Real-world experience with the insertion of a new implantable cardiac monitor
ConclusionThe new BM III was inserted in typically less than 5 minutes until wound closure. A relevant number of insertions took place in a consultation room. Prophylactic antibiotics may be unnecessary, because no pocket infections were reported, although no antibiotic prophylaxis was used in one half of all cases (N = 229). In summary, the insertion with the new tool is fast and has a low risk of complications. (Source: Europace)
Source: Europace - May 24, 2021 Category: Cardiology Source Type: research
Correlation of electrocardiographic criteria for left bundle branch block with intraventricular synchrony
CONCLUSIONOf the LBBB electrocardiographic criteria analyzed in this study, QRS duration ≥150 ms and left axis deviation were the best predictors of dyssynchrony individually and in association. Table 1: ResultsQRS120/149QRS ≥150QSV1Notch/SLeftAxisQSV1+≥150Notch/S+≥150LeftAxis+≥150Nº Patients2917272625131110Synchronous5(17%)2(16%)3(11%)5(19%)1 (4%)2(15%)1(9%)0Intermediate6(20 %)1(8%)4(15%)2(7%)2(8%)1(8%)1(9%)0Asynchronous18(63%)14(82%)20(74%)19(74%)22(88%)10(77%)9(82%)10(100%)Abstract Figure. synchronous and asynchronous LBBB (Source: Europace)
Source: Europace - May 24, 2021 Category: Cardiology Source Type: research
Withdrawal of anti-arrhythmic therapy after cavo-tricuspid isthmus ablation of typical atrial flutter
ConclusionAfter CTA ablation, AF is the most frequent recurrent arrhythmia. Interestingly, the withdrawn of AAT didn ’t seem to predict the recurrence of arrhythmic events. The decision of stopping AAT must be individualized regarding patients’ clinical characteristics. Abstract Figure 1: AAT withdrawal and AR (Source: Europace)
Source: Europace - May 24, 2021 Category: Cardiology Source Type: research
The dose-dependent effect of chronic Verapamil treatment on cardiac function in isolated rat heart with Hypertension
ConclusionsChronic treatment with Verapamil in high dose achieved better inotropic, chronotropic and lusitropic effects than treatment in low and middle doses of Verapamil, without significant effects on coronary flow. There is dose-depended effect of chronic Verapamil treatment on cardiac function of isolated rat heart with hypertension. (Source: Europace)
Source: Europace - May 24, 2021 Category: Cardiology Source Type: research
Cardiac Magnetic Resonance as a diagnostic tool in arrhythmias
Conclusion As a high reproducible, accurate and versatile technique, CMR allowed an increase on diagnosis in 20% of the patients with suspected or confirmed arrhythmias. Consequently, it contributed to the risk stratification of our study population with suspected high arrhythmic potential when the first-lin e complementary exams were inconclusive. (Source: Europace)
Source: Europace - May 24, 2021 Category: Cardiology Source Type: research
A randomized study of yoga therapy for the prevention of recurrent reflex vasovagal syncope
ConclusionFor patients with recurrent VVS, guided yoga therapy is superior to conventional therapy in reducing symptom burden and improving QoL. (Source: Europace)
Source: Europace - May 20, 2021 Category: Cardiology Source Type: research
Obstructive sleep apnoea testing and management in atrial fibrillation patients: a joint survey by the European Heart Rhythm Association (EHRA) and the Association of Cardiovascular Nurses and Allied Professions (ACNAP)
AbstractObstructive sleep apnoea (OSA) is highly prevalent in atrial fibrillation (AF) patients and associated with reduced response to rhythm control strategies. However, there is no practical guidance on testing for OSA in AF patients and for OSA treatment implementation. We sought to evaluate current practices and identify challenges of OSA management in AF. A descriptive cross-sectional study was performed with a content-validated survey to evaluate OSA management in AF by healthcare practitioners. Survey review, editing, and dissemination occurred via the European Heart Rhythm Association and the Association of Cardio...
Source: Europace - May 17, 2021 Category: Cardiology Source Type: research
Antithrombotic treatment management in low stroke risk patients undergoing cardioversion of atrial fibrillation & lt;48 h duration: results of an EHRA survey
AbstractData supporting the safety of cardioversion (CV) of atrial fibrillation (AF) without anticoagulation in patients with AF duration<48 h are scarce. Observational studies suggest that the risk of stroke in these patients is very low when the definite duration of the AF episode is of<48 h and the clinical risk profile as estimated through the CHA2DS2VASc score is low (a score of 0 for men and 1 for women). As the recent 2020 European Society of Cardiology (ESC) guidelines indication for this clinical scenario is based mainly on consensus, we sent out a survey to assess the current clinical practice on anti...
Source: Europace - May 15, 2021 Category: Cardiology Source Type: research
Is cardiac magnetic resonance imaging a game changer in re-ablation of atrial fibrillation?
We read with interest the article recently published by Quintoet al.1 inEP Europace. This retrospective case –control study aimed to analyse whether using delayed enhancement cardiac magnetic resonance imaging (DE-CMR) to localize veno-atrial gaps in atrial fibrillation (AF) redo-ablation improved outcomes during follow-up. From June 2012 to November 2014, the authors included 35 case patients who underw ent a Re-PVI guided by DE-CMR and 35 control patients who underwent a Re-PVI following the conventional circular-guided approach without CMR. At 2-year follow-up, more patients in the DE-CMR-guided group remained free fr...
Source: Europace - May 13, 2021 Category: Cardiology Source Type: research
Is cardiac magnetic resonance imaging a game changer in re-ablation of atrial fibrillation? —Authors’ reply
European Commission (CATCHME project633196Instituto de Salud Carlos III10.13039/501100004587PI16/00435PI19/00443PI19/00573Fundaci ó la Marató TV320152730CERCA Programme/Generalitat de Catalunya (Source: Europace)
Source: Europace - May 13, 2021 Category: Cardiology Source Type: research
Proximity to the descending aorta predicts regional fibrosis in the adjacent left atrial wall: aetiopathogenic and prognostic implications
ConclusionsAtrial fibrosis was predominantly located in the area adjacent to the DAo, and increased with the proximity between the two structures. Furthermore, this regional fibrosis better predicted recurrence after AF ablation than total atrial fibrosis. (Source: Europace)
Source: Europace - May 11, 2021 Category: Cardiology Source Type: research
Pulsed field ablation selectively spares the oesophagus during pulmonary vein isolation for atrial fibrillation
ConclusionPFA does not induce any signs of oesophageal injury on CMR after PVI. Due to its tissue selectivity, PFA may improve safety for catheter ablation of AF. (Source: Europace)
Source: Europace - May 7, 2021 Category: Cardiology Source Type: research
Corrigendum to: Diagnostic yield and financial implications of a nationwide electrocardiographic screening program to detect cardiac disease in the young
[Europace 2021; doi:10.1093/europace/euab021] (Source: Europace)
Source: Europace - May 4, 2021 Category: Cardiology Source Type: research
Modelling sudden cardiac death risks factors in patients with coronavirus disease of 2019: the hydroxychloroquine and azithromycin case
ConclusionBy studying the HCQ and AZM co-administration case, we show that the easy-to-use O'Hara-Rudy model can be applied to assess the QT-prolongation potential of off-label drugs, beyond HCQ and AZM, in different conditions representative of COVID-19 patients and to evaluate the potential impact of additional drug used to limit the arrhythmogenic risk. (Source: Europace)
Source: Europace - May 2, 2021 Category: Cardiology Source Type: research
Catheter ablation of atrial fibrillation in patients with hypertrophic cardiomyopathy: a European observational multicentre study
ConclusionVery late AF relapses post-ablation is common in HCM patients, especially in those with persistent AF. Left atrium size, LV apical aneurysm, and the APPLE score might contribute to identify subjects at higher risk of arrhythmia recurrence. First-time cryoballoon is comparable with radiofrequency ablation. (Source: Europace)
Source: Europace - April 30, 2021 Category: Cardiology Source Type: research
