keyword
https://read.qxmd.com/read/38541908/intravenous-landiolol-for-rate-control-in-supraventricular-tachyarrhythmias-in-patients-with-left-ventricular-dysfunction-a-systematic-review-and-meta-analysis
#1
REVIEW
Athina Nasoufidou, Andreas S Papazoglou, Panagiotis Stachteas, Efstratios Karagiannidis, Athanasios Samaras, Sophia Alexiou, Michail-Angelos Mourtzos, George Kassimis, Nikolaos Fragakis
Background: This systematic review explores the effects of landiolol administration in individuals presenting with supraventricular tachyarrhythmia (SVT) and concurrent left ventricular dysfunction, without being septic or in a peri-operative period. Methods: We systematically searched PubMed, Cochrane, Web of Science, and Scopus databases, retrieving a total of 15 eligible studies according to prespecified eligibility criteria. Results: Patients treated with landiolol experienced a substantial reduction in heart rate (HR) (mean HR reduction: 42 bpm, 95% confidence intervals (CIs): 37-47, I2 = 82%) and were more likely to achieve the target HR compared to those receiving alternative antiarrhythmic therapy (pooled odds ratio (OR): 5...
March 14, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38541906/the-rise-study-retrospective-registry-for-the-international-safety-and-efficacy-results-of-patent-foramen-ovale-closure-with-figulla-flex-il-pfo-and-uni-occluders
#2
JOURNAL ARTICLE
Nicolas Pioch, Daniela Trabattoni, Helene Bouvaist, Estelle Vautrin, Giovanni Teruzzi, Cecile Dollinger, Gilles Rioufol, François Godart, Alain Fraisse
Background: Transcatheter closure of a patent foramen ovale (PFO) is performed in cryptogenic stroke and other conditions. Information is lacking for some devices. Methods: We aimed to evaluate the Figulla Flex II PFO Occluder (FFP) and Figulla Flex UNI Occluder (FFU) through a retrospective multi-center registry. Results : 527 patients were included. Mean age was 48.9 (±13.8) years. The procedure was under transthoracic, transesophageal or intracardiac echocardiography in 185 (35.1%), 193 (36.6%) and 149 (28...
March 14, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38541790/diagnostic-yield-and-clinical-implications-of-implantable-loop-recorders-in-patients-with-syncope-in-germany-a-national-database-analysis
#3
JOURNAL ARTICLE
Johanna Mueller-Leisse, Henrike Aenne Katrin Hillmann, Laura Iserloh, Bjoern Fruehauf, David Duncker
In patients with unexplained syncope, implantable loop recorders (ILR) are used to detect arrhythmias as a cause of syncope. This study aimed to assess the diagnostic yield and clinical implications arising from ILR implantation in patients with syncope in Germany. Secondary longitudinal data were obtained from a large German research database including anonymized data from nationwide statutory health insurances, representative for the German population. Patients ≥ 18 years with a diagnosis of syncope and ILR implantation between 2017 and 2018 were analyzed, and cardiac diagnoses and therapies during a follow-up period of two years assessed...
March 8, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38541788/robotic-assisted-epicardial-hybrid-ablation-and-left-appendage-closure-in-persistent-atrial-fibrillation-first-european-experience
#4
JOURNAL ARTICLE
Alfonso Agnino, Laura Giroletti, Ascanio Graniero, Piersilvio Gerometta, Matteo Parrinello, Giovanni Albano, Eduardo Celentano, Ernesto Cristiano, Giuseppe Nasso, Natasja M S de Groot
Background: Pulmonary vein isolation is currently considered to be the gold standard for ablating paroxysmal atrial fibrillation. However, its efficacy is limited in patients with persistent atrial fibrillation. The convergent procedure has emerged as a hybrid ablation. This study aims, for the first time in the literature, to introduce a hybrid approach that includes epicardial ablation with cutting-edge robotic technology and subsequent electrophysiological study to verify and an endocardial ablation to complete the ablation lines...
March 8, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38533836/validation-of-a-novel-smartphone-based-photoplethysmographic-method-for-ambulatory-heart-rhythm-diagnostics-the-smartbeats-study
#5
JOURNAL ARTICLE
Jonatan Fernstad, Emma Svennberg, Peter Åberg, Katrin Kemp Gudmundsdottir, Anders Jansson, Johan Engdahl
BACKGROUND AND AIMS: In the current guidelines, smartphone-photoplethysmography (PPG) is not recommended for diagnosis of atrial fibrillation (AF), without a confirmatory electrocardiogram (ECG) recording. Previous validation studies have been performed under supervision in healthcare settings, with limited generalizability of the results. We aim to investigate the diagnostic performance of a smartphone-PPG method in a real-world setting, with ambulatory unsupervised smartphone-PPG recordings, compared with simultaneous ECG recordings and including patients with atrial flutter (AFL)...
March 27, 2024: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://read.qxmd.com/read/38530866/supermap-algorithm-an-efficient-safe-and-accurate-modality-for-mapping-and-eliminating-challenging-cardiac-arrhythmias
#6
REVIEW
Charlie Lin, Andrew Nguyen, Ian Ling, Rod Partow-Navid, Steven Leung, Andrew Zadeh, Ivan Ho, Junaid Ab Zaman
Even with the development of advanced catheter-based mapping systems, there remain several challenges in the electrophysiological evaluation and elimination of atrial arrhythmias. For instance, atrial tachycardias with irregular rates cannot be reliably mapped by systems that require stability in order to sequentially gather data points to be organized thereafter. Separately, these arrhythmias often arise following initial ablation for atrial fibrillation, posing logistic challenges. We present here the available literature summarizing the use of a non-contact mapping catheter, the AcQMap catheter, in conjunction with SuperMap, an algorithm that compiles a large number of non-contact data points from multiple catheter positions within the atria...
March 26, 2024: Future Cardiology
https://read.qxmd.com/read/38530599/how-well-do-ed-physician-practices-align-with-the-caep-acute-atrial-fibrillation-checklist-for-stroke-prevention-and-disposition
#7
JOURNAL ARTICLE
Samara Adler, Amanda M S Mattice, Debra Eagles, Krishan Yadav, Sean Hui, Althaf Azward, Nikesh Pandey, Ian Stiell
OBJECTIVES: Acute atrial fibrillation (AF)/flutter (AFL) is a common emergency department (ED) presentation. In 2021, an updated version of CAEP's Acute AF/AFL Best Practices Checklist was published, seeking to guide management. We assessed the alignment with and safety of application of the Checklist, regarding stroke prevention and disposition. METHODS: This health records review included adults presenting to two tertiary care academic EDs between January and August 2022 with a diagnosis of acute AF/AFL...
March 26, 2024: CJEM
https://read.qxmd.com/read/38524974/pulmonary-artery-stump-thrombus-in-a-patient-with-remote-history-of-rastelli-procedure
#8
Weijia Li, Xuan Guan, James Nguyen, Kelvin Lee
• Atrial tachyarrhythmia may develop in Rastelli patients after decades. • Thrombus can form in the PA stump after the Rastelli procedure. • TEE remains crucial to rule out intracardiac thrombus before cardioversion.
March 2024: CASE: Cardiovascular Imaging Case Reports
https://read.qxmd.com/read/38523340/lymphocytic-myocarditis-with-increased-left-ventricular-thickness-a-rare-presentation-mimicking-cardiac-amyloidosis
#9
JOURNAL ARTICLE
Xueting Duan, Liangzhen Qu, Han Chen
BACKGROUND Lymphocytic myocarditis is an inflammatory condition of the heart that may present with a wide spectrum of symptoms and signs, ranging from asymptomatic to life-threatening cardiogenic shock and ventricular arrhythmia. Lymphocytic myocarditis usually presents as chamber dilation. However, increased left ventricular thickness is relatively rare. We present a case of lymphocytic myocarditis with increased left ventricular thickness which mimics the presentation of cardiac amyloidosis. CASE REPORT An 80-year-old Chinese man presented to the emergency room due to recurrent chest tightness...
March 25, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38522620/atrial-fibrillation-after-atrial-flutter-ablation-an-existential-journey-to-escape-an-inevitable-fate
#10
EDITORIAL
Jason G Andrade, Laurent Macle
No abstract text is available yet for this article.
March 22, 2024: Canadian Journal of Cardiology
https://read.qxmd.com/read/38520149/sodium-glucose-cotransporter-2-inhibitors-and-the-risk-of-atrial-fibrillation-in-patients-with-type-2-diabetes-a-population-based-cohort-study
#11
JOURNAL ARTICLE
Talip E Eroglu, Ruben Coronel, Patrick C Souverein
AIMS: Sodium-glucose cotransporter-2 inhibitors (SGLT-2is) have a direct cardiac effect that is likely to be independent of its glucose lowering renal effect. Previous research has shown that SGLT2-is mitigate heart failure and prevent arrhythmic cardiac death. Our objective is to determine whether SGLT-2is reduce atrial fibrillation (AF) in comparison to other second-to third-line antidiabetic drugs in type 2 diabetes. METHODS AND RESULTS: We conducted a population-based, new-user active comparator cohort study using data from the UK Clinical Practice Research Datalink...
March 22, 2024: European Heart Journal. Cardiovascular Pharmacotherapy
https://read.qxmd.com/read/38519830/assessment-of-physician-compliance-to-the-caep-2021-atrial-fibrillation-best-practices-checklist-for-rate-and-rhythm-control-in-the-emergency-department
#12
JOURNAL ARTICLE
Amanda M S Mattice, Samara Adler, Debra Eagles, Krishan Yadav, Sean Hui, Althaf Azward, Nikesh Pandey, Ian G Stiell
OBJECTIVES: Acute atrial fibrillation and flutter (AF/AFL) are common arrhythmias treated in the emergency department (ED). The 2021 CAEP Best Practices Checklist provides clear recommendations for management of patients with acute AF/AFL. This study aimed to evaluate physician compliance to Checklist recommendations for risk assessment and ED management of AF/AFL. METHODS: This health records review assessed the management of adult patients presenting to two tertiary care EDs for management of acute AF/AFL from January to August, 2022...
March 23, 2024: CJEM
https://read.qxmd.com/read/38514992/impact-of-heart-rate-changes-during-hospitalization-on-outcome-in-heart-failure-with-preserved-ejection-fraction
#13
JOURNAL ARTICLE
Dan Liu, Xiaotong Cui, Yamei Xu, Lei Xu, Zhonglei Xie, Shuai Yuan, Peng Wang, Yanyan Wang, Sanli Qian, Hui Gong, Peter Nordbeck, Jiefu Yang, Jingmin Zhou, Junbo Ge, Aijun Sun
AIMS: The benefits of lowering heart rate (HR) in heart failure (HF) with preserved ejection fraction (HFpEF) patients are still a matter of debate. This study aimed to investigate the relationship between changes in HR during hospitalization and cardiovascular (CV) events and all-cause death in hospitalized HFpEF patients. METHODS AND RESULTS: Hospitalized HF patients between January 2017 and December 2021 were consecutively enrolled in a national, multicentred, and prospective registry database, the China Cardiovascular Association Database-HF Center Registry...
March 21, 2024: ESC Heart Failure
https://read.qxmd.com/read/38502198/cardiovascular-events-reported-in-patients-with-b-cell-malignancies-treated-with-zanubrutinib
#14
JOURNAL ARTICLE
Javid J Moslehi, Richard R Furman, Constantine S Tam, Joe-Elie Salem, Christopher R Flowers, Aileen Cohen, Meng Zhang, Jun Zhang, Lipeng Chen, Han Ma, Jennifer R Brown
First-generation Bruton tyrosine kinase (BTK) inhibitor ibrutinib has been associated with an increased risk for cardiovascular toxicities. Zanubrutinib is a more selective, next-generation BTK inhibitor. In this manuscript, incidence rates of atrial fibrillation, symptomatic (grade ≥2) ventricular arrhythmia, and hypertension were evaluated in a pooled analysis of 10 clinical studies with zanubrutinib monotherapy in patients (N=1550) with B-cell malignancies and a pooled analysis of head-to-head studies comparing zanubrutinib with ibrutinib (ASPEN cohort 1; ALPINE)...
March 19, 2024: Blood Advances
https://read.qxmd.com/read/38501297/double-atrial-potentials-in-the-coronary-sinus-what-is-the-mechanism
#15
JOURNAL ARTICLE
Yirao Tao, Yahang Tan, Yang Zhou, Yanjiang Wang, Liang Shi, Xing-Peng Liu
No abstract text is available yet for this article.
March 19, 2024: Journal of Cardiovascular Electrophysiology
https://read.qxmd.com/read/38500754/predictors-of-atrial-fibrillation-detection-in-embolic-stroke-of-undetermined-source-patients-with-implantable-loop-recorder
#16
JOURNAL ARTICLE
Lucio D'Anna, Roberta La Cava, Ashni Khetarpal, Abeer Karjikar, Ahmad Almohtadi, Michele Romoli, Matteo Foschi, Raffaele Ornello, Federico De Santis, Simona Sacco, Samir Abu-Rumeileh, Simone Lorenzut, Daisy Pavoni, Mariarosaria Valente, Giovanni Merlino, Soraia Almeida, Asha Barnard, Jianqun Guan, Soma Banerjee, Phang Boon Lim
BACKGROUND: Covert atrial fibrillation (AF) is a predominant aetiology of embolic stroke of undetermined source (ESUS). Evidence suggested that AF is more frequently detected by implantable loop recorder (ILR) than by conventional monitoring. However, the predictive factors associated with occult AF detected using ILRs are not well established yet. In this study we aim to investigate the predictors of AF detection in patients with ESUS undergoing an ILR. METHODS: This observational multi-centre study included consecutive ESUS patients who underwent ILR implantation...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38496746/utilizing-high-density-mapping-for-ablation-of-mitral-annular-flutter-in-a-patient-with-persistent-left-superior-vena-cava
#17
Alex Cubberley, Hafiza Khan, Mustafa Dohadwala
No abstract text is available yet for this article.
March 2024: HeartRhythm Case Reports
https://read.qxmd.com/read/38486759/an-arrhythmia-classification-approach-via-deep-learning-using-single-lead-ecg-without-qrs-wave-detection
#18
JOURNAL ARTICLE
Liong-Rung Liu, Ming-Yuan Huang, Shu-Tien Huang, Lu-Chih Kung, Chao-Hsiung Lee, Wen-Teng Yao, Ming-Feng Tsai, Cheng-Hung Hsu, Yu-Chang Chu, Fei-Hung Hung, Hung-Wen Chiu
Arrhythmia, a frequently encountered and life-threatening cardiac disorder, can manifest as a transient or isolated event. Traditional automatic arrhythmia detection methods have predominantly relied on QRS-wave signal detection. Contemporary research has focused on the utilization of wearable devices for continuous monitoring of heart rates and rhythms through single-lead electrocardiogram (ECG), which holds the potential to promptly detect arrhythmias. However, in this study, we employed a convolutional neural network (CNN) to classify distinct arrhythmias without QRS wave detection step...
March 15, 2024: Heliyon
https://read.qxmd.com/read/38478488/impact-of-maintaining-serum-potassium-concentration-%C3%A2-3-6meq-l-versus-%C3%A2-4-5meq-l-for-120-hours-after-isolated-coronary-artery-bypass-graft-surgery-on-incidence-of-new-onset-atrial-fibrillation-protocol-for-a-randomized-non-inferiority-trial
#19
JOURNAL ARTICLE
Niall G Campbell, Elizabeth Allen, Richard Evans, Zahra Jamal, Charles Opondo, Julie Sanders, Joanna Sturgess, Hugh E Montgomery, Diana Elbourne, Benjamin O'Brien
BACKGROUND: Atrial Fibrillation After Cardiac Surgery (AFACS) occurs in about one in three patients following Coronary Artery Bypass Grafting (CABG). It is associated with increased short- and long-term morbidity, mortality and costs. To reduce AFACS incidence, efforts are often made to maintain serum potassium in the high-normal range (≥ 4.5mEq/L). However, there is no evidence that this strategy is efficacious. Furthermore, the approach is costly, often unpleasant for patients, and risks causing harm...
2024: PloS One
https://read.qxmd.com/read/38478386/landiolol-for-treating-arrhythmias-a-state-of-the-art-review
#20
JOURNAL ARTICLE
Muhammad Ghallab, Mahmoud Samy Ahmed, Talia H Ostrow, Muhammad Haseeul Rasool, Zakaria Alagha, Daniel Miller, William H Frishman, Wilbert S Aronow, Daniel Frenkel
This article provides a state-of-the-art review on landiolol, a medication that was recently submitted for 7 approvals. Focusing on its pharmacology, pharmacokinetics, and pharmacodynamics, the analysis underscores landiolol's unique attributes compared to conventional beta-blockers, particularly esmolol. As a sympatholytic agent, landiolol exhibits a short half-life, high cardioselectivity, and minimal impact on blood pressure, setting it apart in the realm of arrhythmia treatment. The review explores landiolol's potential applications, emphasizing scenarios where other beta-blockers may be limited...
March 13, 2024: Cardiology in Review
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