Tom De Potter

@DanielScherr3 @EHRAPresident Congratulations!

I am humbled+honored to share results of the #EHRA 2026–2028: escardio.org/communities/as… My sincere gratitude to all of you who placed their trust in me with their vote for #EHRA Treasurer-THX!! @EHRAPresident #EHRA_ESC

PFA meets precision. Looking forward to @tomdepotter ’s deep dive into Integrated PFA Mapping and the inspIRE system. ⚡🫀 ⏰ Sat Feb 28, 11:50 AM #WAFIB26 @nmarrouche @HanFengGHD @westernAFib @MassadChristian @mabou_khalil @carloelkhoury @DrAlexElDarzi @montaser4k

End of 2,5 days #EHRA VT course. An honour to be part of the faculty, sharing ideas, workflows, failures.. #imaging #S3 functional mapping. v nice atmosphere. @Cardioschool @eladanter1 @Petr_Peichl @tomdepotter @EctorJoris @bisceglia C. Bisceglia @FredSacher_EP @hospitalclinic

@ChiaraValeriano @finnakerstrom @DhirajGuptaBHRS @SNedios @Kasia_Rajpold @mcfinlay @Phiso_de @RolandTilz @SteliosTzeis

Our consensus document on vascular access for EP procedures is in print! Group effort by #EHRA, #EAPCI and #ESC CV Surgery Working Group. academic.oup.com/europace/artic…

@DrRoderickTung @bogdienache Tailored-af showed benefit too - think we’ll see more with upcoming PFA catheter designs

@bogdienache But multiple other low voltage ablation trials have not shown consistent benefit ( DECAAF, STABLE SE)

PVI+ is the one area where RCTs have been unable to supercede anecdotes – because operator bias is so powerful. Only two randomized trials have shown efficacy beyond PVI (CONVERGE and VENUS), yet only a minority have adopted. And multiple PWI studies show no systematic benefit when applied widely, yet the majority continue to do so in persistent patients. The time is ripe for personalization targeting individual mechanisms, as one size has been proven to not fit all.

More evidence for single beat reentry

All you need to know about #VT #Ablation in two days in 🇵🇹 Lisbon ☀️ With @tomdepotter @Petr_Peichl @Cardioschool @ivroca @eladanter1 📆 20–22 Nov 2025 🔗esc365.escardio.org/event/1996 Last spots available! @EHRAPresident @Phiso_de @bordistef @simovicst @veramasloo @martaderiva

📌 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

🤐

I just had a revelation: all American electrophysiologists should be required to spend 2-4 weeks doing ablation cases in Europe before finishing training

I don’t understand the desire for (right) flutter ablation with large single shot PFA. It’s not as if safe and efficient CTI ablation is an unmet need in EP. Clearly spasm is not innocent, as this data also shows. Reminds me of cryoballoon ablation of the posterior wall which I’ve often compared to trying to open a bottle of wine with a fork: it may be the only tool you have at hand at a given moment trying to achieve a particular goal and sure, it’s doable if you are desperate enough. That doesn’t make it a particularly bright idea though.

Interesting study supporting data that PFA is less associated with endothelial damage post ablation and thus also potentially less stroke risk. Enough to start a multicenter RCT to confirm - even shorter postablation treatment possible I believe @Dominik_Linz @ChristianHeeger

📌 In AF 👫 undergoing pulsed field #ablation (#PFA) 👉 discontinuation of #OAC 💊 1-mth after procedure seems to be safe‼️ #EPeeps #afib #Anticoagulation #stroke #CardioTwitter #MedTwitter @natale_md @LuigiDiBiaseMD @PrashSanders @DhirajGuptaBHRS @tomdepotter @DrJasonAndrade

🚨 New in Heart Rhythm! We compared pulsed field ablation (#PFA) vs. radiofrequency ablation (#RFA) for #PVI (pulmonary vein isolation) in paroxysmal AF. What happens to left atrial function after #PFA vs #RFA? The answer might surprise you. 🧵👇 🌟@LHoyesWouter | #LVerhaeghe🌟

📌 Activation patterns of the #heart❤️‍🔥 👉 during different forms of #pacing #EPeeps #WomeninEP #CardioTwitter #CRT #LBBP #dontdisthehis #dontdisthehis @ZHeart11768530 @TrackYourHeart @MargaridaPujol @JagSinghMD @yolyabreuh @drrakeshg1 @aalahmadmd @EJSMD @tomdepotter @SeguraCardio

📌 In 👫 with AF & obesity 📣 Cath ablation 🔥 superior to lifestyle modif + AADs 💊 to ⬆️ freedom from AF at 1-y 👉 73% vs 34.6% #EPeeps #afib #Obesity #CardioTwitter @PrashSanders @DrJasonAndrade @DrRoderickTung @DhirajGuptaBHRS @tomdepotter @SeguraCardio @Hragy @adribaran

📌 Is #CardioneuralAblation an effective & safe alternative to permanent pacemaker 👉 In 👫 with #VasovagalSyncope, functional sinus bradycardia, AV block❓ #EPeeps #WomeninEP #CardioTwitter #ECG @DrRoderickTung @MargaridaPujol @Dr_Santangeli @MDTolgaAksu @shivkumarmd @jczerpa

RT @escardio: Online learning boosts #afib guideline adherence. Adherence to clinical practice guidelines results in better outcomes. The…

📌 #PFA vs #RF ablation for AF 📣 assoc w/⬆️ 👉 troponin leak 👉 hemolysis 👉 renal dysfunction #afib #EPeeps #CardioTwitter @DJ_Lakkireddy @natale_md @LuigiDiBiaseMD @drrakeshg1 @DrJasonAndrade @DhirajGuptaBHRS @drluissaenz @tomdepotter @SeguraCardio @mmamas1973 @ftrae @Hragy