We published a novel AT mechanism: localized re-entrant atrial tachycardia involving the coronary sinus (CS-AT). Rare (~1%), mimics focal AT, requires CS mapping. Therapy: LA–CS ablation or VoM ethanol infusion. 🔗 https://t.co/yOLYuaGl2X #EPeeps #CardioTwitter #JACCEP

EPs: Dr. Peter Schwartz calls for Calmodulinopathy patients (mutations in Calmodulin ➡️ LQT, CPVT, IVF) to be added to ICamR Registry. Help drive research. Details in #JACCEP: https://t.co/8f5eiBApIr #EPeeps @shivkumarmd

⁦@dredcronin⁩ and us put together these 2 rare cases of permanent his injury that’s now out in JaccEP. Something to keep an eye out for...

The most simple and inexpensive tool to detect AF! #JACCEP

In pts with with frequent PVCs w/o apparent cause, CMR can identify myocardial abnormalities indicative of worse prognosis in 16%. Male gender, family history of SCD/CM, multifocal PVCs & non−LBBB inferior axis morphology are significant predictors of these abnormalities #JACCEP

to share: Elegant- STATE-OF-THE-ART REVIEW @JACCJournals #jaccep CSP Comprehensive Update @Hisdoc1 @MihailChelu @curilakarol @GDandamudiMD @BengtHerweg @ShumpeiMori @Marek_Jastrz_EP @psharmadoc @shivkumarmd @DrRoderickTung @ Upadhyay @kvernooy @ Welter-Frost @ZacharyWhinnett

In a meta-analysis of observational data, no differences were found in the occurrence of stroke, major bleeding, device-related thrombus, and all-cause mortality in pts treated with short-term OAC or antiplatelet therapy following LAA occlusion #JACCEP

SGLT2-I in T2DM ⤵️ recurrence after AF ablation ⤵️ need for cardioversion, AAD therapy, or re-do AF ablation Propensity-score matching, n= 2,225 patients in each cohort Moh'd Rasheed Abu-Qaoud et al @JACCJournals #jaccep Cited J Am Coll Cardiol EP. Aug 09, 2023.

Open-chest epicardial mapping & #AblateVT at #LVAD implantation for a pt in #VTStorm. Such a (literally) cool case from @BadhwarNitish & team! Here's a video of some empiric endo cryo around the new inflow cannula: More here: https://t.co/l1wE8g5tCM #JACCEP @JACCJournals

AV synchronous pacing using a leadless ventricular pacemaker: MARVEL 2 study - L. Chinitz * Median AV synchrony: 26% in VVI 94.3% in VDD * >70% w postural maneuvers * ↟stroke volume * Appropriate mode switching #JACCEP paper: https://t.co/slmwgKha9e #EPeeps #AHA19

PFA #farapulse Long-term 🏋️‍♀️ Clinical Outcomes in the Treatment of Paroxysmal AF Musikantow et al @JACCJournals #jaccep Cited: J Am Coll Cardiol EP. Aug 09, 2023. Epublished @shivkumarmd @C_Meyer_MD @JonPicciniSr @MaullyShah @utedrow @MRuwald @BA_Mulder @KTamirisaMD

Check out our latest research paper in press in #JACCEP on ventricular arrhythmia substrate distribution and its relation to sympathetic innervation in NICM! @C_Jungen @KatjaZeppenfeld @PiersSebastiaan @EP_Leiden https://t.co/Zji5rhfD9H #EPeeps #WECAM #CAHAL #LUMC

Top 10 #JACCEP articles re: #AFIb as reviewed by David Wilbur at #WAFib2020 (THREAD): 1) Pulmonary Vein Reconnection No Longer Occurs in the Majority of Patients After a Single Pulmonary Vein Isolation Procedure https://t.co/wN1CcqF49G #WAFib2020

Catheter ablation of AF is effective in athletes: multiple-procedure freedom from arrhythmia -off AADs- is 86%, 76% & 56% for parox, pers & LS-pers AF, respectively, at 3y fu. Early ablation (within 2y of initial diagnosis) is associated with improved success rates #JACCEP

Figure illustrating the ANS modulation therapies -vagus nerve stimulation, tragus stimulation, renal denervation, spinal corde stimulation, baroreceptor activation therapy, & cardiac sympathetic denervation- proposed for the Tx of various cardiac arrhythmias @shivkumarmd #JACCEP

Patients with sustained ventricular arrhythmias (VA) preceded by atrial high-rate episodes (AHRES) in the previous 48 hours or during AHREs are exposed to an increased risk of VA recurrences (HR=1.78) and overall mortality (HR=2.67): causation or causality? #JACCEP

A manuscript I am particular proud of. I cured every single detail and it was a real pleasure to go through EGMs.Can we differentiate LAVA and LPs playing active vs bystander role in the VT circuit? #AmplitudeIsTheKey! #ablateVT - Just released on JaccEP https://t.co/AXBd1U47RB

🎥PREVIEW🎥 New @JACCJournals #JACCEP issue! ✨Focus on Atrial Fibrillation✨ * #PulsedFieldAblation studies * New findings from #CASTLEAF * #RippleMapping * #Obesity * #ETOH * #DOACs & #BMI * #Dofetilide vs #Amiodarone & more! Read here: https://t.co/9dg4LID4ZH #EPeeps

STATE-OF-THE-ART REVIEW Purkinje-Related Ventricular Tachycardia and Ventricular Fibrillation elegant Nogami et al @ JACCJournals #jaccep citeddoi. org/ 10.10 16/j.jacep.2023.05.040 c @shivkumarmd @C_Meyer_MD @JonPicciniSr @MaullyShah @utedrow @HanCardiomd @FH_Verbrugge