Penn Medicine The Mark E. Josephson Thirty-Second Annual State-of-the -Art Arrhythmia Symposium 2025

• Target Audience: electrophysiologists, cardiologists, internists, nurses, and allied professionals involved in the care of patients with cardiac rhythm disorders
• Sample video: contact me for sample video
• Information:

Target Audience

Specialties – INTERNAL MEDICINE – Cardiovascular Disease, INTERNAL MEDICINE – Clinical Cardiac Electrophysiology, INTERNAL MEDICINE – Interventional Cardiology

Learning Objectives

After completing this activity, participants should be able to:

Describe the appropriate evaluation of patients with frequent PVCs and NSVT as well as indications for treatment including ablation and antiarrhythmic medications

Recognize ECG clues to detect patients at risk for serious arrhythmias and sudden death

Apply in practice the newest information regarding evaluation and treatment of atrial arrhythmias including screening for episodes and ablation indications, techniques, and endpoints

Discuss the indications, contraindications, and complications associated with left atrial (LA) appendage occlusion and closure

Describe the methods, techniques, associated tools, and equipment including emerging technologies to perform to catheter ablation of atrial fibrillation and flutter

Recognize use and value of new techniques and technologies employed for complex EP device and ablation cases.

Apply into practice the ECG patterns/clinical characteristics, evaluation, and treatment of patients with genetically linked arrhythmia syndromes

Describe appropriate management of post-operative pain to avoid use of opioid analgesics

Recognize the use and value of ambulatory monitoring for screening/treating arrhythmias and assessing clinical status

Indicate the latest advances in device therapy for the treatment of patients with heart failure including cardiac contractility modulation and conduction system pacing.

The Mark E. Josephson Thirty-Second Annual State-of-the-Art Arrhythmia Symposium 2025 by Penn Medicine is best for electrophysiologists, cardiologists, internists, nurses, and allied professionals involved in the care of patients with cardiac rhythm disorders. It’s ideal for:

What You’ll Learn

Evaluation and treatment of PVCs, NSVT, atrial arrhythmias, and genetically linked syndromes

Advances in leadless pacing, LA appendage closure, and catheter ablation techniques

ECG interpretation and ambulatory monitoring for arrhythmia screening

Device therapy updates including cardiac contractility modulation and conduction system pacing

Event Details

Date: Saturday, September 6, 2025

Location: Philadelphia Marriott Old City, Philadelphia, PA

• Topics:

Saturday, September 6, 2025

Morning Combined Group Session

Moderator: Francis Marchlinksi, MD

Welcome and Introduction

Francis Marchlinski, MD

Managing Asymptomatic Atrial Fibrillation: Important Considerations

Francis Marchlinski, MD

Role of Drug Therapy for PVC Suppression

David Frankel, MD

Short-coupled PVCs Triggering VF?

Fermin Garcia, MD

How PVCs Interfere with Normal Device Function

Ramanan Kumareswaran, MD

Ablation of Parahisian PVCs

Andres Enriquez, MD

Break and Visit Exhibits

Panel Discussion: PVC Mapping and Ablation (Case-based presentation/audience response)

Francis Marchlinski, MD (Moderator)

David Frankel, MD (Panelist)

Fermin Garcia, MD (Panelist)

Ramanan Kumareswaran, MD (Panelist)

William Sauer, MD (Panelist)

Wendy S Tzou, MD (Panelist)

Debate: Patients with Afib Who Want to be Off Anticoagulation Should Undergo Simultaneous Left Atrial Appendage Occlusion with their Ablation Procedure (PRO)

Robert D. Schaller, DO

Debate: Patients with Afib Who Want to be Off Anticoagulation Should Undergo Simultaneous Left Atrial Appendage Occlusion with their Ablation Procedure (CON)

David Lin, MD

Rebuttal and Q&A

Mark E. Josephson Keynote ECG Lecture

How to Identify Critical Substrate and Best Ablate VT

Wendy S Tzou, MD

Leonard N. Horowitz M.D. Memorial Lecture – Keynote

Understanding Catheter Ablation Energy Delivery to Improve Patient Outcomes

William Sauer, MD

Lunch and Visit Exhibits

Advanced EP Afternoon Session – PART I

Moderator: Saman Nazarian, MD, PhD

Lines of Blocks – How to Identify and Incorporate into Your Ablation Strategy

Wendy S Tzou, MD

PFA Tips and Tricks to Improve Outcome: Why not Just Ablate More With PFA?

William Sauer, MD

Pacing/Entrainment for Diagnosis of Arrhythmia Mechanism and Localization of Best Ablation Site

Gregory Supple, MD

Ablation Tips for Arrhythmias Associated with Common Congenital Anomalies

Maully Shah, MBBS, FACC, FHRS, CCDS, CEPS

Predicting Reversibility of LV Dysfunction – What is the Role of Electrophysiologist?

David Frankel, MD

Associated Professionals Afternoon Breakout Session – PART I

Moderators: Jeffrey Stiffler, BA and Erica Zado, PA-C

Managing Post-operative Pain in Patients Undergoing CIED Implantation

Trevor Bonney Jr., PA-C

Pulsed Field Ablation Update

Robert Hipp, PA

Panel Discussion/Audience Response: Case Presentations Highlighting the Utility of Ambulatory Monitoring

Tracey Munson, NP (Panelist)

Christian Yacono, PA-C (Moderator)

Erica Zado, PA-C (Panelist)

Andrea Rosso, BA (Panelist)

Lauren Novak, CRNP (Panelist)

Jeffrey Stiffler, BS

General Cardiology Afternoon Session – PART I

Moderator: Michael Riley, MD, PhD

Atrial Fibrillation Burden: Why is it Important in Medical Decision Making?

David Callans, MD

Arrhythmia Related Genetic Testing: When to order? Which Test? What to do With Results?

Rajat Deo, MD

Don’t Miss ECG Clues for Serious Arrhythmia Risk!!

Ramanan Kumareswaran, MD

Focused Overview on Standard of Care: New Techniques + Technology/Indications/Future

HUP J Pav, MD

Device Therapy for the Patient with Systolic Dysfunction (Case Discussions/Audience Participation 35 minutes)

Andrew E. Epstein, MD (Panelist)

Matthew C. Hyman, MD (Panelist)

Jeffrey J Luebbert, MD (Panelist)

Saman Nazarian, MD (Moderator)

Robert D. Schaller, DO (Panelist)

Benjamin D’Souza, MD (Panelist)

HUP J Pav, MD (Panelist)

Jeffrey Arkles, MD• Patient selection for cardiac contractility modulation (CCM), conduction system pacing (CSP), “traditional” CRT

• Management of patients with refractory heart failure despite device therapy

Break and Visit Exhibits

Advanced EP Afternoon Session – PART II

Moderator: Francis Marchlinski, MD

Surgeon’s Role in VT Ablation: Gaining Epicardial Access, PIVATAL Trial and Beyond

Gregory Supple, MD

Alcohol Venous Ablation: Tips to Prevent Harm

Fermin Garcia, MD

CO2 Insufflation to Identify Adhesions and Facilitate Epicardial Access

Matthew C. Hyman, MD

Cardio-neural Ablation – Basic Primer: Targets/How to Recognize GPS

Timothy Markman, MD

Cory M Tschabrunn, PhD

Associated Professionals Afternoon Breakout Session – PART II

Moderators: Cynthia Ramos, CRNP and Amaryah Yaeger, CRNP

Antiarrhythmic Medications in Special Circumstances

Tara Parham Graham , DNP

Managing Patients With Defibrillator Problems

Poojita Shivamurthy, MD

My Most Challenging ICD Cases

Alanna Miller, DNP, CRNP

My Most Challenging Antiarrhythmic Drug or Arrhythmia Diagnosis Case

Emily S Perovich, MMS, PA-C

General Cardiology Afternoon Session – PART II

Moderator: David Lin, MD

Leadless Devices: When, How, Outcomes, Limitations? Prerecorded Implantation

Robert D. Schaller, DO

Case Presentations/Audience Response – Atrial Fibrillation Management Prerecorded Highlights from PFA Cases

John Bullinga, MD (Panelist)

Sanjay Dixit, MD (Panelist)

Gustavo S Guandalini, MD (Panelist)

David Lin, MD (Panelist)

Saman Nazarian, MD

Michael Riley, MD (Panelist)

Vincent Y See, MD, MS (Panelist)

Stephen Keane, MD