Early mortality after AF ablation

Nature Reviews Cardiology, Published online: 11 November 2019; doi:10.1038/s41569-019-0309-8According to data from a national representative US-based database, early mortality was observed in almost 1 in 200 patients with atrial fibrillation undergoing catheter ablation.
Source: Nature Reviews Cardiology - Category: Cardiology Authors: Source Type: research

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Authors: Okutucu S, Fatihoglu SG, Sabanoglu C, Bursa N, Sayin BY, Aksoy H, Oto A Abstract BACKGROUND: Angiotensin receptor neprilysin inhibitors (ARNI; sacubitril/valsartan combination) decrease morbidity and mortality in heart failure with reduced ejection fraction (HFrEF). Increased P‑wave duration and P‑wave dispersion (Pd) reflect prolongation of atrial conduction and correlate with atrial fibrillation. Here, we aimed to assess the effects of switching from valsartan to ARNI treatment on the basis of P‑wave indices. METHODS: A total of 28 patients with HFrEF (mean age, 64.8 ±&thinsp...
Source: Herz - Category: Cardiology Tags: Herz Source Type: research
ConclusionConventional RFA using PV potential based mapping and ablation with 8 mm tip catheters is safe for patients with PAF. Theintermediate term outcome is satisfactory and cost effective in our setting with limited resources.
Source: Indian Heart Journal - Category: Cardiology Source Type: research
ConclusionsHCM risk for cerebrovascular accident demonstrated a possibly helpful discrimination for TE when applied in a new set of patients with HCM. However, the accurate estimation of absolute risk should be explored in future studies.RésuméContexteRécemment, un nouveau modèle de risque a été mis au point, soit le modèle de risque d’accident vasculaire cérébral associé à la cardiomyopathie hypertrophique, afin d’évaluer le risque de thromboembolie chez les patients atteints de cardiomyopathie hypertrophique. Aucune étu...
Source: Canadian Journal of Cardiology - Category: Cardiology Source Type: research
Atrial fibrillation (AF) is associated with a substantially higher risk of thromboembolism, particularly stroke events, resulting in significant morbidity and mortality. Oral anticoagulation (OAC), while effective in reducing embolic events in AF patients, is associated with an increased bleeding risk. Thus, not all patients with AF are candidates for OAC and some are only candidates for OAC in the short term. Of the available nonpharmacologic strategies for the management of AF, left atrial appendage occlusion (LAAO) has emerged as a potential approach for reducing the risk of systemic thromboembolism in AF patients eligi...
Source: Cardiology in Review - Category: Cardiology Tags: Review Articles Source Type: research
ConclusionsIn AF patients who survived an ICH, restarting OAC was not associated with a greater risk of recurrent ICH. Evidence from randomized controlled studies is needed to further clarify the clinical benefit of restarting OAC in this high-risk population. Further evaluation of which individuals benefit from restarting OAC is also needed to provide more clinical guidance.
Source: American Journal of Cardiovascular Drugs - Category: Cardiology Source Type: research
Conclusions: Our results suggest that in this community-dwelling population, a higher CAA score is related to cognitive impairment and a higher risk of stroke, dementia, and death. The composite CAA score can be used to practically quantify the severity of vascular brain injury.
Source: Frontiers in Neurology - Category: Neurology Source Type: research
ConclusionIn the presence of AF, MR ‐proADM showed greater discrimination and accuracy, and less impairment in performance compared to that in non‐AF cases, for the diagnosis of ADHF, compared to the guideline‐endorsed NT‐proBNP.
Source: European Journal of Heart Failure - Category: Cardiology Authors: Tags: Research Article Source Type: research
ConclusionThis analysis from the European CRT Survey II overall shows good guideline adherence, high implantation success and a low rate of complications in daily practice. There are some regional differences in baseline characteristics, CRT indication, and procedural aspects. The use of remote monitoring in Germany lags behind other European countries.Graphic abstract
Source: Clinical Research in Cardiology - Category: Cardiology Source Type: research
AbstractTricuspid regurgitation after mitral valve surgery is common and it may affect long-term survival and quality of life. The pathophysiology of this lesion after mitral valve surgery in patients without preoperative tricuspid regurgitation remains elusive in most cases. Correcting a tricuspid annulus of ≥ 40 mm by means of an annuloplasty at the time of mitral valve surgery in patients without tricuspid regurgitation has been propoYiu KH, Wong A, Pu L, et al. Prognostic value of preoperative right ventricular geometry and tricuspid valve tethering area in patients undergoing tricuspid annulopl asty. Ci...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
Less is usually better than more when it comes to aggressive surgery for pleural mesothelioma, according to the latest and most-extensive comparative study. Throughout the last 25 years, surgical patients typically fared better with the lung-sparing pleurectomy and decortication (P/D) than with the more radical extrapleural pneumonectomy (EPP). “We found that the P/D approach should be preferred when technically feasible,” Dr. Dimitrios Magouliotis of the General University Hospital of Larissa in Greece, told The Mesothelioma Center at Asbestos.com. “We believe now the P/D should be the first choice.&rdqu...
Source: Asbestos and Mesothelioma News - Category: Environmental Health Authors: Source Type: news
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