Cardiac magnetic resonance to predict recurrences after ventricular tachycardia ablation: septal involvement, transmural channels, and left ventricular mass
ConclusionPre-procedural LGE-CMR is a helpful and feasible technique to identify patients with high risk of VT recurrence after ablation. LV mass, septal LGE distribution, and transmural channels were predictive factors of post-ablation VT recurrence. (Source: Europace)
Source: Europace - June 18, 2021 Category: Cardiology Source Type: research
The Atrial Fibrillation Better Care pathway for managing atrial fibrillation: a review
AbstractThe 2020 European Society of Cardiology guidelines endorse the Atrial Fibrillation Better Care (ABC) pathway as a structured approach for the management of atrial fibrillation (AF), addressing three principal elements: ‘A’ – avoid stroke (with oral anticoagulation), ‘B’ – patient-focused better symptom management, and ‘C’ – cardiovascular and comorbidity risk factor reduction and management. This review summarizes the definitions used for the ABC criteria in different studies and the impact of ad herence/non-adherence on clinical outcomes, from 12 studies on seven different cohorts. All studies co...
Source: Europace - June 14, 2021 Category: Cardiology Source Type: research
Predictors of sinus rhythm 6 weeks after cardioversion of atrial fibrillation: a pre-planned post hoc analysis of the X-VeRT trial
ConclusionIn X-VeRT, early cardioversion and high CHADS2 scores predicted sinus rhythm at 6 weeks from cardioversion. (Source: Europace)
Source: Europace - June 13, 2021 Category: Cardiology Source Type: research
Current perspectives on wearable rhythm recordings for clinical decision-making: the wEHRAbles 2 survey
AbstractNovel wearable devices for heart rhythm analysis using either photoplethysmography (PPG) or electrocardiogram (ECG) are in daily clinical practice. This survey aimed to assess impact of these technologies on physicians ’ clinical decision-making and to define, how data from these devices should be presented and integrated into clinical practice. The online survey included 22 questions, focusing on the diagnosis of atrial fibrillation (AF) based on wearable rhythm device recordings, suitable indications for weara ble rhythm devices, data presentation and processing, reimbursement, and future perspectives. A total ...
Source: Europace - June 11, 2021 Category: Cardiology Source Type: research
Marijuana use disorder and arrhythmias: what were they smoking?
This editorial refers to ‘Prevalence of cardiac arrhythmias in cannabis use disorder related hospitalizations in teenagers from 2003 to 2016 in the United States’ by K.K. Umapathiet al., on pages 1302 –1309. (Source: Europace)
Source: Europace - June 10, 2021 Category: Cardiology Source Type: research
‘Close’ cardiac monitoring: life-threatening complication of a loop recorder implant
A 76-year-old man with previous coronary bypass surgery, diabetes, and hypertension was admitted following a ‘collapse’. All investigations including cardiac telemetry were unremarkable. A loop recorder (BIOMONITOR III, BIOTRONIK, Germany) was implanted using the standard ‘one-step’ injection technique without apparent complication. He was re-admitted with syncope after 2 weeks; device interrogatio n demonstrated sinus pauses requiring a pacemaker implantation. (Source: Europace)
Source: Europace - June 7, 2021 Category: Cardiology Source Type: research
Atrial fibrillation burden during the coronavirus disease 2019 pandemic
ConclusionDuring the first 100 days of COVID-19, a 33% increase in AF episodes occurred with a 34% increase in the proportion of patients with AF episodes observed in states with higher COVID-19 prevalence. These findings suggest a possible association between pandemic-associated social disruptions and AF in patients with CIEDs.Clinical TRIAL registrationAustralian New Zealand Clinical Trial Registry: ACTRN12620000692932. (Source: Europace)
Source: Europace - June 2, 2021 Category: Cardiology Source Type: research
Ablation of incisional re-entrant atrial tachycardia via superior approach in heterotaxy syndrome
(Source: Europace)
Source: Europace - June 2, 2021 Category: Cardiology Source Type: research
Real-time multielectrode mapping of pulmonary vein gap closure
A 59-year-old female patient underwent pulmonary vein isolation (PVI) reprocedure for recurrent atrial fibrillation. A high-density map performed with Advisor HD Grid catheter (Abbot St Paul, MN, USA) revealed a high-voltage area in the right superior pulmonary vein (PV) (Figure). In order to identify the gap responsible for the PV reconnection, a real-time activation map (RTAM) of the PV potential was performed using LiveView module (Abbott, St Paul, MN, USA). At many points it was observed an incorrect annotation of the local activation time (LAT) on the far-field signal of the left atrium. In order to correct this, the ...
Source: Europace - June 2, 2021 Category: Cardiology Source Type: research
Sex differences in disease progression and arrhythmic risk in patients with arrhythmogenic cardiomyopathy
ConclusionMale AC patients were more often probands and had higher prevalence of VA than female patients, but not when adjusting for exercise dose. Importantly, disease progression was similar between male and female patients. (Source: Europace)
Source: Europace - June 2, 2021 Category: Cardiology Source Type: research
SARS-CoV-2 and electrocardiography: is electrocardiography a predictor of mortality?
We have read with great interest the article by Lanzaet al. named ‘Electrocardiographic findings at presentation and clinical outcome in patients with SARS-CoV-2 infection’.1 In this issue, We want to underline few issues that need careful consideration. (Source: Europace)
Source: Europace - June 2, 2021 Category: Cardiology Source Type: research
SARS-CoV-2 and electrocardiography: is electrocardiography a predictor of mortality? —Authors’ reply
We appreciate the interest of Babayi ğitet al. in our study assessing the relation of the electrocardiogram (ECG) with clinical outcome in patients with SARS-CoV-2 infection.1 They make some critical observations to our article, concluding that the reported association of ECG abnormalities with mortality in these patients is in fact doubtful.2 It seems, however, that Babayi ğitet al. failed to catch the substance of our study. As already detectable from the title, we aimed to assess whether the presence of abnormal findings at the ECG recorded at presentation in the emergency room (ER) identified patients with increased ...
Source: Europace - June 2, 2021 Category: Cardiology Source Type: research
His bundle pacing after Senning baffle operation
We present a patient with dextro-transposition of the great arteries (D-TGA) and a Senning baffle repair with sinus node dysfunction and intermittent heart block with non-selective His bundle pacemaker placement. (Source: Europace)
Source: Europace - May 25, 2021 Category: Cardiology Source Type: research
Long-term survival following upgrade compared with de novo cardiac resynchronization therapy implantation: a single-centre, high-volume experience
ConclusionIn our retrospective analysis, upgrade patients had a higher risk of all-cause mortality thande novo patients, which might be attributable to their more significant comorbidity burden. The occurrence of lead dysfunction and pocket infections was more frequent in the upgrade group. (Source: Europace)
Source: Europace - May 25, 2021 Category: Cardiology Source Type: research
Optimized implementation of cardiac resynchronization therapy: a call for action for referral and optimization of careA joint position statement from the Heart Failure Association (HFA), European Heart Rhythm Association (EHRA), and European Association of Cardiovascular Imaging (EACVI) of the European Society of Cardiology
AbstractCardiac resynchronization therapy (CRT) is one of the most effective therapies for heart failure with reduced ejection fraction and leads to improved quality of life, reductions in heart failure hospitalization rates and all ‐cause mortality. Nevertheless, up to two‐thirds of eligible patients are not referred for CRT. Furthermore, post‐implantation follow‐up is often fragmented and suboptimal, hampering the potential maximal treatment effect. This joint position statement from three European Society of Cardiolo gy Associations, Heart Failure Association (HFA), European Heart Rhythm Association (EHRA) and E...
Source: Europace - May 25, 2021 Category: Cardiology Source Type: research
