{"id":350,"date":"2025-12-02T17:14:38","date_gmt":"2025-12-02T17:14:38","guid":{"rendered":"https:\/\/eprf.net\/?page_id=350"},"modified":"2025-12-02T17:30:57","modified_gmt":"2025-12-02T17:30:57","slug":"pioneering-work","status":"publish","type":"page","link":"https:\/\/eprf.net\/index.php\/pioneering-work\/","title":{"rendered":"Pioneering Work"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-parallax-none nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-no-small-visibility\" style=\"--awb-background-repeat:repeat;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-background-image:url(&quot;http:\/\/eprf.net\/wp-content\/uploads\/2020\/01\/subtle_dots.png&quot;);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_4 1_4 fusion-one-fourth fusion-column-first\" style=\"--awb-bg-size:cover;--awb-margin-top:20px;width:25%;width:calc(25% - ( ( 4% ) * 0.25 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1\"><p><span style=\"color: #adadad;\"><span id=\"header-telephone\"><img decoding=\"async\" class=\"alignnone wp-image-62\" src=\"http:\/\/eprf.net\/wp-content\/uploads\/2020\/01\/header-telephone.png\" alt=\"\" width=\"16\" height=\"14\" \/>\u00a0 \u00a0 <a style=\"color: #adadad;\" href=\"tel:732-302-9990\">1-732-302-9990<\/a><br \/>\n<\/span><span id=\"header-email\"><img decoding=\"async\" class=\"alignnone wp-image-61\" src=\"http:\/\/eprf.net\/wp-content\/uploads\/2020\/01\/header-mail.png\" alt=\"\" width=\"16\" height=\"14\" \/>\u00a0 \u00a0 <a style=\"color: #adadad;\" href=\"mailto:info@eprf.net\">info@eprf.net<\/a><\/span><\/span><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_3_4 3_4 fusion-three-fourth fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-top:20px;width:75%;width:calc(75% - ( ( 4% ) * 0.75 ) );\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-2\"><p><strong><span style=\"color: #3675c1;\"><u>The Electrophysiology Research Foundation<\/u><\/span><\/strong> <span style=\"color: #adadad;\">is a charitable organization incorporated on August 2, 1982. The Foundation is a non-profit corporation, organized and operated exclusively for charitable purposes.<\/span><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-parallax-none hundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-background-image:url(&quot;http:\/\/eprf.net\/wp-content\/uploads\/2020\/01\/page_title_bg.png&quot;);--awb-background-size:cover;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_6 1_6 fusion-one-sixth fusion-column-first\" style=\"--awb-bg-size:cover;width:16.666666666667%;width:calc(16.666666666667% - ( ( 4% + 4% ) * 0.16666666666667 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_2_3 2_3 fusion-two-third\" style=\"--awb-bg-size:cover;--awb-margin-top:15px;width:66.666666666667%;width:calc(66.666666666667% - ( ( 4% + 4% ) * 0.66666666666667 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-3\"><h2><font color=\"#ffffff\"><b>Advances In Research<\/b><\/font><\/h2>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_6 1_6 fusion-one-sixth fusion-column-last\" style=\"--awb-bg-size:cover;width:16.666666666667%;width:calc(16.666666666667% - ( ( 4% + 4% ) * 0.16666666666667 ) );\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-background-color:#d1e6fd;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1144px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-4\"><p><strong style=\"background-color: rgba(0, 0, 0, 0);\">Contributions to Science<\/strong><\/p>\n<p><strong>Scientific work that contributed to current therapy of arrhythmias <\/strong><\/p>\n<p>\u27a2 <em>1981- Firs and pivotal description of the anatomic location of the slow AV nodal pathway which established the basis for slow pathway mapping and ablation ( Circulation 1981) <\/em><\/p>\n<p>\u27a2 <em>1981 \u2013 First implantation of antitachycardia pacemakers for ventricular tachycardia, later extended to supraventricular tachycardia <\/em><\/p>\n<p>\u27a2 1983: Principal Investigator in first clinical FDA trials of the implantable defibrillator ( AID, Mirowski)<\/p>\n<p>\u27a2 <em>1983- First pivotal study of DC shock AV junctional ablation (Scheinman) and later for ablation of AV nodal reentry, accessory pathways in the right atrium , coronary sinus and left sided endocardial ablation <\/em><\/p>\n<p>\u27a2 <em>1983: Intraoperative spectral analysis of ventricular electrograms during sinus rhythm and ventricular tachycardia. PACE 1983 <\/em><\/p>\n<p>\u27a2 <em>1983- Mechanisms of left ventricular dysfunction during ventricular pacing and ventricular tachycardia in man. (PACE 1983) <\/em><\/p>\n<p>\u27a2 <em>1983-85: Direct hemodynamic during spontaneous and induced ventricular tachycardia in man which were the first human studies ( JACC 1984) <\/em><\/p>\n<p>\u27a2 <em>1984- Pivotal study on antitachycardia pacing that established it as first line electrical therapy in ventricular tachycardia in preference to shock therapy <\/em>( Circulation 1985;1:571- 578))<\/p>\n<p>\u27a2 <em>1984- Echocardiographic studies of ventricular and mitral valve function during spontaneous and induced ventricular tachycardia in man which were the first human studies (PACE 1984) <\/em><\/p>\n<p>\u27a2 1983-85 \u2013 Demonstrated experimental and clinical feasibility of laser ablation of VT, later SVT in the<\/p>\n<p><em>intraoperative studies and published first clinical results ( Am. J. Cardiology 1986) <\/em><\/p>\n<p>\u27a2 <em>1984- RF ablation experimental studies published from experimental lab and development of active fixation and suction electrode catheters for both DC and RF ablation . <\/em><\/p>\n<p>\u27a2 <em>1985- Reported the first 3 lead non-thoracotomy lead system for cardioversion and defibrillation and was issued a patent by the US government for the first non-thoracotomy lead system for human defibrillation <\/em><\/p>\n<p>\u27a2 1987 \u2013 Performed first successful implantation of an ICD without thoracotomy (JAMA 1988)<\/p>\n<p>\u27a2 <em>1987- First radiofrequency AV junctional ablation with first RF ablation generator in NJ and ( Osypka RF device, Am J Cardiol 1989) <\/em><\/p>\n<p>\u27a2 <em>1985-88- Subcutaneous electrode mapping studies that now are used in subcutaneous defibrillators and extravascular ICD lead placement <\/em><\/p>\n<p>\u27a2 <em>1987- Development of the first sequential pacing and cardioversion algorithm for use in ICDs and now is standard in all devices (Circulation 1987;76:601-609) <\/em><\/p>\n<p>\u27a2 <em>1987-1994: Developed and tested new endocardial defibrillation lead systems for ICDs including the Medtronic, Endotak series leads , braided electrode system for Telectronics <\/em><\/p>\n<p>\u27a2 <em>1989- First report of defibrillation lead fracture and failures ( Arch, Int.Mmed 1989) <\/em><\/p>\n<p>\u27a2 <em>1991: First studies on biphasic shock defibrillation with threshold reduction in humans which is now the standard for ICDs (PACE 1991) <\/em><\/p>\n<p>\u27a2 <em>1987 \u2013 Established first scientific standards for antitachycardia pacemakers and ICDs: NASPE Board of Trustees and co-chaired first policy conference and position statement on implantable antitachycardia devices ( with J. Camm) in 1987 and the indications for the ICD ( with M. Lehmann) 1990 <\/em><\/p>\n<p>\u27a2 1988: Implantation of the first pacemaker defibrillator<\/p>\n<p>\u27a2 <em>1994-95- First coronary sinus ablation of left sided accessory pathways with RF <\/em>PACE 1995, AJC 1995)<\/p>\n<p>\u27a2 <em>Proposed the terms ICD (implantable cardioverter-defibrillator) in 1987 and Interventional Electrophysiology in 1990 <\/em><\/p>\n<p>\u27a2 <em>1991: Began his collaboration with the NHLBI resulting in the development of the AVID trial (1992) and AFFIRM trial (1996); Joint policy conferences with the ACC,AHA, ESC and FDA <\/em><\/p>\n<p>\u27a2 1994-Developed Dual Site Atrial Pacing and clinical results (JACC 1996), RCT ( JACC 2002)<\/p>\n<p>\u27a2 <em>1998-2010: Bi-atrial Mapping &amp;Origin of Atrial Fibrillation first proposed , not widely accepted with mainstream PVI hypothesis but continued to championed by us, and now extra PV sources are widely accepted (AJC 1998-JCE 2005) <\/em><\/p>\n<p>\u27a2 <em>1999: First report on the AVID trial on ejection fraction as a stratifier for ICD benefit on whose basis the entire series of MADIT 2 and SCD-HeFT trials were based <\/em><\/p>\n<p>\u27a2 <em>1999: Co-chaired first Round Table with the NIH\/NASPE on future research directions in EP which led to NIH placing atrial fibrillation and sudden death in their top 5 public health priorities for NHLBI in 2002 <\/em><\/p>\n<p>\u27a2 <em>Directed the development of new intracardiac echo technology (ViewMate,EP Med Systems) which now still is in use. <\/em><\/p>\n<p>\u27a2 <em>2010 \u2013Principal investigator for the First RCT of intracardiac echo (ICE CHIP) which was reported in Circulation EP <\/em><\/p>\n<p>\u27a2 <em>2004- Joined NIH HFpEF planning group and TOPCAT study group and Steering Committee of the TOPCAT RCT ( NEJM 2014) <\/em><\/p>\n<p>\u27a2 <em>Established research interest in the AF-HFpEF syndrome ( JICE 2018) <\/em><\/p>\n<p>\u27a2 <em>2020- Pivotal AFFIRM substudy showing the benefits of rhythm control in preventing HF emergence in AF ( AHJ 2020); <\/em><\/p>\n<p>\u27a2 <em>2020- Developed and initiated the first trial to compare rhythm control options( ablation vs. AAD) in AF with HFpEF: Study Chair TAP-CHF trial ( 2022-2024) <\/em><\/p>\n<p>\u27a2 1982 \u2013 2024 Principal investigator in in over 69 clinical trials<\/p>\n<p>\u27a2 <strong>Published over 375 original research papers with the majority as first author, over 475 research presentations, faculty and lecturer &gt; 500 national and international meetings <\/strong><\/p>\n<p>\u27a2 <strong>Many of his early studies and later studies are only now being mined as the basis for new directions in understanding pathophysiology, hemodynamics and new therapeutic directions in tachycardia therapy. <\/strong><\/p>\n<p>\u27a2 Edited 9 textbooks of Cardiology and Electrophysiology<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-350","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/eprf.net\/index.php\/wp-json\/wp\/v2\/pages\/350","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eprf.net\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/eprf.net\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/eprf.net\/index.php\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/eprf.net\/index.php\/wp-json\/wp\/v2\/comments?post=350"}],"version-history":[{"count":5,"href":"https:\/\/eprf.net\/index.php\/wp-json\/wp\/v2\/pages\/350\/revisions"}],"predecessor-version":[{"id":418,"href":"https:\/\/eprf.net\/index.php\/wp-json\/wp\/v2\/pages\/350\/revisions\/418"}],"wp:attachment":[{"href":"https:\/\/eprf.net\/index.php\/wp-json\/wp\/v2\/media?parent=350"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}