Stelios Tzeis Edward Gerstenfeld Jonathan Kalman Congratulations Stelios ! Your leadership was was key to the successful result!

Patient s/p Cardiofocus laser balloon ablation in 2013-nothing for 10 years! and now recurrent AF and flutter. PVs individually remained isolated but triggers firing from carina between RSPV/RIPV. The pulmonary veins are a strange beast that like to cause AF over time!

Is an Ozempic lunch a bit of an oxymoron? Asking for a friend…

Interesting ECG. Thoughts Sergio Pinski

Agree.

Fortunate to have a great team of EP fellows at UCSF!

UCSF is looking for an EP attending with a passion for teaching, research, and with lead extraction experience to join our group. Beautiful San Francisco Bay Area included. Apply at this link:

aprecruit.ucsf.edu/JPF04862

Rounding always more pleasant with the GGB in the distance…

𝐓𝐡𝐢𝐬 𝐯𝐢𝐝𝐞𝐨 𝐢𝐬 𝟑𝟎 𝐦𝐢𝐧𝐮𝐭𝐞𝐬, 𝐛𝐮𝐭 𝐢𝐭’𝐬 𝐰𝐨𝐫𝐭𝐡 𝐥𝐢𝐬𝐭𝐞𝐧𝐢𝐧𝐠 𝐭𝐨 𝐞𝐯𝐞𝐫𝐲 𝐬𝐞𝐜𝐨𝐧𝐝 𝐨𝐟 𝐢𝐭.

Today Dr. Tal Becker and Israel’s legal team presented its case to the CIJ_ICJ.

With them stood the souls of the more than 1,000 Israelis who…

Last time I ever ask for a window seat…

Nice summary.

Beutiful tracings and thread.

John- it’s not about challenging dogma. Many of us still remember Pappone and his push to ablate without proving PVI. Thousands of pts suffered recurrent atypical flutters. Empiric cryo may work because careful experts usually get isolation. But lack of endpoints is not progress.

Good point but I don't think will be in issue. In recently presented Manifest PFA registry with >17k pts stroke incidence was 0.12%. In ADVENT we did brain MRIs in subset of 80 pts and asymptomatic cerebral events noted in 9% of PFA pts, less than usually seen with RFA.

Yes, great point! I am assuming that was an addition from Greg Marcus

Proud of this paper by Satoshi Higuchi Alex Voskoboinik showing that frequent PACs can lead to atrial remodeling and AF. New avenue for upstream therapy?

A study exploring the impact of frequent premature atrial complexes ( #PACs ), from different sites within the #atria , on developing #AF through adverse atrial remodeling in a swine model Greg Marcus @boatnoodlesoup Satoshi Higuchi @ed_gerst ahajournals.org/doi/10.1161/CI…

Don’t you think a coffee shop in the airport cafe just before you board a plane would come up with a better price than $6.66 for a coffee?