Sharing Heart Rhythm innovation, technology and research from the world renowned Liverpool Heart & Chest Hospital @LHCHFT
Liverpool, England
Joined March 2021
- Tweets83
- Following6
- Followers218
- Likes139
Liverpool Heart Rhythm retweeted
How do patients actually feel after PFA compared with thermal AF ablation? 🤔
In our PROMs-PFA study, PFA was associated with less early chest pain although differences resolved by 30 days.
@JCardioEP paper🔗 onlinelibrary.wiley.com/doi/…
@DhirajGuptaBHRS @vish_luther
#EPeeps
Liverpool Heart Rhythm retweeted
Delayed diffuse coronary artery spasm following pulsed-field ablation of AF - fantastic discussion by @justinchiong_ today at #EHRA26.
@LiverpoolEP @LHCHFT
Liverpool Heart Rhythm retweeted
Our new study in JACC EP: the HARNESS RCT
A simple/low-cost method involving a figure-of-8 suture secured with a 3-way tap reduced access-site complications and improved efficiency compared with manual compression after AF ablation
jacc.org/doi/10.1016/j.jacep…
@DhirajGuptaBHRS
Liverpool Heart Rhythm retweeted
Characterisation of Acute Residual Pulmonary Vein Connections Using Electroanatomical Mapping During Pulsed-Field Ablation of Atrial Fibrillation #OpenAccess
@DrMarkMills @Vish_Luther @DhirajGuptaBHRS
heartrhythmjournal.com/artic…
Liverpool Heart Rhythm retweeted
Phrenic Nerve Injury after Pulsed-Field Ablation: Quantification of Symptom Burden
@DrMarkMills @DhirajGuptaBHRS @vish_luther
heartrhythmjournal.com/artic…
Liverpool Heart Rhythm retweeted
Recent data suggest phrenic nerve injury occurs in up to 40% after pentaspline PFA.
In our Farapulse PVI cohort, day-1 dyspnoea worsened in only 3%, suggesting largely subclinical injury.
Read our letter in @hrs_journal:
heartrhythmjournal.com/artic…
@DhirajGuptaBHRS @vish_luther
Liverpool Heart Rhythm retweeted
Back from 3 days in gorgeous Rome as faculty & lecturer for the “EHRA Advanced AF Ablation course”. Great to represent @LiverpoolEP and meet so many AF enthusiasts from around Europe! I feel I learned as much from this stellar faculty as the delegates did! #alwayslearning
Liverpool Heart Rhythm retweeted
Last day as an EP Clinical Research Fellow at @LiverpoolEP. Loved my time at @LHCHFT and will miss it dearly! Now just crossing my fingers for my PhD viva.
Grateful to my supervisors @DhirajGuptaBHRS @vish_luther and @LiverpoolCCS and my friend and colleague Peter Calvert.
Liverpool Heart Rhythm retweeted
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/artic…
Liverpool Heart Rhythm retweeted
“Characterization of acute residual pulmonary vein connections using electroanatomic mapping during pulsed-field ablation of atrial fibrillation”
Our open access article/PDF is now available in Heart Rhythm @hrs_journal
heartrhythmjournal.com/artic…
@vish_luther @DhirajGuptaBHRS
Liverpool Heart Rhythm retweeted
⚡️How do women and men differ after AF ablation?
In our study of 69,000+ patients, women reported more cardiac, respiratory, GI, and neurological symptoms within 1 month. We discuss potential reasons & solutions.
📄 onlinelibrary.wiley.com/doi/…
@DhirajGuptaBHRS @vish_luther #EPeeps
Liverpool Heart Rhythm retweeted
Female sex independently modified stroke in atrial fibrillation between 2000–2019, though its impact attenuated over time. #AHAJournals @DrMarkMills @LHCHFT ahajrnls.org/44TRRoq
Liverpool Heart Rhythm retweeted
This is good news👇
Pleased to see our publications from @LiverpoolEP used in these @NICEComms recommendations.
@DrMarkMills @DhirajGuptaBHRS
Good news for people living with #AF in the UK: @NICEComms has recommended Pulsed Field Ablation #PFA as a safe and effective treatment for AF, a common heart rhythm condition that affects over 1.6 million people in England. Learn more about PFA here: loom.ly/2qI_BUk
Liverpool Heart Rhythm retweeted
Characterisation of Acute Residual Pulmonary Vein Connections Using Electroanatomical Mapping During Pulsed-Field Ablation of Atrial Fibrillation #OpenAccess
@DrMarkMills @Vish_Luther @DhirajGuptaBHRS
heartrhythmjournal.com/artic…
Liverpool Heart Rhythm retweeted
🚨 New in Europace! 🚨
Our EHRA survey of vascular access in EP shows big variation 🌍
🔹 1 in 5 rarely use US guidance
🔹 60% use figure-of-8 sutures, 33% manual compression
🔹 VCDs rare
🔹 Anticoag & bed rest vary widely
📣 Time to standardise?
🔗 academic.oup.com/europace/ar…
Liverpool Heart Rhythm retweeted
Should we adopt a mandatory waiting time post single-shot PFA PVI?
Largest real world data, we show ¼ cases have an acutely reconnected vein post 3D remap #reversibleelectroporation
Thanks @AbbottCardio for asking us @LiverpoolEP to lead on this study.
Open access @hrs_journal👇
📣Just out online @hrs_journal
*⃣ Another Important Finding from @DhirajGuptaBHRS @vish_luther
👉 Question:
- What is the Acute residual PV conduction rate after single-shot PFA (aka 'Absence of first pass isolation')
📍Largest multicenter study to date using 3D-EAM
#EPeeps #PulsedFieldAblation #AFib #cardiotwitter heartrhythmjournal.com/artic…
Liverpool Heart Rhythm retweeted
❓Is female sex a stroke risk modifier in AF?
📖 Female sex was removed from the CHA2DS2-VASc score in the 2024 ESC AF guidelines
Our recent publication in @JAHA_AHA explores temporal trends in the association between sex and stroke
ahajournals.org/doi/10.1161/…
@DhirajGuptaBHRS
Liverpool Heart Rhythm retweeted
#EPeeps - tough case👇
⚡️VF triggering pathway from CS diverticulum. Neck >5mm from PLV.
🥉Took 3 goes to get rid of it. Bumped each time - gave limited RF - back in 24hr.
🔥 Encircled neck (30W-20sec) with irrigated RF and its FINALLY gone! @LiverpoolEP
#Alwayslearning
Liverpool Heart Rhythm retweeted
Join the #EHRA_SICsays discussion with @DrMarkMills & @simovicst on the recent #EHRA_ESC survey on Lifestyle and risk factor modification in atrial fibrillation
👉Find out more here 🔗bit.ly/4lT89Vj
@escardio @jongichun
Liverpool Heart Rhythm retweeted
❓ How good are we as cardiologists at modifying lifestyle and risk factors in patients with atrial fibrillation? 🫀 🏃 🍔
➡️ Check out the results of our EHRA survey published in Europace: academic.oup.com/europace/ar…
Take home messages discussed below 🧵
@EuropaceEiC
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