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Europace : European Pacing, Ar...
Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology
#1
JOURNAL ARTICLE
Antoine Roger, Yves Cottin, Sid Ahmed Bentounes, Arnaud Bisson, Alexandre Bodin, Julien Herbert, Baptiste Maille, Marianne Zeller, Jean Claude Deharo, Gregory Y H Lip, Laurent Fauchier
AIMS: In a recent position paper, the European Heart Rhythm Association (EHRA) proposed an algorithm for the screening and management of arrhythmias using digital devices. In patients with prior stroke, a systematic screening approach for atrial fibrillation (AF) should always be implemented, preferably immediately after the event. Patients with increasing age and with specific cardiovascular or non-cardiovascular comorbidities are also deemed to be at higher risk. From a large nationwide database, the aim was to analyse AF incidence rates derived from this new EHRA algorithm...
March 20, 2023: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
#2
JOURNAL ARTICLE
Oren Yagel, Bernard Belhassen, David Planer, Offer Amir, Gabby Elbaz-Greener
AIMS: Several procedural and electrocardiogram (ECG) parameters have been associated with the occurrence of high-degree atrioventricular block (AVB) requiring permanent pacemaker implantation (PPI) after transcatheter aortic valve replacement (TAVR). We hereunder sought to assess if the baseline R-wave amplitude in V1 ECG lead of patients with normal QRS duration undergoing TAVR is associated with a higher patient's risk for developing high-degree AVB following left bundle branch block (LBBB)...
March 20, 2023: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
#3
JOURNAL ARTICLE
Fabio Quartieri, Manyam Harish, Leonardo Calò, Iftikhar Ebrahim, Antonio Fusco, Stephen Mester, Filippo Cauti, Seung-Jung Park, Pietro Francia, Marco Giovagnoni, Pedro Adragao, Brian Vezi, Wenjiao Lin, Chananit Sintuu Hutson, Andrea Grammatico
AIMS: Insertable cardiac monitors (ICMs) are indicated for long-term monitoring of unexplained syncope or palpitations, and for detection of bradycardia, ventricular tachycardia, and/or atrial fibrillation (AF). The aim of our study was to evaluate the safety and clinical value associated with a new generation ICM (Confirm Rx™, Abbott, Illinois, USA), featuring a new remote monitoring system based on smartphone patient applications. METHODS AND RESULTS: The SMART Registry is an international prospective observational study...
March 20, 2023: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
#4
JOURNAL ARTICLE
Prasanth Ganesan, Brototo Deb, Ruibin Feng, Miguel Rodrigo, Samuel Ruiperez-Campillo, Albert J Rogers, Paul Clopton, Paul J Wang, Stef Zeemering, Ulrich Schotten, Wouter-Jan Rappel, Sanjiv M Narayan
AIMS: There is a clinical spectrum for atrial tachyarrhythmias wherein most patients with atrial tachycardia (AT) and some with atrial fibrillation (AF) respond to ablation, while others do not. It is undefined if this clinical spectrum has pathophysiological signatures. This study aims to test the hypothesis that the size of spatial regions showing repetitive synchronized electrogram (EGM) shapes over time reveals a spectrum from AT, to AF patients who respond acutely to ablation, to AF patients without acute response...
March 18, 2023: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
#5
JOURNAL ARTICLE
Anne-Céline Martin, Orianne Weizman, Jean-Marc Sellal, Vincent Algalarrondo, Walid Amara, Abdeslam Bouzeman, Estelle Gandjbakhch, Nicolas Lellouche, Jules Louembe, Aymeric Menet, Pierre Roumegou, Frederic Treguer, Anne Godier, Serge Boveda, Rodrigue Garcia, Eloi Marijon
AIMS: The study aims to investigate the impact of direct oral anticoagulant (DOAC) management on the incidence of pocket haematoma in patients undergoing pacemaker or implantable cardioverter-defibrillator implantation. METHODS AND RESULTS: All consecutive patients receiving DOAC and undergoing cardiac electronic device implantation were included in a large multicentre prospective observational study (NCT03879473). The primary endpoint was clinically relevant haematoma within 30 days after implantation...
March 18, 2023: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
#6
JOURNAL ARTICLE
Roberto Rordorf, Stefano Viani, Mauro Biffi, Paolo Pieragnoli, Federico Migliore, Antonio D'Onofrio, Gerardo Nigro, Pietro Francia, Paola Ferrari, Antonio Dello Russo, Antonio Bisignani, Luca Ottaviano, Pietro Palmisano, Fabrizio Caravati, Ennio Pisanò, Antonio Pani, Giovanni Luca Botto, Mariolina Lovecchio, Sergio Valsecchi, Alessandro Vicentini
AIMS: In subcutaneous implantable cardioverter defibrillator (S-ICD) recipients, the UNTOUCHED study demonstrated a very low inappropriate shock rate on programming a conditional zone between 200 and 250 bpm and a shock zone for arrhythmias >250 bpm. The extent to which this programming approach is adopted in clinical practice is still unknown, as is its impact on the rates of inappropriate and appropriate therapies. METHODS AND RESULTS: We assessed ICD programming on implantation and during follow-up in a cohort of 1468 consecutive S-ICD recipients in 56 Italian centres...
March 18, 2023: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
#7
JOURNAL ARTICLE
Nicola Bottoni, Fabio Quartieri, Matteo Iori, Antonella Battista, Alessandro Navazio, Michele Brignole
AIMS: While several studies in the literature have reported results of catheter ablation of AF, few is known regarding outcome for more than 10 years. METHODS AND RESULTS: The complete population of patients who underwent AF ablation in the years 2002-2021 in the department of cardiology of the hospital of Reggio Emilia has been analysed. The last follow-up was made in the second half of 2022. During this period the technique of ablation remained relatively unchanged as well the physicians performing ablation...
March 18, 2023: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
#8
(no author information available yet)
No abstract text is available yet for this article.
March 17, 2023: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
#9
JOURNAL ARTICLE
Daniel Keene, Frédéric Anselme, Haran Burri, Óscar Cano Pérez, Karol Čurila, Michael Derndorfer, Paul Foley, László Gellér, Michael Glikson, Wim Huybrechts, Marek Jastrzebski, Krzysztof Kaczmarek, Grigorios Katsouras, Jonathan Lyne, Pablo Peñafiel Verdú, Christian Restle, Sergio Richter, Stefan Timmer, Kevin Vernooy, Zachary Whinnett
AIMS: The field of conduction system pacing (CSP) is evolving, and our aim was to obtain a contemporary picture of European CSP practice. METHODS AND RESULTS: A survey was devised by a European CSP Expert Group and sent electronically to cardiologists utilizing CSP. A total of 284 physicians were invited to contribute of which 171 physicians (60.2%; 85% electrophysiologists) responded. Most (77%) had experience with both His-bundle pacing (HBP) and left bundle branch area pacing (LBBAP)...
March 14, 2023: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
#10
JOURNAL ARTICLE
Philippe Maury, Anne Rollin, Hubert Delasnerie, Franck Mandel, Maxime Beneyto, Pierre Mondoly
No abstract text is available yet for this article.
March 10, 2023: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
#11
JOURNAL ARTICLE
Thomas Kueffer, Antonio Madaffari, Gregor Thalmann, Aline Mühl, Oskar Galuszka, Samuel Baldinger, Jens Seiler, Hildegard Tanner, Richard Kobza, Laurent Roten, Benjamin Berte, Tobias Reichlin
AIMS: Pulsed field ablation (PFA) for pulmonary vein isolation (PVI) combines the benefits of high procedural efficacy and safety. Transseptal puncture (TSP) to obtain left atrial (LA) access during PVI remains an important source of complications during LA procedures. For PFA procedures, TSP is generally performed using a standard transseptal sheath that is then exchanged over the wire for a dedicated PFA sheath, which might be a potential source for air embolism. We aimed to prospectively evaluate the feasibility and safety of a simplified workflow using the PFA sheath (Faradrive, Boston Scientific) directly for TSP...
March 9, 2023: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
#12
JOURNAL ARTICLE
Tasuku Yamamoto, Shinsuke Miyazaki, Yasuaki Tanaka, Toshikazu Kono, Tadanori Nakata, Akira Mizukami, Daisetsu Aoyama, Hirofumi Arai, Yuta Taomoto, Tomoki Horie, Rintaro Hojo, Shiho Kawamoto, Kento Yabe, Kikou Akiyoshi, Nobutaka Kato, Yuichi Ono, Atsushi Suzuki, Seiji Fukamizu, Yasutoshi Nagata, Yasuteru Yamauchi, Hiroshi Tada, Hitoshi Hachiya, Osamu Inaba, Atsushi Takahashi, Masahiko Goya, Tetsuo Sasano
AIMS: The optimal anticoagulation regimen in patients with end-stage kidney disease (ESKD) undergoing atrial fibrillation (AF) catheter ablation is unknown. We sought to describe the real-world practice of peri-procedural anticoagulation management in patients with ESKD undergoing AF ablation. METHODS AND RESULTS: Patients with ESKD on haemodialysis undergoing catheter ablation for AF in 12 referral centres in Japan were included. The international normalized ratio (INR) before and 1 and 3 months after ablation was collected...
March 9, 2023: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
#13
JOURNAL ARTICLE
Noel Fitzpatrick, Ashish Mittal, Joseph Galvin, Gael Jauvert, John Keaney, Edward Keelan, Jim O'Brien, Gábor Széplaki
AIMS: Incorporating a steerable sheath that can be visualized using an electroanatomical mapping (EAM) system may allow for more efficient mapping and catheter placement, while reducing radiation exposure, during ablation procedures for atrial fibrillation (AF). This study evaluated fluoroscopy usage and procedure times when a visualizable steerable sheath was used compared with a non-visualizable steerable sheath for catheter ablation for AF. METHODS AND RESULTS: In this retrospective, observational, single-centre study, patients underwent catheter ablation for AF using a steerable sheath that is visualizable using the CARTO EAM (VIZIGO; n = 57) or a non-visualizable steerable sheath (n = 34)...
March 9, 2023: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
#14
JOURNAL ARTICLE
Julian Müller, Karin Nentwich, Artur Berkovitz, Elena Ene, Kai Sonne, Vitaly Zhuravlev, Ivaylo Chakarov, Sebastian Barth, Christian Waechter, Michael Behnes, Philipp Halbfass, Thomas Deneke
AIMS: Pulmonary vein isolation using radiofrequency ablation is an effective treatment option for patients with symptomatic atrial fibrillation (AF). Application of high power over a short period of time (HPSD) is reported to create more efficient lesions and may prevent collateral thermal oesophageal injury. This study aims to compare efficacy and safety of two different HPSD ablation approaches using different ablation index settings. METHODS AND RESULTS: Consecutive patients undergoing AF ablation with HPSD (50 W; ablation index-guided) using the ThermoCool SmartTouch SF catheter were included...
March 7, 2023: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
#15
JOURNAL ARTICLE
Yuhong Zeng, Na Wu, Zhihui Zhang, Li Zhong, Guowei Li, Yafei Li
Arrhythmias are a class of cardiac dysfunction characterized by heart rate disturbances and heart rhythm abnormalities, which are associated with substantial morbidity and mortality. Due to the limited understanding of pathological mechanism, current antiarrhythmic drugs and invasive therapies on arrhythmias lack sufficient efficacy and are always accompanied by potential adverse effects. Non-coding RNAs (including microRNAs, long non-coding RNAs, circular RNAs, and other small non-coding RNAs) have been demonstrated to be involved in the occurrence and development of various diseases including arrhythmias, which opens a new prospect for exploring the mechanism of arrhythmias and developing new therapeutic targets...
March 7, 2023: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
#16
JOURNAL ARTICLE
Lydia Fekadu Messele, Muhammad Zia Khan, Douglas Darden, Siddharth Agarwal, Satyam Krishan, Deepak Kumar Pasupula, Zain Ul Abideen Asad, Sudarshan Balla, Gagan D Singh, Uma N Srivatsa, Muhammad Bilal Munir
AIMS: To determine outcomes in atrial fibrillation patients undergoing percutaneous left atrial appendage occlusion (LAAO) based on the underlying stroke risk (defined by the CHA2DS2-VASc score). METHODS AND RESULTS: Data were extracted from the National Inpatient Sample for calendar years 2016-20. Left atrial appendage occlusion implantations were identified on the basis of the International Classification of Diseases, 10th Revision, Clinical Modification code of 02L73DK...
March 7, 2023: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
#17
JOURNAL ARTICLE
Matteo Bertini, Francesco Vitali, Antonio D'Onofrio, Gennaro Vitulano, Leonardo Calò, Gianluca Savarese, Vincenzo Ezio Santobuono, Antonio Dello Russo, Agostino Mattera, Amato Santoro, Raimondo Calvanese, Giuseppe Arena, Claudia Amellone, Matteo Ziacchi, Pietro Palmisano, Luca Santini, Andrea Mazza, Monica Campari, Sergio Valsecchi, Giuseppe Boriani
AIMS: Patients with atrial fibrillation frequently experience sleep disorder breathing, and both conditions are highly prevalent in presence of heart failure (HF). We explored the association between the combination of an HF and a sleep apnoea (SA) index and the incidence of atrial high-rate events (AHRE) in patients with implantable defibrillators (ICDs). METHODS AND RESULTS: Data were prospectively collected from 411 consecutive HF patients with ICD. The IN-alert HF state was measured by the multi-sensor HeartLogic Index (>16), and the ICD-measured Respiratory Disturbance Index (RDI) was computed to identify severe SA...
March 7, 2023: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
#18
JOURNAL ARTICLE
Tove Hygrell, Fredrik Viberg, Erik Dahlberg, Peter H Charlton, Katrin Kemp Gudmundsdottir, Jonathan Mant, Josef Lindman Hörnlund, Emma Svennberg
AIMS: Screening for atrial fibrillation (AF) is recommended in the European Society of Cardiology guidelines. Yields of detection can be low due to the paroxysmal nature of the disease. Prolonged heart rhythm monitoring might be needed to increase yield but can be cumbersome and expensive. The aim of this study was to observe the accuracy of an artificial intelligence (AI)-based network to predict paroxysmal AF from a normal sinus rhythm single-lead ECG. METHODS AND RESULTS: A convolutional neural network model was trained and evaluated using data from three AF screening studies...
March 7, 2023: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
#19
EDITORIAL
Frederic Sacher, Pierre Jais, Hubert Cochet
No abstract text is available yet for this article.
March 7, 2023: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
#20
JOURNAL ARTICLE
Melanie Grehn, Stefano Mandija, Marcin Miszczyk, David Krug, Bartłomiej Tomasik, Kristine E Stickney, Pino Alcantara, Filippo Alongi, Matteo Anselmino, Ricardo Salgado Aranda, Brian V Balgobind, Judit Boda-Heggemann, Leif-Hendrik Boldt, Nicola Bottoni, Jakub Cvek, Olgun Elicin, Gaetano Maria De Ferrari, Rutger J Hassink, Colien Hazelaar, Gerhard Hindricks, Coen Hurkmans, Cinzia Iotti, Tomasz Jadczyk, Otakar Jiravsky, Raphaël Jumeau, Steen Buus Kristiansen, Mario Levis, Manuel Algara López, Julio Martí-Almor, Felix Mehrhof, Ditte Sloth Møller, Giulio Molon, Alexandre Ouss, Petr Peichl, Jiri Plasek, Pieter G Postema, Aurelio Quesada, Tobias Reichlin, Roberto Rordorf, Boris Rudic, Ardan M Saguner, Rachel M A Ter Bekke, José López Torrecilla, Esther G C Troost, Viviana Vitolo, Nicolaus Andratschke, Katja Zeppenfeld, Slawomir Blamek, Martin Fast, Ludovica de Panfilis, Oliver Blanck, Etienne Pruvot, Joost J C Verhoeff
The EU Horizon 2020 Framework-funded Standardized Treatment and Outcome Platform for Stereotactic Therapy Of Re-entrant tachycardia by a Multidisciplinary (STOPSTORM) consortium has been established as a large research network for investigating STereotactic Arrhythmia Radioablation (STAR) for ventricular tachycardia (VT). The aim is to provide a pooled treatment database to evaluate patterns of practice and outcomes of STAR and finally to harmonize STAR within Europe. The consortium comprises 31 clinical and research institutions...
March 6, 2023: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
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