Great discussion - thanks- looking forward to continued progress with the PFA catheters - exciting stuff!

Sorry if this is slightly off topic -- I had a pulsed field ablation, and my EP had recommended (not required) a cardiac MRI. I declined because of the gadolinium exposure. Can an effective MRI be done without gadolinium? Thanks for what you do, I love this channel.

Why don't they have a balanced analysis rather totally negative towards Pulsed Field Ablation.

Dr. Natale has given me 2 Afib-free years so far!!! He is truly a genius!! I love you, Dr. Natale! - Karen Krupp from Wisconsin

Nice to see this. Other physicians at other hospitals bounced me around on an afib treatment plan. My wife and I met Dr. Haines in 2013 and he did my ablation in 2014. We stayed in touch. He was amazing and we miss him.

This Video is 7 months old and PFA adoption shows no signs of slowing down. It in fact continues to speed up.

This is an incredibly insightful update on the CHADSVASc score and anticoagulation in AFib management. The detailed breakdown of the new recommendations is especially helpful for clinical decision-making. Thank you for sharing!

I would like to see exactly why these new machines are so much more expensive.

Watching from Kerala, India. Found this very useful...

There is a basic defect in study design, i would like to ask how mow much was the af burden after af ablation, and there should be a one more arm which should be not on anticoagulation and didn't recieved watchman device. As the risk of stroke reduction may have been because of af ablation and not bcoz of your watchman device than in that situation your watchman device would not have been of any use.

I understand him totally fine. And omg, this is answering the exact questions I have and gives me hope to get off my blood thinner. Thank you for posting!

Can’t understand what he is saying..voice not clear😢

Excellent Lecture Presentation Dr. Andres Enriquez ! Just one query, how do you apply these principles of Cardiac EP to someone with structural heart disease (SHD)?? Can you tell? Also can you explain precordial transition in greater detail??

Fantastic work HRTV team. Keep it going!!

this seems like some forced contrarian crap

I´m watching from Austria, Europe. Your insights are incredibly useful. Thank you so much!

What is scar?

This is so affirming to hear. My doctors are so eager to insist on throwing a blood thinner at me, casually saying I'll be on it for life. I'm only 63.

Just had this surgery done on me about 28 hours ago. Very sore afterwards but I’m making it. Thanks for this!

...allow me gentlemen... ...having caveman starting fire in your heart vs. electromagnetic field doing cell poration...and you trying to elaborate your financial concerns...woaaa...bravo...

Why do we want a qR pattern in v1? What does that mean electrically?

I just had a PFA on 08/29/2024 in Miami, FL. What an amazing, painless, & quick procedure. If for any reason I have to have re-done, hands-down, I will!!! I was able to discontinue the Amiodarone immediately following the procedure (mainly due it messing up my thyroid) without any adverse reactions. I am so pleased so far with the outcome of my PFA and would highly recommend it if your Electrophysiologist suggests it.

A wonderful, informative discussion on challenging procedures.

Prof Mervat 🎉🎉🎉🎉🎉🎉🎉

L

excelente!!! muchisimas gracias

Pp l L

nice

I think decreased time under sedation, less exposure to radiation are key benefits. If safety and efficacy are equivalent then the only concerns would be unexpected longer term negatives which are unknown unknowns. Cost is a fair point but what proportion of the total cost is just equipment?

Trying to save their business

Muy buen video

Would love to hear the opinions on type of anesthesia and the "elderly" for pulse field ablation. Thanks.

How are the nodes or pathways that have to be cauterized to stop the erratic electrical impulses from the heart from going all over the place identified?

This the most common sense discussion about PVC and cardiomyopathy I have heard. I would like to have you look at my case.

Thank you Prof Mervat and Prof Felix for highlighting the energy and growth of EP in Africa, while recognzing the enormous remaining needs! Africa has the talent and its EP community is rising fast.

👏🏻👏🏻👏🏻🙏🏻🩵

Good talking points! Thanks guy!

Hi. Will we have a video on POTS?😢😢

This is such an important topic and I'm thrilled to see HRS tackle it. This is especially important for people with implanted heart devices. The recommendations from the 1990s are to "avoid contact sports". This recommendation was created in an era of Fidelis and Riata lead failures, but devices and leads are much more robust today. Combined with better implant techniques and products designed specifically for protecting implanted devices today's athletes are much more protected than years past. I love the physician's shift in attitude from protecting the patient to returning the athlete to play. This is absolutely the right course to take. Thank you HRS for researching this important topic in detail.

Thanks.... Excellent 👍👍👍👍

Well Enjoyed the video🙌 I'm not really sure if it is the best time to ask but, I was wondering if I can help you create better distribution through your videos?

Great program ! Thank you !

This is an awesome video that should be required watching by cardiologists! How can I become part of the research?

Awesome. The hospitals are acting as anti-free-market cartels when they use non-compete clauses.

Very best video ❤

Superb

My creator & doctor is above!

What can we learn from Europe which has been doing FaraPulse for over a yr. with more than 40,000 procedures completed?

Great info for patients!

“In patients with AF without risk factors for stroke…” does such a person exist? AF itself is a risk factor for stroke.