Organization and procedures in contemporary catheter ablation centres: data from the 2018 Italian Catheter Ablation Registry
Conclusion
In most Italian electrophysiology centres, a single electrophysiology laboratory was available and at least two electrophysiologists were involved in the ablation procedures. An increasing number of procedures were performed by means of a nonfluoroscopic mapping system with a near-zero approach. (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - July 14, 2021 Category: Cardiology Tags: Research articles: Editorial Source Type: research
Prevalence and predictors of persistent sinus rhythm after elective electrical cardioversion for atrial fibrillation
Conclusion
In unselected patients with atrial fibrillation undergoing elective electrical cardioversion, only 45.7% were in sinus rhythm at 12 months. The presence of sinus rhythm at 1-month follow-up emerged as an independent predictor of maintenance of sinus rhythm. This highlights that early re-evaluation of these patients appears useful for assessing longer term outcomes also from the perspective of a possible selective approach to ablation strategies. (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - July 14, 2021 Category: Cardiology Tags: Research articles: Editorial Source Type: research
Cryoballoon ablation as initial treatment for paroxysmal atrial fibrillation: time to change the standard approach?
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - July 14, 2021 Category: Cardiology Tags: Research articles: Editorial Source Type: research
First-line therapy: insights from a real-world analysis of cryoablation in patients with atrial fibrillation
Conclusion
In our multicenter real-world experience, PVI by CBA in a first-line atrial fibrillation patient population was well tolerated, effective, and promising. CBA with a PVI strategy can be used to treat patients with paroxysmal and persistent atrial fibrillation with good acute procedural success, short procedure times, and acceptable safety.
Clinical Trial Registration
clinicaltrials.gov (NCT01007474). (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - July 14, 2021 Category: Cardiology Tags: Research articles: Arrhythmias Source Type: research
Non-high-density lipoprotein cholesterol versus low-density lipoprotein cholesterol in clinical practice: ANMCO position paper
This article discusses the limits of current standard methods for assessing LDL-C levels and emphasizes the persistent residual cardiovascular risk in patients treated with lipid-lowering agents on the basis of recommended LDL-C targets. It highlights that patients with controlled LDL-C and non-targeted non-HDL-C have a higher cardiovascular risk. The article focuses on the role of non-HDL-C as a better predictor of atherosclerotic disease as compared with LDL-C and as a therapeutic target. Finally, this article includes an executive summary aimed at refining preventive approaches in atherosclerotic cardiovascular disease....
Source: Journal of Cardiovascular Medicine - July 14, 2021 Category: Cardiology Tags: Position paper Source Type: research
Could Home Monitoring parameters provide information about the impact of the pandemic period on CIED patients? A comparison between 2019 and 2020
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - June 15, 2021 Category: Cardiology Tags: Research letters Source Type: research
Type 2 myocardial infarction in patients with coronavirus disease 2019
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - June 15, 2021 Category: Cardiology Tags: Research letters Source Type: research
Remodeling of activities of Italian echocardiographic laboratories during the coronavirus disease 2019 lockdown: the SIECoVId study
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - June 15, 2021 Category: Cardiology Tags: Research letters Source Type: research
Late-sequalae of Kawasaki disease characterized by optical coherence tomography
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - June 15, 2021 Category: Cardiology Tags: Images in cardiovascular medicine Source Type: research
Role of conduction slowing to predict the critical isthmus of an epicardial ventricular tachycardia in the presence of nearly healthy voltage
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - June 15, 2021 Category: Cardiology Tags: Case report Source Type: research
Temporal trends in utilization and outcomes of transcatheter aortic valve replacement in different races: an analysis of the national inpatient sample
Aim
We sought to determine the racial and ethnical disparities in the delivery of TAVR and to evaluate the in-hospital outcomes and utilization of TAVR stratified by patient ethnicity.
Method
Using a national inpatient sample database between 2011 and 2015, we identified all adult patients who had TAVR. Races were identified and white race was set as control. Multiple logistic regression analysis was performed for the primary outcome of in-hospital mortality.
Results
Out of 58 174 patients who underwent TAVR, 50 809 (87.3%) were white, 2327 (4.0%) were black, 2311 (4.0%) were Hispanic, 640 (1.1%) Asia...
Source: Journal of Cardiovascular Medicine - June 15, 2021 Category: Cardiology Tags: Research articles: Valvular heart disease Source Type: research
BMI and acute kidney injury post transcatheter aortic valve replacement: unveiling the obesity paradox
Aims
Acute kidney injury (AKI) may complicate transcatheter aortic valve replacement (TAVR) leading to higher mortality. The relationship between AKI, obesity, and mortality, however, is controversial. We sought to investigate the impact of body habitus on the prognostic value of AKI in TAVR.
Methods
Among the 645 patients who underwent successful TAVR in a single high-volume centre, we retrospectively evaluated the association between AKI-TAVR and 30-day, 6-month, and 1-year mortality, and whether this relationship was affected by BMI. AKI was defined according to the Valve Academic Research Consortium-2 criter...
Source: Journal of Cardiovascular Medicine - June 15, 2021 Category: Cardiology Tags: Research articles: Valvular heart disease Source Type: research
Early and long-term results of hypothermic circulatory arrest in aortic surgery: a 20-year single-centre experience
Aims
The aim of this study was to document the postoperative outcomes of patients who underwent hypothermic circulatory arrest (HCA), the evolution of HCA management over time and to identify the risks factor for early mortality and postoperative stroke.
Methods
Four hundred and twenty-four patients who underwent aortic surgery with HCA at our institution between January 1995 and June 2016 were consecutively included.
Results
The main indications were degenerative aneurysm (254; 59.9%) and acute type A aortic dissection (146; 34.4%). Interventions were performed under deep (18.4 ± 0.9°C; n = 350...
Source: Journal of Cardiovascular Medicine - June 15, 2021 Category: Cardiology Tags: Research articles: Valvular heart disease Source Type: research
Pulmonary endarterectomy in the octogenarian population: safety and outcomes
Aims
Aim of the study was to verify the feasibility, safety and efficacy of pulmonary endarterectomy (PEA) in octogenarian patients with chronic thromboembolic pulmonary hypertension.
Methods
We retrospectively analyzed 635 chronic thromboembolic pulmonary hypertension patients who underwent PEA at our center and were followed-up for at least 1 year. The end-points of the study were in-hospital mortality, hemodynamic results at 1 year and long-term survival.
Results
In-hospital mortality was 4, 10 and 17%, respectively, for 259 patients under the age of 60 years, 352 aged between 60 and 79 years and 24 oc...
Source: Journal of Cardiovascular Medicine - June 15, 2021 Category: Cardiology Tags: Research articles: Heart failure Source Type: research
Right ventricular endomyocardial biopsy in patients with cardiac magnetic resonance showing left ventricular myocarditis
Conclusion
Right ventricular EMB is still an accurate technique to confirm diagnosis in patients with CMR-proved left ventricular myocarditis. In particular, provided there is an adequate sample size, its sensitivity is comparable among patients with heterogeneous LGE or LVA localization. (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - June 15, 2021 Category: Cardiology Tags: Research articles: Heart failure Source Type: research
