Piotr Futyma, MD

My baby 💙💚 Conflict of interest: all the way since 2014 Have a great weekend #EPeeps !

@DiangeloSilvano Acute effects (intraprocedural AT termination with PFA) may be considered impressing but they totally do not correspond with long-term lesion duarbility within the ablation targets outside PVs. cc @ivroca @Arritmias_HRC @jskoruth

@ftrae PFA outside the veins is NOT the solution...

We need more robust remapping data for PFA performed outside PVs

This EP world is wildly electrifying! 🤯

@syamkumarmd First part is pacing from proximal CS

@ftrae Can it be sinus node dysfunction? First part looks like AT?

Bradycardia-induced atrial fibrillation

@Wenckeback @JACCJournals @lukaszzarebski1 @shivkumarmd No way to prove - AF initiation and sustainability is too complex for straightforward determination. We used short-term deceleration capacity as a marker of increased parasympathetic drive

@ftrae @JACCJournals @lukaszzarebski1 @shivkumarmd How does one prove that a patients AF is vagally mediated? The context in which it occurs? Certain voltage or trigger patterns?

Some patients with vagally mediated AF can benefit most from cardioneuroablative effect and may not need full PVI Some of them may not even require any ablation in the left atrium Check out our @JACCJournals paper using shareable link (before it expires) authors.elsevier.com/a/1j39w,siTgkp…

PFA a year and a half ago, veins, posterior wall and mitral isthmus line. This was the pre-map on the re-do, patient was in atypical flutter.

🚨Latest #FreeRead Article in @JICE_EP Impact of Catheter Design on Lesion Dimensions during Focal-Bipolar Pulsed Field Ablation: an in Vitro Potato Model Study 🧐📖rdcu.be/fhFnl by Łukasz Zarębski, Agata Wawrzyniak & @ftrae #EPeeps

I’m a little biased, but this is important. I’d like to thank the team of the scientific documents committee for this initiative. Please take the time to fill the survey. research.net/r/riskstratifi…

Very true

@gennarofabiano @IacopinoSaverio @GVMCareResearch @MDT_Cardiac Expensive cardioversion.

Na Lubelszczyźnie trwa trudna akcja gaśnicza, dlatego wspieramy strażaków i wszystkie służby pracujące na miejscu. Zapewniamy bezpłatnie paliwo, ciepłe posiłki i napoje, a wybrane stacje w regionie działają dłużej, by były dostępne wtedy, gdy są potrzebne.

It’s always good to look in LAO. I thought that was a funny looking RAA. I did not struggle to get there either. I have seen a leadless pacemaker implanted in the left ventricle. #EPeeps #Aveir

EHRA Journal Club starts in less than 10 minutes. I look forward to good continuation of the exceptional Journal Club led by @AndreaSarkozy I used to attend in the past

Bipolar ablation of a septal VT- unsuccessful RF from will either side but slowing and termination with BiPolar RF. Pacing from RV exit site is shown. The patient had a second district anterobasal LV VT also. h/o ICM and CABG #ablateVT

Here is a supplemental image from that article showing the absence of muscle fibers at the very tip of the apex.

#2 *⃣CIED reset and damage with Sphere-9 monopolar lattice-tip PFA (Nair et al.) @Drdevignair @VivekReddyMD ➡️ Case #1 ✴️SVC PFA in a pt with CRT-D resulted in abrupt termination of energy delivery, temperature rise at the catheter, and irreversible loss of BiV pacing. ✴️CRT-D generator was non-interrogable & required replacement despite preserved lead integrity, strongly suggesting direct device-level injury; ➡️Case #2 - PFA PVI/CTI resulted in complete software reset of an Aveir AR leadless pacemaker, which subsequently recovered. 🧑‍🎓Monopolar energy delivery—where current travels between the catheter and surface electrodes—may facilitate energy coupling into adjacent conductive structures, resulting in either transient software effects or irreversible hardware disruption. heartrhythmjournal.com/article/S1547-…

This perfectly captures today’s bad trend of overinterpreting research without digging into the actual details The original EHJ tweet will probably be gone soon

Wow. Someone was asleep at the editorial desk. “Reduced” as a causal verb just doesn’t belong h/t @djc795

@nihar_nayak2 I would have thought that until LAAC took off a few years ago. Plus…AF ablation w PFA is making us all dumber.