"This book is incredibly complete and easy-to-understand for anybody. I certainly recommend it for patients who want to know more about atrial fibrillation than what they will learn from doctors...."

Pierre Jaïs, M.D. Professor of Cardiology, Haut-Lévêque Hospital, Bordeaux, France

"Dear Steve, I saw a patient this morning with your book [in hand] and highlights throughout. She loves it and finds it very useful to help her in dealing with atrial fibrillation."

Dr. Wilber Su Cavanaugh Heart Center, Phoenix, AZ

"Your book [Beat Your A-Fib] is the quintessential most important guide not only for the individual experiencing atrial fibrillation and his family, but also for primary physicians, and cardiologists."

Jane-Alexandra Krehbiel, nurse, blogger and author "Rational Preparedness: A Primer to Preparedness"


"Steve Ryan's summaries of the Boston A-Fib Symposium are terrific. Steve has the ability to synthesize and communicate accurately in clear and simple terms the essence of complex subjects. This is an exceptional skill and a great service to patients with atrial fibrillation."

Dr. Jeremy Ruskin of Mass. General Hospital and Harvard Medical School

"I love your [A-fib.com] website, Patti and Steve! An excellent resource for anybody seeking credible science on atrial fibrillation plus compelling real-life stories from others living with A-Fib. Congratulations…"

Carolyn Thomas, blogger and heart attack survivor; MyHeartSisters.org

"Steve, your website was so helpful. Thank you! After two ablations I am now A-fib free. You are a great help to a lot of people, keep up the good work."

Terry Traver, former A-Fib patient

"If you want to do some research on AF go to A-Fib.com by Steve Ryan, this site was a big help to me, and helped me be free of AF."

Roy Salmon Patient, A-Fib Free; pacemakerclub.com, Sept. 2013


Huge Growth in Number of EPs Doing Catheter Ablations, But All EPs Are Not Equal

by Steve Ryan, PhD

Back in 2002 when we started A-Fib.com, we listed only seven centers doing catheter ablations. Today our FREE Directory of Doctors and Medical Centers lists over 1,800 EPs from all corners of the US and many others from around the world. (We only list EPs who have the “Clinical Cardiac Electrophysiology” certification and who register “AF Ablation” as part of their “Practice Information”. )

It’s very encouraging for A-Fib patients to see so many new EPs and centers performing catheter ablations. Few medical advances have been so rapidly and widely accepted.

Has This Growth Been Too Fast?

This rapid progress raises some issues. Has this growth been too fast? Are all these new EPs getting the training and hands-on experience they need? In fact, some EPs currently performing ablations have never passed their Clinical Cardiology Certification.

One measure of competency is the rate of complications following an ablation procedure. A study of Medicare data is very revealing about in-hospital complications following catheter ablations.

Low Volume Operators Have the Highest Complication Rates

What was the biggest predictor of complications? The centers with an A-Fib ablation volume of less than 25 ablations per year had the highest rate of compilations.

Imagine what my ablation would have looked like and turned out had I gone to an inexperienced EP?” −Travis Van Slooten.

Shocking―the facts get worse. … Continue reading this report…->

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