Head of Department for Arrhythmias & Electrophysiology, UCC Kragujevac | Medical Faculty, Kragujevac | Chair of #EHRA_ESC Digital & AI committee l @CybenceOrg
Who is behind #EHRA_ESC? 👋❤️
The new EHRA Board brings together colleagues working across the many areas that make our community thrive:
🎓 Education
🔬 Science
❤️ Patient initiatives
🤖 Digital & AI
🌍 Diversity & international collaboration
🧬 Genetics
🌱 Young EP
📣 Advocacy & communication
🎤 Congress & more
And behind them? Committees, volunteers and members sharing their expertise, energy and ideas. 🤝
EHRA is much more than its President or Board — it’s a diverse, international community working together to shape the future of electrophysiology. ⚡🌍❤️
#EHRATopicWeek#EHRA_ESC#EHRAEducation#ScientificInitiatives#DigitalHealth#PatientInitiatives#YoungEP#ECommunications#EHRA2027#Leadership#Electrophysiology
68.4% of arrhythmia professionals have had no training in equity or inclusive care.
Only 25.1% work somewhere with a formal diversity policy.
New #EHRA_SICsays 🎙️ with Maura Zylla & @simovicst on the EHRA survey on diversity, equity & inclusion in arrhythmia care.
▶️ Watch the video 👇
📄 Read more here : bit.ly/4d0Drq6
4/4 🧵
Why?
The apparent discrepancy between these 2 papers is largely explained by differences in study design & analytical approach, not by conflicting evidence.
Critical appraisal, is essential for interpreting the medical literature! (⏫to 1/4 to understand more!)
@drjohnm
1/4🧵
CSP is the future of pacing, but evidence is still evolving.
In this issue of @EuropaceEiC, 2 meta-analyses compare #CSP and BiVP in #HFrEF. Our editorial discusses why a careful interpretation of these apparently conflicting results is essential.
🖇️tinyurl.com/chkv8k3t
#EHRAtopicweek on Complications in EP
The Second Victim 💙
Complications also affect us.
Many physicians experience:
💭 Self-doubt
💔 Guilt
😔 Shame
🌫️ Loss of confidence
We are trained to manage complications—but rarely taught how to cope with their emotional consequences.
❤️ Self-compassion isn't weakness. It's an important part of professional resilience.
Remember:
Treat yourself with the same kindness you would offer a colleague.
🤝 You are not alone—supporting one another is part of patient safety.
🔗 Read the study bit.ly/4fexJBl
#EHRAtopicweek on Complications in EP
When things go wrong?
Stay calm. Communicate clearly. Assign roles. Call for help early.
The first minutes matter!
When complications occur:
⏸️ Pause and assess the situation.
💬 Communicate clearly with your team.
📋 Follow established protocols.
☎️ Escalate early when additional support is needed.
🧘 Remember that calm leadership is contagious.
The best operators aren't those who never encounter complications—they're those who manage them effectively.
🔗 Read the study: bit.ly/4fjwsZV
❓Question: What's the most valuable lesson you've learned during a difficult case?
#EHRAtopicweek on Complications in EP
The best complication is the one that never happens.
Complication management starts long before entering the EP lab.
Remember:
⚖️ Appropriate patient selection
📋 Careful procedural planning
💬 Team preparation and communication
🔄 Knowing your bailout strategies
🙋 Never hesitating to ask for help
Preparation isn't just technical—it's mental. 🧠
📑 more here: bit.ly/4fjwsZV
#EHRAtopicweek on complications in EP
Serious complications after AF ablation are uncommon and have declined over the last decade.
Recent studies show that:
⚡AF ablation has become safer over the past decade.
⚡Major complications remain uncommon after AF and AFL ablation.
⚡More complex procedures carry higher risks—VT ablation has ~5-fold higher complication rates than AF/AFL ablation.
⚡Growing procedural complexity has contributed to a modest increase in overall complication rates across EP procedures.
⚡Accurate complication reporting matters—and individual case review remains key.
Modern EP is safer than ever—but not simpler. ❤️🩹
🔗 Read more:
bit.ly/4fovNXdbit.ly/4br2hyI
Complications are an inevitable part of EP ❤️🩹
Serious complications have become rarer over the years — but every electrophysiologist will face them sooner or later.
This week's #EHRAtopicweek is dedicated to prevention, management, communication, and the human side of complications.
🎧 New #EHRA_ESC Cardio Talk – Keep the Rhythm, with @GerdHindricks@simovicst & @micaela_ebert
🔗bit.ly/4fSJxtt
– Prevention before the procedure
– Managing complications when they occur
– Leadership and teamwork in difficult moments
– The emotional impact on physicians and teams
– Creating a culture of learning rather than blame
🫀 #EHRATopicWeek | Vascular access in EP
What are the main vascular closure techniques, and how should we choose between them?
🔹 Arterial access: Vascular closure devices are generally preferred over manual compression.
🔹 Venous access: Several effective options are available.
Both manual compression and subcutaneous figure-of-8 suture provide reliable hemostasis but require several hours of immobilization.
🔹 Venous closure devices (suture-based or collagen plug systems) enable very early ambulation, but at the expense of higher costs.
➡️ In everyday clinical practice, the choice of closure technique should be individualized according to the primary procedural goal (e.g. early ambulation, cost considerations, or workflow).
Read more 👉 bit.ly/4eTAp7w@escardio#EHRA_ESC
🫀 #EHRAtopicweek | Vascular access in EP
How common are vascular complications in everyday EP practice?
Ultrasound-guided vascular access significantly reduces the overall vascular complication rate (1.2% vs. 3.2%) compared with the conventional approach (meta-analysis including 1 RCT and 1 observational study).
✅ Shorter puncture time
✅ Higher first-pass success
✅ Fewer puncture attempts
✅ Fewer inadvertent arterial punctures
✅ Benefits both trainees and experienced operators
Ultrasound-guided vascular access should become standard practice in every EP lab.
Read more 👉 bit.ly/4eTAp7w@escardio#EHRA_ESC
New #EHRA_ESC CardioTalk podcast episode is out! 🚨
This month we are talking about a fundamental to every electrophysiologist topic, which often does not receive enough attention - Vascular access and closure management for EP interventions
Join @tomdepotter@simovicst@micaela_ebert sharing their expertise 🎙️
@escardio
Can Pulsed Field Ablation transform the treatment of ventricular arrhythmias?
Join renowned experts @AndreaSarkozy, Josef Kautzner, and Frédéric Sacher for an insightful discussion on the opportunities, challenges, and future role of PFA beyond atrial fibrillation.
Explore the latest evidence and clinical experience in ventricular arrhythmia ablation 🤔
📅 28 July 2026
⏲️ 18:00–19:00 CEST
Secure your place today 👉bit.ly/3S8zlVw#EHRA_ESC@escardio
Diversity & Inclusion. Women in EP. Leadership across bias. #EHRASummit2026 — Tallinn 🇪🇪
Uncomfortable questions. No easy answers.
What does it mean to build a career in EP without a template? How do we make modern electrophysiology accessible — regardless of gender, geography, or socioeconomic status?
Country perspectives from 🇳🇱 🇹🇳 🇪🇸 reminded us: barriers differ, urgency doesn't.
Electrophysiology should reflect the patients it serves — in its workforce, leadership, and science.
That work continues. 💙
@escardio
⏳ONLY 12 days left ‼️
Applications for the EHRA Level 3 | DAS-CAM programme close on 2️⃣2️⃣ June 2026.
👉Join a unique leadership and innovation programme. Deadline extended - don’t miss your chance to apply. 🚀
🔗dascam.org@kvernooy