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The Lead Episode 176: A Discussion of the One Year Outcomes of the Modular ATP Trial
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In this episode of The Lead, recorded live at HRX 2026, host Deep Chandh Raja, MBBS, MD, PhD, FHRS, of Australian National University and Kauvery Hospital, is joined by Niraj Sharma, MD, FHRS, of Northside Hospital, and Deepak Padmanabhan, MD, FHRS, of Narayana Institute of Cardiac Sciences in Bengaluru, to discuss the article “One-Year Outcomes of the MODULAR ATP Trial: A Novel Leadless Pacemaker in Wireless Communication With a Subcutaneous Implantable Cardioverter Defibrillator,” published in Circulation: Arrhythmia and Electrophysiology. The panel examines the effectiveness and limitations of this modular system, including antitachycardia pacing outcomes, inappropriate shocks, wireless communication failures, and the need for comparative studies to establish its clinical benefits.

  1. Describe the design, patient population, and one-year outcomes of the MODULAR ATP trial evaluating a wirelessly communicating subcutaneous ICD and leadless pacemaker system.

  2. Evaluate the effectiveness and limitations of antitachycardia pacing delivered through the modular system, including ventricular tachycardia termination, arrhythmia acceleration, inappropriate shocks, and communication failures.

  3. Assess the clinical implications of the trial findings and identify areas requiring further investigation before broader adoption of modular cardiac rhythm management systems.


Podcast Contributors

Host: 
Deep Chandh Raja, MBBS, MD, PhD, FHRS | Australian National University, Kauvery Hospital

 

Guests: 

Niraj Sharma, MD, FHRS | Northside Hospital

Deepak Padmanabhan, MD, FHRS | Narayana Institute of Cardiac Sciences, Bengaluru

 

All relevant financial relationships have been mitigated.

Host and Contributor Disclosure(s):

D. Raja
  • Nothing to disclose


N. Sharma

  • Nothing to disclose


D. Padmanabhan

  • Nothing to disclose



Staff Disclosure(s) (note: HRS staff are NOT in control of educational content. Disclosures are provided solely for full transparency to the learner):

S. Sailor: No relevant financial relationships with ineligible companies to disclose.
M. Baldwin: No relevant financial relationships with ineligible companies to disclose.