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("ECG" OR "EKG") AND ("Atrial Flutter")

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https://read.qxmd.com/read/30710992/functional-diagnostic-methods-in-cardiac-prognosis-in-major-abdominal-surgery-in-patients-with-heart-disease-or-over-65-years-old
#1
P Sh Chomakhidze, N V Mozzhuhina, M G Poltavskaya, V P Sedov, A L Syrkin
PURPOSE OF THE STUDY: Evaluation of the value of the results of the use of cardiac functional examination methods for the stratification of the risk of developing cardiovascular complications in planned abdominal surgical interventions in patients over 65 years of age or with cardiac pathology. MATERIALS AND METHODS: The study included 179 patients over 65 years of age or with a history of heart disease who underwent elective abdominal surgery. The median age was 70 years...
January 28, 2019: Kardiologiia
https://read.qxmd.com/read/30695882/-clinical-analysis-of-right-atrial-appendage-aneurysms-complicated-by-atrial-tachyarrhythmias-in-three-children
#2
Y Zhang, X M Li, H Jiang, F Q Zhang, Y Q Jin, H J Liu, H Y Ge
Objective: To investigate the clinical features and results of treatment for right atrial appendage aneurysms complicated by atrial tachyarrhythmias in children. Methods: This retrospective study included three children with right atrial appendage aneurysm complicated by atrial tachyarrhythmias (aged 1.0 to 5.3 years, weight 10 to 17.1 kg) who were hospitalized at the Pediatric Cardiology Department (Heart Center) of the First Hospital of Tsinghua University (Beijing Huaxin Hospital) during the period from January 2016 through April 2018...
February 2, 2019: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://read.qxmd.com/read/30644079/kardia-mobile-applicability-in-clinical-practice-a-comparison-of-kardia-mobile-and-standard-12-lead-electrocardiogram-records-in-100-consecutive-patients-of-a-tertiary-cardiovascular-care-center
#3
Lukasz Koltowski, Pawel Balsam, Renata Glłowczynska, Jakub K Rokicki, Michal Peller, Jakub Maksym, Leszek Blicharz, Kacper Maciejewski, Magdalena Niedziela, Grzegorz Opolski, Marcin Grabowski
BACKGROUND: Mobile devices are gaining a rising number of users in all countries around the globe. Novel solutions to diagnose patients with out-of-hospital onset of arrhythmic symptoms can be easily used to record such events, but the effectiveness of these devices remain unknown. METHODS: In a group of 100 consecutive patients of an academic cardiology care center (mean age 68 ± 14.2 years, males: 66%) a standard 12-lead electrocardiogram (ECG) and a Kardia Mobile (KM) record were registered...
January 15, 2019: Cardiology Journal
https://read.qxmd.com/read/30555536/optimal-duration-and-predictors-of-diagnostic-utility-of-patient-activated-ambulatory-ecg-monitoring
#4
Eugene S J Tan, Swee-Chong Seow, Pipin Kojodjojo, Devinder Singh, Wee Tiong Yeo, Toon Wei Lim
Objective: We studied the optimal duration of ambulatory event monitors for symptomatic patients and the predictors of detected events. Methods: Patients with palpitations or dizziness received a patient-activated handheld event monitor which records 30 s single-lead ECG strips. Patients were monitored in an ambulatory setting for a range of 1-4 weeks and ECG strips interpreted by five independent electrophysiologists. Event pick-up rates and clinical covariates were analysed...
2018: Heart Asia
https://read.qxmd.com/read/30497763/yield-and-consistency-of-arrhythmia-detection-with-patch-electrocardiographic-monitoring-the-multi-ethnic-study-of-atherosclerosis
#5
Susan R Heckbert, Thomas R Austin, Paul N Jensen, James S Floyd, Bruce M Psaty, Elsayed Z Soliman, Richard A Kronmal
BACKGROUND: Patch electrocardiographic (ECG) monitors permit extended noninvasive ambulatory monitoring. To guide use of these devices, information is needed about their performance. We sought to determine in a large general population sample the acceptability of patch ECG monitors, the yield of arrhythmia detection, and the consistency of findings in participants monitored twice. METHODS: In the Multi-Ethnic Study of Atherosclerosis, 1122 participants completed one or two monitoring episodes using the Zio Patch XT, a single-channel ECG patch monitor capable of recording for 14 days...
November 2018: Journal of Electrocardiology
https://read.qxmd.com/read/30497745/automatic-atrial-fibrillation-and-flutter-detection-by-a-handheld-ecg-recorder-and-utility-of-sequential-finger-and-precordial-recordings
#6
Rita Brito, Louis-Paulin Mondouagne, Carine Stettler, Christophe Combescure, Haran Burri
BACKGROUND: Handheld ECG recorders may have algorithms which automatically inform the user of presence of arrhythmia. The main objectives of this study were to evaluate the accuracy of the arrhythmia diagnosis algorithm of Beurer ME90 recorder to diagnose atrial fibrillation (AF)/flutter, and to evaluate whether recording technique (finger versus precordial) affects diagnostic performance. METHODS: Consecutive patients admitted at the cardiology ward of a tertiary care hospital were enrolled...
November 2018: Journal of Electrocardiology
https://read.qxmd.com/read/30476632/atrial-flutter-and-embolic-risk-the-relationship-between-atrial-flutter-cycle-length-and-left-atrial-appendage-function
#7
EDITORIAL
Ana Paula Susin Osório, Luciana Eder Martins Barros Simoni, Antonio Lessa Gaudie Ley, Grasiele Bess de Oliveira, Roberto Tofani Santanna, Marcelo Haertel Miglioranza, Gustavo Glotz de Lima, Vidal Essebag, Tiago Luiz Luz Leiria
BACKGROUND: The potential for thromboembolism in atrial flutter (AFL) is different from atrial fibrillation. AFL cycle length (AFL-CL) may be related to reduced left atrial appendage (LAA) function. Very rapid AFL-CL can lead to mechanical and electrophysiological disorders that contribute to lower LAA emptying velocity (LAEV). The aim of this study is to relate atrial flutter cycle length with LAEV and its role in thrombogenesis. METHODS: Cross-sectional study of patients with atrial flutter AFL who underwent transoesophageal echocardiography (TEE) before catheter ablation or electric cardioversion...
October 9, 2018: Journal of Electrocardiology
https://read.qxmd.com/read/30442719/cardiovascular-incidents-in-male-professional-football-players-with-negative-preparticipation-cardiac-screening-results-an-8-year-follow-up
#8
Hilde Moseby Berge, Thor Einar Andersen, Roald Bahr
BACKGROUND: Preparticipation cardiac screening of athletes aims to detect cardiovascular disease at an early stage to prevent sudden cardiac arrests and deaths. Few studies have described the cardiovascular outcomes in athletes classified as negative on screening. OBJECTIVE: To identify cardiovascular incidents in a cohort of male professional football players who were cleared to play after a negative screening result. METHODS: This is a retrospective 8-year follow-up study of 595 professional male football players in Norway who underwent preparticipation cardiac screening by experienced cardiologists, including electrocardiography (ECG) and echocardiography, in 2008...
November 15, 2018: British Journal of Sports Medicine
https://read.qxmd.com/read/30354407/collagen-biomarkers-and-incidence-of-new-onset-of-atrial-fibrillation-in-subjects-with-no-overt-cardiovascular-disease-at-baseline
#9
Daniel A Duprez, Susan R Heckbert, Alvaro Alonso, Myron D Gross, Joachim H Ix, Jorge R Kizer, Russell P Tracy, Richard Kronmal, David R Jacobs
BACKGROUND: Atrial fibrosis is a hallmark of structural remodeling in atrial fibrillation (AF). Plasma procollagen type III N-terminal propeptide (PIIINP) reflects collagen synthesis and degradation while collagen type I carboxy-terminal telopeptide (ICTP) reflects collagen degradation. We aimed to study baseline plasma PIIINP and ICTP and their associations with incident AF in participants initially free of overt cardiovascular disease. METHODS: In a stratified sample of the Multi-Ethnic Study of Atherosclerosis, initially aged 45-84 years, 3071 participants had both PIIINP and ICTP measured at baseline...
October 2018: Circulation. Arrhythmia and Electrophysiology
https://read.qxmd.com/read/30327703/age-makes-a-difference-symptoms-in-pediatric-supraventricular-tachycardia
#10
Amanda Quattrocelli, Janet Lang, Andrew Davis, Andreas Pflaumer
Background: Supraventricular tachycardia is a group of rhythm disturbances that affect 1 in 300-1200 Australian children annually. The differentiation of supraventricular tachycardia (SVT) symptoms and age of onset according to their subtype is not well understood in the pediatric population. Most studies rely on ECG criteria only to characterize the subtype of the SVT, which is not applicable to all subtypes. The purpose of this study was to identify the symptoms and ages of onset of SVT subtypes, and to analyze whether ethnicity or severity correlated with the SVT subtype confirmed in an invasive Electrophysiology (EP) study...
October 2018: Journal of Arrhythmia
https://read.qxmd.com/read/30294671/marijuana-induced-type-i-brugada-pattern-a-case-report
#11
Pramod Theetha Kariyanna, Apoorva Jayarangaiah, Sudhanva Hegde, Jonathan D Marmur, Perry Wengrofsky, Mena Yacoub, Michael Post, Samy I McFarlane
Marijuana is the most common drug of abuse in the United States. Marijuana acts on cannabinoid receptors CB1, CB2 and another distinct endothelial receptor. Marijuana is known to cause tachycardia, hypotension and hypertension. Various arrhythmias including atrial fibrillation, atrial flutter, II degree AV block, ventricular fibrillation, ventricular tachycardia, asystole and brugada pattern associated with marijuana use have been reported. We here present an interesting case of Type I Brugada pattern in electrocardiography (ECG) in a 36 year old healthy African American male who presented after smoking four joints...
2018: American Journal of Medical Case Reports
https://read.qxmd.com/read/30177367/wavelet-leader-multifractal-analysis-of-heart-rate-variability-in-atrial-fibrillation
#12
Kais Gadhoumi, Duc Do, Fabio Badilini, Michele M Pelter, Xiao Hu
BACKGROUND: Accurate and timely detection of atrial fibrillation (AF) episodes is important in primarily and secondary prevention of ischemic stroke and heart-related problems. In this work, heart rate regularity of ECG inter-beat intervals was investigated in episodes of AF and other rhythms using a wavelet leader based multifractal analysis. Our aim was to improve the detectability of AF episodes. METHODS: Inter-beat intervals from 25 ECG recordings available in the MIT-BIH atrial fibrillation database were analysed...
November 2018: Journal of Electrocardiology
https://read.qxmd.com/read/30177334/modified-positioning-of-a-smartphone-based-single-lead-electrocardiogram-device-improves-detection-of-atrial-flutter
#13
Kevin Rajakariar, Anoop N Koshy, Jithin K Sajeev, Sachin Nair, Louise Roberts, Andrew W Teh
INTRODUCTION: The AliveCor Kardia Mobile (AKM) is a handheld, smartphone based cardiac rhythm monitor that records a lead-I electrocardiogram (ECG). Despite being efficacious for detection of atrial fibrillation (AF), it is unclear whether atrial flutter (AFL) may be misdiagnosed as sinus rhythm due to regular R-R intervals. We hypothesised that generating lead-II tracings through repositioning of the AKM may improve visualisation of flutter waves and clinician diagnosis of AFL compared to traditional lead-I tracings...
September 2018: Journal of Electrocardiology
https://read.qxmd.com/read/30167809/extended-ecg-monitoring-with-an-implantable-loop-recorder-in-patients-with-cryptogenic-stroke-time-schedule-reasons-for-explantation-and-incidental-findings-results-from-the-track-af-trial
#14
Markus Bettin, Dirk Dechering, Simon Kochhäuser, Niklas Bode, Lars Eckardt, Gerrit Frommeyer, Florian Reinke
BACKGROUND: Implantable loop recorders (ILR) may be used to detect occult atrial fibrillation (AF) in patients with cryptogenic stroke. At present, there has been no description on the incidental findings of stored episodes in these patients. Furthermore, no standard practice has been established with respect to the duration of continued ECG monitoring in these patients. MATERIALS AND METHODS: In the prospective monocentric study (TRACK-AF), a total of 173 patients with cryptogenic stroke received an ILR for detection of AF between November 2010 and December 2014...
August 22, 2018: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
https://read.qxmd.com/read/30130999/cardiolaminopathies-from-bench-to-bedside-challenges-in-clinical-decision-making-with-focus-on-arrhythmia-related-outcomes
#15
Giuseppe Boriani, Elena Biagini, Matteo Ziacchi, Vincenzo Livio Malavasi, Marco Vitolo, Marisa Talarico, Erminio Mauro, Giulia Gorlato, Giovanna Lattanzi
Lamin A/C gene mutations can be associated with cardiac diseases, usually referred to as 'cardiolaminopathies' characterized by arrhythmic disorders and/or left ventricular or biventricular dysfunction up to an overt picture of heart failure. The phenotypic cardiac manifestations of laminopathies are frequently mixed in complex clinical patterns and specifically may include bradyarrhythmias (sinus node disease or atrioventricular blocks), atrial arrhythmias (atrial fibrillation, atrial flutter, atrial standstill), ventricular tachyarrhythmias and heart failure of variable degrees of severity...
2018: Nucleus
https://read.qxmd.com/read/30126559/risk-factors-influencing-outcomes-of-atrial-fibrillation-in-allhat
#16
L Julian Haywood, Barry R Davis, Linda B Piller, Lara M Simpson, Alokananda Ghosh, Paula T Einhorn, Charles E Ford, Jeffrey L Probstfield, Elsayed Z Soliman, Jackson T Wright
BACKGROUND AND AIMS: ALLHAT, a randomized, double-blind, active-controlled, multicenter clinical trial of high risk hypertensive participants, compared treatment with an ACE-inhibitor (lisinopril) or calcium channel blocker (amlodipine) with a diuretic (chlorthalidone). Primary outcome was the occurrence of fatal coronary heart disease or nonfatal myocardial infarction. For this report, post-hoc analyses were conducted to determine the contribution of baseline characteristics of participants with or without baseline or incident atrial fibrillation (AF) and atrial flutter (AFL) to stroke, heart failure (HF), coronary heart disease (CHD), and mortality outcomes...
August 2018: Journal of the National Medical Association
https://read.qxmd.com/read/30115368/accurate-detection-of-atrial-fibrillation-and-atrial-flutter-using-the-electrocardiomatrix-technique
#17
Veronica Lee, Gang Xu, Vivian Liu, Peter Farrehi, Jimo Borjigin
BACKGROUND: Atrial fibrillation (AFIB) and atrial flutter (AFL) are two common cardiac arrhythmias that predispose patients to serious medical conditions. There is a need to accurately detect these arrhythmias to prevent diseases and reduce mortality. Apart from accurately detecting these arrhythmias, it is also important to distinguish between AFIB and AFL due to differing clinical treatments. METHODS: In this study, we applied a new technology, the electrocardiomatrix (ECM) invented in our lab, in detecting AFIB and AFL in human patients...
August 11, 2018: Journal of Electrocardiology
https://read.qxmd.com/read/30093546/eighty-two-year-old-man-with-a-systolic-murmur
#18
Daniel F Kupsky, Karthikeyan Ananthasubramaniam, James Lee
CLINICAL INTRODUCTION: An 82-year-old man with a history of coronary artery bypass surgery, hypertension and small bowel gastrointestinal stromal tumour underwent cardiac risk evaluation prior to surgical resection of his tumour. He was asymptomatic from a cardiovascular perspective, but his activity level was less than four metabolic equivalents. Physical examination was notable for a 2/6 systolic murmur at the apex. ECG showed sinus rhythm. A transthoracic echocardiogram was performed (figure 1 and online supplementary video 1)...
November 2018: Heart: Official Journal of the British Cardiac Society
https://read.qxmd.com/read/30080938/echocardiographic-diagnosis-of-atrial-flutter-in-a-neonate
#19
Samantha Low, Carmen Kiper, Aimee Armstrong, Clifford L Cua
A pregnant female presented at 37 weeks of gestation in labor. The fetus was noted to be tachycardic on fetal monitor. Postnatally, the male neonate was still noted to be tachycardic with heart rates in the low 200 bpm range. EKG was consistent with tachycardia, but rhythm diagnosis was not definitively made. Echocardiogram with M-mode analysis clearly demonstrated 2:1 atrial to ventricular contraction pattern consistent with atrial flutter. The neonate was subsequently transferred to a tertiary pediatric hospital where the diagnosis of atrial flutter was confirmed...
September 2018: Echocardiography
https://read.qxmd.com/read/30080278/is-proximal-coronary-sinus-involved-in-the-circuit-in-some-cases-of-ecg-typical-atrial-flutter
#20
Antonio De Sisti, Marius Andronache, Pamela Damiano, Roman Eschalier, Manuel Font
AIM: It is commonly conceived that coronary sinus (CS) participates in atrial flutter (AFL) circuit but limited to the fibers surrounding its ostium. We evaluated the involvement of proximal CS in typical AFL. METHODS: Twenty AFL patients underwent entrainment mapping using postpacing interval minus AFL cycle length (PPI-AFL CL) including CS where a decapolar catheter was positioned with proximal bipole 1 cm from the ostium. RESULTS: We compared patients with proximal CS within the circuit (group 1, PPI-AFL CL ≤ 20 ms + concealed entrainment) and those without (group 2, PPI-AFL CL > 20 ms)...
November 2018: Journal of Cardiovascular Electrophysiology
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