Ablation procedures in congenital heart diseases are a challenge not only for the complexity of anatomical substrate, but also due to the limited access to the heart. A vascular access for the electrophysiological study (EPS) is most commonly obtained via the femoral vein. Therefore transseptal catheters and electrodes are adapted to this access type. However, […]

W procesie edukacji elektrofizjologicznej kluczowe jest zdobywanie i aktualizowanie wiedzy naukowej oraz stałe doskonalenie zabiegowych umiejętności praktycznych. Warto, by operatorzy cechowali się otwartością: poznawali i weryfikowali w praktyce klinicznej różne podejścia, krytycznie oceniali poszczególne teorie i strategie procedur. W nowoczesnej edukacji medycznej odchodzi się od modelu Eminence Based Medicine. Ten trend zawitał także do Polski […]

A 78-year-old male with heart failure with mildly reduced ejection fraction (HFmrEF – current LVEF 43%) and previously implanted ICD for primary prevention of SCA was admitted due to wide QRS tachycardia 130/min. Medical history: chronic coronary syndrome, anterior myocardial infarction, PCI LMCA and Cx with DES, hypertension, SARS-CoV2 infection. Fig 1. ECG during tachycardia […]

Today in EP Fans: the 4th episode of the EP handbook by Dr. Michal Peller: initial maneuvers in differentiation of supraventricular arrhythmias. We will focus on differences between the orthodromic AVRT and AVNRT. Let’s watch!

Dr Bartłomiej Bińkowski speaks about the key to quick and accurate diagnosis and ablation of reentrant atrial tachycardia. Let’s watch!

47- yo male with a history of palpitations for last 27 years. Paroxysmal atrial fibrillation (AF) has been documented in the previous ECG. He was referred for pulmonary vein isolation (PVI). At resting ECG no signs of preexcitation were present. During EPS dual atrioventricular nodal physiology was excluded. Later during incremental ventricular pacing AF occured. […]

Hello, today I would like to present the one of the most important maneuvers which can help to determine presence of accessory pathway, especially the accessory pathway in the area of bundle of His – says Dr. Michal Peller, Warszawski Uniwersytet Medyczny – WUM. We invite you to the third part of the EP Fans […]

A 70-year-old male was admitted to the hospital due to palpitations, dyspnea and decreased exercise tolerance during the last 2 months. The past ECGs were interpreted by the GP as sinus tachycardia resistant to medical treatment.The patient was treated with maximal tolerated doses of bisoprolol 10mg, although tachycardia 110/min persisted, and the patient was referred […]

A science that combines physics and physiology seems to be the essential background of knowledge concerning cardiac electrophysiology, but its importance does not decrease with the development of this specialization. Thorough knowledge of biophysics can play a decisive role in the safety and efficacy of the underlying arrhythmia ablation procedures performed. Investing an excessive amount […]

27-year-old male with a history of palpitations for the last 10 years. Finally, ECG during tachycardia was recorded (Fig 1). The patient was scheduled for EPS and ablation. Here you can find a few of his intracardiac recordings from EPS (Fig 2-4). What kind of tachycardia might it be? Do you remember our riddle: https://lnkd.in/eBRG8deV? Dr. […]

Today in our EP handbook Michal Peller, MD from Warszawski Uniwersytet Medyczny – WUM talks about the idea of incremental pacing. Let’s see!

We are starting a series of trainings on the recognition, diagnostics, and differentiating maneuvers of basic arrhythmias. Today Michal Peller, MD from Warszawski Uniwersytet Medyczny – WUM talks about the catheters location during the electrophysiological study

Although its idea has been known for more than 30 years, it is currently more widely used in clinical practice due to technical progress. Bipolar ablation may be the only practical alternative for a specific group of patients with heart rhythm disorders. Piotr Futyma, MD, PhD, Associate Professor at the University of Rzeszów and Cardiac […]

Although in terms of anatomy, a child’s heart does not differ significantly from an adult’s heart, each organ has its specific characteristics from the electrophysiological point of view. What are the secrets of the youngest patients’ hearts and what should be remembered regarding electrophysiological diagnostics and therapy, reveals Artur Baszko, MD, PhD (2nd Department of […]

Steerable sheath is a gamechanger in complex left atrial ablations says dr. Bartłomiej Bińkowski (MSW Hospital in Łódź, Poland), and presents step by step approach to transseptal puncture carried out directly with steerable sheath.

What will you learn in 35 minutes? how to optimally set you EP hardware for safe, fast and effective HPSD AF ablation; how to use commercially available catheters for HPSD AF ablation; how to perform HSPD AF ablation with one transeptal access; how to perform transeptal puncture directly with Agilis steerable sheath; how to shorten […]

At the National Institute of Cardiology in Warsaw, nearly 1,000 heart arrhythmia ablation procedures are performed annually. Half of them are the most challenging procedures: performed on patients with a damaged heart and complex arrhythmias. Electrophysiologists Prof. Mariusz Pytkowski, MD, PhD, Michal M. Farkowski, MD, PhD and Aleksander Maciąg, MD, PhD, from the 2nd  Department […]

The heart is a dynamic internal organ, the actual work of which constitutes the simultaneous activity of several hundred elements. In the case of diagnostics and therapy of cardiac arrhythmias, perfect knowledge of anatomy allows us to conduct diagnostic process and perform therapeutic interventions in a safe, efficient, and more effective way – argues Mateusz […]

Modern electrodes used in arrhythmia ablation procedures can collect not one but even a dozen or more electrical impulses in the heart during one cycle. 3D mapping systems analyze not 100 or 200 but tens of thousands of points in a short time. This makes it possible to treat even the most complex arrhythmias effectively. […]

A science that combines physics and physiology seems to be the essential background of knowledge concerning cardiac electrophysiology, but its importance does not decrease with the development of this specialization. Thorough knowledge of biophysics can play a decisive role in the safety and efficacy of the underlying arrhythmia ablation procedures performed. Investing an excessive amount […]