To reduce radiation exposure in EP:
EHRA review
🩻 X🩻 X🩻 X🩻
as low as reasonably achievable

absolutely meaningful for ALL

Philipp Sommer AGEP Vanessa Sciacca Matteo Anselmino Roland Tilz Felix Bourier Heiko Lehrmann and Bulava
cited doi.org/10.1093/europa…

European Society of Cardiology Journals…

REDO ablation in patient presented with typical (common) flutter. The right atrial activation was confirmed by three entrainment sites. HD mapping revealed an epicardial breakthrough. RF ablation at the EPI insertion terminated this right (not common) flutter in 6 seconds.

Time to say thank you! I‘m preparing some modest but heartfelt packages for the authors of our upcoming EP for beginners book. So greatful for your effort! What a privilege to work with such a phantastic group of #EPeeps Philipp Sommer Martin Borlich

Very high-power short-duration based PVC ablation utilizing the #QDOTmicro : please read our latest paper: Fast and furious PVC study authors.elsevier.com/sd/article/S23… Roland Tilz Prof Dhiraj Gupta Philipp Sommer Christian Sohns Felix Bourier DrAshNisbet Julian Chun Boris Schmidt

Latest case utilizing #vhpsd #Qdot , #pentaray and #Vizigo sheath. Very promising technology with happy physicians and patients. 101 applications with total RF time of 404s and 55 min procedure time. AGEP @ehra Roland Tilz Felix Bourier Christian Sohns @epluebeck Stefano Bordignon, EP

#EPeeps - Poor R wave progression is a common finding on a standard 12-lead ECG, but its physiological background and clinical significance are still not fully understood.

Data from a large health examination survey suggest it may not be benign.

bit.ly/35ENiT1

What if AF is just a never ending FUNCTIONAL phenomenon?

Look at this video, two years of hard work condensed here. AF initiation by trigger in LSPV but substrate key role in maintenance.

No, not meandering rotors, these are just PIVOT SITES seen during AF!

EP_Bot

45yo, persistant AF (3 mo). Analysis of Pivot Sites performed during sinus rhythm. Compared to Parox AF (see previous cases) more pivot sites are recorded. Pivot sites disappear during CS pacing. Enjoy signals at PIVOT sites during sinus rhythm versus AF. #JACCEP
EP_Bot

Let me draw your attention to the ongoing #EHRA Executive Board Elections 2022-2024. EHRA members from ESC Countries are invited to participate digitally until 22 February 2022.

To vote, please visit: escardio.simplyvoting.com

And yes. I'm running for the presidency too.

Supraventricular tachycardia with alternating eccentric atrial activation: What is the mechanism? onlinelibrary.wiley.com/doi/abs/10.111…

There is a lot of discussion about how to monitor for AF, ( binary recurrence or burden), but less discussion about how monitoring influences these outcomes
Now in print Circulation we aimed to address this, with a goal of informing trial design & practice
ahajournals.org/doi/10.1161/CI…
1/

“guten Rutsch“ 🤩

2021->2022
grateful

#CCB #EPeeps Deutsche Gesellschaft für Kardiologie AGEP Young DGK

Julian Chun Philipp Sommer Dominik Linz Piotr Futyma, MD Christian-H. Heeger Roland Tilz Michele Brunelli Michael Derndorfer Ardan M. Saguner, MD Stefano Bordignon, EP Felix Bourier Christian Sohns Christian Meyer, MD, MA Dr. Helmut Pürerfellner Boris Schmidt

Human Recordings of Left Atrial Epicardial-Endocardial Asynchrony During Persistent Atrial Fibrillation ahajournals.org/doi/abs/10.116…

What’s the best recording system in cardiac electrophysiology? Please help - I need to choose the next one for my EP Lab. Every opinion is welcome. Priority : SIGNAL QUALITY. Thank you.

In patients with atrial fibrillation, mapping during sinus rhythm shows that slow conduction occur over area considered by everyone as HEALTHY (>0.5 mV).Here EGM corresponding to slow conduction corridor was 1 mV! Time to redefine voltage? FullManuscript bit.ly/3mlvhyx

Can we do any better? Today, 48min skin-to-skin, including EAM, 3.2min fluo, termination of AF at RIPV, perfect voltage, 8min LA dwell time using @farapulse by Boston Scientific Abbott Cardiovascular AGEP Deutsche Gesellschaft für Kardiologie Young DGK Stefano Bordignon, EP Christian-H. Heeger Roland Tilz HDZ NRW Ruhr-Universität Bochum

All you need to know - How to Cryoballoon in 2021..!

Thanks to the great group of authors !❄️🧊🍦
AGEP Deutsche Gesellschaft für Kardiologie Philipp Sommer David Duncker Daniel Steven Andreas Metzner Stefano Bordignon, EP Roland Tilz

Now in press: #QDot #vhpsd based treatment of atrial tachycardia: amjcaserep.com/abstract/index… Stefano Bordignon, EP Felix Bourier Roland Tilz Christian Sohns Prof. Dr. med. Alexander Pott

Our 1st subxiphoid hybrid VT inferior MI s/p CABG & 2 endo UAZ Medicine - Phoenix. Midmyocardial isthmus with simultaneous pre-systolic breakout on epi&endo. 1st burn term epi in 8s. It is such a luxury to be the fellow and assist for Peter Weiss:) endo (left), epi (right). #VTin3D

Very High Power Short Duration

Great presentation by Roland Tilz
And live case in the box by Christian-H. Heeger

The Lübeck experience:
bit.ly/3o4f6qP
Our editorial: bit.ly/3kFFjKv
published in International Journal of Cardiology Heart&Vasc

Julian Chun Boris Schmidt

#FaFa2021