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JOURNAL ARTICLE
Fabrizio Drago, Francesco Flore, Pietro Paolo Tamborrino, Massimo Stefano Silvetti, Stella Maiolo, Massimiliano Raponi
BACKGROUND: Cryoablation of APs localized near the atrioventricular (AV) junction is a well-established ablation strategy in children, and it has proved to be very safe. However, recurrence rates remain considerable for specific accessory pathway (AP) localizations. The aim of this retrospective study was to evaluate the efficacy and safety of a trans-jugular approach for cryoablation of right anterior, anterior-lateral, and anterior-septal APs in children, as compared to the conventional femoral approach...
April 20, 2024: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
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JOURNAL ARTICLE
Avani Lamba, Thomas M Roston, Puck J Peltenburg, Dania Kallas, Sonia Franciosi, Krystien V V Lieve, Prince J Kannankeril, Minoru Horie, Seiko Ohno, Ramon Brugada, Takeshi Aiba, Peter Fischbach, Linda Knight, Jan Till, Sit-Yee Kwok, Vincent Probst, David Backhoff, Martin J LaPage, Anjan S Batra, Fabrizio Drago, Kristina Haugaa, Andrew D Krahn, Tomas Robyns, Heikki Swan, Terezia Tavacova, Joseph Atallah, Martin Borggrefe, Boris Rudic, Georgia Sarquella-Brugada, Ehud Chorin, Allison Hill, Janneke Kammeraad, Anna Kamp, Ian Law, James Perry, Jason D Roberts, Svjetlana Tisma-Dupanovic, Christopher Semsarian, Jonathan R Skinner, Jacob Tfelt-Hansen, Isabelle Denjoy, Antoine Leenhardt, Peter J Schwartz, Michael J Ackerman, Arthur A M Wilde, Christian van der Werf, Shubhayan Sanatani
BACKGROUND: Catecholaminergic polymorphic ventricular tachycardia (CPVT) may cause sudden cardiac death (SCD) despite medical therapy. Therefore, implantable cardioverter defibrillators (ICDs) are commonly advised. However, there are limited data on the outcomes of ICD use in children. OBJECTIVE: To compare the risk of arrhythmic events in pediatric CPVT patients with and without ICDs. METHODS: We compared the risk of SCD in RYR2 variant and phenotype positive symptomatic CPVT patients with and without ICDs, who were <19 years of age and had no history of sudden cardiac arrest (SCA) at phenotype diagnosis...
April 6, 2024: Heart Rhythm: the Official Journal of the Heart Rhythm Society
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JOURNAL ARTICLE
Massimo Stefano Silvetti, Luigina Porco, Marta Campisi, Vincenzo Pazzano, Ilaria Tamburri, Fabio Anselmo Saputo, Giacomo Silvetti, Lucilla Ravà, Fabrizio Drago
BACKGROUND: The stretching of the lead caused by somatic growth may lead to complications (dislodgement, fracture, failure) of transvenous leads implanted in pediatric patients. Atrial loop and absorbable ligatures may prevent it. Periodical lead advancement with lead pushing from the pocket may be an option to growth-induced stretching. Our aim was to analyze retrospectively the outcome of periodical transvenous lead advancement in children with pacemaker (PM). METHODS: A procedure of lead advancement was performed in patients with a single-chamber PM implanted for isolated congenital complete atrioventricular block or sinus node dysfunction with growth-induced lead straightening/stretching...
March 29, 2024: Pacing and Clinical Electrophysiology: PACE
#4
JOURNAL ARTICLE
Toni Brešković, Lucija Lisica, Zrinka Jurišić, Davor Petrović, Ivan Sikirić, Vitomir Metličić, Ante Anić
BACKGROUND: Ablation of accessory pathways (AP) is cornerstone for treatment of patients with Wolff-Parkinson-White Syndrome and manifestation of atrioventricular reentry tachycardia. Pulsed field ablation (PFA) is a new type of non-thermal form of energy source delivered to the underlying tissue via the ablation catheter and used for ablation of arrhythmic substrates. OBJECTIVE: We present the efficiency and long-term outcome of ablation of APs of different localizations using a focal pulsed electrical field...
March 16, 2024: Heart Rhythm: the Official Journal of the Heart Rhythm Society
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JOURNAL ARTICLE
Christine Stratmann, Maria Cecilia Gonzalez Corcia
No abstract text is available yet for this article.
February 23, 2024: Heart Rhythm: the Official Journal of the Heart Rhythm Society
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JOURNAL ARTICLE
Kerem Ertaş, Özlem Gül, Ruken Yıldırım, Şervan Özalkak
OBJECTIVES: This study aimed to analyze the cardiac effects of hyperandrogenism in premature adrenarche (PA) and evaluate the risk of arrhythmia development. METHODS: Fifty patients with PA and 50 healthy children from a pediatric endocrinology outpatient clinic were included in the study. The patients underwent echocardiography and electrocardiographic evaluations. Conventional echocardiography, tissue Doppler echocardiography, repolarization time, and repolarization dispersion time were evaluated...
February 23, 2024: Journal of Pediatric Endocrinology & Metabolism: JPEM
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JOURNAL ARTICLE
Émilie Bertrand, Maxime Caru, Audrey Harvey, Gregor Andelfinger, Caroline Laverdiere, Maja Krajinovic, Daniel Sinnett, Vincent Jacquemet, Daniel Curnier
INTRODUCTION: Early signs of subclinical cardiac damage must be identified before they turn into clinical manifestations. Tailoring a formula is relevant for precise QTc evaluation in childhood acute lymphoblastic leukemia (ALL) survivors considering they are at risk of long-term cardiac problems. Therefore, we aim to develop group heart rate correction formulas for QT intervals in childhood ALL survivors at rest and during exercise, and to assess the applicability of these methods across a variety of risk groups exposed to diverse chemotherapy dosages...
February 12, 2024: Journal of Electrocardiology
#8
JOURNAL ARTICLE
Andrew Headrick, Zhining Ou, S Yukiko Asaki, Susan P Etheridge, Benjamin Hammond, Lindsey Gakenheimer-Smith, Thomas Pilcher, Mary Niu
BACKGROUND AND AIMS: Common to adult electrophysiology studies (EPS), intracardiac echocardiography (ICE) use in pediatric and congenital heart disease (CHD) EPS is limited. The purpose of this study was to assess the efficacy of ICE use and incidence of associated complications in pediatric and CHD EPS. METHODS: This single-center retrospective matched cohort study reviewed EPS between 2013 and 2022. Demographics, CHD type, and EPS data were collected. ICE cases were matched 1:1 to no ICE controls to assess differences in complications, ablation success, fluoroscopy exposure, procedure duration, and arrhythmia recurrence...
February 14, 2024: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
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EDITORIAL
Jan Janoušek, Peter Kubuš
No abstract text is available yet for this article.
January 30, 2024: JACC. Clinical Electrophysiology
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JOURNAL ARTICLE
Nawin L Ramdat Misier, Jeremy Moore, Hoang H Nguyen, Michael S Lloyd, Anne M Dubin, Douglas Y Mah, Richard J Czosek, Paul Khairy, Philip M Chang, Jens C Nielsen, Alper Aydin, Thomas A Pilcher, Edward T O'Leary, Kalyanam Shivkumar, Natasja M S de Groot
BACKGROUND: A growing number of patients with tetralogy of Fallot develop left ventricular systolic dysfunction and heart failure, in addition to right ventricular dysfunction. Although cardiac resynchronization therapy (CRT) is an established treatment option, the effect of CRT in this population is still not well defined. This study aimed to investigate the early and late efficacy, survival, and safety of CRT in patients with tetralogy of Fallot. METHODS: Data were analyzed from an observational, retrospective, multicenter cohort, initiated jointly by the Pediatric and Congenital Electrophysiology Society and the International Society of Adult Congenital Heart Disease...
February 12, 2024: Circulation. Arrhythmia and Electrophysiology
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JOURNAL ARTICLE
Jacob Rodriguez, Daniel Cortez
INTRODUCTION: Complications are more prevalent in pediatric patients receiving pacemaker implants. METHODS: We performed a retrospective review of a retrievable, 38 mm leadless pacemaker implantation in a 23-kg pediatric patient. CASE/DISCUSSION: An active 9-year-old, 23 kg male patient with tetralogy of Fallot with intermittent pacing need presented with a fractured lead and pacing need. He underwent implant of a retrievable leadless pacemaker (Abbott Aveir) via internal jugular vein access, without complication, and with echocardiographic guidance...
February 11, 2024: Pacing and Clinical Electrophysiology: PACE
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JOURNAL ARTICLE
Tomas Leng, Elaine Griffeth, Elizabeth H Stephens, Joseph A Dearani, Bryan C Cannon, Michael J Ackerman, Philip L Wackel
BACKGROUND: Routine defibrillation threshold testing (DFT) of transvenous implantable defibrillators (ICDs) has largely been in decline. In patients with non-transvenous ICDs that utilize subcutaneous and pleural ICD leads, serial DFT testing can detect a significant number of failures. Data about the utility of follow-up defibrillation safety margin testing (DSM) testing in pediatric patients and young adults with an epicardial ICD are lacking. METHODS: Patients aged < 25 years old who underwent epicardial ICD placement at Mayo Clinic from 2014 to 2023 with at least one follow-up DSM test were included...
February 11, 2024: Pacing and Clinical Electrophysiology: PACE
#13
Yakup Ergul, Gulhan Tunca Sahin, Hasan Candas Kafali, Ismihan Selen Onan
Despite the advancements in technology, establishing the optimal implantation technique for pediatric patients with a pacemaker (PM) indication remains challenging. Although the implantation of an epicardial PM is recommended, especially in children weighing less than 10 kg, transventricular placement of endocardial leads can be performed safely, offering a practical substitute for an epicardial pacing system, particularly in situations where a transvenous approach is unfeasible due to patient size, anatomical constraints or epicardial PM leads were not available as in our case...
February 11, 2024: Pacing and Clinical Electrophysiology: PACE
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REVIEW
Ivan Fumagalli, Stefano Pagani, Christian Vergara, Luca Dede', Dilachew A Adebo, Maurizio Del Greco, Antonio Frontera, Giovanni Battista Luciani, Gianluca Pontone, Roberto Scrofani, Alfio Quarteroni
BACKGROUND AND OBJECTIVE: Computational models of the cardiovascular system allow for a detailed and quantitative investigation of both physiological and pathological conditions, thanks to their ability to combine clinical-possibly patient-specific-data with physical knowledge of the processes underlying the heart function. These models have been increasingly employed in clinical practice to understand pathological mechanisms and their progression, design medical devices, support clinicians in improving therapies...
January 29, 2024: Translational Pediatrics
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JOURNAL ARTICLE
Dustin B Nash, Kathryn K Collins
No abstract text is available yet for this article.
January 2024: Journal of Innovations in Cardiac Rhythm Management
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JOURNAL ARTICLE
Lowell H Frank, Julie Glickstein, David W Brown, Richard B Mink, Robert D Ross
This article evaluates the pediatric cardiology (PC) workforce and forecasts its future supply. Produced as part of a supplement in Pediatrics, this effort represents a collaboration among the American Board of Pediatrics Foundation, the University of North Carolina at Chapel Hill's Carolina Health Workforce Research Center, the Strategic Modeling and Analysis Ltd., and members of the pediatric subspecialty community. PC is a complex subspecialty including care from fetal life through adulthood and in practice settings that range from the outpatient clinic to procedural settings to the cardiac ICU...
February 1, 2024: Pediatrics
#17
REVIEW
Andrew M Reittinger, Lanier B Jackson, Peter N Dean
Each year millions of children and adolescents undergo sports preparticipation evaluations (PPEs) before participating in organized sports. A primary aim of the PPE is to screen for risk factors associated with sudden cardiac death. This article is designed to summarize the current thoughts on the PPE with a specific slant toward the pediatric and early adolescent evaluation and how these evaluations may differ from those in adults.
March 2024: Cardiac Electrophysiology Clinics
#18
Anthony G Pompa, Benjamin W Hale
No abstract text is available yet for this article.
January 2024: HeartRhythm Case Reports
#19
EDITORIAL
Naoya Kataoka, Teruhiko Imamura
No abstract text is available yet for this article.
January 23, 2024: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
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JOURNAL ARTICLE
Dustin Nash, Maully J Shah, Omar Shehab, Andrea L Jones, Ramesh Iyer, Victoria Vetter, Christopher Janson
BACKGROUND: The Apple Watch™ (AW) offers heart rate (HR) tracking by photoplethysmography (PPG) and single-lead ECG recordings. The accuracy of AW-HR and diagnostic performance of AW-ECGs among children during both sinus rhythm and arrhythmias have not been explored. OBJECTIVE: The primary objective was to assess accuracy of AW-HR measurements compared to gold-standard modalities in children during sinus rhythm and arrhythmias. Secondary objectives included identification of non-sinus rhythms using AW-ECGs...
January 19, 2024: Heart Rhythm: the Official Journal of the Heart Rhythm Society
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