Rhythm Specialist, FEHRA, AE in JECG, SoMe and AE in
@JICE_EP
, dady of a princess, Prof in
@YeditepeUni
ANS, VVS, brady ablator Opinions are my own🎾🏇🏍🏂🎸
CNA may be associated with substantial reduction in recurrence of AVB episodes, obviating the need for a pacemaker in well selected patients with FAVB
@MDTolgaAksu
#AHAJournals
#Epeeps
This is the happiest moment of my academic career. To publish an original article in
@CirculationEP
has been my dream since I started my EP career. Now, we will publish CNA in AVB. Indications, procedural steps, and results. Thanks to all co-authors.
@drrakeshg1
@DhirajGuptaBHRS
Dear Colleagues
As you know that Türkiye has recently been struck by devastating earthquakes. 10 cities have been severely affected. In this difficult time, to ask for your support, we organize an online EP meeting to discuss novel and advanced EP techniques with leading experts
Really emotional moments for me. In 2011, we started EP program in Kocaeli. A lot of great colleagues joined to our team. Today was my last day in here. Now, I will have a new journey in
@YeditepeUni
in Istanbul.
@DrYerebakan
Thanks to all friends.
@tumerdemguler
@DrSerdarBOZYEL
Dear
#EPeeps
I am so glad to share that the first case-control study of CNA in VVS was accepted for publication in
@JICE_EP
The task was made possible by an international collaboration of researchers from 🇹🇷 🇺🇸 and 🇮🇳 I would like to thank to all coauthors for their efforts
We were waiting for this for a long time. Now the time to discuss expanding horizons in CNA.Potential therapeutic effects of EGM-guided CNA in LQTS was accepted in
@JICE_EP
Initial results were presented in
@HRSonline
2020 online material(2).
@drrakeshg1
@kyalin4
@DrSerdarBOZYEL
I am so glad for that this is my first accepted paper in
@CirculationEP
I know it is just a letter but well begun is half done ☺️ 4 of 5 references consist of our works (3 of 4 in
@JICE_EP
and 1 in
@pace_journal
)
I am so glad that our article was accepted in
#europace
It will be the second largest series about CNA in VVS. And we will have a chance to officially discuss usage of HUT in not only during diagnosis but also in FU of patients after CNA.
@kyalin4
@drrakeshg1
@DrSerdarBOZYEL
I was so glad to have been invited as a faculty to
@HRSonline
Scientific Meeting to speak on CNA! My recorded lectures are now available online as part of the CME course "Neuromodulation of the heart: Syncope to Ablation." I hope I have a chance to join personally in future
I feel deeply honored to be invited to
@JElectrocardiol
as an Associate Editor of the Section ECG & ANS, along with Prof R Varriele. I would like to thank to
@adribaran
for his kind invitation. I will try to do my best for this great journal. Let’s send your ANS papers.
The hearts of humans contain more than 1500 autonomic ganglia (AG). Grouping AG in different sites of atria are called as GPs. Despite epicardial localization of AG, there is a highly dense network of sensory and efferent nerve fibers in myocardial and endocardial levels
Arrhythmic MVP expert consensus document
#EHRA2022
check, ECG (T wave inv) Holter or longer ECG recording (PVC/NSVT), if there is high risk consider ICD or ablation.
I am a big fan of physiological pacing via HBP-LBBP. But, our CNA method seems as the most physiological one. Am I wrong? 🤣🤣🤣 We performed just a quick map and ablation because he was the last case after a very long day. So, please forgive me for mapping quality.
A quick demonstration of a CNA case,step by step Fig1 demonstrates where we did ablation according to our EAM-guided ablation and names of GPs on those sites.The patient was 46 YO F.She had 16 VVS epiodes and 22s asystole on HUTT So, we checked scar distribution around SN and AVN
Dear all.We were working for that for more than 1.5 years. Let me introduce the issue of
@JAFIB_
that focuses on the ANS from anatomy and physiology to sophisticated interventional therapies. It was a huge honor to share guest editorial w B Olshansky
Patient Selection for CNA Based on Supporting Evidence. Our new paper will be available soon. Pathopyhsiology of vagally mediated bradyarrhytmias, use of HUT and ILR, and relevant literature for CNA. We will have also some great news about ANS and Heart. This is just a spoiler.
This is a great proud that we recently published the second largest series (51) about CNA in VVS
#Europace
@ESC_Journals
We demonstrated that HUT may be a valuable diagnostic tool not only to select suitable candidates but also to evaluate success of CNA
Dear All
We are very pleased to thank you for your participation.
We greatly appreciate you for taking the time and effort to contribute and sharing ideas and expertise, which contributed to make our
@2023WSA
a very successful and exciting event.
Dear colleagues
I feel deeply honored that CNA will be discussed in the highest level. Our article was accepted for publication in
#EHJ
.
@ESC_Journals
I would like to thank to co-authors
@CarlChiefCard
R Sutton and contributors
@ArturFedorowski
and Prof Deharo
@ehj_ed
Dear
#EPeeps
#HRS2022
” ended with a great success. It was certainly the best meeting of the year.
@HRSonline
Congratulations all the team and pacesetters working hard for 3 days. I hope to see you all in the next year in New Orleans
#HRS2023
My first persistent AVB cases w
#Carto
.
@BiosenseWebster
27YOM was referred due to persistent 2 degree AVB in daytime and high-degree AVB during evening time(Fig1). No 1:1 AV conduction. Vagal AF was also detected in one of his Holters. Complete resolution after atropine (Fig2)
With our traditional instrument “bağlama”. I learned to play it by my father when I was 6 YO. He is always better than me although he hasn’t played it for a long time.
@adribaran
Dear all
The first CNA case in a pregnant woman w malign VVS is now online in
@JACCJournals
2 pregnancies ended with spontaneous abortions due to fetal bradycardia at 26 and 30 years of age. During the current presentation, the patient was 34 YOA, at a gestation period of 9 weeks
A simple methods for TSP in a case with challenging IAS. IAS was elastic. the needle couldn’t be advanced. Deep inspiration maneuver worked again on the basis of basic physiological principles.
Dear
#EPeeps
Great honor for me to share practical decision pathway for the management of VVS.
Summary of studies evaluating the utility of interventional treatments in VVS
When PM? When CNA?
Online available in
#EHJ
@escardio
@ESC_Journals
@ehj_ed
Step by step CNA. Try to demonstrate the relationship between SVC-RSPV, CS os and lower septal RA, LAA and LSPV, and IAS by biatrial mapping. It will give you a chance to ablate great majority of GPs even with empirical anatomic approach
I have so excited times not only for me but also for whole CNA guys. CNA has been officially discussed in a special session in
#ESCCongress
@escardio
with the legends of the field. Medications by
@ArturFedorowski
Pacing by Brignole, Discussion by Deharo and chairing by Sutton
Great news in the last day of
#EHRA2021
I was invited to
#HRS2021
to present step-by-step CNA in VVS from diagnosis to treatment. I hope to discuss all procedural steps within 8 minutes. Thanks to scientific committee of
@HRSonline
It's been 1 week since I left my lovely baby and my wife because of covid. She is a Paw Patrol fan. She is singing the theme song for his father. 😭 ❤️ I hope we will defeat this tragedy, soon🙏
It is a great pleasure to see such a high attention to CNA. Please look at the room on my view. Now, we should work hardest for missing pieces of the puzzle
#HRS2023
@HRSonline
Intrinsic Cardiac Neuromodulation in Management of AF- A Potential Missing Link?
*The schematic view of GPs
*EGM types for GP mapping
*Adv and disadv of GP mapping techniques
* Summary of RCTs
@DhirajGuptaBHRS
Why fragmented EGMs are better than empirical anatomical ablation to define GPs? We perform empirical ablation in RSGP anatomical site btw 35-50th seconds of video. No HR increase. Then, we find fragmented EGMs (52th seconds) and HR increases in the first RF point.
In this young case with VVS, CARTO mapping and Prucka EP recording systems were used to detect GPs. In Prucka, you can select 100-500Hz to detect fragmented EGMs. EPWorkMate recording system of
@AbbottCardio
with 200-500 Hz is better for EGM detection but Prucka also works.
One of the most comprehensive reviews about CNA. The future of CNA in cardiovascular medicine
With my dear friend
@hhuang123
and his brilliant fellow
@YeditepeUni
It is obvious that entrainment maneuvers are very important to understand mechanism of reentrant arrhythmias. However, HD catheters made mapping and ablation easy. No doubt.
#HDgrid
#ablatethegap
Propagation map w 0.2mV
PreCNA sinus rate and AVB are seen in fig1. Fig2-3 demonstrates ablation points. Final sinus rate and 1:1 AV conduction is seen in fig4 (Almost same with post atropine response). We didn’t add PVI because GPs are triggers for AF in this young case. And No pace of course 🤣🤣
Dear colleagues Finally, we have a case-control study CNA (n=51) vs conservative therapy (CT) (n=50) in VVS. The 4-year KM syncope free rate was 0.86 for CNA and 0.50 for CT in the matched cohort
@JICE_EP
The first CNA in a patient with functional AVB (usually Mobitz type I and some high degree) and AVNRT. By the way,sinus node was totally normal. We have discussed and performed limited AVN vagal denervation with
@JRWinterfield
@hhuang123
@psharmadoc
@TinaBaykaner
and
@drrakeshg1
Our case investigating usage of ILR to evaluate absolute effectiveness of CNA was accepted for publication by
@JCardioEP
It is a hypothesis generating work for design of further randomized studies. Thanks to the Editorial Board and reviewers.
@KennethEllenbo1
@DrRoderickTung
From
@CirculationEP
paper. 31 pts were enrolled in the current study. In 54.8% of cases, AVB was persistent in that there was Mobitz type 1, 2:1, or advanced AVB present at least 3 successive resting ECGs, and also at the start of the procedure.
Catheter Ablation of Atrioventricular Block: From Diagnosis to Selecti... The first paper in
@JACCJournals
family.Importance of atropine, exercise test, and EPS in differential diagnosis of functional (vagal)AVB.
@drerkanbaysal
@drrakeshg1
@DrSerdarBOZYEL
Dear colleagues I am so excited that I will be the chair of moderated poster session about new treatment in VVS in
#esc2022
Please be ready to see great trials about CNA in
@escardio
As just a spoiler, I hope that results of our meta-analysis will be ready to discuss
Beauty of atria and GPs. This was the third GP ablation case in the new center
@yeditepeunihst
why do we see fragmentation in some irrelevant areas? Please wait our Anatomy Corner paper in
#JACCCaseReports
NEW CONCEPT Epicardial ganglia and neuronal extensions (subplexus)
Steps for selection of a mixed type VVS case for CNA. In existence of low BP component try Fludro or Midodrine first (Fig 1 is from ESC). After failed medication define contribution of CI component (Fig 2). Fig3 reveal HUT under fludro treatment. Based on fig 4, CNA is suggested
What a great pleasure. It is the 150th publication in my career and 30th in my new center
@YeditepeUni
CNA is associated with a better QOL in patients with VVS. Thanks to all co-authors.
It was a proudly day for me to learn more about ARVD ablation by 2 Turkish
#EPHero
@DursunAras2
and
@drtopaloglu
. They visited our clinic. 35 YOF. She admitted to clinic w electrical storm due to ARVD. We performed endo ILAM map first (1-2) and then epi ILAM map (3-4)
I am so glad to see that I have been invited to
#ESC2022
to discuss CNA in an syncope session with the legends and authors of the syncope guideline. What do you think? Does CNA deserve a class IIb indication in young (<40YO) severe CI type VVS cases?
@escardio
@EHRAPresident
I feel deeply honored to be invited to
@AHAMeetings
#AHA2021
. We will get a chance to explain CNA idea in VVS in one of biggest scientific platforms. I would like to thank to all scientific committee members.
@drrakeshg1
My first ILAM mapping attempt during sinus. Recurrent ICD shocks due to fast VT. VT was not tolerable. So, we decided to map during sinus. Brown dots were used to indicate localization of isthmus which were seen in Figure 2.
I feel honored to be invited to Editorial Board of
#ArrhythmiaAcademy
@radcliffeCARDIO
I would like to thank to dear friend
@DhirajGuptaBHRS
and Prof A Auricchio for their kind invitation. I am so excited to prepare some special sessions about ANS and Arrhythmias w dear Dhiraj