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Heart Rythm On Demand 2019
Look Beyond The Colors - Understanding Activation Mapping (Presenter Freddy Del Carpio Munoz_ MD_ FHRS) - Heart Rythm On Demand 2019
Chapter 1
Heart On Demand 2019: Heart On Demand 2019
Ablation Of CT-derived Wall Thickness Channels In Post-infarction Ventricular Tachycardia Comparison To Conventional Lava Elimination Strategy (Presenter MasateruTakigawa_ MD)
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Combining Computer Modeling and Cardiac Imaging to Understand Right Ventricular Pump Function and Susceptibility to Arrhythmias (Presenter Joost Lumens_ MSBME_ PhD)
Novel Device-based Algorithm Could Obtain Optimal Hemodynamics During Exercise In Patients With Cardiac Resynchronization Therapy Results Of Exercise Stress Echocardiographic Opti
Novel Quadripolar Active Fixation Left Ventricular Pacing Lead For Cardiac Resynchronization Therapy One-year Follow Up Data From A Multi Center Uk Registry (Presenter MichaelCha
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Rates And Predictors Of Cardiac Implantable Electronic Device Infections Within 90 Days Following Implantation Insights From The Nationwide Readmissions Database 2010 - 2014 (Pres
Risk Factors For The Occurrence of Stroke After Atrial Fibrillation Ablation The Relevance Between Epicardial Adipose Tissue And Embolic Stroke (Presenter JinheeAhn_ MD)
Safety And Outcomes Of Substrate-guided VT Ablation In Sinus Rhythm. Results Of The Multicenter Registry Of Scar Dechanneling (Presenter FelipeBisbal Van Bylen_)
Shorter Leukocyte Telomere Length Is Associated With Atrial Remodeling And Predicts The Recurrence Of Atrial Fibrillation After Radiofrequency Ablation Therapy (Presenter Kuo LiPa
The Right Ventricle in Brugada Syndrome Structural Substrate and the Success of Epicardial Ablation (Presenter Koonlawee Nademanee_ MD_ FHRS_ CCDS)
Totally Endoscopic Robotic Epicardial Ablation Of Refractory Left Ventricular Summit Arrhythmia Feasibility And Outcomes Of Initial 10 Cases (Presenter ZaidAziz_ MD)
10 Lessons
Chapter 2
Abstract Plus: Update on Pediatric Pacemakers and ICDs
His Bundle Pacing In Congenital Complete Heart Block A Feasible And Safe Pacing Option (Presenter Vivak M Master_ MD)
Predicting Defibrillation Thresholds In Infants And Children With Non Transvenous Implantable Cardioverter Defibrillators - Can Serial Dft Testing Be
Safety And Efficacy Of Transvenous Lead Extraction In The Pediatric And Congenital Population In The Recent Era (Presenter Tam DanPham_ MD)
Subcutaneous Implantable Cardioverter Defibrillators In Pediatrics And Congenital Heart Disease An International Multi-center Review (Presenter Johann
The Impact Of Cardiac Resynchronization Therapy Upon Transplant-free Survival In Pediatric And Congenital Heart Disease (Presenter HenryChubb_ MA_ MBB
5 Lessons
Chapter 3
Abstract: Advanced Mapping_ Ablation_ and Denervation for Challenging Ventricular Arrhythmias
Cardiac Sympathetic Denervation In Arrhythmogenic Right Ventricular Cardiomyopathy A Single Center Experience (Presen
Comparison Of Bolus And Continuous Infusion Stellate Ganglion Blocks For Treatment Of Ventricular Tachycardia-fibrillat
Direct Epicardial Ablation Plus Intramural Ethanol Injection Via Surgical Approach For The Treatment Of Ventr
Effect Of Activation Wavefront On Electrogram Characteristics During Ventricular Tachycardia Ablation (Presen
4 Lessons
Chapter 4
Abstract: Harnessing the Power of New Computational Approaches to Transform Arrhythmia Treatment
A Novel Framework For Performing Biophysically Realistic But Computationally Inexpensive Simulations For Ass
Fast And Accurate Reconstruction Of Transmural Activation Maps From Standard 12-lead ECG Using An Eikonal Mo
Fast Personalized Computer Simulation Of Electrical Activation From CT Imaging In Post-infarction Ventricula
3 Lessons
Chapter 5
Abstract: What_s New With Leadless Pacemakers and Defibrillators
A Novel Tube-exercise Test Predicts Inappropriate Shocks From Myopotentials From The Subcutaneous Implantable Cardioverter-defibrillator (Pr
Complications Involving The S-ICD Lessons Learned From Maude (Presenter Emily P. Zeitler_ MD_ MHS)
Feasibility Of Leadless Pacemakers Across Bioprosthetic Or Repaired Tricuspid Vlave A Multicenter Experience (Presenter M. Rizwan Rizwan Afz
Leadless Pacing. Going For The Jugular (Presenter ShmailaSaleem-Talib_ MD)
Qrs Duration And Device Performance After Apical Versus Non-apical Leadless Pacemaker (micra Tps) Implantation (Presenter ChristopheGarweg_
5 Lessons
Chapter 6
Basic Translational Science Forum: Omics_ Informatics and Population Science Big Data Analysis to Study Heart Rhythm - Session 2
Omics_ Arrhythmias and the Metabolism of the Heart (Presenter BrianO_Rourke_ PhD)
1 Lessons
Chapter 7
Case Based Tutorial: Approaches to Previously Failed Ablation of Ventricular Arrhythmias
Approach to the Challenging VF Ablation (Presenter Matthew M. Zipse_)
Challenges Encountered with Mapping and Ablation of Epicardial Ventricular Arrhythmias - How We Have Evolved (Presen
Historical Perspective on the Evolution of the Approach to VT Ablation (Presenter David J. Wilber_ MD_ FHRS_ CCDS)
Intramyocardial Substrate Mapping and Ablation (Presenter Usha B. Tedrow_ MD_ MS_ FHRS)
Recurrent Ventricular Arrhythmias Arising from the Papillary Muscles (Presenter Rajeev Kumar Pathak_ MBBS_ PhD_ FHRS
Strategies for Ablation of Recurrent LV Summit Arrhythmias (Presenter Pasquale Santangeli_ MD_ PhD)
6 Lessons
Chapter 8
Case Based Tutorial: Heart Failure and Arrhythmia A Sinister Alliance
Device-Detected Sub-Clinical Atrial Fibrillation and the Risk of Heart Failure (Presenter Jorge A. Wong_ MD_ MPH)
Heart Failure and Arrhythmias The Chicken or the Egg A Historical Perspective (Presenter Brian Olshansky_)
Heart Failure and Atrial Fibrillation Rate or Rhythm Control (Presenter Nassir F. Marrouche_ MD_ FHRS)
Heart Failure and Conduction DelayBradycardia (Presenter Martin Stockburger_)
Heart Failure and Ventricular Arrhythmias (Presenter Suneet Mittal_ BA_ MD_ FHRS)
5 Lessons
Chapter 9
Case Based Tutorial: I Am Actually Glad I Got That Curbside Consult
Chair (Presenter Robin L. Clegg_ MD)
Does This V2 Look Funny (Presenter Maria Cecilia Gonzalez_)
Glad I Took a Second Look Before I Signed That Sports Release Form (Presenter Santiago O. Valdes_ MD)
Is This Really Just a Sinus Pause (Presenter Svjetlana Tisma-Dupanovic_ MD_ FHRS_ CCDS_ CEPS-P)
Panelist (Presenter Jeffrey M. Vinocur_ MD_ CEPS-P)
Sinus Tachycardia in a 16 Year Old. Or Is It (Presenter Ulrich Krause_ MD)
When Chest Pain Matters (Presenter Andrew D. Blaufox_ MD_ FHRS_ CEPS-P)
When Second Degree Heart Block Matters (Presenter Richard J. Czosek_ MD_ CCDS)
8 Lessons
Chapter 10
Case Based Tutorial: Managing Arrhythmias in Special Heart Failure Populations
PVCs in ARVCAC (Presenter Harikrishna Tandri_ MD)
Recurrent Atrial Fibrillation Following Ablation in Hypertrophic Cardiomyopathy (Presenter Ravi Ranjan_ MD_ PhD_ FHRS)
SCD Prevention in Repaired Tetralogy of Fallot (Presenter PaulKhairy_ MDCM_ PhD)
Syncope in Cardiac Amyloid (Presenter Kristen K. Patton_ MD_ FHRS)
Ventricular Arrhythmias in Cardiac Sarcoid (Presenter William H. Sauer_ MD_ FHRS_ CCDS)
5 Lessons
Chapter 11
Case Based Tutorial: Navigating the Difficult SVT Tips From Experts
Ablation of High-Risk Accessory Pathways Near the AV Node (Presenter Gregory F. Michaud_ MD_ FHRS)
Approach to Patients with Multiple SVTs (Presenter George J. Klein_ MD)
The Difficult ANVRT Ablation (Presenter Bradley P Knight_ MD_ FHRS)
Unusual Accessory Pathways (Presenter Warren M. Jackman_ MD_ FHRS)
4 Lessons
Chapter 12
Case Based Tutorial: New Options for the Pharmacological Treatment of Arrhythmias
After the RAID Ranolazine as an Antiarrhythmic Drug (Presenter Wojciech Zareba_ MD_ PhD)
Back Into the Future Introducing Quinidine for Cardiac Arrhythmia Treatment (Presenter Zachary Laksman_ MD_ MS)
Ivabradine Is it Finally Helpful (Presenter MarkusMeyer_ MD)
Take a Deep Breath! Inhaled Drugs for Arrhythmia Termination (Presenter Bruce S. Stambler_ MD_ FHRS)
4 Lessons
Chapter 13
Complication Theater: How to Avoid and Manage CIED Implantation-Related Complications
Are All Leads the Same How Can We Avoid the Lemon (Presenter Edward J. Schloss_ MD_ FHRS)
How to Avoid a Hole in the Heart During Device Implantation (Presenter Marwan M. Refaat_ MD_ FHRS)
How to Avoid a Hole in the Lung Using Anatomy_ Micropuncture needles_ Ultrasound and more (Presenter Samy C. Elayi_ MD_
How to Manage a Coronary Sinus Dissection and Complete the CRT Implantation (Presenter Amin Al-Ahmad_ MD_ FHRS_ CCDS)
Pocket Hematoma Prevention Lessons learned from Bruise Control I and II (Presenter David H. Birnie_ MD)
Pocket Infection-Lessons learned from PADIT (Presenter Andrew D. Krahn_ MD_ FHRS)
6 Lessons
Chapter 14
Complication Theater: Ooh.What Do I Do Now
Just Finished Implanting a S-ICD_ and DFT_s Failed! What Do I Do (Presenter Andrea M. Russo_ MD_ FHRS)
Oh No! My Leadless Pacemaker Just Dislodged! (Presenter Jacob S Koruth_ MBBS_ MD)
Post-Implant Recurrent Effusion! What Do I Do Now (Presenter Bruce A. Koplan_ MD_ MPH_ FHRS)
Yikes! I May Have Injured the Phrenic Nerve. (Presenter Jason G. Andrade_ MD_ FHRS)
4 Lessons
Chapter 15
EPicenter: Making the EP World a Smaller Place Building and Utilizing an International Network
Networking Through Certification - How IBHRE Helped Me to Establish an International Network (Presenter Aparna
Networking Through Research Funding - Building International Research Collaboration Networks (Presenter Junaid
Networking Through Societies - Why Are We All Here in San Francisco (Presenter Fred M. Kusumoto_ MD_ FHRS)
Networking Through Travel - Personal Tips on EP Training Across Continents. (Presenter Elena Arbelo_ MD_ MSci_
4 Lessons
Chapter 16
EPicenter: What You Didn_t Learn in Fellowship Training
How to Approach a CRT Non-Responder (Presenter John Rickard_ MD_ MPH)
How to Put Safety First During VT Ablation Procedures (Presenter Edmond M. Cronin_ MBChB_ FHRS_ CCDS_ CEPS-A)
How to Unleash the Full Power of Intracardiac Echo (Presenter Fermin C. Garcia_ MD)
Look Beyond The Colors - Understanding Activation Mapping (Presenter Freddy Del Carpio Munoz_ MD_ FHRS)
The 20 Minute Clinic Visit That Wasn-t. Looking After Patients With Dysautonomia Syndromes. (Presenter David S Cannom_ MD_ FHRS)
5 Lessons
Chapter 17
Heart Rythm On Demand 2019: Heart Rythm On Demand 2019
High Density Mapping Of Dynamic Functional Late Potentials And Functional Late Repolarization Identifies Critical Sites For Ablation In Ventricular Tachycardia (Presenter Neil T.
Mechanisms And Ablation Challenges For Ventricular Tachycardia In Patients With Left Ventricular Assist Devices The Importance Of Peri-cannula Origins (Presenter RyohsukeNarui_ M
2 Lessons
Chapter 18
How-To: How to Interpret Variants of Uncertain Significance (VUS)
Exploiting Ion Channel Structure to Assess Pathogenicity of VUS (Presenter Brett Kroncke_ PhD)
Using Induced Pluripotent Stem Cell-Derived Cardiomyocytes to Identify Genetic Modifiers of LQTS2 (Presenter Isabelle Deschenes_ PhD)
2 Lessons
Chapter 19
How-To: How to Optimally Deliver CRT Strategies That Enhance Response
How Do I Get the Lead to the Optimal Location Despite Anatomical Constraints (Presenter Brett D. Atwater_ MD)
How Do I Place an LV Endocardial Lead in My CRT Non-responder (Presenter Marc Strik_ MD_ PhD)
How Do I Use Multipoint Pacing to Enhance Response in My Patient (Presenter Maurizio Lunati_ MD)
How Should I Target the LV Lead in a non-LBBB Patient (Presenter Rahul N. Doshi_ MD_ FHRS)
4 Lessons
Chapter 20
Joint Session: ECASHRS Joint Session Evolving Therapeutic Strategies for Atrial Fibrillation in Heart Failure
Antiarrhythmic Pharmacological Therapies (Presenter Albert L. Waldo_)
Interventional Therapies Cardiac Resynchronization Therapy (Presenter Thorsten W Lewalter_)
Interventional Therapies Catheter Ablation (Presenter Johannes Brachmann_ PhD_ FHRS)
Non-Antiarrhythmic Pharmacological Therapies (Presenter N. A. MarkEstes_ MD_ FHRS_ CCDS)
4 Lessons
Chapter 21
Mini Board Review: EP 101 Introduction to EP for the New Allied Professional - Part I
Do_s and Don_ts in the EP Lab Key Concepts to Remember During Device Procedures (Presenter Anastasios Manaris_ MD_ FHRS_ CCDS)
Introduction to CRT Basic Principles and Programming (Presenter Nancy A. Lee_ RN_ FHRS_ CCDS)
Introduction to ICD Therapy Basic Principles and Concepts (Presenter Douglas Steven Beinborn_ BSN_ MA_ RN)
Introduction to Pacing Basic Principles (Presenter Amy G Tucker_ BSN_ CCDS)
4 Lessons
Chapter 22
Mini-Course: Ablation of Summit PVCs
Anatomy and Electrocardiography of the LV summit (Presenter Marmar Vaseghi_ MD_ FHRS)
Chair (Presenter G. Neal Kay_ MD_ CCDS)
Endocardial Ablation Approach to LV Summit Arrhythmias (Presenter Fermin C. Garcia_ MD)
Epicardial Ablation Approach to LV Summit Arrhythmias (Presenter ArashAryana_ MD_ MS_ FHRS)
Interventional Approaches to Lesion Formation in the LV Summit - The Old and The New (Presenter Saurabh Kumar_ MD_ PhD)
Remote Magnetic Navigation-Guided Catheter Ablation of Left Ventricular Summit (Presenter Pasquale Santangeli_ MD_ PhD)
Surgical Ablation of LV Summit Arrhythmias (Presenter Roderick Tung_ MD_ FHRS)
7 Lessons
Chapter 23
Mini-Course: Device Therapy for Heart Failure State-of-the-Art 2019
A Look Back On Cardiac Pacing (Presenter Stavros Stavrakis_ MD_ PhD)
Assessing Response to CRT When_ How_ and Why (Presenter Christophe I. Leclercq_ MD_ PhD)
Leadless Pacing or His Bundle Pacing What is the Right Direction for 2019 _ Beyond (Presenter Gaurav A. Upadhyay_ MD_ FHRS)
Multisite or Multipoint Where Do We Stand in 2019 (Presenter Rasmus Borgquist_ MD_ PhD)
Neuromodulation for the Failing Heart 2019 _ Beyond (Presenter Olujimi A. Ajijola_ MD_ PhD)
5 Lessons
Chapter 24
Mini-Course: Extra-Cardiac Targets to Improve AF Outcomes
Aggressive Upstream Therapy to Prevent AF Progression (Presenter Harry J.G.M. Crijns_ PhD)
Comprehensive Risk Factor Management - Effect on AF Outcomes (Presenter Prashanthan Sanders_ MBBS_ PhD_ FHRS)
Exercise and AF - Prevention or Causation (Presenter Marco Perez_)
Gut Microbes - Targets for AF (Presenter Sunny S. Po_ MD_ PhD)
Ralph Lazzara Lectureship Award Mechanisms Underlying the Link between Body Composition and Atrial Fibrillation (Presenter Stanley Nattel_ MD_ FHRS
Treating Sleep Apnea for AF - When_ How_ and Why (Presenter Dominik K Linz_ MD_ PhD)
6 Lessons
Chapter 25
Mini-Course: Gender_ Age and Arrhythmias Better Be Young and Female
ARVC_ HCM and Other Cardiomyopathies Age Predicts Risk (Presenter Christopher Semsarian_ MBBS_ MPH_ PhD_ FHRS)
Eric N. Prystowsky Lectureship Award Sex Differences in Electrophysiology and Epidemiology of Atrial Fibrillation and Ventricular Arrhythmias (Presenter Anne M. Gillis_ MD_ FHRS)
Gender and the Risk of VTVF (Presenter Christine Tompkins_ MD)
Gender_ Age and Arrhythmias Better Be Young and Female_~
Impact of Age and Gender in Inherited Arrhythmias (Presenter Elizabeth S. Kaufman_ MD_ FHRS)
Sudden Death During Sports Activity Only in Young Men (Presenter Paul Dorian_ MD_ FHRS)
6 Lessons
Chapter 26
Mini-Course: The Difficult Coronary Sinus Lead
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The Difficult Coronary Sinus Lead
The Difficult Coronary Sinus Lead^
The Difficult Coronary Sinus Lead~
5 Lessons
Chapter 27
Moderated ePoster: 2019 Pediatric Electrophysiology Potpourri
Comparison Of Outcomes Of Pediatric Catheter Ablation Under General Anesthesia Versus Sedation An Analysis Of Data From The IMPACT Registry (Presenter Christopher M. Janson_ MD_
Pectoral Nerve Blocks Decrease Post-Operative Pain And Opiate Use After Pacemaker Or ICD Placement In Children (Presenter JeffreyYang_ MD_ BS)
Role Of Persistent Left Superior Vena Cava In Arrhythmogenesis And Ablation In Patients With Atrial Fibrillation (Presenter VaibhavVaidya_ MBBS)
Thromboembolic Complications In Patients With Atrial Standstill And Inability To Atrial Pace (Presenter Taylor Stewart Howard_ MD)
4 Lessons
Chapter 28
Moderated ePoster: Defining Substrate Based Ventricular Arrhythmias - Novel Approaches to Mapping
Multi-size Electrodes For Substrate Identification In Ischemic Cardiomyopathy Validation By Whole Heart Histology (Presenter ClaireGlashan_ MD)
1 Lessons
Chapter 29
Moderated ePoster: Enhancing Clinical Outcomes in Device Therapy Patients
Change In Blood Pressure Following Cardiac Resynchronization Therapy And Subsequent Clinical Outcomes In Madit-crt (Presenter Khaled H Abdulla_)
Coronary Venoplasty To Facilitate Left Ventricular (LV) Lead Placement During Cardiac Resynchronisation Therapy (CRT) Implant (Presenter Chen Chen ElaineBoey_ MBBS)
Post Electrophysiology Procedure Monitoring With a Novel Wearable Device (Presenter LiorJankelson_ MD)
Procedural Profiles and Outcomes of Coronary Venous Injuries During Coronary Sinus Lead Placement for Cardiac Resynchronization Therapy (Presenter JohnnyChahine_)
4 Lessons
Chapter 30
Moderated ePoster: Innovations in Monitoring and Device Therapy for Heart Failure
A Feasibility Study To Find Optimal Pacing Site Of Left Quadripole Lead Based On Non-invasive Electrocardiographic Imaging (Presenter StepanZubarev_)
Synchronized Biventricular Pacing with Wirelessly Powered Pacemakers (Presenter HongmingLyu_)
2 Lessons
Chapter 31
Moderated ePoster: Mapping AF What ECG Recordings Can Tell
High Density Epicardial Mapping Of Persistent Atrial Fibrillation Association Of Rotational Activity With Lines Of Block At The Crista Terminalis (Presenter Chrishan Joseph Nalli
Spatial Characteristics Of Fibrillatory Wave Loops Correlate with Atrial Fibrillation Complexity And Drivers (Presenter MariannaMeo_ PhD)
The Prediction Of New-onset Atrial Fibrillation After Cavo-tricuspid Isthmus Dependent Atrial Flutter Ablation (Presenter YUHIFUJIMOTO_ MD)
3 Lessons
Chapter 32
Moderated ePoster: Mechanistic Insights Into Heart Failure Therapies
His Bundle Pacing Versus Biventricular Pacing In Cardiac Resynchronization Therapy Acute Hemodynamic And Electrophysiological Effects (Presenter Floor CWM Salden_ MD)
His-bundle Pacing Is Associated With Positive Left Ventricular Remodeling And Improvement In Functional Mitral Regurgitation (Presenter DavideGenovese_ MD)
Therapy With Ivabradine Improves Sarcoplasmic Reticulum Calcium Uptake In Dogs With Chronic Heart Failure (Presenter Hani N. Sabbah_ PhD)
Vectorcardiography Demonstrates Electrical Synchronization By Multipoint Pacing With Dynamic AVD Programming (Presenter Frits W Prinzen_ PhD)
4 Lessons
Chapter 33
Moderated ePoster: Systemic Determinants of AF Ablation Outcomes and Complications
Catheter Ablation Of Atrial Fibrillation Reduces The Future Risk Of Dementia During A Long-term Follow-up A National Cohort Study (Presenter Yenn-JiangLin_ MD_ PhD)
Chair (Presenter Dennis H Lau_ MBBS_ PhD_ FHRS)
Is Epicardial Adipose Tissue The Cause Or Consequence Of Atrial Fibrillation Implication Of Ablation Effects (Presenter SeinaYagyu_)
Marked Reduction in Recurrence Rates Following Bariatric Surgery in Morbidly Obese Patients Undergoing Atrial Fibrillation Ablation (Presenter EoinDonnellan_ MD)
4 Lessons
Chapter 34
Rapid Fire Cases: Challenging Cases What to Do When
My ICD Patient Scheduled for LVAD has Lead Endocarditis- Should I Reimplant the ICD (Presenter Ashish A. Bhimani_ BSE_ MD_ FHRS)
My Pacemaker Patient has Pacing Induced Cardiomyopathy - Upgrade to CRT- D or P (Presenter Christine Tompkins_ MD)
My Patient has Numerous LV Branches! How Do I Choose (Presenter Theofanie Mela_ MD)
My Patient_s ICD is at ERI and has a Functioning Fidelis or Riata Use it_ Extract or Abandon and Replace (Presenter Robert N. Goldstein_ MD_ FHRS)
My Post-TAVR Patient with EF of 40_ has AV Block- What Device Should I Implant (Presenter Elaine Wan_ MD_ FHRS)
The LV Lead No Longer Captures What_s the Best Approach (Presenter Frederick T. Han_ MD_ FHRS)
6 Lessons
Chapter 35
Translational Electrophysiology: EP Lab 2049 How Today_s Scientific Innovations Will Transform Tomorrow_s Arrhythmia Treatments
Ablation Guided by Deep Learning-Based Classification of Intracardiac Electrograms (Presenter Jerome Kalifa_ MD)
Noninvasive Cardiac Radiation for Ablation of Ventricular Tachycardia (Presenter Phillip Cuculich_ MD)
Noninvasive Characterization of Focal Arrhythmia with Electromechanical Wave Imaging (Presenter ElisaKonofagou_)
Targeted Ablation Procedures Guided by Personalized Computational Modeling (Presenter Natalia A. Trayanova_ PhD_ FHRS)
Ultra-Rapid_ Tissue-Selective Ablation with Pulsed Electric Fields (Presenter Vivek Y. Reddy_ MD)
5 Lessons
Chapter 36
Translational Electrophysiology: The Right Ventricle as an Arrhythmia Source What Is Different About It
Asymmetric Response to Exercise and its Impact to Arrhythmias (Presenter Andre La Gerche_ MBBS_ PhD)
1 Lessons
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