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Atrial Flutter

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https://www.readbyqxmd.com/read/29454666/right-atrium-enlargement-predicts-clinically-significant-supraventricular-arrhythmia-in-patients-with-pulmonary-arterial-hypertension
#1
Marcin Waligóra, Anna Tyrka, Tomasz Miszalski-Jamka, Małgorzata Urbańczyk-Zawadzka, Piotr Podolec, Grzegorz Kopeć
BACKGROUND: Right atrial (RA) enlargement is a common finding in patients with pulmonary arterial hypertension (PAH) and an important predictor of mortality, however its relation to the risk of atrial arrhythmias has not been assessed. OBJECTIVES: To assess whether RA enlargement is associated with supraventricular arrhythmias (SVA) and whether it predicts new clinically significant SVA (csSVA). METHODS: Patients with PAH were recruited between January 2010 and December 2014 and followed until January 2017...
February 14, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/29452753/-dual-approach-for-atypical-atrial-flutter-ablation-after-the-mustard-procedure
#2
Javier Burgoa-Vargas, Santiago Nava-Townsend, Mirna Alvarez-Bran, José Batarse-Rivera, Pedro Iturralde-Torres
No abstract text is available yet for this article.
February 13, 2018: Archivos de Cardiología de México
https://www.readbyqxmd.com/read/29440949/the-prevalence-of-long-term-oral-anticoagulation-therapy-in-a-cardiology-center-in-bucharest-romania
#3
Adelina-Mihaela Sorescu, Tudor Enache, Suzana Guberna
Background and aims: Few studies discuss the prevalence of oral anticoagulation therapy (OAT) in clinical practice, despite their increasing use worldwide. In America, studies established that 20% to 80% of the patients with indication benefit from OAT. In Romania, there is no data regarding the utilization of oral anticoagulants. Thus, this study aims to determine the trends of OAT. Methods: We designed a cross-sectional study of the patients admitted to the Cardiology Department of the "Bagdasar-Arseni" Clinical Emergency Hospital, Bucharest, from the 1st of November 2016 until the 31st of January 2017...
2018: Clujul Medical (1957)
https://www.readbyqxmd.com/read/29440828/clinical-presentation-management-and-postnatal-outcomes-of-fetal-tachyarrhythmias-a-10-year-single-center-experience
#4
Balaganesh Karmegeraj, Sushmita Namdeo, Abish Sudhakar, Vivek Krishnan, Radhamany Kunjukutty, Balu Vaidyanathan
Background: Limited information is available regarding the prevalence and outcomes of fetal tachyarrhythmias from the developing countries. Aims: This study aims to report referral patterns, management protocols, and pregnancy outcomes of fetuses with tachyarrhythmias reporting to a single center in South India. Methods: All fetuses with documented sustained fetal tachyarrhythmia during the study period (2008-2017) were included. Arrhythmia characterization and hemodynamic evaluation were done using fetal echocardiography...
January 2018: Annals of Pediatric Cardiology
https://www.readbyqxmd.com/read/29436191/cha%C3%A2-ds%C3%A2-vasc-score-in-the-prediction-of-ischemic-stroke-in-patients-after-radiofrequency-catheter-ablation-of-typical-atrial-flutter
#5
Moo Nyun Jin, Changho Song, Tae Hoon Kim, Jae Sun Uhm, Hui Nam Pak, Moon Hyoung Lee, Boyoung Joung
PURPOSE: Despite undergoing successful catheter ablation of typical atrial flutter (AFL), patients remain at increased risk for ischemic stroke. However, data on risk prediction tools for the development of stroke after AFL ablation are lacking. This study investigates whether CHA₂DS₂-VASc score is useful for predicting ischemic stroke after successful ablation of typical AFL. MATERIALS AND METHODS: A total of 293 patients (236 men, mean age 56.1±13.5 years) who underwent successful radiofrequency catheter ablation for typical AFL were included in this study...
March 2018: Yonsei Medical Journal
https://www.readbyqxmd.com/read/29435790/randomized-controlled-trial-of-amigo%C3%A2-robotically-controlled-versus-manually-controlled-ablation-of-the-cavo-tricuspid-isthmus-using-a-contact-force-ablation-catheter
#6
Kurt S Hoffmayer, Felix Krainski, Sanjay Shah, Jessica Hunter, Maylene Alegre, Jonathan C Hsu, Gregory K Feld
BACKGROUND: Radiofrequency catheter ablation (RFCA) of the cavo-tricuspid isthmus (CTI) is a common treatment for atrial flutter (AFL). However, achieving bi-directional CTI conduction block may be difficult, partly due to catheter instability. OBJECTIVE: To evaluate the safety and efficacy of the Amigo® Remote Catheter System (RCS) compared to manual catheter manipulation, during CTI ablation for AFL. METHODS: Fifty patients (pts) were prospectively randomized to robotically (25 pts) versus manually (25 pts) controlled catheter manipulation during CTI ablation, using a force-contact sensing, irrigated ablation catheter...
February 12, 2018: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
https://www.readbyqxmd.com/read/29433601/successful-resection-of-giant-right-atrial-appendage-aneurysm-to-cure-chaotic-atrial-tachycardia-in-a-child-case-report
#7
Yi Zhang, Xiaomei Li, Yongqiang Jin
Right atrial appendage aneurysm is an extremely rare congenital malformation with unknown aetiology. The most common potential complication is atrial arrhythmias including atrial flutter, atrial fibrillation, and atrial tachycardia. These arrhythmias are usually refractory to medication therapy. Radiofrequency catheter ablation has poor efficacy with low success rate and high recurrence rate. Aneurysm resection is the recommended treatment with satisfactory efficacy. We report a child with chaotic atrial tachycardia due to giant right atrial appendage aneurysm who was successfully treated by aneurysm resection...
February 13, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29429070/a-34-year-longitudinal-study-on-long-term-cardiac-outcomes-in-dm1-patients-with-normal-ecg-at-baseline-at-an-italian-clinical-centre
#8
Elisabetta Bucci, Marco Testa, Loretta Licchelli, Alessandra Frattari, Nadia Attalla El Halabieh, Erica Gabriele, Giulia Pignatelli, Tiziana De Santis, Laura Fionda, Fiammetta Vanoli, Stefania Morino, Matteo Garibaldi, Antonella Di Pasquale, Nicola Vanacore, Annalisa Botta, Giovanni Antonini
Cardiac conduction and/or rhythm abnormalities (CCRA) are the most frequent and life-threatening complications in DM1. In order to determine prevalence, incidence, characteristics, age of onset and predictors of CCRA, CCRA progression and sudden cardiac death (SCD) in DM1, we collected ECG/24hECG-Holter data from a yearly updated 34-year database of a cohort of 103 DM1 patients without cardiac abnormalities at baseline, followed for at least 1 year. Fifty-five patients developed CCRA [39 developed conduction abnormalities (CCA) and 16 rhythm abnormalities (CRA)], which progressed in 22...
February 10, 2018: Journal of Neurology
https://www.readbyqxmd.com/read/29424736/management-of-scar-related-atrial-flutter-in-a-patient-with-dextrocardia-inferior-vena-cava-interruption-and-azygos-continuation
#9
Veysel Kutay Vurgun, Başar Candemir, Ali Timuçin Altın, Ömer Akyürek
No abstract text is available yet for this article.
February 2018: Anatolian Journal of Cardiology
https://www.readbyqxmd.com/read/29424480/predicting-new-onset-hf-in-patients-undergoing-coronary-or-peripheral-angiography-results-from-the-catheter-sampled-blood-archive-in-cardiovascular-diseases-casablanca-study
#10
Nasrien E Ibrahim, Asya Lyass, Hanna K Gaggin, Yuyin Liu, Roland R J van Kimmenade, Shweta R Motiwala, Noreen P Kelly, Parul U Gandhi, Mandy L Simon, Arianna M Belcher, Jamie E Harisiades, Joseph M Massaro, Ralph B D'Agostino, James L Januzzi
AIMS: Methods to identify patients at risk for incident HF would be welcome as such patients might benefit from earlier interventions. METHODS AND RESULTS: From a registry of 1251 patients referred for coronary and/or peripheral angiography, we sought to identify independent predictors of incident HF during follow-up and develop a clinical and biomarker strategy to predict this outcome. There were 991 patients free of prevalent HF at baseline. Cox proportional hazard models were developed to predict adjudicated diagnosis of incident HF...
February 9, 2018: ESC Heart Failure
https://www.readbyqxmd.com/read/29421917/a-dieulafoy-s-lesion-in-a-duodenal-diverticulum-an-infrequent-cause-of-ugib
#11
Marina de Benito Sanz, Marta Cimavilla Román, Raúl Torres Yuste
We present the case of an 82-year-old man with a history of heart failure, mitral regurgitation, type 2 DM, hypertension, dilated cardiomyopathy and a paroxysmal atrial flutter. The patient was under treatment with Sintrom. The patient presented to the emergency department due to melenic depositions of a one day evolution and dietary vomiting. There was no rectal bleeding and the patient was admitted three months previously due to self-limited melena with a normal gastroscopy. Anemia of 8 g and an overdose of Sintrom was diagnosed...
February 9, 2018: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/29421020/effects-of-hyperoxia-on-myocardial-injury-following-cardioversion-a-randomized-clinical-trial
#12
Kasper Glerup Lauridsen, Anders Sjørslev Schmidt, Kasper Adelborg, Leif Bach, Nete Hornung, Simon Munkesø Jepsen, Charles D Deakin, Hans Rickers, Bo Løfgren
Oxygen has long been assumed beneficial for all ill and injured patients. However, hyperoxia may be harmful and aggravate myocardial injury such as that caused by myocardial infarction. We aimed to investigate if hyperoxia increases myocardial injury following direct current cardioversion compared with room air. METHODS: Patients undergoing elective biphasic cardioversion for atrial fibrillation or atrial flutter were randomized to receive room air or oxygen (10-15 L/min) during the procedure...
February 2018: American Heart Journal
https://www.readbyqxmd.com/read/29404363/electrocardiographic-artifact-potentially-misleading-to-the-wrong-management
#13
Srishti Sareen, Mannu Nayyar, Brian Wheeler, Michelle Skelton, Rami N Khouzam
Atrial flutter (AF) is the second most common supraventricular tachyarrhythmia following atrial fibrillation. We present an interesting case of a diagnostic challenge manifested as an electrocardiogram (ECG) recording mimicking AF in a patient with Parkinson's disease (PD). A 72-year-old African-American female with history of PD presented to our Emergency Department with a one day history of chest pain. Her vital signs were within normal limits. Physical exam was remarkable for bilateral resting hand tremors at a frequency of 6-8 hertz and mild cogwheel rigidity in both upper extremities...
January 2018: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29404352/severe-sepsis-and-cardiac-arrhythmias
#14
Muhammad Shahreyar, Regina Fahhoum, Oluwaseun Akinseye, Sanjay Bhandari, Geetanjali Dang, Rami N Khouzam
Background: Although sepsis is a known risk factor for cardiac arrhythmias, data on incidence and outcomes of atrial and ventricular arrhythmias in severe sepsis is limited. The purpose of this study is to examine the association of severe sepsis with cardiac arrhythmias and their impact on outcome in this patient population. Methods: We used hospital discharge data from the Nationwide Inpatient Sample (NIS) during the year 2012. All patients 18 years or older were included in the study...
January 2018: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29402340/whole-exome-sequencing-identifies-a-novel-scn5a-mutation-c335r-in-a-chinese-family-with-arrhythmia
#15
Hao Huang, Dong-Bo Ding, Liang-Liang Fan, Jie-Yuan Jin, Jing-Jing Li, Shuai Guo, Ya-Qin Chen, Rong Xiang
BACKGROUND: SCN5A encodes sodium-channel α-subunit Nav1.5. The mutations of SCN5A can lead to hereditary cardiac arrhythmias such as the long-QT syndrome type 3 and Brugada syndrome. Here we sought to identify novel mutations in a family with arrhythmia. METHODS: Genomic DNA was isolated from blood of the proband, who was diagnosed with atrial flutter. Illumina Hiseq 2000 whole-exome sequencing was performed and an arrhythmia-related gene-filtering strategy was used to analyse the pathogenic genes...
February 6, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29386181/migraine-and-risk-of-cardiovascular-diseases-danish-population-based-matched-cohort-study
#16
Kasper Adelborg, Szimonetta Komjáthiné Szépligeti, Louise Holland-Bill, Vera Ehrenstein, Erzsébet Horváth-Puhó, Victor W Henderson, Henrik Toft Sørensen
OBJECTIVE: To examine the risks of myocardial infarction, stroke (ischaemic and haemorrhagic), peripheral artery disease, venous thromboembolism, atrial fibrillation or atrial flutter, and heart failure in patients with migraine and in a general population comparison cohort. DESIGN: Nationwide, population based cohort study. SETTING: All Danish hospitals and hospital outpatient clinics from 1995 to 2013. PARTICIPANTS: 51 032 patients with migraine and 510 320 people from the general population matched on age, sex, and calendar year...
January 31, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29379718/peri-coronary-sinus-atrial-flutter-associated-with-prior-slow-pathway-ablation
#17
Mitsunori Maruyama, Shunsuke Uetake, Yasushi Miyauchi, Yoshihiko Seino, Wataru Shimizu
No abstract text is available yet for this article.
January 2018: HeartRhythm Case Reports
https://www.readbyqxmd.com/read/29374097/incidence-of-cardiovascular-disease-in-a-historical-cohort-of-danish-firefighters
#18
Julie Elbæk Pedersen, Kajsa Ugelvig Petersen, Niels Erik Ebbehøj, Jens Peter Bonde, Johnni Hansen
OBJECTIVES: Firefighters are exposed to multiple cardiovascular hazards, but few epidemiological studies have addressed their cardiovascular morbidity. The objective of this study was therefore to examine the incidence of cardiovascular diseases (CVD) in Danish firefighters. METHODS: We used individual historical employment records on 11.691 male Danish firefighters supplied by trade unions and fire agencies. The Supplementary Pension Fund Register was used to establish two occupational reference groups (a random sample from the male employed population and military employees)...
January 26, 2018: Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/29367535/management-of-arrhythmias-in-heart-failure
#19
REVIEW
Daniele Masarone, Giuseppe Limongelli, Marta Rubino, Fabio Valente, Rossella Vastarella, Ernesto Ammendola, Rita Gravino, Marina Verrengia, Gemma Salerno, Giuseppe Pacileo
Heart failure patients are predisposed to develop arrhythmias. Supraventricular arrhythmias can exacerbate the heart failure symptoms by decreasing the effective cardiac output and their control require pharmacological, electrical, or catheter-based intervention. In the setting of atrial flutter or atrial fibrillation, anticoagulation becomes paramount to prevent systemic or cerebral embolism. Patients with heart failure are also prone to develop ventricular arrhythmias that can present a challenge to the managing clinician...
February 28, 2017: Journal of Cardiovascular Development and Disease
https://www.readbyqxmd.com/read/29366379/pharmacy-student-monitoring-of-direct-oral-anticoagulants
#20
Jennifer J Kim, Hailey L Hill, James B Groce, James M Granfortuna, Tanya K Makhlouf
BACKGROUND: Best practice recommendations are lacking. Thus far, literature has described pharmacist-led DOAC monitoring. OBJECTIVE: The purpose of this study is to describe a DOAC monitoring program involving pharmacy students. METHODS: This was an observational analysis of a quality improvement initiative. A clinical pharmacist preceptor identified clinic patients taking DOACs by running a report using the electronic medical record. Pharmacy students conducted chart reviews, called pharmacies for 6-month refill histories, and interviewed and educated patients...
January 1, 2018: Journal of Pharmacy Practice
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