrial fibrillation 👉Find out more here 🔗 https://t.co/YYoS0RrnZJ @escardio @jongichun

❓ How good are we as cardiologists at modifying lifestyle and risk factors in patients with atrial fibrillation? 🫀 🏃 🍔 ➡️ Check out the results of our EHRA survey published in Europace: https://t.co/jELujPBVBE Take home messages discussed below 🧵 @EuropaceEiC 1/n

#EPeeps - our case reporting diffuse right coronary artery spasm occurring 45 minutes post PFA for AFib (PVI & posterior wall). @LiverpoolEP Could there be a link between PFA triggered hemolysis and delayed coronary spasm? Open-access @hrs_journal.  https://t.co/uXqqJ1336x

#EPeeps 📖 Please complete our EHRA Scientific Initiatives Committee survey: 💉🩸 Vascular access site management during EP procedures Covers: Vascular access Vascular haemostasis/closure Anticoagulation management Bed rest/ambulation Complications https://t.co/8tNH0fykPC

Epicardial atrial ablation @LiverpoolEP 👇 Endo anterior mitral line failed with residual conduction mid-line Block with epi #tactiflex RF near Bachmann’s - via transverse sinus between LAA and LUPV #EPICAF @AbbottCardio @CalumPhenton @DhirajGuptaBHRS @JohnSilberbauer

PFA can be performed under fluoro guidance or high-density mapping. ❓ But what about mapping with the Farawave catheter itself? 📝 We report the feasibility of this approach in @JICE_EP https://t.co/qR59RrAtOZ @vish_luther @DhirajGuptaBHRS #EPeeps 🧵 1/6

In our latest paper, we present data for the first ~1000 AF pulsed-field ablation cases with the pentaspline PFA catheter (Farapulse) across National Health Service England centres 🏥 Check out the open access article in @Open_HeartBMJ: https://t.co/M4fdwSfT3q #EPeeps🫀

Have a look at these ECGs 👀 What diagnosis comes to mind? We describe in @HRS_CaseReports, a fascinating case series of narrow complex post infarct VT 🤯 How does this happen and why? A short 🧵 1/x