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Eric N. Prystowsky Lectureship Award Sex Differences in Electrophysiology and Epidemiology of Atrial Fibrillation and Ventricular Arrhythmias (Presenter Anne M. Gillis_ MD_ FHRS)

Heart Rythm On Demand 2019
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Chapter 1

Heart On Demand 2019: Heart On Demand 2019

10 lessons

Ablation Of CT-derived Wall Thickness Channels In Post-infarction Ventricular Tachycardia Comparison To Conventional Lava Elimination Strategy (Presenter MasateruTakigawa_ MD)

FREE

Combining Computer Modeling and Cardiac Imaging to Understand Right Ventricular Pump Function and Susceptibility to Arrhythmias (Presenter Joost Lumens_ MSBME_ PhD)

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Novel Device-based Algorithm Could Obtain Optimal Hemodynamics During Exercise In Patients With Cardiac Resynchronization Therapy Results Of Exercise Stress Echocardiographic Opti

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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

FREE

Rates And Predictors Of Cardiac Implantable Electronic Device Infections Within 90 Days Following Implantation Insights From The Nationwide Readmissions Database 2010 - 2014 (Pres

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Risk Factors For The Occurrence of Stroke After Atrial Fibrillation Ablation The Relevance Between Epicardial Adipose Tissue And Embolic Stroke (Presenter JinheeAhn_ MD)

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Safety And Outcomes Of Substrate-guided VT Ablation In Sinus Rhythm. Results Of The Multicenter Registry Of Scar Dechanneling (Presenter FelipeBisbal Van Bylen_)

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Shorter Leukocyte Telomere Length Is Associated With Atrial Remodeling And Predicts The Recurrence Of Atrial Fibrillation After Radiofrequency Ablation Therapy (Presenter Kuo LiPa

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The Right Ventricle in Brugada Syndrome Structural Substrate and the Success of Epicardial Ablation (Presenter Koonlawee Nademanee_ MD_ FHRS_ CCDS)

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Totally Endoscopic Robotic Epicardial Ablation Of Refractory Left Ventricular Summit Arrhythmia Feasibility And Outcomes Of Initial 10 Cases (Presenter ZaidAziz_ MD)

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Chapter 2

Abstract Plus: Update on Pediatric Pacemakers and ICDs

5 lessons

His Bundle Pacing In Congenital Complete Heart Block A Feasible And Safe Pacing Option (Presenter Vivak M Master_ MD)

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Predicting Defibrillation Thresholds In Infants And Children With Non Transvenous Implantable Cardioverter Defibrillators - Can Serial Dft Testing Be

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Safety And Efficacy Of Transvenous Lead Extraction In The Pediatric And Congenital Population In The Recent Era (Presenter Tam DanPham_ MD)

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Subcutaneous Implantable Cardioverter Defibrillators In Pediatrics And Congenital Heart Disease An International Multi-center Review (Presenter Johann

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The Impact Of Cardiac Resynchronization Therapy Upon Transplant-free Survival In Pediatric And Congenital Heart Disease (Presenter HenryChubb_ MA_ MBB

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Chapter 3

Abstract: Advanced Mapping_ Ablation_ and Denervation for Challenging Ventricular Arrhythmias

4 lessons

Cardiac Sympathetic Denervation In Arrhythmogenic Right Ventricular Cardiomyopathy A Single Center Experience (Presen

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Comparison Of Bolus And Continuous Infusion Stellate Ganglion Blocks For Treatment Of Ventricular Tachycardia-fibrillat

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Direct Epicardial Ablation Plus Intramural Ethanol Injection Via Surgical Approach For The Treatment Of Ventr

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Effect Of Activation Wavefront On Electrogram Characteristics During Ventricular Tachycardia Ablation (Presen

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Chapter 4

Abstract: Harnessing the Power of New Computational Approaches to Transform Arrhythmia Treatment

3 lessons

A Novel Framework For Performing Biophysically Realistic But Computationally Inexpensive Simulations For Ass

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Fast And Accurate Reconstruction Of Transmural Activation Maps From Standard 12-lead ECG Using An Eikonal Mo

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Fast Personalized Computer Simulation Of Electrical Activation From CT Imaging In Post-infarction Ventricula

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Chapter 5

Abstract: What_s New With Leadless Pacemakers and Defibrillators

5 lessons

A Novel Tube-exercise Test Predicts Inappropriate Shocks From Myopotentials From The Subcutaneous Implantable Cardioverter-defibrillator (Pr

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Complications Involving The S-ICD Lessons Learned From Maude (Presenter Emily P. Zeitler_ MD_ MHS)

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Feasibility Of Leadless Pacemakers Across Bioprosthetic Or Repaired Tricuspid Vlave A Multicenter Experience (Presenter M. Rizwan Rizwan Afz

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Leadless Pacing. Going For The Jugular (Presenter ShmailaSaleem-Talib_ MD)

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Qrs Duration And Device Performance After Apical Versus Non-apical Leadless Pacemaker (micra Tps) Implantation (Presenter ChristopheGarweg_

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Chapter 6

Basic Translational Science Forum: Omics_ Informatics and Population Science Big Data Analysis to Study Heart Rhythm - Session 2

1 lessons

Omics_ Arrhythmias and the Metabolism of the Heart (Presenter BrianO_Rourke_ PhD)

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Chapter 7

Case Based Tutorial: Approaches to Previously Failed Ablation of Ventricular Arrhythmias

6 lessons

Approach to the Challenging VF Ablation (Presenter Matthew M. Zipse_)

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Challenges Encountered with Mapping and Ablation of Epicardial Ventricular Arrhythmias - How We Have Evolved (Presen

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Historical Perspective on the Evolution of the Approach to VT Ablation (Presenter David J. Wilber_ MD_ FHRS_ CCDS)

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Intramyocardial Substrate Mapping and Ablation (Presenter Usha B. Tedrow_ MD_ MS_ FHRS)

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Recurrent Ventricular Arrhythmias Arising from the Papillary Muscles (Presenter Rajeev Kumar Pathak_ MBBS_ PhD_ FHRS

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Strategies for Ablation of Recurrent LV Summit Arrhythmias (Presenter Pasquale Santangeli_ MD_ PhD)

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Chapter 8

Case Based Tutorial: Heart Failure and Arrhythmia A Sinister Alliance

5 lessons

Device-Detected Sub-Clinical Atrial Fibrillation and the Risk of Heart Failure (Presenter Jorge A. Wong_ MD_ MPH)

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Heart Failure and Arrhythmias The Chicken or the Egg A Historical Perspective (Presenter Brian Olshansky_)

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Heart Failure and Atrial Fibrillation Rate or Rhythm Control (Presenter Nassir F. Marrouche_ MD_ FHRS)

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Heart Failure and Conduction DelayBradycardia (Presenter Martin Stockburger_)

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Heart Failure and Ventricular Arrhythmias (Presenter Suneet Mittal_ BA_ MD_ FHRS)

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Chapter 9

Case Based Tutorial: I Am Actually Glad I Got That Curbside Consult

8 lessons

Chair (Presenter Robin L. Clegg_ MD)

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Does This V2 Look Funny (Presenter Maria Cecilia Gonzalez_)

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Glad I Took a Second Look Before I Signed That Sports Release Form (Presenter Santiago O. Valdes_ MD)

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Is This Really Just a Sinus Pause (Presenter Svjetlana Tisma-Dupanovic_ MD_ FHRS_ CCDS_ CEPS-P)

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Panelist (Presenter Jeffrey M. Vinocur_ MD_ CEPS-P)

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Sinus Tachycardia in a 16 Year Old. Or Is It (Presenter Ulrich Krause_ MD)

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When Chest Pain Matters (Presenter Andrew D. Blaufox_ MD_ FHRS_ CEPS-P)

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When Second Degree Heart Block Matters (Presenter Richard J. Czosek_ MD_ CCDS)

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Chapter 10

Case Based Tutorial: Managing Arrhythmias in Special Heart Failure Populations

5 lessons

PVCs in ARVCAC (Presenter Harikrishna Tandri_ MD)

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Recurrent Atrial Fibrillation Following Ablation in Hypertrophic Cardiomyopathy (Presenter Ravi Ranjan_ MD_ PhD_ FHRS)

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SCD Prevention in Repaired Tetralogy of Fallot (Presenter PaulKhairy_ MDCM_ PhD)

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Syncope in Cardiac Amyloid (Presenter Kristen K. Patton_ MD_ FHRS)

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Ventricular Arrhythmias in Cardiac Sarcoid (Presenter William H. Sauer_ MD_ FHRS_ CCDS)

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Chapter 11

Case Based Tutorial: Navigating the Difficult SVT Tips From Experts

4 lessons

Ablation of High-Risk Accessory Pathways Near the AV Node (Presenter Gregory F. Michaud_ MD_ FHRS)

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Approach to Patients with Multiple SVTs (Presenter George J. Klein_ MD)

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The Difficult ANVRT Ablation (Presenter Bradley P Knight_ MD_ FHRS)

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Unusual Accessory Pathways (Presenter Warren M. Jackman_ MD_ FHRS)

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Chapter 12

Case Based Tutorial: New Options for the Pharmacological Treatment of Arrhythmias

4 lessons

After the RAID Ranolazine as an Antiarrhythmic Drug (Presenter Wojciech Zareba_ MD_ PhD)

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Back Into the Future Introducing Quinidine for Cardiac Arrhythmia Treatment (Presenter Zachary Laksman_ MD_ MS)

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Ivabradine Is it Finally Helpful (Presenter MarkusMeyer_ MD)

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Take a Deep Breath! Inhaled Drugs for Arrhythmia Termination (Presenter Bruce S. Stambler_ MD_ FHRS)

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Chapter 13

Complication Theater: How to Avoid and Manage CIED Implantation-Related Complications

6 lessons

Are All Leads the Same How Can We Avoid the Lemon (Presenter Edward J. Schloss_ MD_ FHRS)

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How to Avoid a Hole in the Heart During Device Implantation (Presenter Marwan M. Refaat_ MD_ FHRS)

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How to Avoid a Hole in the Lung Using Anatomy_ Micropuncture needles_ Ultrasound and more (Presenter Samy C. Elayi_ MD_

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How to Manage a Coronary Sinus Dissection and Complete the CRT Implantation (Presenter Amin Al-Ahmad_ MD_ FHRS_ CCDS)

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Pocket Hematoma Prevention Lessons learned from Bruise Control I and II (Presenter David H. Birnie_ MD)

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Pocket Infection-Lessons learned from PADIT (Presenter Andrew D. Krahn_ MD_ FHRS)

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Chapter 14

Complication Theater: Ooh.What Do I Do Now

4 lessons

Just Finished Implanting a S-ICD_ and DFT_s Failed! What Do I Do (Presenter Andrea M. Russo_ MD_ FHRS)

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Oh No! My Leadless Pacemaker Just Dislodged! (Presenter Jacob S Koruth_ MBBS_ MD)

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Post-Implant Recurrent Effusion! What Do I Do Now (Presenter Bruce A. Koplan_ MD_ MPH_ FHRS)

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Yikes! I May Have Injured the Phrenic Nerve. (Presenter Jason G. Andrade_ MD_ FHRS)

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Chapter 15

EPicenter: Making the EP World a Smaller Place Building and Utilizing an International Network

4 lessons

Networking Through Certification - How IBHRE Helped Me to Establish an International Network (Presenter Aparna

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Networking Through Research Funding - Building International Research Collaboration Networks (Presenter Junaid

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Networking Through Societies - Why Are We All Here in San Francisco (Presenter Fred M. Kusumoto_ MD_ FHRS)

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Networking Through Travel - Personal Tips on EP Training Across Continents. (Presenter Elena Arbelo_ MD_ MSci_

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Chapter 16

EPicenter: What You Didn_t Learn in Fellowship Training

5 lessons

How to Approach a CRT Non-Responder (Presenter John Rickard_ MD_ MPH)

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How to Put Safety First During VT Ablation Procedures (Presenter Edmond M. Cronin_ MBChB_ FHRS_ CCDS_ CEPS-A)

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How to Unleash the Full Power of Intracardiac Echo (Presenter Fermin C. Garcia_ MD)

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Look Beyond The Colors - Understanding Activation Mapping (Presenter Freddy Del Carpio Munoz_ MD_ FHRS)

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The 20 Minute Clinic Visit That Wasn-t. Looking After Patients With Dysautonomia Syndromes. (Presenter David S Cannom_ MD_ FHRS)

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Chapter 17

Heart Rythm On Demand 2019: Heart Rythm On Demand 2019

2 lessons

High Density Mapping Of Dynamic Functional Late Potentials And Functional Late Repolarization Identifies Critical Sites For Ablation In Ventricular Tachycardia (Presenter Neil T.

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Mechanisms And Ablation Challenges For Ventricular Tachycardia In Patients With Left Ventricular Assist Devices The Importance Of Peri-cannula Origins (Presenter RyohsukeNarui_ M

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Chapter 18

How-To: How to Interpret Variants of Uncertain Significance (VUS)

2 lessons

Exploiting Ion Channel Structure to Assess Pathogenicity of VUS (Presenter Brett Kroncke_ PhD)

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Using Induced Pluripotent Stem Cell-Derived Cardiomyocytes to Identify Genetic Modifiers of LQTS2 (Presenter Isabelle Deschenes_ PhD)

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Chapter 19

How-To: How to Optimally Deliver CRT Strategies That Enhance Response

4 lessons

How Do I Get the Lead to the Optimal Location Despite Anatomical Constraints (Presenter Brett D. Atwater_ MD)

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How Do I Place an LV Endocardial Lead in My CRT Non-responder (Presenter Marc Strik_ MD_ PhD)

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How Do I Use Multipoint Pacing to Enhance Response in My Patient (Presenter Maurizio Lunati_ MD)

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How Should I Target the LV Lead in a non-LBBB Patient (Presenter Rahul N. Doshi_ MD_ FHRS)

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Chapter 20

Joint Session: ECASHRS Joint Session Evolving Therapeutic Strategies for Atrial Fibrillation in Heart Failure

4 lessons

Antiarrhythmic Pharmacological Therapies (Presenter Albert L. Waldo_)

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Interventional Therapies Cardiac Resynchronization Therapy (Presenter Thorsten W Lewalter_)

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Interventional Therapies Catheter Ablation (Presenter Johannes Brachmann_ PhD_ FHRS)

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Non-Antiarrhythmic Pharmacological Therapies (Presenter N. A. MarkEstes_ MD_ FHRS_ CCDS)

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Chapter 21

Mini Board Review: EP 101 Introduction to EP for the New Allied Professional - Part I

4 lessons

Do_s and Don_ts in the EP Lab Key Concepts to Remember During Device Procedures (Presenter Anastasios Manaris_ MD_ FHRS_ CCDS)

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Introduction to CRT Basic Principles and Programming (Presenter Nancy A. Lee_ RN_ FHRS_ CCDS)

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Introduction to ICD Therapy Basic Principles and Concepts (Presenter Douglas Steven Beinborn_ BSN_ MA_ RN)

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Introduction to Pacing Basic Principles (Presenter Amy G Tucker_ BSN_ CCDS)

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Chapter 22

Mini-Course: Ablation of Summit PVCs

7 lessons

Anatomy and Electrocardiography of the LV summit (Presenter Marmar Vaseghi_ MD_ FHRS)

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Chair (Presenter G. Neal Kay_ MD_ CCDS)

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Endocardial Ablation Approach to LV Summit Arrhythmias (Presenter Fermin C. Garcia_ MD)

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Epicardial Ablation Approach to LV Summit Arrhythmias (Presenter ArashAryana_ MD_ MS_ FHRS)

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Interventional Approaches to Lesion Formation in the LV Summit - The Old and The New (Presenter Saurabh Kumar_ MD_ PhD)

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Remote Magnetic Navigation-Guided Catheter Ablation of Left Ventricular Summit (Presenter Pasquale Santangeli_ MD_ PhD)

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Surgical Ablation of LV Summit Arrhythmias (Presenter Roderick Tung_ MD_ FHRS)

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Chapter 23

Mini-Course: Device Therapy for Heart Failure State-of-the-Art 2019

5 lessons

A Look Back On Cardiac Pacing (Presenter Stavros Stavrakis_ MD_ PhD)

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Assessing Response to CRT When_ How_ and Why (Presenter Christophe I. Leclercq_ MD_ PhD)

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Leadless Pacing or His Bundle Pacing What is the Right Direction for 2019 _ Beyond (Presenter Gaurav A. Upadhyay_ MD_ FHRS)

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Multisite or Multipoint Where Do We Stand in 2019 (Presenter Rasmus Borgquist_ MD_ PhD)

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Neuromodulation for the Failing Heart 2019 _ Beyond (Presenter Olujimi A. Ajijola_ MD_ PhD)

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Chapter 24

Mini-Course: Extra-Cardiac Targets to Improve AF Outcomes

6 lessons

Aggressive Upstream Therapy to Prevent AF Progression (Presenter Harry J.G.M. Crijns_ PhD)

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Comprehensive Risk Factor Management - Effect on AF Outcomes (Presenter Prashanthan Sanders_ MBBS_ PhD_ FHRS)

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Exercise and AF - Prevention or Causation (Presenter Marco Perez_)

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Gut Microbes - Targets for AF (Presenter Sunny S. Po_ MD_ PhD)

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Ralph Lazzara Lectureship Award Mechanisms Underlying the Link between Body Composition and Atrial Fibrillation (Presenter Stanley Nattel_ MD_ FHRS

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Treating Sleep Apnea for AF - When_ How_ and Why (Presenter Dominik K Linz_ MD_ PhD)

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Chapter 25

Mini-Course: Gender_ Age and Arrhythmias Better Be Young and Female

6 lessons

ARVC_ HCM and Other Cardiomyopathies Age Predicts Risk (Presenter Christopher Semsarian_ MBBS_ MPH_ PhD_ FHRS)

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Eric N. Prystowsky Lectureship Award Sex Differences in Electrophysiology and Epidemiology of Atrial Fibrillation and Ventricular Arrhythmias (Presenter Anne M. Gillis_ MD_ FHRS)

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Gender and the Risk of VTVF (Presenter Christine Tompkins_ MD)

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Gender_ Age and Arrhythmias Better Be Young and Female_~

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Impact of Age and Gender in Inherited Arrhythmias (Presenter Elizabeth S. Kaufman_ MD_ FHRS)

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Sudden Death During Sports Activity Only in Young Men (Presenter Paul Dorian_ MD_ FHRS)

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Chapter 26

Mini-Course: The Difficult Coronary Sinus Lead

5 lessons

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The Difficult Coronary Sinus Lead

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The Difficult Coronary Sinus Lead^

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The Difficult Coronary Sinus Lead~

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Chapter 27

Moderated ePoster: 2019 Pediatric Electrophysiology Potpourri

4 lessons

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_

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Pectoral Nerve Blocks Decrease Post-Operative Pain And Opiate Use After Pacemaker Or ICD Placement In Children (Presenter JeffreyYang_ MD_ BS)

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Role Of Persistent Left Superior Vena Cava In Arrhythmogenesis And Ablation In Patients With Atrial Fibrillation (Presenter VaibhavVaidya_ MBBS)

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Thromboembolic Complications In Patients With Atrial Standstill And Inability To Atrial Pace (Presenter Taylor Stewart Howard_ MD)

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Chapter 28

Moderated ePoster: Defining Substrate Based Ventricular Arrhythmias - Novel Approaches to Mapping

1 lessons

Multi-size Electrodes For Substrate Identification In Ischemic Cardiomyopathy Validation By Whole Heart Histology (Presenter ClaireGlashan_ MD)

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Chapter 29

Moderated ePoster: Enhancing Clinical Outcomes in Device Therapy Patients

4 lessons

Change In Blood Pressure Following Cardiac Resynchronization Therapy And Subsequent Clinical Outcomes In Madit-crt (Presenter Khaled H Abdulla_)

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Coronary Venoplasty To Facilitate Left Ventricular (LV) Lead Placement During Cardiac Resynchronisation Therapy (CRT) Implant (Presenter Chen Chen ElaineBoey_ MBBS)

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Post Electrophysiology Procedure Monitoring With a Novel Wearable Device (Presenter LiorJankelson_ MD)

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Procedural Profiles and Outcomes of Coronary Venous Injuries During Coronary Sinus Lead Placement for Cardiac Resynchronization Therapy (Presenter JohnnyChahine_)

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Chapter 30

Moderated ePoster: Innovations in Monitoring and Device Therapy for Heart Failure

2 lessons

A Feasibility Study To Find Optimal Pacing Site Of Left Quadripole Lead Based On Non-invasive Electrocardiographic Imaging (Presenter StepanZubarev_)

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Synchronized Biventricular Pacing with Wirelessly Powered Pacemakers (Presenter HongmingLyu_)

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Chapter 31

Moderated ePoster: Mapping AF What ECG Recordings Can Tell

3 lessons

High Density Epicardial Mapping Of Persistent Atrial Fibrillation Association Of Rotational Activity With Lines Of Block At The Crista Terminalis (Presenter Chrishan Joseph Nalli

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Spatial Characteristics Of Fibrillatory Wave Loops Correlate with Atrial Fibrillation Complexity And Drivers (Presenter MariannaMeo_ PhD)

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The Prediction Of New-onset Atrial Fibrillation After Cavo-tricuspid Isthmus Dependent Atrial Flutter Ablation (Presenter YUHIFUJIMOTO_ MD)

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Chapter 32

Moderated ePoster: Mechanistic Insights Into Heart Failure Therapies

4 lessons

His Bundle Pacing Versus Biventricular Pacing In Cardiac Resynchronization Therapy Acute Hemodynamic And Electrophysiological Effects (Presenter Floor CWM Salden_ MD)

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His-bundle Pacing Is Associated With Positive Left Ventricular Remodeling And Improvement In Functional Mitral Regurgitation (Presenter DavideGenovese_ MD)

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Therapy With Ivabradine Improves Sarcoplasmic Reticulum Calcium Uptake In Dogs With Chronic Heart Failure (Presenter Hani N. Sabbah_ PhD)

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Vectorcardiography Demonstrates Electrical Synchronization By Multipoint Pacing With Dynamic AVD Programming (Presenter Frits W Prinzen_ PhD)

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Chapter 33

Moderated ePoster: Systemic Determinants of AF Ablation Outcomes and Complications

4 lessons

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)

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Chair (Presenter Dennis H Lau_ MBBS_ PhD_ FHRS)

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Is Epicardial Adipose Tissue The Cause Or Consequence Of Atrial Fibrillation Implication Of Ablation Effects (Presenter SeinaYagyu_)

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Marked Reduction in Recurrence Rates Following Bariatric Surgery in Morbidly Obese Patients Undergoing Atrial Fibrillation Ablation (Presenter EoinDonnellan_ MD)

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Chapter 34

Rapid Fire Cases: Challenging Cases What to Do When

6 lessons

My ICD Patient Scheduled for LVAD has Lead Endocarditis- Should I Reimplant the ICD (Presenter Ashish A. Bhimani_ BSE_ MD_ FHRS)

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My Pacemaker Patient has Pacing Induced Cardiomyopathy - Upgrade to CRT- D or P (Presenter Christine Tompkins_ MD)

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My Patient has Numerous LV Branches! How Do I Choose (Presenter Theofanie Mela_ MD)

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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)

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My Post-TAVR Patient with EF of 40_ has AV Block- What Device Should I Implant (Presenter Elaine Wan_ MD_ FHRS)

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The LV Lead No Longer Captures What_s the Best Approach (Presenter Frederick T. Han_ MD_ FHRS)

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Chapter 35

Translational Electrophysiology: EP Lab 2049 How Today_s Scientific Innovations Will Transform Tomorrow_s Arrhythmia Treatments

5 lessons

Ablation Guided by Deep Learning-Based Classification of Intracardiac Electrograms (Presenter Jerome Kalifa_ MD)

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Noninvasive Cardiac Radiation for Ablation of Ventricular Tachycardia (Presenter Phillip Cuculich_ MD)

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Noninvasive Characterization of Focal Arrhythmia with Electromechanical Wave Imaging (Presenter ElisaKonofagou_)

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Targeted Ablation Procedures Guided by Personalized Computational Modeling (Presenter Natalia A. Trayanova_ PhD_ FHRS)

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Ultra-Rapid_ Tissue-Selective Ablation with Pulsed Electric Fields (Presenter Vivek Y. Reddy_ MD)

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Chapter 36

Translational Electrophysiology: The Right Ventricle as an Arrhythmia Source What Is Different About It

1 lessons

Asymmetric Response to Exercise and its Impact to Arrhythmias (Presenter Andre La Gerche_ MBBS_ PhD)

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