Resources

Resources:

What is Electrophysiology

Ablation for Arrhythmias

Step‐by‐step recommendations utilizing four‐dimensional intracardiac echocardiography in left atrial appendage procedures

Websites:

Atrial Fibrillation https://www.mayoclinic.org/tests-procedures/atrial-fibrillation-ablation/about/pac-20384969

Videos:

 

References:

  1. Attanasio P, Budde T, Kamieniarz P, et al. Incidence and patterns of atrial fibrillation after catheter ablation of typical atrial flutter-the FLUTFIB study. Europace. 2024;26(2):euad348. doi:10.1093/europace/euad348 https://pubmed.ncbi.nlm.nih.gov/38302192/
  2. Boehmer AA, Rothe M, Ruckes C, Eckardt L, Kaess BM, Ehrlich JR. Catheter Ablation for Atrial Fibrillation in Elderly Patients: an Updated Meta-analysis of Comparative Studies. Can J Cardiol. 2024;40(12):2441-2451. doi:10.1016/j.cjca.2024.08.263 https://pubmed.ncbi.nlm.nih.gov/39127258/
  3. Chung MK, Patton KK, Lau CP, et al. 2023 HRS/APHRS/LAHRS guideline on cardiac physiologic pacing for the avoidance and mitigation of heart failure. Heart Rhythm. 2023;20(9):e17-e91. doi:10.1016/j.hrthm.2023.03.1538 https://pubmed.ncbi.nlm.nih.gov/37283271/
  4. De Backer J, Haugaa KH, Hasselberg NE, et al. 2025 ESC Guidelines for the management of cardiovascular disease and pregnancy. Eur Heart J. Published online August 29, 2025. doi:10.1093/eurheartj/ehaf193 https://pubmed.ncbi.nlm.nih.gov/40878294/
  5. Inoue K, Nakai M, Yamane T, et al. Assessment of the safety and efficacy of catheter ablation for atrial fibrillation in very elderly patients: insight from the national prospective registry study. Eur Heart J Qual Care Clin Outcomes. 2025;11(3):323-333. doi:10.1093/ehjqcco/qcae072 https://pubmed.ncbi.n lm.nih.gov/39243122/
  6. Iwawaki T, Yanagisawa S, Inden Y, et al. Discontinuation of Oral Anticoagulation After Successful Atrial Fibrillation Ablation. JAMA Netw Open. 2025;8(3):e251320. Published 2025 Mar 3. doi:10.1001/jamanetworkopen.2025.1320 https://pubmed.ncbi.nlm.nih.gov/40116829/
  7. Joglar JA, Chung MK, Armbruster AL, et al. 2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2024;149(1):e1-e156. doi:10.1161/CIR.0000000000001193 https://pubmed.ncbi.nlm.nih.gov/38033089/
  8. Lampert R, Chung EH, Ackerman MJ, Arroyo AR, Darden D, Deo R, Dolan J, Etheridge SP, Gray BR, Harmon KG, James CA, Kim JH, Krahn AD, La Gerche A, Link MS, MacIntyre C, Mont L, Salerno JC, Shah MJ. 2024 HRS expert consensus statement on arrhythmias in the athlete: Evaluation, treatment, and return to play. Heart Rhythm. 2024 Oct;21(10):e151-e252. doi: 10.1016/j.hrthm.2024.05.018. Epub 2024 May 17. PMID: 38763377. https://pubmed.ncbi.nlm.nih.gov/38763377/
  9. Mené R, Sousonis V, Schmidt B, et al. Safety and efficacy of pulsed-field ablation for atrial fibrillation in the elderly: A EU-PORIA sub-analysis. Int J Cardiol. 2024;417:132522. doi:10.1016/j.ijcard.2024.132522 https://pubmed.ncbi.nlm.nih.gov/39245073/
  10. Pasupula DK, Siddappa Malleshappa SK, Munir MB, et al. Combined atrial fibrillation ablation and left atrial appendage occlusion procedure in the United States: a propensity score matched analysis from 2016-2019 national readmission database. Europace. 2023;25(2):390-399. doi:10.1093/europace/euac181 https://pubmed.ncbi.nlm.nih.gov/36350997/
  11. Sawalha K, Kadado AJ, Pundlik S, Gobeil K, Abdelazeem M, Chalhoub F. Outcomes and Safety of Catheter Ablation in the Elderly. J Innov Card Rhythm Manag. 2025;16(8):6412-6419. Published 2025 Aug 15. doi:10.19102/icrm.2025.16084 https://pubmed.ncbi.nlm.nih.gov/40909346/
  12. Svennberg E, Han JK, Caiani EG, et al. State of the Art of Artificial Intelligence in Clinical Electrophysiology in 2025: A Scientific Statement of the European Heart Rhythm Association (EHRA) of the ESC, the Heart Rhythm Society (HRS), and the ESC Working Group on E-Cardiology. Europace. 2025;27(5):euaf071. doi:10.1093/europace/euaf071 https://pubmed.ncbi.nlm.nih.gov/40163651/
  13. Wazni OM, Saliba WI, Nair DG, et al. Left Atrial Appendage Closure after Ablation for Atrial Fibrillation. N Engl J Med. 2025;392(13):1277-1287. doi:10. 1056/NEJMoa2408308 https://pubmed.ncbi.nlm.nih.gov/39555822/

 

 

 

AV Junction Ablation and Cardiac Resynchronization for patients with permanent atrial fibrillation and narrow QRS

Catheter Ablation of Atypical Atrial Flutter Ablation Tips and Tricks for Success

Jason S. Chinitz, MD
Director, Electrophysiology
South Shore University Hospital
Northwell Health
Associate Professor, Cardiology
Donald and Barbara Zucker School of Medicine Hofstra/Northwell

Stuart Beldner, MD
Electrophysiologist
Northshore University Community Hospital
Northwell health
Associate Professor, Cardiology
Zucker School of Medicine at Hofstra / Northwell