An automatic pacemaker algorithm causing exertional intolerance
(Source: Journal of Cardiovascular Electrophysiology)
Source: Journal of Cardiovascular Electrophysiology - October 23, 2023 Category: Cardiology Authors: James E. Ip Tags: DEVICE ROUNDS Source Type: research

Very high ‐power short‐duration catheter ablation for treatment of cardiac arrhythmias: Insights from the FAST and FURIOUS study series
AbstractThe QDOT MICRO ™ Catheter is a novel open-irrigated contact force-sensing radiofrequency ablation catheter. It offers very high-power short-duration (vHPSD) ablation with 90 W for 4 s to improve safety and efficacy of catheter ablation procedures. Although the QDOT MICRO™ Catheter was mainly designed for pulmonary vein isolation (PVI) its versatility to treat atrial fibrillation (AF) and other types of arrhythmias was recently evaluated by the FAST and FURIOUS study series and other studies and will be presented in this article. Available study and registry data as well as case reports concerning u tiliza...
Source: Journal of Cardiovascular Electrophysiology - October 20, 2023 Category: Cardiology Authors: Christian ‐H. Heeger, Karl‐Heinz Kuck, Roland R. Tilz Tags: INVITED REVIEW Source Type: research

The curious case of conduction system pacing: Electrophysiology in situ
(Source: Journal of Cardiovascular Electrophysiology)
Source: Journal of Cardiovascular Electrophysiology - October 19, 2023 Category: Cardiology Authors: Anindya Ghosh, Chenni S. Sriram, Ulhas M. Pandurangi Tags: EP ROUNDS Source Type: research

Successful ablation of a right concealed epicardial accessory pathway using ethanol infusion
ConclusionEndocardial ablation is challenging for epicardial APs related to cardiac structural variations. If small vascular branches near the earliest activation site can be found, EI can successfully ablate these types of epicardial APs. (Source: Journal of Cardiovascular Electrophysiology)
Source: Journal of Cardiovascular Electrophysiology - October 19, 2023 Category: Cardiology Authors: Shenghui Ma, Qifeng Zhu, Li Shu, Yi Lu, Chunhui Liu, Zhejun Cai Tags: CASE REPORT Source Type: research

Comparison of pulsed ‐field ablation versus very high power short duration‐ablation for pulmonary vein isolation
ConclusionPulsed-field ablation and VHPSD-PVI seem to be highly effective and safe to achieve PVI in the setting of PAF and persAF with comparable arrhythmia-free survival. However, procedure duration for PFA PVI is significantly shorter and therefore may be of potential benefit. Compared to PFA VHPSD-PVI might ensure information on left atrial substrate allowing to target concomitant secondary tachycardias. (Source: Journal of Cardiovascular Electrophysiology)
Source: Journal of Cardiovascular Electrophysiology - October 17, 2023 Category: Cardiology Authors: Jonas W örmann, Jan‐Hendrik Schipper, Jakob Lüker, Jan‐Hendrik van den Bruck, Karlo Filipovic, Susanne Erlhöfer, Friederike Pavel, Cornelia Scheurlen, Sebastian Dittrich, Daniel Steven, Arian Sultan Tags: ORIGINAL ARTICLE Source Type: research

Medical cardioversion of atrial fibrillation and flutter with class IC antiarrhythmic drugs in young patients with and without congenital heart disease
ConclusionsFlecainide was more effective than propafenone. We did not detect a difference in rate of conversion to sinus rhythm between patients with and without CHD and were likely underpowered to do so, however, there was a trend toward decreased likelihood of success in patients with CHD. That said, medical therapy was effective in>50% of patients with CHD with AF. (Source: Journal of Cardiovascular Electrophysiology)
Source: Journal of Cardiovascular Electrophysiology - October 17, 2023 Category: Cardiology Authors: Robert Przybylski, Logan M. Eberly, Mark E. Alexander, Vassilios J. Bezzerides, Elizabeth S. DeWitt, Audrey Dionne, Douglas Y. Mah, John K. Triedman, Edward P. Walsh, Edward T. O'Leary Tags: ORIGINAL ARTICLE Source Type: research

Leadless pacemakers in postoperative patients: Is it time for the new to become the normal?
(Source: Journal of Cardiovascular Electrophysiology)
Source: Journal of Cardiovascular Electrophysiology - October 12, 2023 Category: Cardiology Authors: Tyler P. Rasmussen, Edward M. Powers Tags: INVITED EDITORIAL Source Type: research

Factors predicting the progression from paroxysmal to persistent atrial fibrillation despite an index catheter ablation
ConclusionThe progression from PAF to PersAF after catheter ablation is associated with a larger LA diameter, history of thyroid disease, and the presence of non-PV triggers. Meticulous preprocedural evaluation, patient selection, and comprehensive provocation tests during catheter ablation are recommended. (Source: Journal of Cardiovascular Electrophysiology)
Source: Journal of Cardiovascular Electrophysiology - October 12, 2023 Category: Cardiology Authors: Guan ‐Yi Li, Ahmed Moustafa Elimam, Li‐Wei Lo, Yenn‐Jiang Lin, Shih‐Lin Chang, Yu‐Feng Hu, Fa‐Po Chung, Tze‐Fan Chao, Chin‐Yu Lin, Chih‐Min Liu, Jo‐Nan Liao, An Khanh‐ Nu Ton, Dony Yugo, Linda Lin, Ta‐Chuan Tuan, Pei Tags: ORIGINAL ARTICLE Source Type: research

Poster, Volume 34, Issue 10
(Source: Journal of Cardiovascular Electrophysiology)
Source: Journal of Cardiovascular Electrophysiology - October 10, 2023 Category: Cardiology Tags: POSTER Source Type: research

Issue Information
(Source: Journal of Cardiovascular Electrophysiology)
Source: Journal of Cardiovascular Electrophysiology - October 10, 2023 Category: Cardiology Tags: ISSUE INFORMATION Source Type: research

Cost ‐effectiveness analysis of leadless cardiac resynchronization therapy
ConclusionWithin the model limitations, these findings support the use of WiSE-CRT in indicated patients from an economic standpoint. However, improving battery technology should be prioritized to maximize cost-effectiveness in times when health services are under significant financial pressures. (Source: Journal of Cardiovascular Electrophysiology)
Source: Journal of Cardiovascular Electrophysiology - October 10, 2023 Category: Cardiology Authors: Nadeev Wijesuriya, Vishal Mehta, Felicity De Vere, Sandra Howell, Jonathan M. Behar, Andrew Shute, Michael Lee, Paolo Bosco, Steven A. Niederer, Christopher A. Rinaldi Tags: ORIGINAL ARTICLE Source Type: research

Early recurrence of atrial tachyarrhythmia indicates pulmonary vein reconduction independent of blanking period duration in the RACE ‐AF trial
ConclusionEarly ATA indicates PVR, and the positive predictive value is independent of the blanking period duration. Altogether, the results of this study support substantially shortening the blanking period after PVI for paroxysmal AF. (Source: Journal of Cardiovascular Electrophysiology)
Source: Journal of Cardiovascular Electrophysiology - October 10, 2023 Category: Cardiology Authors: Samuel K. S ørensen, Arne Johannessen, René Worck, Morten L. Hansen, Martin H. Ruwald, Jim Hansen Tags: ORIGINAL ARTICLE Source Type: research

LBBB and heart failure —Relationships among QRS amplitude, duration, height, LV mass, and sex
ConclusionTrue LBBB criteria do not exclude HF patients with increased LV mass. QRS amplitudes do not correlate with height or LV mass. Height does not affect QRSd. However, QRSd correlates with LV size. QRSd normalized for LV mass results in 24% greater value in women in the direction of sex-specific responses. LV mass may be a significant nonelectrical modifier of QRSd for CRT. (Source: Journal of Cardiovascular Electrophysiology)
Source: Journal of Cardiovascular Electrophysiology - October 9, 2023 Category: Cardiology Authors: Mahesh Manne, Mark Niebauer, Patrick Tchou, Niraj Varma Tags: INVITED REVIEW Source Type: research

Characteristics of tissue temperature during ablation with THERMOCOOL SMARTTOUCH SF versus TactiCath versus QDOT MICRO catheters (Qmode and Qmode+): An in vivo porcine study
ConclusionThis study revealed distinct tissue temperature patterns during HSPD and vHPSD ablations with the three catheters, affecting lesion effectiveness and collateral damage based on Tmax and/or t −T ≥ 50°C. These findings provide key insights into the safety and efficacy of AF ablation with these four settings. (Source: Journal of Cardiovascular Electrophysiology)
Source: Journal of Cardiovascular Electrophysiology - October 5, 2023 Category: Cardiology Authors: Naoto Otsuka, Yasuo Okumura, Sayaka Kuorkawa, Koichi Nagashima, Yuji Wakamatsu, Satoshi Hayashida, Kimie Ohkubo, Toshiko Nakai, Rie Takahashi, Yoshiki Taniguchi Tags: ORIGINAL ARTICLE Source Type: research

Quantitative assessment of transient autonomic modulation after single ‐shot pulmonary vein isolation with pulsed‐field ablation
ConclusionPVI with the FarapulseTM PFA system is associated with only transitory and short-lasting vagal effects on the ANS which recover almost completely within a few minutes after ablation. The impact of this phenomenon on AF outcome needs to be further investigated. (Source: Journal of Cardiovascular Electrophysiology)
Source: Journal of Cardiovascular Electrophysiology - October 4, 2023 Category: Cardiology Authors: Alvise Del Monte, Mar ía Cespón Fernández, Giampaolo Vetta, Domenico Giovanni Della Rocca, Luigi Pannone, Sahar Mouram, Antonio Sorgente, Gezim Bala, Erwin Ströker, Juan Sieira, Alexandre Almorad, Andrea Sarkozy, Gian‐Battista Chierchia, Tags: BRIEF COMMUNICATION Source Type: research