Asvestas Dimitrios Cardiologist

Board Member

• European Heart Rhythm Association (EHRA)

• Greek Society of Cardiology (HCS)

• Greek Society of Rhythmology (ERE)

Editorial Boards

• AD-HOC REVIEWER for peer-reviewed international journals

Professional Experience

• 11/2019 – Today. Cardiac Electrophysiologist – Ep Consultant, General Hospital Mitera, Athens, Geece

• 11/2017 – 12/2018 Cardiac Electrophysiologist – Ep Consultant, Euroclinic Of Athens, Greece

• 08/2016 – 12/2018. Cardiac Electrophysiologist – Cardiac Electrophysiology Department, Second Department Of Cardiology, Evangelismos General Hospital Of Athens, Greece

• 09/2016 – 12/2018 Specialised Cardiologist In The On Call Rota Of The Cardiology Department, Central Clinic Of Athens, Athens, Greece

• 08/2015 – 08/2016. Honorary Electrophysiology Clinical Fellow In Cardiology. Cardiac Electrophysiology Department, Royal  Bournemouth General Hospital, Bournemouth, Uk

• 09/2014 – 04/2015 Specialised Cardiologist In The On Call Rota Of The Cardiology Department Rea Clinic, Athens, Greece

• 09/2014 – 07/2015 Specialised Cardiologist In The On Call Rota Of The Cardiology Department Central Clinic Of Athens, Athens, Greece

• 06/2014 – 07/2015 Clinical Attachment At Cardiac Electrophysiology Second Department Of Cardiology, Evangelismos General Hospital Of Athens, Athens, Greece.

• 11/2011 – 03/2014 Specialist Registrar In Cardiology (Spr Level)

• Second Department Of Cardiology, Evangelismos General Hospital Of Athens, Athens, Greece

• 03/2010 – 11/2011 Specialist Registrar In Cardiology (Spr Level) General Hospital Of Katerini, Katerini, Greece

• 08/2008 – 12/2009 Registrar Internal Medicine (Sho Level) Achillopouleio General Hospital Of Volos, Volos, Greece

• 10/2006 – 07/2008 Internal Medicine (Sho Level)  Rural Health Clinic Of Vrynaina, Magnesia, Greece

• 07/2006 – 10/2006 Internal Medicine/Cardiology/Surgery (Sho Level), Achillopouleio General Hospital Of Volos, Volos, Greece

Education Experience

• 2018 Certificate of completion Advanced Arctic Front Training Program, Toulouse, France

• 2018 Certificate of completion ELITE program S-ICD implant techniques, Verona, Italy

• 2018 European Heart Rhythm Association (EHRA): written component of the EHRA Certification in Electrophysiology Specialist in March 2018.

• 2017 Certificate of completion Rhythmia Mapping System 101 Workshop, Paris, France

• 2016 CRHF University – Module 1: Complex Device Implant and Follow up. Watford, UK

• 2014 European Association of Cardiovascular Imaging (EACVI):  Certification in Adult Transthoracic Echocardiography.

• 2013 Cambridge University Hospitals NHS (Medical Statistics): Certificate of Completion: Good Clinical Practice and Regulatory Requirements for Clinical Trials.

• 2013 Cambridge University Hospitals NHS – Department of Hygiene, Epidemiology and Medical Statistics, Athens University Medical School – Scientific society of Epidemiology and Biostatistics and Preventive Medicine (Clinical Trials): Courses on Clinical Trials.

• 2011 British Cardiovascular Society: Certificate of Attendance: BCS & MAYO CLINIC Cardiology Review Course 2011

Clinical and Research Interest

Clinical Interest:

• General Cardiology

• Cardiac Electrophysiology with emphasis:

• Diagnosis and management of supraventricular and ventricular arrhythmias

• Catheter ablation of atrial and ventricular arrhythmias.

• Management of atrial and ventricular arrhythmias in cardiomyopathies

• Evaluation and treatment of Arrhythmia Syndromes

• Evaluation of patients with unexplained syncope

• Complex Cardiac Devices (Pacemakers, Implantable Cardiac Defibrillators, Cardiac Resynchronization Therapy)

• Echocardiography

Research Interest: 

• Atrial Fibrillation

• Atrial Flutter

• Supraventricular Tachycardias

• Ventricular Tachycardia

• Bradyarrhythmias

• Syncope

• Heart Failure

• Cardiomyopathies

• Brugada Syndrome and Long QT Syndrome

• Sudden Cardiac Death

Awards

2014: GREEK SOCIETY OF CARDIOLOGY (HCS): 1 year Fellowship Grant in Clinical Electrophysiology and Complex Devices in Bournemouth, United Kingdom.

Recent Publications

1. Dimitrios Asvestas,Antigoni Sakellaropoulou, Panagiotis Mililis, Michael Efremidis, Antonios Sideris, Konstantinos P Letsas Flecainide enhances endocardial unipolar voltage abnormalities in Brugada syndrome. European Journal of Arrhythmia & Electrophysiology , 2018;4:Epub ahead of print

2. Efremidis M, Vlachos K, Letsas KP, Bazoukis G, Martin R, Frontera A, Asvestas D, Saplaouras A, KitamuraΤ, Georgopoulos S, Valkanas K, Karamichalakis N, Takigawa M, Sideris A, Derval N, Sacher F, Jais P. Targeted ablation of specific electrogram patterns in low voltage areas after pulmonary vein antral isolation in persistent atrial fibrillation: Termination to an organized rhythm reduces atrial fibrillation recurrence. J Cardiovasc Electrophysiol. 2018 Oct 4  

3. AsvestasD, Vlachos K, Bazoukis G, Martin CA, Letsas KP, Sakellaropoulou A, Kossyvakis C, Saplaouras A, Prappa E, Goga C, Vassilikos V, Valkanas K, Deftereos S, Sideris A, Efremidis M. Left atrial voltage mapping using a new impedance-based algorithm in patients with paroxysmal atrial fibrillation. Pacing Clin Electrophysiol. 2018 Sep 17.

4. Tse G, Bazoukis G, Roever L, Liu T, Wu WKK, Wong MCS, Baranchuk A, Korantzopoulos P, AsvestasD, Letsas KP. T-Wave Indices and Atherosclerosis. Curr Atheroscler Rep. 2018 Sep 17;20:55.

5. Letsas KP, Xydonas S, Karamichalakis N, Efremidis M, Manolatos D, Bazoukis G,Asvestas D, Vlachos K, Georgopoulos S, Saplaouras A, Winter J, Sideris A. Intermuscular implantation technique for subcutaneous cardioverter-defibrillators. 2018 Feb 21.

6. Asvestas, D., Tse, G., Baranchuk, A., Bazoukis, G., Liu, T., Saplaouras, A., Korantzopoulos, P., Goga, C., Efremidis, M., Sideris, A., Letsas, K.P. High risk electrocardiographic markers in Brugada Syndrome. International Journal of Cardiology Heart & Vasculature. 18:58-64. DOI: 10.1016/j.ijcha.2018.03.001.

7. Letsas KP, Efremidis M, Asvestas D, Vlachos K, Georgopoulos S, Tse G, Liu T, Bazoukis G, Sideris A, Baranchuk A, Ehrlich JR, Brugada P. Circ Arrhythm Electrophysiol. Right Ventricular Outflow Tract Electroanatomical Abnormalities Predict Ventricular Fibrillation Inducibility in Brugada Syndrome. 2018 Feb;11(2):e005928.

8. Asvestas D, Bazoukis G, Tse G, Lampropoulos K, Salachas A. Bilateral coronary arteriovenous fistulas drained into the left ventricle. Hellenic J Cardiol. 2018 Jan 3.

9. Letsas KP, Asvestas D, Baranchuk A, Liu T, Georgopoulos S, Efremidis M, Koratzopoulos P, Bazoukis G, Tse G, Sideris A, Takagi M, Ehrlich JR. Prognosis, risk stratification and management of asymptomatic individuals with Brugada syndrome: A systematic review. Pacing Clin Electrophysiol. 2017 Oct 10. doi: 10.1111/pace

10. Vlachos K, Efremidis M, Letsas KP, Bazoukis G, Martin R, Kalafateli M, Lioni L, Georgopoulos S, Saplaouras A,  Efremidis T, Liu T, Valkanas K, Karamichalakis N,  Asvestas D, Sideris A. Low-voltage areas detected by high-density electroanatomical mapping predict recurrence after ablation for paroxysmal atrial fibrillation. J Cardiovasc Electrophysiol. 2017 Sep 8. doi: 10.1111/jce.13321.

https://www.ncbi.nlm.nih.gov/pubmed/?term=Asvestas.+d

Posters

1. Quantitative assessment of left atrial fibrosis in patients with paroxysmal atrial fibrillation using high density Confidense mapping. Asvestas, K. Letsas, G. Bazoukis, A. Saplaouras, C. Goga, A. Sakellaropoulou, K. Vlachos, S. Georgopoulos, A. Sideris, M. Efremidis.

   Evangelismos General Hospital of Athens, Second Department of Cardiology, Laboratory of Cardiac Electrophysiology, Athens, Greece

2. Atrial septum dissection following transseptal puncture for left atrial ablation: an underestimated complication. Sakellaropoulou, D. Asvestas, G. Bazoukis, A. Saplaouras, G. Giannakakis, K. Letsas, M. Efremidis, A. Sideris.

   Evangelismos General Hospital of Athens, Second Department of Cardiology, Laboratory of Cardiac Electrophysiology, Athens, Greece. EHRA Europace 2018

3. Targeted ablation of specific electrogram patterns in low voltage areas after pulmonary vein

   antral isolation in persistent AF: termination to an organized rhythm reduces AF recurrence

   Vlachos¹, K. Letsas¹, A. Saplaouras¹, G. Bazoukis¹, A. Frontera², D. Asvestas¹, G. Giannakakis¹, R. Martin³, A. Sakellaropoulou¹, AM. Kolokathis¹, K. Valkanas¹,S. Georgopoulos¹, N. Karamichalakis¹, E. Geladari¹, A. Sideris¹, M. Efremidis¹

   (1) Evangelismos General Hospital of Athens, Second Department of Cardiology, Laboratory of Cardiac Electrophysiology, Athens, Greece,

   (2) Arrhythmia Unit and Electrophysiology Laboratories, San Raffaele University Hospital, Milan, Italy , (3) Newcastle University, Newcastle Upon Tyne, United Kingdom. EHRA Europace 2018

4. Low voltage areas detected by high-density electroanatomical mapping predict recurrence after ablation for paroxysmal atrial fibrillation. Vlachos¹, K. Letsas¹, D. Asvestas¹, G. Bazoukis¹, A. Saplaouras¹, R. Martin², M. Kalafateli¹, L. Lioni¹, S. Georgopoulos¹, N. Karamichalakis¹, A. Sakellaropoulou¹, AM. Kolokathis¹, K. Valkanas¹, A. Sideris¹, M. Efremidis¹

   (1) Evangelismos General Hospital of Athens, Second Department of Cardiology, Laboratory of Cardiac Electrophysiology, Athens, Greece, (2) Newcastle University, Newcastle Upon Tyne, United Kingdom. EHRA Europace 2018.

5. New oral anticoagulants compared to acenocoumarol for perioperative anticoagulation in patients undergoing atrial fibrillation catheter ablation. G. Bazoukis, KP. Letsas, K. Vlachos, D. Asvestas, A. Saplaouras, N. Karamichalakis, S. Georgopoulos, L. Lioni, A. Kolokathis, A. Sakellaropoulou, I. Liatakis, A. Sideris, M. Efremidis. Evangelismos General Hospital of Athens, Second Department of Cardiology, Athens, Greece. Ehra Europace – Cardiostim 2017.

6. Sutureless self anhocring aortic valves present better intraoperative and postoperative outcomes with increased conduction morbidity. Dedeilias P, Kouritas V, Asvestas D, Prapa E, Argyriou M, Anagnostou S, Charitos C Evangelismos Hospital Cardiothoracic and Vascular Athens-Greece^. Evangelismos Hospital Cardiology Athens-Greece. 22^nd Annual Meeting of the Asian Society for Cardiovascular and Thoracic Surgery.