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Cardiac Electrophysiology Clinics

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https://www.readbyqxmd.com/read/30172294/his-bundle-pacing-everything-old-is-new-again
#1
EDITORIAL
Pramod Deshmukh, Kenneth A Ellenbogen
No abstract text is available yet for this article.
September 2018: Cardiac Electrophysiology Clinics
https://www.readbyqxmd.com/read/30172293/his-bundle-pacing-a-100-year-journey
#2
EDITORIAL
Ranjan K Thakur, Andrea Natale
No abstract text is available yet for this article.
September 2018: Cardiac Electrophysiology Clinics
https://www.readbyqxmd.com/read/30172291/future-developments-in-his-bundle-pacing
#3
REVIEW
Harsimran Saini, Kenneth A Ellenbogen, Jayanthi N Koneru
Because there has been a significant push toward His bundle pacing (HBP), multiple studies and advancements are underway to provide new and improved delivery tools and lead designs, allowing one to apply this technology in daily practice. A better understanding of the pacing configurations and ultimately development of dedicated algorithms will alleviate some of these aforementioned challenges. Ultimately, with such technological advances and mounting clinical evidence, one can surely anticipate HBP to revolutionize the field of cardiac pacing...
September 2018: Cardiac Electrophysiology Clinics
https://www.readbyqxmd.com/read/30172290/long-term-results-of-his-bundle-pacing
#4
REVIEW
Faiz A Subzposh, Pugazhendhi Vijayaraman
Right ventricular pacing is associated with pacing-induced cardiomyopathy in some patients. His Bundle Pacing (HBP) is an alternative site to pace to achieve ventricular contraction with fewer adverse hemodynamic effects. HBP has been shown to be safe and feasible in the short term. The few studies that look at long-term results of HBP are promising with regard to electrophysiological, echocardiographic, and clinical outcomes. Further randomized clinical trials are needed to fully understand the long-term effects of HBP...
September 2018: Cardiac Electrophysiology Clinics
https://www.readbyqxmd.com/read/30172289/pacing-treatment-of-atrial-fibrillation-patients-with-heart-failure-his-bundle-pacing-combined-with-atrioventricular-node-ablation
#5
REVIEW
Weijian Huang, Lan Su, Shengjie Wu
As an alternative to antiarrhythmic drugs and catheter ablation of atrial fibrillation (AF) for rate and rhythm control, pacing combined with atrioventricular node (AVN) ablation is suitable for many AF patients with heart failure (HF) who suffer from symptoms despite optimal medical therapy or have failed AF ablation. Studies have demonstrated His bundle pacing in conjunction with AVN ablation to treat refractory AF patients with HF provide long-term clinical benefits. Here we introduce the clinical application and procedures of His bundle pacing and AVN ablation...
September 2018: Cardiac Electrophysiology Clinics
https://www.readbyqxmd.com/read/30172288/his-bundle-pacing-for-cardiac-resynchronization
#6
REVIEW
Gaurav A Upadhyay, Roderick Tung
Cardiac resynchronization therapy with left ventricular coronary sinus or epicardial pacing is an established therapy for patients with systolic heart failure and intraventricular conduction system delay, particularly left bundle branch block. Despite large-scale randomized trials demonstrating the efficacy of this therapy, clinical and echocardiographic nonresponse rates remain as high as up to 40%. His bundle pacing (HBP) has reemerged as a means to provide physiologic resynchronization in patients with bundle branch block by correcting QRS by direct capture of the His-Purkinje system...
September 2018: Cardiac Electrophysiology Clinics
https://www.readbyqxmd.com/read/30172287/hemodynamics-of-his-bundle-pacing
#7
REVIEW
Amrish Deshmukh, Umashankar Lakshmanadoss, Pramod Deshmukh
In addition to the His bundle, numerous other sites have been evaluated as more physiologic alternatives to pacing at the right ventricular apex. Several hemodynamic studies have shown the benefit of His bundle pacing and septal pacing in comparison with right ventricular apical pacing. This article summarizes this literature and presents acute hemodynamic data in an intrapatient study examining His bundle pacing, right ventricular septal pacing, and right ventricular apical pacing.
September 2018: Cardiac Electrophysiology Clinics
https://www.readbyqxmd.com/read/30172286/how-to-perform-his-bundle-pacing-tools-and-techniques
#8
REVIEW
Subodh Devabhaktuni, Philip L Mar, Jonathan Shirazi, Gopi Dandamudi
Recently, permanent His bundle pacing (HBP) has emerged as a viable pacing strategy for chronic ventricular pacing. It allows for recruitment of the native His Purkinje system thereby preventing pacing-induced ventricular dyssynchrony seen in traditional right ventricular pacing. Current tools allow for relatively good success rates for implantation. Understanding the various responses to HBP is crucial for long-term success. With better tools and unique pacing and sensing algorithms designed specifically for this form of pacing, HBP is likely to increase as a tool for long-term pacing therapy...
September 2018: Cardiac Electrophysiology Clinics
https://www.readbyqxmd.com/read/30172285/his-bundle-pacing-getting-on-the-learning-curve
#9
REVIEW
Daniel L Lustgarten
Permanent His bundle pacing prevents ventricular dyssynchrony in patients who depend on ventricular pacing and can provide an alternative means to implementing cardiac resynchronization therapy in patients with bundle branch disease and congestive heart failure. Adoption of His bundle pacing, however, has lagged in part due to perceived and real challenges in performing the procedure well and durably. This article focuses on what is required to get on the learning curve and developing technical competence.
September 2018: Cardiac Electrophysiology Clinics
https://www.readbyqxmd.com/read/30172284/an-electro-anatomic-atlas-of-his-bundle-pacing-combining-fluoroscopic-imaging-and-recorded-electrograms
#10
REVIEW
Parikshit S Sharma, Richard Trohman
Permanent His bundle pacing (PHBP) has gained significant popularity given improved implant success rates given better tools and increasing data on the clinical benefits of PHBP. In this article, the authors hope to review the relevant anatomy of the bundle of His (HB) and help correlate PHBP implant characteristics with patient anatomy using fluoroscopic and electro-anatomic correlations.
September 2018: Cardiac Electrophysiology Clinics
https://www.readbyqxmd.com/read/30172283/his-bundle-conduction-system-pacing-a-contemporary-appraisal
#11
REVIEW
Alan Sugrue, Subir Bhatia, Vaibhav R Vaidya, Ugur Kucuk, Siva K Mulpuru, Samuel J Asirvatham
The His bundle (conduction system) is an attractive target for physiologic pacing because it uses the native conduction system. Although the potential benefits of conduction system pacing were recognized in the 1970s, in the past 2 decades, it has grown in interest as a potentially preferred method of ventricular stimulation in appropriate patients. This review provides an appraisal of conduction system pacing, with focus on anatomy, physiology, tools, and techniques as well as an appraisal of current published data and thoughts on future directions...
September 2018: Cardiac Electrophysiology Clinics
https://www.readbyqxmd.com/read/30172282/his-bundle-pacing-concept-to-reality
#12
REVIEW
Pramod Deshmukh
This article summarizes the initial experience with permanent His bundle pacing, the lessons learned, and the concepts that have been developed in the subsequent decade of experience with His bundle pacing. This article also addresses the advancements in technology, which have allowed His bundle pacing to be more widely adopted and used in various clinical situations.
September 2018: Cardiac Electrophysiology Clinics
https://www.readbyqxmd.com/read/30172281/tricuspid-valve-dysfunction-caused-by-right-ventricular-leads
#13
REVIEW
Elisa Ebrille, James D Chang, Peter J Zimetbaum
Tricuspid regurgitation is increasingly recognized as a clinically significant valvular condition. The role of multiple pacemaker and implantable cardiac defibrillator leads in distortion of the valve structure and the risk of trauma to the valve and subvalvular apparatus with lead extraction contribute to the development of tricuspid regurgitation (TR). There is a clinical imperative to better understand the optimal way to diagnose lead-related TR, risk factors for the development of TR, and optimal strategies to mitigate this problem...
September 2018: Cardiac Electrophysiology Clinics
https://www.readbyqxmd.com/read/30172280/pacing-induced-cardiomyopathy
#14
REVIEW
Faisal M Merchant, Suneet Mittal
Pacing-induced cardiomyopathy (PICM) is a well described phenomenon that occurs in a minority of patients exposed to high-burden right ventricular (RV) pacing. Although several risk factors may identify patients at increased risk of PICM, many individuals tolerate high-burden RV pacing for many years without obviously deleterious effects, and the ability to identify those at highest risk remains insufficient. Treatment of PICM has primarily involved upgrade to cardiac resynchronization therapy once signs of cardiomyopathy manifest...
September 2018: Cardiac Electrophysiology Clinics
https://www.readbyqxmd.com/read/30172279/subthreshold-stimulation-for-his-bundle-pacing
#15
REVIEW
Benjamin J Scherlag
One of the drawbacks of permanent His bundle pacing has been the relatively high pacing thresholds. The present experimental study was proposed to address this issue. In this article the authors present preliminary evidence that His bundle pacing can be achieved with subthreshold stimulation, thereby providing for increased battery life and consequently longer replacement intervals. Possible mechanisms underlying the paradoxical effects of subthreshold stimulation before and after the onset of complete atrioventricular block are also discussed...
September 2018: Cardiac Electrophysiology Clinics
https://www.readbyqxmd.com/read/29784495/-unknown-title
#16
EDITORIAL
Giuseppe Bagliani
No abstract text is available yet for this article.
June 2018: Cardiac Electrophysiology Clinics
https://www.readbyqxmd.com/read/29784494/on-the-shoulder-of-giants-and-luigi-padeletti-is-one-of-them
#17
EDITORIAL
Giuseppe Bagliani, Roberto De Ponti, Luigi Padeletti
No abstract text is available yet for this article.
June 2018: Cardiac Electrophysiology Clinics
https://www.readbyqxmd.com/read/29784493/remembering-luigi-padeletti
#18
EDITORIAL
Ranjan K Thakur, Andrea Natale
No abstract text is available yet for this article.
June 2018: Cardiac Electrophysiology Clinics
https://www.readbyqxmd.com/read/29784492/electrocardiogram-and-imaging-an-integrated-approach-to-arrhythmogenic-cardiomyopathies
#19
REVIEW
Ketty Savino, Giuseppe Bagliani, Federico Crusco, Margherita Padeletti, Massimo Lombardi
Cardiovascular imaging has radically changed the management of patients with arrhythmogenic cardiomyopathies. This article focuses on the role of echocardiography and MRI in the diagnosis of these structural diseases. Cardiomyopathies with hypertrophic pattern (hypertrophic cardiomyopathy, restrictive cardiomyopathies, amyloidosis, Anderson-Fabry disease, and sarcoidosis), cardiomyopathies with dilated pattern, inflammatory cardiac diseases, and right ventricular arrhythmogenic cardiomyopathy are analyzed. Finally, anatomic predictors of arrhythmias and sudden cardiac death are discussed...
June 2018: Cardiac Electrophysiology Clinics
https://www.readbyqxmd.com/read/29784491/neonatal-and-pediatric-arrhythmias-clinical-and-electrocardiographic-aspects
#20
REVIEW
Fabrizio Drago, Irma Battipaglia, Corrado Di Mambro
Arrhythmias have acquired a specific identity in pediatric cardiology, but for pediatric cardiologists it has always been difficult to recognize and treat them. Changes in anatomy and physiology result in electrocardiogram features that differ from the normal adult pattern and vary according to the age of the child. Sinus arrhythmia, ectopic atrial rhythm, "wandering pacemaker," and junctional rhythm can be normal characteristics in children (15%-25% of healthy children can have these rhythms on the electrocardiogram)...
June 2018: Cardiac Electrophysiology Clinics
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