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Arrhythmia & Electrophysiology Review

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https://www.readbyqxmd.com/read/29686873/authors-reply-hybrid-approach-for-atrial-fibrillation-ablation-the-jury-is-still-out
#1
Charles M Pearman, Dhiraj Gupta
No abstract text is available yet for this article.
March 2018: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/29686872/the-risks-of-electric-currents-at-home
#2
Boghos L Artinian
No abstract text is available yet for this article.
March 2018: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/29686871/authors-reply-unravelling-the-mysteries-of-the-human-av-node
#3
Igor R Efimov, Sharon George
No abstract text is available yet for this article.
March 2018: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/29686870/practical-techniques-in-cryoballoon-ablation-how-to-isolate-inferior-pulmonary-veins
#4
Shaojie Chen, Boris Schmidt, Stefano Bordignon, Fabrizio Bologna, Takahiko Nagase, Laura Perrotta, K R Julian Chun
Catheter ablation is the most effective treatment option for patients suffering from symptomatic atrial fibrillation. Electrical isolation of the pulmonary veins is the procedural cornerstone. Point-by-point radiofrequency current energy ablation in combination with a 3D electro-anatomical mapping system is the established approach to ablation. In contrast, cryoballoon ablation uses a single-shot approach to facilitate pulmonary vein isolation. However, fixed cryoballoon diameters (28 mm or 23 mm) and non-balloon compliance can lead to technical difficulties in isolating variable pulmonary vein anatomies...
March 2018: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/29636976/hybrid-approach-for-atrial-fibrillation-ablation-the-jury-is-still-out
#5
Georgios Giannopoulos, Spyridon Deftereos
No abstract text is available yet for this article.
March 2018: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/29636975/unravelling-the-mysteries-of-the-human-av-node
#6
Maria Kokladi
No abstract text is available yet for this article.
March 2018: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/29636974/the-significance-of-drug-drug-and-drug-food-interactions-of-oral-anticoagulation
#7
Pascal Vranckx, Marco Valgimigli, Hein Heidbuchel
Vitamin K antagonists (VKAs) such as warfarin are the most commonly prescribed oral anticoagulants worldwide. However, factors affecting the pharmacokinetics of VKAs, such as food and drugs, can cause deviations from their narrow therapeutic window, increasing the bleeding or thrombosis risk and complicating their long-term use. The use of direct oral anticoagulants (DOACs) offers a safer and more convenient alternative to VKAs. However, it is important to be aware that plasma levels of DOACs are affected by drugs that alter the cell efflux transporter P-glycoprotein and/or cytochrome P450...
March 2018: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/29636973/drivers-of-atrial-fibrillation-theoretical-considerations-and-practical-concerns
#8
Ian Mann, Belinda Sandler, Nick Linton, Prapa Kanagaratnam
Understanding the mechanisms responsible for driving AF is key to improving the procedural success for AF ablation. In this review, we look at some of the proposed drivers of AF, the disagreement between experts and the challenges confronted in attempting to map AF. Defining a 'driver' is also controversial, but for the purposes of this review we will consider an AF driver to be either a focal or localised source demonstrating fast, repetitive activity that propagates outward from this source, breaking down in to disorganisation further away from its origin...
March 2018: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/29636972/atrial-arrhythmias-in-pulmonary-hypertension-pathogenesis-prognosis-and-management
#9
Brett Wanamaker, Thomas Cascino, Vallerie McLaughlin, Hakan Oral, Rakesh Latchamsetty, Konstantinos C Siontis
Atrial arrhythmias, including atrial fibrillation and atrial flutter, are common in patients with pulmonary hypertension and are closely associated with clinical decompensation and poor clinical outcomes. The mechanisms of arrhythmogenesis and subsequent clinical decompensation are reviewed. Practical implications and current evidence for the management of atrial arrhythmias in patients with pulmonary hypertension are summarised.
March 2018: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/29636971/systematic-screening-for-atrial-fibrillation-in-the-community-evidence-and-obstacles
#10
Ngai-Yin Chan
With an ageing population globally, the burden of atrial fibrillation (AF) and its consequent complication of stroke and risk of mortality will continue to increase. Although opportunistic screening for AF by pulse check or ECG rhythm strip for people >65 years of age is currently recommended, data are now emerging that demonstrate the possible benefits of systematic community screening. Such screening is capable of identifying previously undiagnosed AF in 0.5-3.0 % of all those screened. The effectiveness of screening programmes will be markedly weakened by the lack of a structured downstream management pathway, making it a mandatory component in any AF screening programme for the general population...
March 2018: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/29636970/asymptomatic-ventricular-pre-excitation-between-sudden-cardiac-death-and-catheter-ablation
#11
Josep Brugada, Roberto Keegan
Debate about the best clinical approach to the management of asymptomatic patients with ventricular pre-excitation and advice on whether or not to invasively stratify and ablate is on-going. Weak evidence about the real risk of sudden cardiac death and the potential benefit of catheter ablation has probably prevented the clarification of action in this not infrequent and sometimes conflicting clinical situation. After analysing all available data, real evidence-based medicine could be the alternative strategy for managing this group of patients...
March 2018: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/29636969/oesophageal-injury-during-af-ablation-techniques-for-prevention
#12
Jorge Romero, Ricardo Avendano, Michael Grushko, Juan Carlos Diaz, Xianfeng Du, Carola Gianni, Andrea Natale, Luigi Di Biase
Atrial fibrillation remains the most common arrhythmia worldwide, with pulmonary vein isolation (PVI) being an essential component in the treatment of this arrhythmia. In view of the close proximity of the oesophagus with the posterior wall of the left atrium, oesophageal injury prevention has become a major concern during PVI procedures. Oesophageal changes varying from erythema to fistulas have been reported, with atrio-oesophageal fistulas being the most feared as they are associated with major morbidity and mortality...
March 2018: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/29636968/how-to-prevent-detect-and-manage-complications-caused-by-cryoballoon-ablation-of-atrial-fibrillation
#13
Nitin Kulkarni, Wilber Su, Richard Wu
Atrial fibrillation is the most common cardiac arrhythmia and the prevalence is increasing every year. Patients who fail to maintain sinus rhythm with use of anti-arrhythmic drug therapy are referred for catheter ablation. Cryoballoon (CB) ablation has emerged as an effective and alternative treatment option to traditional point-by-point radiofrequency ablation, but there can be complications. This article reviews the incidence, presentation, risk factors, management and preventative strategies of three major complications associated with CB ablation: phrenic nerve injury, atrial oesophageal fistula and bronchial injury...
March 2018: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/29636967/non-invasive-cardiac-radiation-for-ablation-of-ventricular-tachycardia-a-new-therapeutic-paradigm-in-electrophysiology
#14
Eun-Jeong Kim, Giovanni Davogustto, William G Stevenson, Roy M John
Non-invasive ablation of cardiac tissue to control ventricular tachycardia (VT) is a novel therapeutic consideration in the management of ventricular arrhythmias associated with structural heart disease. The technique involves the use of stereotactic radiotherapy delivered to VT substrates. Although invasive mapping can be used to identify the target, the use of non-invasive ECG and imaging techniques combined with multi-electrode body-surface ECG recordings offers the potential of a completely non-invasive approach...
March 2018: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/29636966/unmissable-papers-2017
#15
EDITORIAL
(no author information available yet)
No abstract text is available yet for this article.
March 2018: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/29636965/-what-cannot-be-missed-a-new-service-of-arrhythmia-and-electrophysiology-review
#16
EDITORIAL
Demosthenes G Katritsis
No abstract text is available yet for this article.
March 2018: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/29507721/mahaim-accessory-pathways
#17
Nikolaos Fragakis
No abstract text is available yet for this article.
December 2017: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/29326839/can-we-select-patients-for-prophylactic-vt-ablation
#18
LETTER
Theodoros Zografos
No abstract text is available yet for this article.
December 2017: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/29326838/increasing-the-single-procedure-success-rate-of-pulmonary-vein-isolation
#19
Mattias Duytschaever, Mark O'Neill, Martin Martinek
To improve the single-procedural success and long-term outcomes of catheter ablation techniques for AF, there is a need for durable, contiguous and transmural lesions encircling the pulmonary veins (PV). Measurement of contact force (CF) between the catheter tip and the target tissue can optimise ablation procedures. A new approach to obtain single-procedure durable PV isolation (PVI) using the latest CF technology combined with the CARTO VISITAG™ Module with Ablation Index (Biosense Webster) has been shown in small studies to almost eliminate recurrence of paroxysmal AF at 1-year follow up and to make PVI procedures more reproducible...
December 2017: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/29326837/one-stage-approach-for-hybrid-atrial-fibrillation-treatment
#20
Vincent Umbrain, Christian Verborgh, Gian-Battista Chierchia, Carlo de Asmundis, Pedro Brugada, Mark La Meir
The one-stage approach for hybrid atrial fibrillation involves the simultaneous and close cooperation of different medical specialties. This review attempts to describe its challenging issues, exposing a plan to balance thrombotic risk and bleeding risk. It describes the combined surgical-electrophysiological procedure. Specific topics, involving hemodynamic, fluid and respiratory management during surgery are considered, and problems related to postoperative pain are surveyed.
December 2017: Arrhythmia & Electrophysiology Review
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