Dirk Dechering

In patients with ischemic stroke and concurrent nonvalvular atrial fibrillation and ASCVD, adding an antiplatelet agent to anticoagulant therapy offered no net clinical benefit over anticoagulant monotherapy. ja.ma/4b3mJX6

Original Article: Early Withdrawal of Aspirin after PCI in Acute Coronary Syndromes (NEO-MINDSET trial) nej.md/3VeTJT8 Editorial: Discontinuation of Aspirin in Acute Coronary Syndromes Treated with Coronary-Artery Stents nej.md/3XJpxAK #Cardiology

For scar-related VTs, the exit predicted from a vector-based #QRS algorithm often differs from the location where ablation terminates the VT. This is an important consideration for use of the QRS to guide VT ablation strategies. jacc.org/doi/10.1016/j.… #JACCCEP #epAblation

Programmed ventricular stimulation for risk stratification in patients with myocardial scarring and mildly reduced or preserved ejection fraction #OpenAccess heartrhythmjournal.com/article/S1547-…

OCEAN just published in NEJM. In AF patients >1 yr after successful ablation, rivaroxaban did not reduce stroke/systemic embolism/new covert infarcts vs aspirin (0.31 vs 0.66 events/100 pt-yrs; P=0.28). Bleeding higher with rivaroxaban (1.6% vs 0.6%). nejm.org/doi/full/10.10…

📌 ALONE_AF Trial 👉 Stopping oral #anticoagulation 1y after successful AF #ablation 🔷 Does not ⬆️ the risk of ischemic #stroke 🔷⬇️ the risk of major #bleeding #EPeeps #WomeninEP #afib #CardioTwitter #MedTwitter @drjohnm @natale_md @TJaredBunch @DhirajGuptaBHRS @DrJasonAndrade

Aspirin, cardiovascular events, and major bleeding in older adults: extended follow-up of the ASPREE trial: @ESC_Journals 🥸Aspirin for primary prevention for older pts = MACE! 👇👇👇👇

Distribution of left ventricular scar in different cardiomyopathies 📚

Here is the video of PFA delivered near a LAA occlusion device

Distribution of LV scar in different cardiomyopathies 📚 JACC Advances 2024 ♥️

⚡️Latest #EUROPACE #Dronedarone provides effective early rhythm control: post-hoc analysis of the ATHENA trial using EAST-AFNET 4 criteria 📑doi.org/10.1093/europa… @GiulioConte9 @Dominik_Linz @FraSantoroMD @AndyZhangMD @DavideMei93 @marcovitoloMD @LuigiDiBiaseMD

Pulmonary vein isolation (PVI) in persistent AF: not sufficient and possibly not always necessary. Durable PVI increases freedom from AF only in paroxysmal but not in persistent AF @Tardu_Oezkartal @Mbergonti #AHAJournals #Epeeps doi.org/10.1161/CIRCEP…

New research reveals that atrial fibrillation impairs brain glymphatic function, which is crucial for clearing toxins and maintaining cognitive health. Read more in #EHJ. doi.org/10.1093/eurhea… #AF #cognitive #cardiotwitter @ESC_Journals @escardio

🚨Latest #FreeRead Article in @JICE_EP Correlation Between Diagnosis-to-Ablation Time & Atrial Fibrillation Recurrence: a Systematic review & Meta-analysis 🧐📖rdcu.be/eaXQv by Muhammad Arslan Ul Hassan, Sana Mushtaq, Tao Li, Zhen Yang, Abdul Rehman & Al-qaisi Mohammed Abdulkarem #EPeeps

Impact of horizontal rotation on electrocardiogram

🔴Atlas of Regional Left Ventricular Scar in Nonischemic Cardiomyopathies: Substrates and Etiologies⤵️State-of-the-Art #2024Review #OpenAccess 🔹sciencedirect.com/science/articl… #FOAMed #MedEd #medstudent #paramedic #Cardiology #CardioEd #medtwitter #meded #CardioTwitter #cardiotwiteros

PVI using thermal ablation energy results in significant sustained changes in the heart rate parameters related to autonomic function. These changes are independent of ablation technology employed & are associated w/ procedural success jacc.org/doi/10.1016/j.… #JACCCEP #AFib

#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 jacc.org/doi/10.1016/j.… @JonathanAriya @PrashSanders

RF ablation of persistent A fib by PVI with or without posterior wall isolation: no difference at 3yrs with 0% AF burden in both groups academic.oup.com/eurheartj/arti… @escardio @JonKalmanEP @PrashSanders #CAPLA

In a Japanese large-scale multicenter retrospective study, early timing of #cryoablation from first diagnosis of #AFib ⬇️risk of recurrence in patients w/ #heartfailure, which may help improve clinical management. bit.ly/4fGlHja #JACCAsia #ACCIntl