Jan Olligs

@Ecgloverr @narrowQRS @syamkumarmd @ALFIEEP1 @Hapa_EP @jeffrey_vinocur @DaveRichley @SergioPinski @willyhfrick @OungSavly @josecruz2102 @EPGabolondono @jiro_ecg @GusCostaEP57 Nice ECG. Pre-excited SVT, probably AT, unless proven otherwise. Delta in V6, "narrow-ish" QRS, seems wider due to ST depression and neg. T.

18 y/o girl with recurrent palpitations for 3months Last episode converted with 12mg Adenosine Dx? @narrowQRS @syamkumarmd @ALFIEEP1 @Hapa_EP @jeffrey_vinocur @DaveRichley @SergioPinski @willyhfrick @OungSavly @josecruz2102 @EPGabolondono @jiro_ecg @GusCostaEP57 #ecg #epeeps

Fatal atrioesophageal fistula reported after dual-modality pulsed field/radiofrequency ablation with a lattice-tip catheter/platform accessdata.fda.gov/scripts/cdrh/c… h/t @s4_medical

🚨Newest #FreeRead Article in @JICE_EP Comparative Spatiotemporal Neuromodulation Effect between Pulsed Field and Cryoballoon Ablation for Atrial Fibrillation 🧐📖rdcu.be/eTKZH by @kz_nakasone, Kaoru Tanaka, @AlviseDelMonte, @dogi84md, Luigi Pannone, Giampaolo Vetta, Ingrid Overeinder, Gezim Bala, Antonio Sorgente, Juan Sieira, Alexandre Almorad, @Pedrobrugada, @AndreaSarkozy, Gian Battista Chierchia, Carlo de Asmundis & Erwin Ströker #EPeeps

📣 New publication alert! The ESC–EHRA Atlas of Cardiology has just been published in @EuropaceEiC! 🌍 It provides the most comprehensive overview of cardiac electrophysiology across Europe and beyond — thanks to the contributions of national cardiac societies 🙏 Huge thanks to all who made this possible! 📖 Read here 👉 bit.ly/4fPoIhY @escardio @DanielScherr3

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.

High Incidence of Phrenic Nerve Injury in Patients Undergoing Pulsed Field Ablation for Atrial Fibrillation #OpenAccess heartrhythmjournal.com/article/S1547-…

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

Diffuse right coronary artery spasm occurring forty-five minutes post pulsed field ablation for atrial fibrillation #OpenAccess @vish_luther @LiverpoolCCS @LiverpoolEP @LHCHFT @justinchiong_ @DhirajGuptaBHRS heartrhythmjournal.com/article/S1547-…

Case from today. Patient referred to our center @hospitalposadas for parahisian AP RFA after a failed procedure at another center. The catheter in His position nicely depicts that the pathway is not a true parahisian. Local EGM is just on time with delta offset.

#EHRAtopicweek | His-bundle pacing vs. LBBAP — what's the real difference? 💡 The latest #EHRA_ESC Consensus Statement breaks it down: key distinctions, clinical benefits, and when to choose which strategy Ready to sharpen your CSP knowledge? Dive in now 👉 bit.ly/3Tl8h2P @escardio @HaranBurri @EuropaceEiC

Persistent Phrenic Nerve Injury by Pulsed Field Ablation: Lessons from Anatomical Reconstruction and Electrode Positioning. HRCR. Oda, et al. heartrhythmcasereports.com/article/S2214-…

@ALFIEEP1 @LAHRSonline1 @HRSonline @APHRSOfficial @EHRAPresident Germany - we use ajmaline. Neither procainanide nor ibutilide are available.

2023 HRS guidelines (G) for AF & 2019 ESC G for SVT suggest the use of ibutilide or procainamide in hemodinamically stable pre-excited AF in WPW How many countries in the world have availability of these drugs? Please, mention your country availability. We need more inclusive G

@EPWaveDoc Discuss anticoagulation as per ESC GL on heart diseases in pregnancy (although these GL mainly focus on prosthetic valves). Consult OB-GYN (likely now and after eCV).

#Epeeps, how would you manage AC in 20 yo female with AF unknown duration, 3 months in pregnancy? Possible AP recurrence. No valve issues, no other RF. ChadsVA 0. She’s currently treated w Atenolol but symptomatic w palpitations. Possibly electrical CV is needed. C her today

Preparing „Fahrtauglichkeit rhythmologischer Patienten“ #ESSENFEELSTHEBEAT💛 🙏🏼 voten #EPeeps #CardioTwitter Wieviele E-Briefe enthalten nach PM-/ICD-Implantation eine Fahreignungsempfehlung?🚘 @SMathewi @TRassafMD @DavidDuncker @ChristianHeeger @AGEP_DGK @YoungDgk @DGK_org

have seen a few patients recently well for yrs post AF ablation who undergo LAA occlusion (indications unclear) return with late AF soon after; here's why LAA occlusion -> acute increase in LA pressure: An invasive hemodynamic study - Heart Rhythm heartrhythmjournal.com/article/S1547-…

Small, but relevant study. Thankfully, the authors report ablation strategies (mostly PVI only for PAF, PVI + lots of focal ablation for CAF).

📢#Europace WHY is #SleepApnea associated with #AFib recurrence after #PVI? 👉PVI fails to prevent transient apnea-related arrhythmogenic changes! 📖academic.oup.com/europace/artic… @GiulioConte9 @FraSantoroMD @marcovitoloMD @AndyZhangMD @Dominik_Linz @LuigiDiBiaseMD @ESC_Journals

“AI is not the future, it is the present that we live in” Important talk by @Dominik_Linz on the role of ECG-based AI in evaluation of atrial cardiomyopathy

ORBITA-STAR at #EuroPCR is a fascinating & successful study of type of chest pain as a predictor of PCI success. Very difficult to ascertain if angina caused by ischemia is what patients felt. This was a concern of Gruentzig's 40 yrs ago! @rajkumar_chris @rallamee #AngioHistory

@drjohnm The NEJM podcast mentioned this article as well as an accopanying editorial. Iirc, the editorial made the same point as you. Have to admit, though, that I read neither the origibal article bor the editorial.

Huge excitement yesterday about NEJM study on GLP-1a in Parkinson's disease nejm.org/doi/full/10.10… Summary picture looks amazing, right? Here's my ?, as a non-neurologist: The primary endpoint is on 0-132 scale. How would this delta look on an x-axis with that scale?