The Egyptian Cardiac Rhythm Association
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London VT Symposium 2012

ECRA and Ain Shams University organized live transmission of an important conference "London VT 2012" which was held at the Royal Society of Medicine in London on the 17th of September, 2012. This one-day symposium was organized by Dr Magdi Saba (Consultant Electrophysiologist and Senior Lecturer at St George's Hospital and University of London, UK) and Professor John Camm (Professor of Cardiology, St George's, University of London). Dr Magdi Saba is a sincere Egyptian Electrophysiologist who loves his motherland and never forgets his colleagues in Egypt and always shares his time and knowledge with them. The symposium focused on ventricular tachyarrhythmias, with an international faculty of the most experienced electrophysiologists in this field.

20 electrophysiologists from Egypt, Libya, Yemen and Palestine attended the live transmission at Ain Shams University Training and Education Center. ICOM (Dr Ahmad Elshaal) group were professional in transmitting the conference and conveying this knowledge across the continent. The team managed the technical aspects very well and were able to send all our questions to the conference room in London. Professor Wagdy Galal ( president of ECRA) chaired the sessions at Ain Shams University and the attendees discussed the hot topics of ventricular tachycardia together.

The hot topics of VT were:
  1. Risk stratification of SCD in ischemic vs non ischemic cardiomyopathy. Is it the aetiology, EF or both?
  2. VT ablation trials and the success rate. Showing us that we still have a high recurrence rate and that we need more to know and improve the techniques of mapping and understanding.
  3. LVOT and Fascicular VT ECG localization of the focus of origin, anatomy of the sinuses of Valsalva and cautious ablation at the sinuses at least 5-10 mm away from the coronaries to avoid damage.
  4. Substrate ablation of Brugada Syndrome at the RVOT with long term successful results with normalization of the ECG and negative testing with Ajmaline.
  5. PVCs and cardiomyopathy in symptomatic and asymptomatic patients.
  6. MRI-defined substrate vs Voltage-defined substrate in VT ablation with reference to late potential mapping and ablation.
  7. Deep substrate ablation using new techniques for deep wall or septal tachycardia ablation. Investigational tools such as intramural needle ablation were mentioned.
  8. Endocardial and epicardial ablation of non-ischemic cardiomyopathy-related VT and the necessary precautions during epicardial access and ablation.

We look forward to being able to participate in this meeting regularly.

Dr. Mervat Aboulmaaty
Professor of Cardiology
Ain shams university
editor in chief of