Dirk Dechering
@DocDirkules
Head of Electrophysiology, Niels Stensen Kliniken, Former consultant cardiologist @uk_muenster
Potrebbero piacerti
Programmed ventricular stimulation for risk stratification in patients with myocardial scarring and mildly reduced or preserved ejection fraction #OpenAccess heartrhythmjournal.com/article/S1547-…
OCEAN just published in NEJM. In AF patients >1 yr after successful ablation, rivaroxaban did not reduce stroke/systemic embolism/new covert infarcts vs aspirin (0.31 vs 0.66 events/100 pt-yrs; P=0.28). Bleeding higher with rivaroxaban (1.6% vs 0.6%). nejm.org/doi/full/10.10…
📌 ALONE_AF Trial 👉 Stopping oral #anticoagulation 1y after successful AF #ablation 🔷 Does not ⬆️ the risk of ischemic #stroke 🔷⬇️ the risk of major #bleeding #EPeeps #WomeninEP #afib #CardioTwitter #MedTwitter @drjohnm @natale_md @TJaredBunch @DhirajGuptaBHRS @DrJasonAndrade
Aspirin, cardiovascular events, and major bleeding in older adults: extended follow-up of the ASPREE trial: @ESC_Journals 🥸Aspirin for primary prevention for older pts = MACE! 👇👇👇👇
Distribution of left ventricular scar in different cardiomyopathies 📚
Here is the video of PFA delivered near a LAA occlusion device
Visible Arcing Observed with Pulsed Field Ablation Applications Delivered Near a Left Atrial Appendage Occlusion Device - Heart Rhythm heartrhythmjournal.com/article/S1547-…
Distribution of LV scar in different cardiomyopathies 📚 JACC Advances 2024 ♥️
⚡️Latest #EUROPACE #Dronedarone provides effective early rhythm control: post-hoc analysis of the ATHENA trial using EAST-AFNET 4 criteria 📑doi.org/10.1093/europa… @GiulioConte9 @Dominik_Linz @FraSantoroMD @AndyZhangMD @DavideMei93 @marcovitoloMD @LuigiDiBiaseMD
Pulmonary vein isolation (PVI) in persistent AF: not sufficient and possibly not always necessary. Durable PVI increases freedom from AF only in paroxysmal but not in persistent AF @Tardu_Oezkartal @Mbergonti #AHAJournals #Epeeps doi.org/10.1161/CIRCEP…
New research reveals that atrial fibrillation impairs brain glymphatic function, which is crucial for clearing toxins and maintaining cognitive health. Read more in #EHJ. doi.org/10.1093/eurhea… #AF #cognitive #cardiotwitter @ESC_Journals @escardio
🚨Latest #FreeRead Article in @JICE_EP Correlation Between Diagnosis-to-Ablation Time & Atrial Fibrillation Recurrence: a Systematic review & Meta-analysis 🧐📖rdcu.be/eaXQv by Muhammad Arslan Ul Hassan, Sana Mushtaq, Tao Li, Zhen Yang, Abdul Rehman & Al-qaisi…
Impact of horizontal rotation on electrocardiogram
🔴Atlas of Regional Left Ventricular Scar in Nonischemic Cardiomyopathies: Substrates and Etiologies⤵️State-of-the-Art #2024Review #OpenAccess 🔹sciencedirect.com/science/articl… #FOAMed #MedEd #medstudent #paramedic #Cardiology #CardioEd #medtwitter #meded #CardioTwitter #cardiotwiteros
PVI using thermal ablation energy results in significant sustained changes in the heart rate parameters related to autonomic function. These changes are independent of ablation technology employed & are associated w/ procedural success jacc.org/doi/10.1016/j.… #JACCCEP #AFib
#JACCCEP multicenter RCT shows that CSI in addition to PVI & roofline ablation for first-time procedures in a small population of pts w/ paroxysmal & early persistent #AFib does not reduce AF recurrence after 2 yrs follow-up jacc.org/doi/10.1016/j.… @JonathanAriya @PrashSanders
RF ablation of persistent A fib by PVI with or without posterior wall isolation: no difference at 3yrs with 0% AF burden in both groups academic.oup.com/eurheartj/arti… @escardio @JonKalmanEP @PrashSanders #CAPLA
academic.oup.com
Radiofrequency catheter ablation of persistent atrial fibrillation by pulmonary vein isolation with...
AbstractBackground and Aims. Posterior wall isolation (PWI) is commonly incorporated into catheter ablation (CA) strategies for persistent atrial fibrillat
In a Japanese large-scale multicenter retrospective study, early timing of #cryoablation from first diagnosis of #AFib ⬇️risk of recurrence in patients w/ #heartfailure, which may help improve clinical management. bit.ly/4fGlHja #JACCAsia #ACCIntl
Important study post VENUS trial which lacked PVI only Gp. PROMPT AF RCT in continuous perAF >3mths PVI alone vs PVI + Linear\ETOH. p 0.045 for freedom from AF WITH NO DIFF in burden. Is extra abl/time worthwhile? jamanetwork.com/journals/jama/… @drjohnm @atulverma_md @DrJasonAndrade
jamanetwork.com
Pulmonary Vein Isolation With Optimized Linear Ablation for Persistent AF
This clinical trial evaluates whether linear ablation combined with ethanol infusion of the vein of Marshall and pulmonary vein isolation (PVI) is more effective than PVI alone in patients with...
#Tirzepatide SURMOUNT-1 three year efficacy outcomes just presented at #ObesityWeek2024 👀 📉Sustained weight loss of 22.9% or an average 54lbs over 3 years 🔽94% reduction in risk of progression to diabetes. Number Needed to Treat = 9 🤯 🫀Improvement in metabolic parameters…
Acute alcohol consumption and arrhythmias in young adults. Read the MunichBREW II Study just published in #EHJ 👉 bit.ly/4eQaEDk @RoccoMontone @ehj_ed #arrhythmias
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