@finnakerstrom

EP enthusiast. Opinions are my own.

 Stockholm, Sverige
Joined March 2011
  • Tweets2.1K
  • Following189
  • Followers1.2K
357Media
An excellent start to the Complex Mapping and Ablation Workshop at Karolinska University Hospital in Stockholm, with complex VT cases and practical insights shared throughout the day. Directed by Dr Finn Akerstrom (@finnakerstrom) with K’s great team, Dr Peter Karl Jacobsen and Dr Javier Moreno
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⚡️New ELECTRICAL STORM paper out We propose the 5-stage STORM classification for electrical storm – a simple bedside scale that stratifies 30-day mortality from 5% to 50% and helps structure multidisciplinary care academic.oup.com/ehjacc/adva…
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Thank you all #Epeeps for joining us for a nice two-day course in complex AT/VT ablation at @KarolinskaUnsju. Special thanks to my co-facukty @Arritmias_HRC and Peter Jacobsen and to @AbbottCardio for organizing the course. Hope to see you next year!
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Excited to be part of the #EHRA_certification team! Setting standards & highly recommended to all (young) EPs in the field!
EHRAPresident
@EHRAPresident5 Jul 2025
🚨 Attention EP & CIED specialists! The EHRA Certification exams are coming this September—seize your chance to demonstrate clinical excellence. Registration closes early—don’t miss out! 👉 Register here: escardio.org/Certification 📅Deadline: 4 Sep (CIED/AP) & 11 Sep (EP/AP & EP/CIED) #EHRA_ESC #EHRA_certification @aportasanchez
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#Epeeps, any suggestions on the mechanisms for this? Concealed anterograde/retrograde LBB conduction?
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Finn Åkerström retweeted
Abhinav Anand@docabhinavheart30 Mar 2025
Presenting a rare case of "a on v" tachycardia in a patient with diseased His bundle. (doi.org/10.1002/joa3.70052)

“A on V” tachycardia in a patient with diseased His bundle

We present a case of narrow complex, near simultaneous “A on V” tachycardia in a patient with diseased His bundle (intrahisian delay:35 ms; HV: 72 ms) and describe response to adenosine, RV overdri...

onlinelibrary.wiley.com
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Julian Chun@jongichun5 Mar 2025
Interesting!
Circulation@CircAHA4 Mar 2025
The TRAVERSE trial shows reduced risk of acute brain lesions with transeptal approach in patients undergoing left ventricular catheter ablation, compared to a retrograde aortic approach. ahajournals.org/doi/full/10.…
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This is in line with our workflow. With meticulous ICE guided mapping and ablation in aneurysmal ARVC (especially inferior aneurysm), epicardial access is usually not necessary. Without ICE this is much more difficult imo and one often has to go epi to compensate. Agree #epeeps?
HeartRhythm@hrs_journal8 Feb 2025
Ablation of Ventricular Tachycardia from Right Ventricular Aneurysms in Patients with Arrhythmogenic Cardiomyopathy Guided by Intracardiac Echocardiography heartrhythmjournal.com/artic…

Ablation of ventricular tachycardia from right ventricular aneurysms in patients with arrhythmoge...

The best approach for ablating ventricular tachycardia (VT) targeting right ventricular (RV) free wall aneurysms in arrhythmogenic right ventricular cardiomyopathy (ARVC) remains undefined.

heartrhythmjournal.com
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I'm referring to first'time ablation.
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Guías de práctica clínica e indicadores de calidad: ¿practicamos lo que predicamos? #REC #AheadOfPrint @finnakerstrom @EmmaSvennberg revespcardiol.org/es-guias-d…
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4th time inferoposterior (by some called posterolateral) concealed AP. This quite nicely shows how LV pace (pic1) allows for easier mapping (annotation on "A" on MAP 1-2). During RVA pace a larger area of VA continuity is seen. Examples are at successful site of ablation. #Epeeps
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The Most Significant Updates in Electrophysiology in 2024 hmpgloballearningnetwork.com…

The Most Significant Updates in Electrophysiology in 2024

What were the most significant guideline updates and clinical trials in clinical cardiac electrophysiology in 2024? Here is a list of 8 high-impact guidelines and studies published in 2024.

hmpgloballearningnetwork.com
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Trigger mapping proof-of-concept: pxAF with 3 PVI scheduled for a non-PV trigger mapping protocol. Surprisingly RSPV still reconnected! Just to be sure we completed the protocol anyway. AF induction from RSPV: pic1, FF-NF reversal with AF start in first Grid in. #Epeeps
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PAC with identical sequence as AF start was mapped.
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Roof dependent flutter around left veins with BIG jump over the posterior wall via the septopupmonary bundle. Green dots = good PPI. Patient with a scarred LA and previous anterior mitral + roof line. #Epeeps
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Repeat trigger protocol following PVI showed RSPV AT with exit block.
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Please have a look at our editorial on AF clinical guidelines implementation and quality indicators! #Epeeps @EmmaSvennberg
REC Publications
@RevEspCardiol10 Dec 2024
Clinical guidelines and quality indicators. Do we practice what we preach? #REC #AheadOfPrint @finnakerstrom @EmmaSvennberg revespcardiol.org/en-clinica…
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Idiopathic Verapamil-Sensitive Fascicular Ventricular Tachycardia with a Potential Direct Connection of the Antegrade Limb to the Retrograde Myocardial Limb, without Bridging of the Left Posterior Fascicle @AtsuhikoYagish1 heartrhythmcasereports.com/a…
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WCT with reset by septal refractory PAC delivered from Abl positioned at superoposterior MA (pic1&2). Baseline ECG (pic3) and tachy start (pic4). What's the diagnosis #Epeeps?
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Agree. I think reset of preexcited AT would give a variation in VA interval though. In this case, tachycardia was not indicible after ablation of the AP.
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