Jacobus Donders, Nathan Lefebre, Rachael Goldsworthy
OBJECTIVE: The purpose of this study was to evaluate the presence of demographic, injury and neuropsychological correlates of distinct patterns of performance validity test and symptom validity test results in persons with mild traumatic brain injury (mTBI). METHOD: One hundred and seventy-eight persons with mTBI completed the Test of Memory Malingering (TOMM; performance validity) and the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF; symptom validity) within 1-12 months postinjury...
November 15, 2019: Archives of Clinical Neuropsychology: the Official Journal of the National Academy of Neuropsychologists
Sławomir Kozieł, Katarzyna Pawlak, Łukasz Błaszczyk, Mateusz Jagielski, Anna Wiechowska-Kozłowska
BACKGROUND AND AIMS: Gastric varices (GVs) occur in 20% of patients with portal hypertension. GVs are associated with a 65% risk of bleeding over the course of 2 years and have a mortality rate of up to 20%. The standard treatment for GVs is obliteration with cyanoacrylate (CYA). This study presents our experience with combined therapy (vascular coils and CYA) under endoscopic ultrasound (EUS) guidance. METHODS: 16 patients (9 male and 7 female) were included into our study...
October 25, 2019: Journal of Clinical Medicine
Fatma Ouarda, Meriem Drissa, Khaouther Hakim, Hela Msaad
A mother presented with a fetus at 22±1 weeks of gestation with a sustained supraventricular tachycardia  (SVT) at initially 186 beat per minute (bpm). The fetal M-mode echocardiography showed a 1/1 atrio ventricular ratio (with short atrioventricular (AV) interval and a long ventriculo-atrial (VA) interval, suggesting a Persistent junctional reciprocating tachycardia (PJRT) . Upon  initial present no signs of heart failure or hydrops  were noted and treament was initiated with amiodarone and  digoxin ...
March 2019: La Tunisie Médicale
K-H Kuck, H L Phan, R R Tilz
The new guidelines for the management of supraventricular tachycardia (SVT) were published by the European Society of Cardiology (ESC) in September 2019. The key message of the guidelines is that catheter ablation should be offered as a first line treatment to most patients during a comprehensive discussion of the risks and advantages. This recommendation recognizes that catheter ablation has nowadays become a widely established, effective and safe treatment method with a very low complication rate, which has revolutionized the treatment of SVT due to the substantial technical developments in recent years...
November 14, 2019: Herz
Daiji Takeuchi, Keiko Toyohara, Morio Shoda, Nobuhisa Hagiwara
INTRODUCTION: Although a high prevalence of the presence of an accessory pathway (AP) associated with atrioventricular (AV) discordance has been reported, a case series of its characteristics and the results of catheter ablation (CA) have not been sufficiently documented. METHODS AND RESULTS: We retrospectively examined 11 consecutive patients with atrioventricular discordance who underwent CA for atrioventricular reciprocating tachycardia (AVRT) via an AP and planned cardiac surgery after CA...
November 14, 2019: Journal of Cardiovascular Electrophysiology
Emanuela Sant'Antonio, Paola Guglielmelli, Lisa Pieri, Massimo Primignani, Maria Luigia Randi, Claudia Santarossa, Elisa Rumi, Francisco Cervantes, Federica Delaini, Alessandra Carobbio, Silvia Betti, Elena Rossi, Noa Lavi, Claire N Harrison, Natalia Curto-Garcia, Heinz Gisslinger, Bettina Gisslinger, Giorgina Specchia, Alessandra Ricco, Nicola Vianelli, Nicola Polverelli, Maya Koren-Michowitz, Marco Ruggeri, Francois Girodon, Martin Ellis, Alessandra Iurlo, Francesco Mannelli, Lara Mannelli, Benedetta Sordi, Giuseppe Gaetano Loscocco, Mario Cazzola, Valerio De Stefano, Tiziano Barbui, Ayalew Tefferi, Alessandro Maria Vannucchi
Myeloproliferative Neoplasms (MPN) course can be complicated by thrombosis involving unusual sites as the splanchnic veins (SVT). Their management is challenging, given their composite vascular risk. We performed a retrospective, cohort study in the framework of the International Working Group for MPN Research and Treatment (IWG-MRT), and AIRC-Gruppo Italiano Malattie Mieloproliferative (AGIMM). 518 MPN-SVT cases were collected and compared with 1628 unselected, control MPN population, matched for disease subtype...
November 12, 2019: American Journal of Hematology
Mathias Forkmann, Carolina Schwab, Sonia Busch
Supraventricular tachycardias (SVT) are common, with atrioventricular nodal reentry tachycardias (AVNRT) being the most common paroxysmal supraventricular tachycardia. The pathophysiological understanding and the catheter ablation of SVTs have developed steadily in recent years. For example, dividing AVNRT into "typical" and "atypical" depending on the HA-, VA-interval and AH/HA ratio is recommended. Because of higher rates of recurrences after cryoablation, radiofrequency ablation has prevailed in AVNRT...
November 11, 2019: Herzschrittmachertherapie & Elektrophysiologie
Jiahao Fan, Qiuhe Wang, Bohan Luo, Hui Chen, Zhengyu Wang, Jing Niu, Jie Yuan, Xulong Yuan, Wei Bai, Chuangye He, Wengang Guo, Kai Li, Zhanxin Yin, Daiming Fan, Guohong Han
Background and Aims Comprehensive investigations on the prothrombotic factors of splanchnic vein thrombosis (SVT), including Budd-Chiari syndrome (BCS) and noncirrhotic nonmalignant portal vein thrombosis (PVT), in Eastern patients are scarce. METHODS: Between March 2012 and July 2017, 812 consecutive patients, including 418 BCS and 394 noncirrhotic nonmalignant PVT patients, were admitted to Xijing Hospital (a Chinese tertiary academic hospital) and screened for prothrombotic factors...
November 11, 2019: Journal of Gastroenterology and Hepatology
M Refaat, J El Dick, M Sabra, F Bitar, C Tayeh, M Arabi
Sustained fetal supraventricular tachycardia (SVT) complicated by hydrops fetalis carries a significant risk of morbidity and mortality. While there is no clear consensus on first- and second-line therapy options for the management of fetal SVT with or without hydrops fetalis, there exists significant nonrandomized experience with a number of antiarrhythmic agents that has founded the basis for management. Furthermore, recently published meta-analyses and ongoing multicenter prospective studies have aimed to bridge the gap in the literature...
November 5, 2019: Journal of Neonatal-perinatal Medicine
Emanuele Valeriani, Nicoletta Riva, Marcello Di Nisio, Walter Ageno
Splanchnic vein thrombosis (SVT) including portal, mesenteric, splenic vein thrombosis and the Budd-Chiari syndrome, is a manifestation of unusual site venous thromboembolism. SVT presents with a lower incidence than deep vein thrombosis of the lower limbs and pulmonary embolism, with portal vein thrombosis and Budd-Chiari syndrome being respectively the most and the least common presentations of SVT. SVT is classified as provoked if secondary to a local or systemic risk factor, or unprovoked if the causative trigger cannot be identified...
2019: Vascular Health and Risk Management
Erdem Gönüllü, Burcu Topçu, Naci Öner, Ahmet Soysal, Metin Karaböcüoğlu
Meningococcal serogroup B vaccine 4CMenB (Bexsero) is a new four-component protein vaccine developed to prevent Neisseria meningitidis serogroup B infections. Case . We report a girl with fever and supraventricular tachycardia (SVT) 6-8 hours after the second dose of 4CMenB. SVT was unresponsive to the first dose of adenosine but terminated after the fourth dose of adenosine. During three months of follow-up, she was free of further SVT attacks. Conclusion . This is the first report of ECG-proven SVT after 4CMenB vaccination...
2019: Case Reports in Pediatrics
Brechje Dandachi-FitzGerald, Annelien A Duits, Albert F G Leentjens, Frans R J Verhey, Rudolf W H M Ponds
OBJECTIVE: Performance and symptom validity tests (PVTs and SVTs) measure the credibility of the assessment results. Cognitive impairment and apathy potentially interfere with validity test performance and may thus lead to an incorrect (i.e., false-positive) classification of the patient's scores as non-credible. The study aimed at examining the false-positive rate of three validity tests in patients with cognitive impairment and apathy. METHODS: A cross-sectional, comparative study was performed in 56 patients with dementia, 41 patients with mild cognitive impairment, and 41 patients with Parkinson's disease...
October 29, 2019: Journal of the International Neuropsychological Society: JINS
Elvira Grandone, Donatella Colaizzo, Mario Mastroianno, Francesco Petruzzelli, Lazzaro di Mauro, Massimo Carella, Giovanni L Tiscia, Angelo Ostuni
BACKGROUND: Transfusion of red blood cells is associated with superficial vein thrombosis (SVT) and venous thromboembolism (deep vein thrombosis and/or pulmonary embolism, VTE). The present study investigated the prevalence of SVT and VTE in women transfused in the peri-partum period. MATERIALS AND METHODS: We carried out an observational study in a tertiary level obstetrics department in the Apulia Region of Southern Italy to investigate VTE in women transfused during or after labour...
September 12, 2019: Blood Transfusion
Alan Cheng, Angelo Auricchio, Edward J Schloss, Takashi Kurita, Laurence D Sterns, Bart Gerritse, Mark L Brown, Dedra H Fagan, Daniel R Lexcen, Kenneth A Ellenbogen
BACKGROUND: Contemporary ICD programming involving delayed high-rate detection and use of SVT discriminators has significantly reduced the rate of inappropriate shocks. The extent to which SVT algorithms alone reduce inappropriate therapies is poorly understood. METHODS AND RESULTS: PainFree SST enrolled 2,770 patients with a single or dual-chamber ICD or cardiac resynchronization defibrillator. Patients were followed for 22±9 months with SVT discriminators on in 96% of patients...
October 23, 2019: Journal of Cardiovascular Electrophysiology
Adriana Suely Oliveira Melo, João Luiz Pinto E Silva, Fabiana de Oliveira Melo, Emanuela Santos Barros, Hugo Leonardo Santos, Melania Maria Ramos Amorim, Alex Sandro Rolland Souza
OBJETIVO:  Determinar o efeito da caminhada em esteira sobre a frequência cardíaca materna (FCM) e parâmetros cardiotocográficos (batimentos cardiofetais basais [BCFs], movimentos ativos fetais [MAFs], número de acelerações e desacelerações e variabilidade de curta [STV] e longa [LTV] duração da frequência cardíaca fetal) em gestantes na 36a semana. MéTODOS:  Foi realizado um ensaio clínico não randomizado e aberto com 88 gestantes saudáveis submetidas a caminhada de moderada intensidade na esteira e a cardiotocografia computadoriza em 3 momentos de 20 minutos (antes, durante e após a caminhada)...
September 2019: Revista Brasileira de Ginecologia e Obstetrícia
Qiong Chen, Jinyi Xu, Carola Gianni, Chintan Trivedi, Domenico G Della Rocca, Mohammed Bassiouny, Ugur Canpolat, Alfredo Chauca Tapia, J David Burkhardt, Javier E Sanchez, Patrick Hranitzky, G Joseph Gallinghouse, Amin Al-Ahmad, Rodney Horton, Luigi Di Biase, Sanghamitra Mohanty, Andrea Natale
BACKGROUND: The electrocardiogram (ECG) is essential for the differential diagnosis of wide QRS complex tachycardia (WCT). OBJECTIVE: To evaluate the diagnostic value of a novel ECG algorithm based on the morphologic characteristics of the QRS on the limb leads. METHODS: Limb Leads Algorithm (LLA) was evaluated by analyzing 528 monomorphic WCTs with electrophysiology (EP)-confirmed diagnoses. In the LLA, ventricular tachycardia (VT) is diagnosed in the presence of at least one of the following: ⑴ monophasic R wave in lead aVR; ⑵ predominantly negative QRS in leads I, II, III; ⑶ Opposing QRS complex in the Limb leads (OQL): concordant monophasic QRS complex in all three inferior leads; AND concordant monophasic QRS complex in two or three of the remaining limb leads with an opposite polarity to that of the inferior leads...
September 20, 2019: Heart Rhythm: the Official Journal of the Heart Rhythm Society
Ertan Yetkin, Mehmet Ileri, Ahmet Korkmaz, Selcuk Ozturk
Objective. This study aimed to assess the association of atrial septal aneurysm (ASA) with cardiac arrhythmias by comparing patients with ASA with a control group with non-ASA, matched for age and gender. Methods. 641 patients with ASA who fulfilled the inclusion criteria were enrolled into the study. The control group consisted of 641 patients without ASA. Patients underwent physical, electrocardiographic and transthoracic echocardiographic examinations. Additional examinations such as transesophageal echocardiography, 24-h rhythm Holter monitoring, and electrophysiological study were performed when clinically needed...
September 23, 2019: Scandinavian Cardiovascular Journal: SCJ
Chandra Srinivasan, Seshadri Balaji
Supraventricular tachycardia (SVT) is one of the most common conditions requiring emergency cardiac care in neonates. Atrioventricular reentrant tachycardia utilizing an atrioventricular bypass tract is the most common form of SVT presenting in the neonatal period. There is high likelihood for spontaneous resolution for most of the common arrhythmia substrates in infancy. Pharmacological agents remain as the primary therapy for neonates.
September 18, 2019: Indian Pacing and Electrophysiology Journal
Massimiliano Marini, Daniele Ravanelli, Marta Martin, Maurizio Del Greco, Fabrizio Guarracini, Silvia Quintarelli, Alessio Coser, Aldo Valentini, Roberto Bonmassari
Introduction: In this study we estimated the cost-effectiveness of adopting 3D Nonfluoroscopic Mapping Systems (NMSs) for catheter ablation (CA). Methods: This study includes patients who underwent supraventricular tachycardia (SVT) CA and atrial fibrillation (AF) CA from 2007 to 2016. A comparison was conducted between a reference year (2007) and the respective years for the two types of procedure in which the maximum optimization of patients' exposure using NMSs was obtained...
2019: BioMed Research International
Babak Nazer, Tomos E Walters, Thomas A Dewland, Aditi Naniwadekar, Jacob S Koruth, Mohammed Najeeb Osman, Anselma Intini, Minglong Chen, Jurgen Biermann, Johannes Steinfurt, Jonathan M Kalman, Ronn E Tanel, Byron K Lee, Nitish Badhwar, Edward P Gerstenfeld, Melvin M Scheinman
BACKGROUND: Nodofascicular and nodoventricular (NFV) accessory pathways connect the atrioventricular node and the Purkinje system or ventricular myocardium, respectively. Concealed NFV pathways participate as the retrograde limb of supraventricular tachycardia (SVT). Manifest NFV pathways can comprise the anterograde limb of wide-complex SVT but are quite rare. The purpose of this report is to highlight the electrophysiological properties and sites of ablation for manifest NFV pathways...
September 2019: Circulation. Arrhythmia and Electrophysiology
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