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Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology

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https://www.readbyqxmd.com/read/30418608/wearable-and-implantable-diagnostic-monitors-in-early-assessment-of-atrial-tachyarrhythmia-burden
#1
Jeff S Healey, Jorge Wong
Atrial fibrillation (AF) is the cause of substantial direct patient morbidity and a frequent cause of emergency room visits. Even when asymptomatic, AF remains a major cause of stroke, particularly among the elderly. As the risk of both AF and stroke increase with age, the importance of AF-related stroke is growing as a result of demographic shifts in many countries. Oral anticoagulation is highly effective at preventing stroke due to AF; however, AF remains undetected in a large number of individuals. The last decade has witnessed the development of many new technologies to detect AF...
November 9, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/30418572/left-ventricular-end-systolic-volume-is-a-more-sensitive-marker-of-acute-response-to-cardiac-resynchronization-therapy-than-contractility-indices-insights-from-an-experimental-study
#2
Espen Boe, Otto A Smiseth, Petter Storsten, Oyvind S Andersen, John Aalen, Morten Eriksen, Magnus R Krogh, Erik Kongsgaard, Espen W Remme, Helge Skulstad
Aims: There are conflicting data and no consensus on how to measure acute response to cardiac resynchronization therapy (CRT). This study investigates, which contractility indices are best markers of acute CRT response. Methods and results: In eight anaesthetized dogs with left bundle branch block, we measured left ventricular (LV) pressure by micromanometer and end-diastolic volume (EDV) and end-systolic volume (ESV) by sonomicrometry. Systolic function was measured as LV ejection fraction (EF), peak rate of LV pressure rise (LV dP/dtmax) and as a gold standard of contractility, LV end-systolic elastance (Ees), and volume axis intercept (V0) calculated from end-systolic pressure-volume relations (ESPVR)...
November 8, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/30403774/cardiac-resynchronization-therapy-induced-acute-shortening-of-qrs-duration-predicts-long-term-mortality-only-in-patients-with-left-bundle-branch-block
#3
Marek Jastrzebski, Adrian Baranchuk, Kamil Fijorek, Roksana Kisiel, Piotr Kukla, Tomasz Sondej, Danuta Czarnecka
Aims: QRS narrowing with initiation of biventricular pacing might be an acute electrocardiographic indicator of correction of left bundle branch block (LBBB)-induced depolarization delay and asynchrony. However, its impact on prognosis remains controversial, especially in non-LBBB patients. Our goal was to evaluate the impact of QRS narrowing on long-term mortality and morbidity in a large cohort of patients undergoing cardiac resynchronization therapy (CRT) with different pre-implantation QRS types: LBBB, non-LBBB, and permanent right ventricular pacing...
November 6, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/30380015/left-atrial-catheter-ablation-in-patients-with-previously-implanted-left-atrial-appendage-closure-devices
#4
Lisette I S Wintgens, Martijn N Klaver, Martin J Swaans, Arash Alipour, Jippe C Balt, Vincent F van Dijk, Benno J W M Rensing, Maurits C E F Wijffels, Lucas V A Boersma
Aims: Left atrial appendage closure (LAAC) is increasingly used as an alternative to oral anticoagulation (OAC) for stroke prevention in atrial fibrillation (AF) patients. Feasibility and safety of left atrial (LA) catheter ablation (CA) in patients with previously implanted LAAC devices have not been well studied. We report on the feasibility, safety, and efficacy of LA CA in the presence of a previously implanted LAAC device. Methods and results: In this prospective cohort study consecutive patients that underwent LA CA with a previously implanted Watchman device were included...
October 30, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/30376055/cryoballoon-vs-radiofrequency-ablation-for-atrial-fibrillation-a-study-of-outcome-and-safety-based-on-the-esc-ehra-atrial-fibrillation-ablation-long-term-registry-and-the-swedish-catheter-ablation-registry
#5
David Mörtsell, Elena Arbelo, Nikolaos Dagres, Josep Brugada, Cécile Laroche, Serge A Trines, Helena Malmborg, Niklas Höglund, Luigi Tavazzi, Evgeny Pokushalov, Giuseppe Stabile, Carina Blomström-Lundqvist
Aims: Pulmonary vein isolation (PVI), the standard for atrial fibrillation (AF) ablation, is most commonly applied with radiofrequency (RF) energy, although cryoballoon technology (CRYO) has gained widespread use. The aim was to compare the second-generation cryoballoon and the irrigated RF energy regarding outcomes and safety. Methods and results: Of 4657 patients undergoing their first AF ablation, 982 with CRYO and 3675 with RF energy were included from the Swedish catheter ablation registry and the Atrial Fibrillation Ablation Long-Term registry of the European Heart Rhythm Association of the European Society of Cardiology...
October 29, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/30376051/impact-of-periprocedural-anticoagulation-therapy-on-the-incidence-of-silent-stroke-after-atrial-fibrillation-ablation-in-patients-receiving-direct-oral-anticoagulants-uninterrupted-vs-interrupted-by-one-dose-strategy
#6
Tomoyuki Nagao, Hitomi Suzuki, Syun Matsunaga, Yoshinori Nishikawa, Kazuhiro Harada, Kumiko Mamiya, Norihiro Shinoda, Ken Harada, Masataka Kato, Nobuyuki Marui, Tetsuya Amano, Yasuya Inden, Toyoaki Murohara
Aims: Data on the comparison between uninterrupted and interrupted by one dose strategies for direct oral anticoagulant (DOAC) use during the periprocedural period of atrial fibrillation (AF) ablation are scarce. The purpose of this study is to investigate the feasibility of uninterrupted DOAC strategy by evaluating the incidence of silent stroke (SS) and perioperative trends in coagulation markers compared with the interrupted strategy. Methods and results: We randomly divided 200 consecutive patients receiving DOACs, who underwent AF ablation into uninterrupted group (UG = 100) and interrupted by one dose group (IG = 100)...
October 29, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/30364967/idarucizumab-in-the-real-world-possibilities-and-limitations
#7
Jan Steffel, Hein Heidbüchel
No abstract text is available yet for this article.
October 25, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/30351414/mechanisms-of-sex-differences-in-atrial-fibrillation-role-of-hormones-and-differences-in-electrophysiology-structure-function-and-remodelling
#8
Katja E Odening, Sebastian Deiß, Dagmara Dilling-Boer, Maxim Didenko, Urs Eriksson, Sotirios Nedios, Fu Siong Ng, Ivo Roca Luque, Pepa Sanchez Borque, Kevin Vernooy, Adrianus P Wijnmaalen, Hikmet Yorgun
Atrial fibrillation (AF) is the clinically most prevalent rhythm disorder with large impact on quality of life and increased risk for hospitalizations and mortality in both men and women. In recent years, knowledge regarding epidemiology, risk factors, and patho-physiological mechanisms of AF has greatly increased. Sex differences have been identified in the prevalence, clinical presentation, associated comorbidities, and therapy outcomes of AF. Although it is known that age-related prevalence of AF is lower in women than in men, women have worse and often atypical symptoms and worse quality of life as well as a higher risk for adverse events such as stroke and death associated with AF...
October 22, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/30339191/corrigendum
#9
(no author information available yet)
No abstract text is available yet for this article.
October 18, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/30339226/performance-of-idarucizumab-as-antidote-of-dabigatran-in-daily-clinical-practice
#10
Sake J van der Wall, Nienke van Rein, Bart van den Bemt, Marieke J H A Kruip, Karina Meijer, Liane C J Te Boome, Tim A Simmers, A Marco W Alings, Robert Tieleman, Frederikus A Klok, Menno V Huisman
Aims: Because practice-based data on the usage of idarucizumab for urgent dabigatran reversal is unavailable, we evaluated the appropriateness of idarucizumab usage, its haemostatic effectiveness and clinical outcomes. Methods and results: An observational cohort study was performed including consecutive patients who were treated with idarucizumab between 2016 and 2018. Appropriate usage was assessed with predefined criteria. Post-reversal effectiveness was evaluated according to International Society on Thrombosis and Haemostasis (ISTH) recommendations...
October 17, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/30339209/transvenous-and-non-transvenous-implantable-cardioverter-defibrillators-in-children-adolescents-and-adults-with-congenital-heart-disease-who-is-at-risk-for-appropriate-and-inappropriate-shocks
#11
Ulrich Krause, Matthias J Müller, Yannic Wilberg, Matthias Pietzka, David Backhoff, Wolfgang Ruschewski, Thomas Paul
Aims: Non-transvenous implantable cardioverter-defibrillators (ICDs) as used in small patients and in patients with congenital heart disease (CHD) have not been compared with transvenous systems with respect to safety and efficacy yet. Aim of the present study was to describe the prevalence of and to identify contributing factors for appropriate and inappropriate ICD discharges in patients with non-transvenous and transvenous ICD. Methods and results: Single centre analysis of all paediatric and CHD patients who had received an ICD since 1995...
October 17, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/30329040/visualization-of-non-encapsulated-leadless-pacemaker-one-year-post-implant-case
#12
Tsukasa Kamakura, Satsuki Fukushima, Kengo Kusano
No abstract text is available yet for this article.
October 16, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/30321320/differences-in-scar-lesion-formation-between-radiofrequency-and-cryoballoon-in-atrial-fibrillation-ablation-a-comparison-study-using-ultra-high-density-mapping
#13
Ricardo Ruiz-Granell, Gabriel Ballesteros, David Andreu, Ane Erkiaga, Angel Ferrero-De-Loma-Osorio, Pablo Ramos, Angel Martínez-Brotons, Enrique Vives-Rodríguez, Maite Izquierdo-de-Francisco, Ignacio García-Bolao
Aims: Atrial fibrillation (AF) recurrence after pulmonary vein isolation (PVI) is usually associated to conduction gaps in pulmonary veins (PVs). Our objective was to characterize gaps in patients with recurrences after a first radiofrequency (RF) or cryoballoon (CB) PVI procedure, using a high-density mapping (HDM) system. Methods and results: Fifty patients with AF recurrence after a first PVI procedure (pre-RF 25 patients; pre-CB 25 patients) were included at two centres...
October 12, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/30304396/perspective-and-practice-of-surgical-atrial-fibrillation-ablation-an-international-survey-of-cardiac-surgeons
#14
Emilie P Belley-Cote, Rohit K Singal, Graham McClure, Kelson Devereaux, Kate Brady, Kevin An, Jeff S Healey, Stuart J Connolly, Richard P Whitlock
Aims: Despite recommendations stating that surgical atrial fibrillation (AF) ablation is reasonable for patients with AF undergoing cardiac surgery for other indications, the clinical impact of this procedure remains unclear. We aimed to describe surgeons' practices and perceptions of this procedure. Methods and results: We built a self-administered survey in collaboration with content and methodology experts. We surveyed 268 cardiac surgeons from 80 centres in 18 countries...
October 9, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/30304357/risk-score-model-for-predicting-complications-in-patients-undergoing-ventricular-tachycardia-ablation-insights-from-the-national-inpatient-sample-database
#15
Sampath Gunda, Santosh K Padala, Aditya Saini, Le Kang, Kenneth A Ellenbogen, Jayanthi N Koneru
Aims: Outcome data on ventricular tachycardia (VT) ablation has been limited to few experienced centres. We sought to identify complication rates, predictors, and create a risk score model for predicting complications in patients from real-world data. Methods and results: A total of 25 451 patients undergoing VT ablation from year 2006 to 2013 were identified from the National Inpatient Sample (NIS) database. The whole cohort was randomly divided into derivation cohort to derive the model and validation cohort to validate the model...
October 9, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/30289446/successful-percutaneous-lead-extraction-15-years-after-a-failed-extraction-attempt
#16
Banu Evranos, Lisa W M Leung, Hitesh Patel, Diana Ramos, Manav Sohal, Mark M Gallagher
No abstract text is available yet for this article.
October 4, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/30272164/the-use-of-a-lumenless-tip-fixation-lead-in-coronary-vein
#17
Tsz Kin Tam, Sze Man Fiona Yuen, Chin Pang Gary Chan, Yat Sun Joseph Chan
No abstract text is available yet for this article.
September 28, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/30252040/sequential-unipolar-endocardial-and-epicardial-ablation-for-focal-atrial-tachycardia-originating-from-the-deep-left-atrial-appendage
#18
Kanae Hasegawa, Shinsuke Miyazaki, Hiroshi Tada
No abstract text is available yet for this article.
September 24, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/30252038/a-shocking-experience-inappropriate-subcutaneous-implantable-cardioverter-defibrillator-shock-at-a-public-swimming-pool
#19
Fabian Patrick Fastenrath, Jürgen Kuschyk, Martin Borggrefe, Ibrahim Akin, Boris Rudic
No abstract text is available yet for this article.
September 24, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/30239689/implications-of-bipolar-voltage-mapping-and-magnetic-resonance-imaging-resolution-in-biventricular-scar-characterization-after-myocardial-infarction
#20
Mariña López-Yunta, Daniel G León, José Manuel Alfonso-Almazán, Manuel Marina-Breysse, Jorge G Quintanilla, Javier Sánchez-González, Carlos Galán-Arriola, Victoria Cañadas-Godoy, Daniel Enríquez-Vázquez, Carlos Torres, Borja Ibáñez, Julián Pérez-Villacastín, Nicasio Pérez-Castellano, José Jalife, Mariano Vázquez, Jazmín Aguado-Sierra, David Filgueiras-Rama
Aims: We aimed to study the differences in biventricular scar characterization using bipolar voltage mapping compared with state-of-the-art in vivo delayed gadolinium-enhanced cardiac magnetic resonance (LGE-CMR) imaging and ex vivo T1 mapping. Methods and results: Ten pigs with established myocardial infarction (MI) underwent in vivo scar characterization using LGE-CMR imaging and high-density voltage mapping of both ventricles using a 3.5-mm tip catheter. Ex vivo post-contrast T1 mapping provided a high-resolution reference...
September 18, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
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