⚡️#VF Storm 🌪️ Repetitive Ventricular Fibrillation initiation from #Purkinje #firing 💥 suppressed with ablation 🔥 #epeeps, #ablateVT With @GiulioConte9 and @EuropaceEiC at @EnteOspedaliero

🚨Newest #FreeRead Article in @JICE_EP PFA of Atrial Arrhythmias in patients with CIEDs: a Multicenter Evaluation of Electrical Integrity and Device Safety 🧐📖rdcu.be/9EuuL1aexyVa by @AlviseDelMonte, @AntBisignani_MD, @dogi84md, Vincenzo Schillaci, Cinzia Monaco, @MBergonti, Vedran Velagić, Sara Poggi, @WaelMenassel, Antonio Sorgente, Lorenzo Marcon, @LuigipannoneM, Roberto Menè, Giampaolo Vetta, Ivan Eltsov, Gezim Bala, Erwin Ströker, Juan Sieira, Alexandre Almorad, @AndreaSarkozy, Ingrid Overeinder, Giuseppe Stabile, @GiulioConteMD, @stefbianchi, @SergeBoveda, @PierreJais, Carlo de Asmundis & Gian-Battista Chierchia

✨ Celebrating excellence in Swiss cardiology ✨ This year’s award session at the @SwissCardio Congress, highlighted the breadth and depth of CV science in Switzerland. 🏆 Congratulations to all awardees! @MBergonti @garin_dorian @RaberLorenz @RichiKobza @chrisgraeni

There’s something uncomfortable about watching our field race forward with blinders on. Not out of ignorance, but because the path is familiar, the tools keep improving, and every new tech is met with celebration. Stopping to question our direction has become harder than building the next catheter. New tools are helpful, but they have not moved the needle enough to meaningfully change outcomes, and something important, I feel, is being missed. I’ve had my share helping to build some of these technologies, and I believe in this work. But that’s exactly why I feel the responsibility to say this. Take posterior wall isolation. It doesn’t help everyone. Trials keep coming back neutral, and they will continue to, until we understand which patients actually benefit and why. We’ve spent decades refining how we record and read voltage and activation data, adding electrodes, improving algorithms. Indeed, the maps look better, but the outcomes, not so much. PFA is a great advancement, easier to use, procedurally efficient, creates more consistent lesions. That matters, but it will not change the trajectory of clinical outcomes. At some point, that pattern stops being a coincidence. It becomes a signal that we may not be solving the right problem. The real gap, I suspect, isn’t in our catheters or our maps. It’s in our understanding of the disease itself. Why does an APC trigger AF in one patient and not another, or from one location and not from another? What is the true arrhythmogenic substrate- is it really scar? Is AF really a left atrial disease? We know it is not, so how do we identify who has right atrial disease, and how do we map and target it? We don’t fully have those answers, and no new tool will give them to us. Closing the mechanism gap, that’s the work we need to do. Everything else, is refinement within a paradigm that may have already reached its ceiling. The blinders come off when we’re willing to slow down and ask whether we’re racing in the right direction. I’m fortunate to have worked with an incredible team over the past many years, that has taken on some of these questions directly. We’ll be presenting our findings on April 25 at 9:30AM at the High Impact Science session, and I hope it’s the beginning of a longer conversation. @HRSonline @BarkaganMichael @MilmanAnat @drjohnm

📢 We’re hiring at Cardiocentro Ticino Institute (EOC): Clinical Cardiologist ➡️shorturl.at/MJwIb Join our growing team Multisite Cantonal HospitalOpportunities for clinical research. Italian proficiency is mandatory Apply today by email at: Marco.valgimigli@eoc.ch

📢 L’Istituto Cardiocentro Ticino (EOC) è alla ricerca di un/una Cardiologo/a Clinico/a ➡️shorturl.at/MJwIb. 🔷 Ospedale cantonale multisede 🔷 Opportunità di partecipare a progetti di ricerca clinica Sei interessato/a? Scrivi a Marco.valgimigli@eoc.ch

#Europace #EPeeps ⚡️Shortest Pulmonary Vein AF Cycle Length Identifies PVI Responders: The FARS-AF II Study 📋doi.org/10.1093/europace/eua… @GiulioConteMD @FraSantoroMD @marcovitoloMD @Dominik_Linz @AndyZhangMD @DavideMei93 @LuigiDiBiaseMD

⚡️PFA for AF ablation in 2025 🔥 Where are we standing and where are we going? 🛗 Results from the recently published #EHRA #Survey academic.oup.com/europace/ar… @EHRAPresident @EuropaceEiC @jongichun @GiulioConte9 @ftrae @ChristianHeeger @AriSultanEP

What is the diagnosis ? 🕵🏻 ⚡️ #EHRA #Webinar on Challenging ECGs: distinguishing inherited arrhythmias from mimics 📅 Friday 12 December 2025, ⏰ 18:00 to 19:00 CET 🌐 esc365.escardio.org/event/21… With L. Crotti, E. Behr, J. Cadrin-Tourigny @EHRAPresident

Check out our work jacc.org/doi/10.1016/j.jacep… Thanks to @AabelEivind Pierre Ollitrault @martaderiva @PriyaPBK @MBergonti @chris_sohns @GiulioConte9 @KristinaHaugaa @RachelterBekke @SergeBoveda @GuerraCardio @NAjmoneMarsan @LaredoMikael and many others

🚨 #EHRAWebinar 🚨 Balancing #Stroke and #Bleeding in patients with malignancy, CKD, or frailty 📆 Monday 10 November 2025 ⏰ 18:00 to 19:00 CET 🧑🏻‍💻 esc365.escardio.org/event/20… @caso_valeria @DFCapodanno @SteffelJ @EHRAPresident @Phiso_de @martaderiva @simovicst @veramasloo

All you need to know about #VT #Ablation in two days in 🇵🇹 Lisbon ☀️ With @tomdepotter @Petr_Peichl @Cardioschool @ivroca @eladanter1 📆 20–22 Nov 2025 🔗esc365.escardio.org/event/19… Last spots available! @EHRAPresident @Phiso_de @bordistef @simovicst @veramasloo @martaderiva

💊Which anti arrhythmic drug (AAD) can be responsible for this arrhythmia?💉 Don’t miss the upcoming #EHRA #Webinar: What every clinician should know about antiarrhythmic drugs 📅 9 September 2025 🕑 18:00 to 19:00 CEST 🌐 esc365.escardio.org/event/20… @EHRAPresident @ESC_Journals

🚨Upcoming #EHRA #Webinar‼️ #PFA in the treatment of arrhythmias: faster, stronger and safer? 💨⚡️💪🏼 With @AriSultanEP @vivekreddyMD @TobiasReichlin 📆 29 July 2025, ⏰ 18:00 to 19:00 CEST 👉🏼 esc365.escardio.org/event/20… Free for EHRA Members @EHRAPresident

‼️ Don’t miss the upcoming #EHRA #Webinar on Wearable Cardioverter Defibrillator and Risk Stratification ⚡️👕 📆 26 June 2025, 🕣 18:00 to 19:00 CEST 👉🏼 esc365.escardio.org/event/20… With @Fede79Miglio @LauraPerrottaEP @DavidDuncker @EHRAPresident @simovicst @veramasloo

In this large multicenter #HFrEF cohort, #AFib ablation improved LV systolic function regardless of strategy. Use of additional atrial ablations beyond #PVI is rising, though benefits are unproven and may increase complication risk. jacc.org/doi/10.1016/j.jacep… #JACCCEP #HeartFailure

@SergeBoveda @DavideFabb @BoldiKovacsMD @micaela_ebert @AugustoMeretta @ManningerMartin @CompagnucciMd @Mel_Gunawardene @martaderiva @AranyoJulia @LuigipannoneM @AntBisignani_MD @AnteAnic4 @AndreaSarkozy @LMarcon111 @OVLeuven @AlviseDelMonte @SZDiederichsen @BadertscherPat

@vlachoskonstan1 @VanessaSciacca_ @bordistef @veramasloo @MoisesManero @aportasanchez @Raquel_Adelino @finnakerstrom @chris_sohns @DrRoderickTung @Dr_Santangeli @drjohnm @DrWojewoda @DrJasonAndrade @Callme_DrNeil @DrCherylTeresEP @tebagf @EladAnter @LaredoMikael

@sozi81 @tomdepotter @Ciongo @pjsm83 @MRazminia @LMarcon111 @cespon_maria @MariluNarducci @marcoschiavone5 @dogi84md @EmmaSvennberg @DavidDuncker @SergioConti84 @SergioRichterMD @Cardioschool @MaximeTijskens @PrashSanders @aalahmadmd @FilippoCauti @MartinsRaphae15