Evolving Status of Left Bundle Branch Area Pacing

In this video from Arrythmia Academy’s Journal Club, Dr Chu-Pak Lau (Queen Mary Hospital, The University of Hong Kong, Hong Kong) moderates a discussion between Dr Weijian Huang (The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China) and Dr Pugazhendhi Vijayaraman (Geisinger Heart Institute, Wilkes-Barre, Pennsylvania, US) on the topic of Left Bundle Branch Pacing, and how this area of Electrophysiology is evolving.

In this engaging Q&A session, Dr Lau outlines the latest updates on LBBAP with Dr Huang and Dr Vijayaraman, discussing the potential applications of this procedure to areas of brachycardia pacing, CRT and after AVN ablation.

Digitised Consent in Cardiology

In this video from Arrhythmia Academy’s Journal Club series, Dr Jonathan Behar (Guy’s and St Thomas’ Hospital NHS Foundation Trust, UK), Prof Simon Ray (President of the British Cardiovascular Society, UK) and Dr Dominik Linz (Department of Cardiology, Maastricht University Medical Centre, The Netherlands) sit down to discuss approaches to digitized consent in cardiology in 2022.

Innovation in Healthcare: Heart failure, Digital health & Wearables

In this video from Arrhythmia Academy’s Journal Club, Dr Jonathan Behar (Guy’s and St Thomas’ Hospital NHS Foundation Trust, UK) sits down with Prof. Francisco Leyva (Queen Elizabeth Hospital, Birmingham, UK) and Prof. Martin Cowie (King’s College London and Royal Brompton Hospital, London, UK) to discuss innovations in healthcare technology. In this insightful video, they discuss the trends in heart failure technology that have been rapidly accelerating in recent years, such as remote consultation and monitoring as well as wearables.

Screening for Atrial Fibrillation

In this video from Arrhythmia Academy’s Journal Club, Dr David Duncker (Hannover Heart Rhythm Center, Hannover, Germany) and Dr Emma Svennberg (Karolinska University Hospital, Karolinska Institute, Stockholm, Sweden) sit down to discuss screening options for atrial fibrillation.

Dr Svennberg presents the results from the STROKESTOP study, which then leads into a discussion in regards to the implications of these findings on clinical practice.

SICD vs TVICD: Exploring the Latest Evidence

In the latest video from Arrhythmia Academy’s Journal Club, moderator Dr Jonathan Behar (Guy’s and St Thomas’ NHS Foundation Trust, UK) sits down with Prof Haran Burri (Cardiology Service, University Hospital of Geneva, Switzerland) and Prof Pier Lambiase (Barts Heart Centre, London, UK) to discuss the latest evidence in the debate between SICD vs TVICD.

In the first of this three part video series, Dr Haran Burri provides an overview of the use of Transvenous ICDs.

In the latest video from Arrhythmia Academy’s Journal Club, moderator Dr Jonathan Behar (Guy’s and St Thomas’ NHS Foundation Trust, UK) sits down with Prof Haran Burri (Cardiology Service, University Hospital of Geneva, Switzerland) and Prof Pier Lambiase (Barts Heart Centre, London, UK) to discuss the latest evidence in the debate between SICD vs TVICD.

In the second of this three part video series, Dr Pier Lambiase outlines the merits and limitations of SICDs.

In the latest video from Arrhythmia Academy’s Journal Club, moderator Dr Jonathan Behar (Guy’s and St Thomas’ NHS Foundation Trust, UK) sits down with Prof Haran Burri (Cardiology Service, University Hospital of Geneva, Switzerland) and Prof Pier Lambiase (Barts Heart Centre, London, UK) to discuss the latest evidence in the debate between SICD vs TVICD.

In the final video from this three-part video series, the panel weighs out the pros and cons of both device types following the presentations from Dr Lambiase and Dr Burri.

Sleep Apnea in AF Patients Focusing on Integrated Management – Part II

In this Journal Club video for the Arrhythmia Academy, Dr Dominik Linz (Maastricht University Medical Centre, NL), Prof. Jeroen Hendriks (Flinders University, AU) and Prof. Olaf Oldenburg (Clemenshospital, DE) sit down to discuss the topic of sleep apnea in atrial fibrillation patients, with a focus on integrated management of their symptoms.

In the second part of this two-part series, Prof Hendriks discusses different approaches in managing atrial fibrillation and risk factors such as sleep apnea through integrated care.

Sleep Apnea in AF Patients Focusing on Integrated Management – Part I

In this Journal Club video for the Arrhythmia Academy, Dr Dominik Linz (Maastricht University Medical Centre, NL), Prof. Jeroen Hendriks (Flinders University, AU) and Prof. Olaf Oldenburg (Clemenshospital, DE) sit down to discuss the topic of sleep apnea in atrial fibrillation patients, with a focus on integrated management of their symptoms.

In the first part of this 2-part video series, Professor Oldenburg discusses the key issues in the treatment of sleep-disordered breathing in atrial fibrillation patients. The panel then move into a discussion of some open questions raised by this research.

Procedural Differences Between Men and Women: A How-to for Devices (Part II)

In this video, Dr Elaine Y Wan (Columbia University, New York, NY, US) moderates a discussion with Dr Andrea Russo (Cooper University Hospital, Camden, New Jersey, US), Dr Yong-Mei Cha (Mayo Clinic Rochester, Rochester, MN, US) and Dr Tina Baykaner (Stanford University, Stanford, CA, US) where they discuss the procedural differences between men and women in device implantation.

In the second part of this two-part series, Dr Wan and the panel discuss post-operative considerations for female patients with implantable devices.

Procedural Differences Between Men and Women: A How-to for Devices (Part I)

In this video, Dr Elaine Y Wan (Columbia University, New York, NY, US) moderates a discussion with Dr Andrea Russo (Cooper University Hospital, Camden, New Jersey, US), Dr Yong-Mei Cha (Mayo Clinic Rochester, Rochester, MN, US) and Dr Tina Baykaner (Stanford University, Stanford, CA, US) where they discuss the procedural differences between men and women in device implantation.

In the first part of this two-part series, Dr Wan outlines the anatomical differences in female and male patients that must be considered when implanting cardiac devices, and the panel discuss the key questions associated with preop and intraop device implantation in female patients.

DEEP Mapping for VT Substrate Ablation in a Challenging Substrate

Dr Andreu Porta-Sánchez provides Arrhythmia Academy with a concise and excellent ‘how-to’ overview of Decrement Evoked Potential (DEEP) Mapping for VT substrate ablation in a challenging substrate.

With special thanks to Veronica Torralba @vtorralba78 for her technical support in recording the case. Further presentations from Dr Porta-Sánchez on DEEP mapping will be delivered at the following upcoming meetings on the Annual Signals Summit and the Cleveland Clinic for further details.

Scar and Arrhythmia Risk: an Update

This latest video from Arrhythmia Academy’s Journal Club examines the topic of myocardial fibrosis as a predictor of arrhythmic events, with consideration of scar and arrhythmia risk in two patient populations: coronary artery disease and in patients with a recent MI.

Prof Leyva (Birmingham, UK) presents the results from his latest publication in JACC with Zegard, Okafor, de Bono et al. on Myocardial Fibrosis as a Predictor of Sudden Death in Patients With Coronary Artery Disease. The results of which show a clear relationship between the presence or absence of scar and grey zone mass in patients with myocardial fibrosis, as an indication of the arrhythmic risk, which is superior to LVEF.

Dr Berruezo (Barcelona, ES) presents his recent study which considers the CMR determinants of VA events after MI. Results showed that reclassifying patients by BZ fibrosis mass with scar mass analysis is a better way of identifying both cases and controls, superior to LVEF.

The panel discuss if, based on these recent studies, an assessment of myocardial fibrosis would be preferable to LVEF in selecting patients for ICD therapy. Next steps and future challenges will also be discussed.

Dr Valentina Kutyfia (Rochester, NY, US) moderates this thought-provoking discussion.