Ivo Roca, FEHRA, FESC

Already ongoing the 10th International EP Summit @AbbottCardio in this 360 stage. Amazing talks from @AriSultanEP @RolandTilz @giuliavogler @Mel_Gunawardene @CMartinCardio about PFA, safety, workflows, concomitant LAAO. More to come during the day!

Happy to see 2 studies from ⁦@hospitalclinic⁩ in ⁦@hrs_journal⁩ same edition about#imaging in VT ⁦@ADAS3D⁩ and non-invasive mapping #ECGi to analyse substrate ⁦@corifyAF⁩. More to come! ⁦@janareventos⁩ ⁦@S_Vazquez_Calvo⁩ ⁦@aportasanchez⁩

Happy to share our last article about 3D VT substrate, depth is part of the game to plan RF approach @S_Vazquez_Calvo @aportasanchez @ADAS3D @hospitalclinic @tolosanaviu @EduGuasch @LluisMont2 @guichard_jb @PSanchezSomonte

Another case of #S3 case with clear DZ not obvious in S1 map.Diastolic EGMs within the 1stbeat. Nice day in Hasselt Jessa hospital with @BoerDilling and the rest of the team. Functional mapping with #S3 protocol is easily performed abroad. @hospitalclinic @aportasanchez

@PSanchezSomonte @LluisMont2 @joselmerino @martaderiva @jaumepascual A pleasure to have been part of this important period of your EP career, it is an honor to see how far you are…and to envision how far you will arrive!

Closing a very important chapter: I am officially a PhD. Happy and thankful to those who guided this journey (@ivroca, @LluisMont2) and to the examination committee (@joselmerino, @martaderiva @jaumepascual) #PhD #UB

Already in Berlin to participate in this event focused in SuddenCardiacDeath. Thanks #PROFID @purerfellner #EHRA @EHRAPresident Dr G Hindriks and Dr N Dagrees for having me on board to discuss about CMR to predict SCD and to guide VT ablation @hospitalclinic @joselmerino

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

Concluding a 6-day teaching tour in China across 4 cities — Beijing, Guangzhou, Wenzhou & Ningbo — visiting 6 hospitals to share insights on VT, AF, and advanced strategies: OT, NEAR-FIELD, STREET FUNCTIONAL MAPPING & ADAS IMAGING. Grateful for warm welcome! 🙏@hospitalclinic

Amazing experience having 10 european EPs for 2-d workshop VT ablation live cases. Epicardial LV ablation, redo for septal ischemic scar (plus parahisian PVC ablation!) using @ADAS3D and #S3 functional mapping. And honoured to host this workshop @hospitalclinic @aportasanchez

Landed in Philadelphia for #VTsymposium 2025! An honour to talk about ECGi+imaging for VT ablation. Also eager to learn for all colleagues @DrFerminGarcia @DrRoderickTung @NTrayanova @VivekReddyMD @Penn @VTSymposium @atulverma_md @utedrow @hospitalclinic @aportasanchez

One of the best EP education meetings! Great service for international EPs for such a small fee .

Less than 1 week to be there, happy to be part of rhis Faculty

@Dr_SanAntonio @JuditMasC_ Nice example of #S3 protocol. Happy to see these cases!

Fascinating VT ablation case: basal inferolateral SUBENDOCARDIAL infarction. Voltages mostly preserved (bipolar & unipolar). No LAVA or late potentials on sinus rhythm/S1. S3 PROTOCOL unmasked deceleration zones, matching channel areas seen with ADAS @JuditMasC_

It’s not too late to register for the 20th annual VT Symposium with more than 80 international recognized experts in ventricular arrhythmia science and management. This is the premier event on the subject matter! vtsymposium.com to register. @Dr_Santangeli @JRWinterfield

Less than 24 hours to start #LondonVT symposium. Honoured to be part of this amazing faculty. Let’s dicuss about the “Role of imaging before, during and after ablation” @hospitalclinic @JRWinterfield @joselmerino @MagdiSaba @natale_md @JosefKautzner @DhanjalTarv @ADAS3D

Amazing discussions yesterday in Munich in the Global IEPC from @AbbottCardio: imaging, signals, mapping, PFA….in VT. Honoured to be part of the faculty and share our thoughts about imaging during and after ablation academic.oup.com/ehjcimaging/ar… @DrRoderickTung @joselmerino @hikmetyorgun @jacabreracardio @hospitalclinic

@Moscoso_Costa @cavaco_diogo @DanielM891 @ADAS3D @LiaMarquesEP @AbbottCardio A pleasure to see that #S3 protocol works outside!!!!

Ischaemic VT ablation guided by S3 protocol ILAM mapping: targeting deceleration zone near channel + late potentials -> non inducibility + clean remap. Thank you @ivroca for your tips. @cavaco_diogo @DanielM891 @ADAS3D @LiaMarquesEP @AbbottCardio

@DRenatodavid @Dr_Santangeli And, more important, DSP has is not the same mechanistically than LBP so probably it will never be as good as CRT in Low LVEF patients…..in these population if real capture of left conduction system is not achieved crossover to CRT is mandatory

@Dr_Santangeli I agree with @ivroca: we must have well-defined criteria for LBBAP. It is not possible to properly evaluate a therapy if it is not offered in a standardized manner.

LBBAP in HFrEF and LBBB maybe is not dead yet, but seriously wounded. Curious to see results by subgroup based on effective/durable LBB capture.

@Dr_Santangeli May be LBBAP needs to be defined better….Criteria of conduction system capture is mandatory in CRT candidates!

Non-Invasive Assessment of the Ventricular ArrhythmogenGraphical abstract undfig1ic Substrate Using Electrocardiographic Imaging During Sinus Rhythm: the NIAVAS study @janareventos @ivroca heartrhythmjournal.com/article/S1547-…