The Beat Webinar Series - Episode 15 from APHRS in Sydney (On-Demand)-APHRS in Sydney

Video Transcription

Video Summary

The session at the 17th annual Asia Pacific Heart Rhythm Society meetings in Sydney focused on advancements in catheter and conduction system pacing technologies. Discussions included various ablation techniques like bipolar radiofrequency ablation and comparisons of cryo versus radiofrequency ablation for atrial fibrillation. The presentations also explored pulse field ablation (PFA) innovations, including zero-fluoroscopy procedures and the study of coronary impacts post-PFA.<br /><br />The session on conduction system pacing, a joint effort by HRS-APHRS, addressed current controversies and explored evidence from new guidelines. Dr. C.P. Lau highlighted how randomized trials show that cardiac resynchronization therapy (CRT) reduces heart failure symptoms, hospitilizations, and improves outcomes, though challenges like pacing-induced cardiomyopathy remain critical considerations.<br /><br />Another significant point was the evaluation of lead technologies, especially comparing stylet-driven leads with luminous leads in conduction system pacing. Discussions assessed implantation techniques, the durability of pacing leads, and potential complications, noting the need for improved handling instructions.<br /><br />Additionally, the importance of true left bundle branch pacing was emphasized, showing superior outcomes in terms of ventricular synchrony and patient prognosis. Various strategies for optimizing pacing conditions, such as AV delay adjustments and innovative lead placement techniques, were highlighted as critical to improving patient outcomes. Practical programming considerations and nuanced decision-making based on individual patient conditions were advised to ensure effective therapy delivery. <br /><br />Overall, the sessions underscored the necessity of continued innovation and rigorous data to refine practices in cardiac rhythm management.

Keywords

APHRS

HRS

2024 Scientific Session

catheter ablation

conduction system pacing

bipolar radiofrequency ablation

cryo ablation

pulse field ablation

His bundle pacing

left bundle branch area pacing

cardiac resynchronization therapy

heart failure

electrical synchrony

arrhythmia management

ventricular tachycardia

atrial fibrillation

procedural efficacy

lead stability

guidelines

patient outcomes

Asia Pacific Heart Rhythm Society

catheter pacing technologies

cryo versus radiofrequency ablation

zero-fluoroscopy procedures

pacing-induced cardiomyopathy

stylet-driven leads

luminous leads

left bundle branch pacing

cardiac rhythm management