Feasibility study for echocardiography ‐guided lead insertion for permanent cardiac implantable electronic devices
Conclusion: We demonstrate the feasibility of TTE-guided DCPM/DCICD implantation  without use of fluoroscopy. We present this method as a safe alternative for permanent CIED placement that may reduce risk of radiation exposure and cost while maintaining safety and efficacy. No operators wore lead aprons during the procedure.This article is protected by copyright. All rights reserved (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - June 14, 2021 Category: Cardiology Authors: Omolade O. Sogade, Rieta N. Aben, Harry Eyituoyo, Nkechi C. Arinze, Felix O. Sogade Tags: ORIGINAL ‐ ELECTROPHYSIOLOGY Source Type: research

Incidence, Predictors and Clinical Impact of Bleeding Recurrence in Patients with Prior Gastrointestinal Bleeding Undergoing LAAC
ABSTRACTBackgroundGastrointestinal bleeding (GIB) is associated with a high recurrence rate and a prior GIB episode is common in real-world left atrial appendage closure (LAAC) recipients. The present study sought to evaluate the clinical characteristics and outcomes of patients with prior GIB undergoing LAAC, and to determine the factors associated with and clinical impact of GIB recurrence.MethodsMulticenter study including 277 consecutive patients who underwent percutaneous LAAC and had prior GIB. All-cause death, all bleeding, GIB recurrence and clinical ischemic stroke were recorded.ResultsAfter a median follow-up of ...
Source: Pacing and Clinical Electrophysiology : PACE - June 10, 2021 Category: Cardiology Authors: Laurent Faroux, Ignacio Cruz ‐González, Dabit Arzamendi, Xavier Freixa, Luis Nombela‐Franco, Vicente Peral, Berenice Caneiro‐Queija, Antonio Mangieri, Blanca Trejo‐Velasco, Lluis Asmarats, Ander Regueiro, Angela McInerney, Antonio Mor Tags: ORIGINAL ‐ DEVICES Source Type: research

QRS dispersion detected in ARVC patients and healthy gene carriers using 252 ‐leads Body Surface Mapping ‐ an explorative study of a potential diagnostic tool for Arrhythmogenic Right Ventricular Cardiomyopathy
AbstractBackground: The diagnosis of ARVC remains complex requiring both imaging and electrocardiographic (ECG) techniques. The purpose was therefore to investigate whether QRS dispersion assessed by body surface mapping (BSM) could be used to detect early signs of ARVC, particularly in gene carriers.Methods: ARVC patients, gene carriers without a history of arrhythmias or structural cardiac changes and healthy controls underwent 12 lead resting ECG, signal-averaged ECG, echocardiographic examination, 24-hours Holter monitoring and BSM with electrocardiographic imaging. All 252-leads BSM recordings and 12-leads ECG recordi...
Source: Pacing and Clinical Electrophysiology : PACE - June 10, 2021 Category: Cardiology Authors: Varvara Kommata, Marwa Elshafie, Elena Sciaraffia, Mauricio Perez, Robin Augustine, Carina Blomstr öm‐Lundquist Tags: ORIGINAL ‐ ELECTROPHYSIOLOGY Source Type: research

Issue Information
(Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - June 10, 2021 Category: Cardiology Tags: ISSUE INFORMATION Source Type: research

Three ‐dimensional Echocardiography Definitively Delineates a Malpositioned Permanent Pacing Lead in a Patient with Chronic Chest Pain
This article is protected by copyright. All rights reserved (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - June 9, 2021 Category: Cardiology Authors: Nidhi Madan, Richard G. Trohman Tags: CASE REPORT Source Type: research

Non ‐Ischemic Sudden Cardiac Arrest: Role of 12 Lead Holter, Family Screening and Genetic Testing
AbstractObjectiveTo evaluate the diagnostic and prognostic yield of a comprehensive protocol involving clinical and broad genetic testing in consecutive sudden cardiac arrest (SCA) population.BackgroundDetermining the pathogenesis of non-ischemic SCA is crucial for management and SCA prevention in other family membersMethodsFamilies with unexplained non-ischemic SCA event underwent rigorous clinical and genetic protocol after referral to our inherited arrhythmia clinic, during 2011-.2017.ResultsOne hundred and four index cases, 29 ± 16 years, and 421 family members were studied. After a thorough evaluation, diagnosi...
Source: Pacing and Clinical Electrophysiology : PACE - June 9, 2021 Category: Cardiology Authors: Miry Blich, Hodaya Oron, Wisam Darawsha, Mahmoud Suleiman, Lorber Avraham, Kchoury Asaad, Monther Boulos, Lior Gepstein Tags: ORIGINAL ‐ ELECTROPHYSIOLOGY Source Type: research

Feasibility and safety of left atrial appendage occlusion guided by procedural fluoroscopy only: A pilot study
Conclusions: LAAO with the procedural imaging of fluoroscopy only exhibited the promising results of efficacy and safety. A prospective randomized multicenter study would be required to verify the observations in this study.This article is protected by copyright. All rights reserved (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - June 8, 2021 Category: Cardiology Authors: Juntao Wang, Bing Rong, Kai Zhang, Tongshuai Chen, Mingjie Lin, Wenqiang Han, Rina Sha, Shoudong Wang, Xuan Feng, Jing ‐quan Zhong Tags: ORIGINAL ‐ DEVICES Source Type: research

Electroanatomic voltage mapping for tissue characterization beyond arrhythmia definition: a systematic review
This article is protected by copyright. All rights reserved (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - June 8, 2021 Category: Cardiology Authors: Franco Zoppo, Giulia Gagno, Luca Perazza, Andrea Cocciolo, Giacomo Mugnai, Diego Vaccari, Vittorio Calzolari Tags: REVIEW Source Type: research

Current Practice and Future Prospects in Left Atrial Appendage Occlusion
This article is protected by copyright. All rights reserved (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - June 4, 2021 Category: Cardiology Authors: Bharat Narasimhan, Surya Kiran Aedma, Kirtipal Bhatia, Jalaj Garg, Sri Harsha Kanuri, Mohit K. Turagam, Dhanunjaya Lakkireddy Tags: REVIEW Source Type: research

Tricuspid regurgitation associated with implantable electrical device insertion: a systematic review and meta ‐analysis
AbstractBackground: Implantable cardioverter defibrillator (ICD) and permanent pacemaker (PPM) lead placement may worsen or result in tricuspid regurgitation (TR). While the association between lead placement and the incidence of TR has been established, current understanding of this problem remains incomplete. This systematic review and meta-analysis sought to pool the existing evidence to better understand the occurrence and severity of TR associated with cardiac implantable electrical device (CIED) insertion.Methods: An electronic search was performed to identify all relevant studies published from 2000 to 2018. Overall...
Source: Pacing and Clinical Electrophysiology : PACE - June 3, 2021 Category: Cardiology Authors: Tatum, R. Maynes, EJ. Wood, C. Deb, A. Austin, M. O'Malley, TJ. Choi, JH. Massey, T. Guy, S. Pavri, BB. Tchantchaleishvili, V. Tags: ORIGINAL ‐ DEVICES Source Type: research

Landing on the spot: approaches to outflow tract PVCs; from ECG to EGMs to intracardiac echocardiography
This article is protected by copyright. All rights reserved (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - June 3, 2021 Category: Cardiology Authors: Alexios Hadjis, Antonio Frontera, Luca Rosario Limite, Felicia Lipartiti, George Tsitsinakis, Konstantinos Vlachos, Giuliano Becker, Marcio Sturmer, Pierre Ja ïs, Henry Hsia, Edward Gerstenfeld, Paolo Della Bella Tags: REVIEW Source Type: research

Brady ‐arrhythmias in patients with atrial fibrillation and heart failure of reduced ejection fraction: is his‐bundle pacing superior to biventricular pacing༟
AbstractObjective: To investigate the efficacy and safety of His-bundle pacing (HBP) compared with the traditional biventricular pacing (BVP) on patients with brady-arrhythmias, who suffer from permanent atrial fibrillation (AF) and heart failure with reduced ejection fraction (HFrEF).Methods: All patients with brady-arrhythmias, permanent AF and HFrEF were continuously enrolled from January 2017 to July 2019 and followed up for at least 12 months. The differences in QRS duration (QRSd), New York Heart Association (NYHA) classification, left ventricular ejection fraction (LVEF), tricuspid regurgitation grade, mitral regurg...
Source: Pacing and Clinical Electrophysiology : PACE - June 3, 2021 Category: Cardiology Authors: Pei ‐pei Ma, Yi‐heng Yang, Bai‐ling Dai, Rong‐feng Zhang, Nan Wang, Dan‐na Li, Xiao‐meng Yin, Lian‐jun Gao, Yun‐long Xia, Yan‐zong Yang, Ying‐xue Dong Tags: ORIGINAL ‐ ELECTROPHYSIOLOGY Source Type: research

Reduced esophageal heating in high ‐power short‐duration atrial fibrillation ablation in the contact force catheter era
Conclusion: HPSD technique compared to the LPLD technique showed significant reduced radiofrequency and fluoroscopy times, higher rate of first-pass isolation, lower recurrence rate and esophageal temperature elevation and may also have a protective effect avoiding incidental esophageal injury due to these findings.This article is protected by copyright. All rights reserved (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - June 3, 2021 Category: Cardiology Authors: Fabricio Vassallo, Lucas Luis Meigre, Eduardo Serpa, Christiano Lemos Cunha, Hermes Carloni, Aloyr Simoes, Dalton Amaral, Carlos Lovatto Tags: ORIGINAL ‐ ELECTROPHYSIOLOGY Source Type: research

Empiric slow ‐pathway ablation results for presumed atrioventricular nodal reentrant tachycardia in pediatric patients
Conclusion: In cases with presumed AVNRT, ESPA seems to be a reasonable and safe way. In our study we found our procedural success rate as 97,4% and follow-up recurrence rate as 12,6% (9+1/79).This article is protected by copyright. All rights reserved (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - June 3, 2021 Category: Cardiology Authors: Derya Duman, İlker Ertuğrul, Işıl Yıldırım Baştuhan, Hayrettin Hakan Aykan, Tevfik Karagöz Tags: ORIGINAL ‐ ELECTROPHYSIOLOGY Source Type: research

Unexplained syncope during pacemaker interrogation: Wand, AutoCapture, or lead —Which one is the elusive culprit?
AbstractA 65-year-old gentleman underwent dual chamber pacemaker implantation (DDDR, St Jude Medical) 7 years back for infra-hisian complete heart block. He was completely asymptomatic and came for his annual routine check-up. After undergoing ECG with and without magnet, he was prepared for device evaluation. After placing the programmer wand over the chest as soon as the “;interrogate” button on the programmer screen was pressed, the patient immediately experienced pre-syncope but recovered instantly as the wand was promptly withdrawn. After taking him to the casualty room with all resuscitation measures in h...
Source: Pacing and Clinical Electrophysiology : PACE - June 2, 2021 Category: Cardiology Authors: Debabrata Bera, Suchit Majumder, Subir Ghose, Ayan Kar, Rakesh Sarkar, Sanjeev S. Mukherjee Tags: DEVICE ROUNDS Source Type: research

Bilateral external iliac vein compression —An important consideration in implantation of leadless permanent pacemaker
We report on an unusual case with asymptomatic bilateral external iliac vein non-thrombotic obstruction causing difficulty in delivery of the leadless permanent pacemaker and discuss on the strategies to overcome the problem. (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - May 28, 2021 Category: Cardiology Authors: Elaine Mo ‐Chee Chau, Rex Kim‐Ping Wong Tags: CASE REPORT Source Type: research

Unusual response to ventricular entrainment in a narrow QRS tachycardia: What is the mechanism?
(Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - May 26, 2021 Category: Cardiology Authors: Jeong ‐Wook Park, Young Choi, Sung‐Hwan Kim, Yong‐Seog Oh Tags: EP ROUNDS Source Type: research

Fluoroless 3D mapping ‐guided pacemaker implant in a pregnant patient
This article is protected by copyright. All rights reserved (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - May 26, 2021 Category: Cardiology Authors: Carola Gianni, Domenico G Della Rocca, Andrea Natale, Rodney P Horton Tags: CASE REPORT Source Type: research

Long ‐term incidence of upper extremity venous obstruction in implantable cardioverter defibrillator patients
The objective of the current investigation was to elucidate the incidence and prevalence and to identify predisposing conditions in an ICD cohort over a long follow-up period.MethodsBased on a prospective database, we analyzed consecutive patients who received an ICD implantation in our hospital between 06/1988 and 2009 as well as all corresponding follow-up data until 02/2018. Cavographies were used for analysis, and all patients with at least one device replacement and one follow-up cavography were included.ResultsOver a mean follow-up period of 94 ± 50 months, severe venous obstruction was found in 147 (33%) of 4...
Source: Pacing and Clinical Electrophysiology : PACE - May 25, 2021 Category: Cardiology Authors: Fritz W. Horlbeck, Christopher Eckerth, Markus Linhart, Christian Schaefer, Mark Jakob, Simon Pingel, Ute Klarmann ‐Schulz, Georg Nickenig, Joerg O. Schwab Tags: DEVICES Source Type: research

Discordant responses to his refractory premature ventricular beats (PVBs) during a regular narrow QRS tachycardia. What is the mechanism
AbstractA 32-year-old lady was evaluated for recurrent episodes of palpitation. During one of the palpitation episodes a regular narrow QRS tachycardia was documented, and it got terminated with the administration of IV adenosine. The baseline 12 lead electrocardiogram (ECG) did not show any manifest preexcitation. There was no evidence of structural heart disease by echocardiogram. Patient underwent an electrophysiology (EP) study after informed consent. Quadripolar catheters were placed at the His region and right ventricular (RV) apex. A decapolar catheter was placed in the coronary sinus (CS) with CS 9, 10 dipoles at C...
Source: Pacing and Clinical Electrophysiology : PACE - May 25, 2021 Category: Cardiology Authors: Krishna Kumar Mohanan Nair, Ali Shafeeq, Narayanan Namboodiri, Ajitkumar Valaparambil Tags: EP ROUNDS Source Type: research

Long Term outcomes of percutaneous atrial fibrillation ablation in patients with continuous monitoring
This study assessed long-term outcomes of AF ablation in patients with implantable cardiac devices.Methods: 207 patients (mean age 68.1 ± 9.5, 50.3% men) undergoing ablation for symptomatic AF were followed up for a mean period of 924.5 ± 636.7 days. Techniques included The Pulmonary Vein Ablation Catheter (PVAC) (59.4%), cryoablation (17.4%), point by point (14.0%) and The Novel Irrigated Multipolar Radiofrequency Ablation Cat heter (nMARQ) (9.2%).Results: 130 (62.8%) patients had paroxysmal AF (PAF) and 77 (37.2%) persistent AF. First ablation and repeat ablation reduced AF burden significant...
Source: Pacing and Clinical Electrophysiology : PACE - May 24, 2021 Category: Cardiology Authors: Neil Sulke, Rajdip Dulai, Nick Freemantle, Conn Sugihara, Steven Podd, William Eysenck, Michael Lewis, Jonathan Hyde, Rick A Veasey, Stephen S Furniss Tags: ORIGINAL ‐ ELECTROPHYSIOLOGY Source Type: research

Narrow QRS complex tachycardia with a 2:1 atrioventricular block: What is the mechanism
(Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - May 22, 2021 Category: Cardiology Authors: Yuichiro Miyazaki, Takashi Noda, Koji Miyamoto, Satoshi Nagase, Takeshi Aiba, Kengo Kusano Tags: EP ROUNDS Source Type: research

Impact of the COVID ‐19 Lockdown on the Arrhythmic Burden of Patients with Implantable Cardioverter‐Defibrillators
Conclusions. The complete nationwide lockdown, as declared by the Italian government during the first COVID-19 pandemic peak, did not impact on the incidence of arrhythmias in an urban cohort of patients with ICDs.This article is protected by copyright. All rights reserved (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - May 22, 2021 Category: Cardiology Authors: Biagio Sassone, Santo Virz ì, Matteo Bertini, Giovanni Pasanisi, Lamberto Manzoli, Jonathan Myers, Giovanni Grazzi, Daniele Muser Tags: ORIGINAL ‐ DEVICES Source Type: research

Bilateral external iliac vein compression ‐ an important consideration in implantation of leadless permanent pacemaker
This article is protected by copyright. All rights reserved (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - May 21, 2021 Category: Cardiology Authors: Elaine Mo ‐Chee Chau, Rex Kim‐Ping Wong Tags: CASE REPORT Source Type: research

Feasibility, efficacy, and safety of ethanol infusion into the vein of Marshall for atrial fibrillation: a meta ‐analysis
AbstractBackgroundContemporary radiofrequency catheter ablation (RFCA) approaches for atrial fibrillation (AF) have reached an efficacy “ceiling”. Ethanol infusion into the vein of Marshall (EI‐VOM) has shown potential in preliminary studies. Data on EI‐VOM are largely limited to small single‐center reports, and clinical benefits and risks have not been systematically examined. Therefore, we performed a meta‐analysis to assess the feasibility, efficacy, and safety of EI‐VOM for AF.MethodsAll studies evaluating EI ‐VOM for AF were initially searched from four electronic search engines: PubMed, Web of...
Source: Pacing and Clinical Electrophysiology : PACE - May 15, 2021 Category: Cardiology Authors: Zhiyu He, Lin Yang, Ming Bai, Yali Yao, Zheng Zhang Tags: ORIGINAL ‐ ELECTROPHYSIOLOGY Source Type: research

Echo ‐guided choice of the appropriate primary curve width of a new delivery sheath for His bundle pacing
(Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - May 12, 2021 Category: Cardiology Authors: Leonardo Marinaccio, Daniele Giacopelli, Luigia Anna Patrassi, Giuliana Ginocchio, Domenico Marchese, Francesco Zanon Tags: DEVICE ROUNDS Source Type: research

Electromagnetic Interference from Left Ventricular Assist Device in Patients with Transvenous Implantable Cardioverter ‐Defibrillator
ConclusionsEMI from LVAD impacts ICD function, although, the incidence rate is low. Physicians implanting both, LVAD in patients with ICD (more common) or ICD in patients with LVAD, should be aware of possible interferences. Telemetry failure not resolved by metal shielding was overcome by ICD generator replacement to a different manufacturer. In most cases, LVAD ‐related noise resolves spontaneously.This article is protected by copyright. All rights reserved (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - May 12, 2021 Category: Cardiology Authors: Banveet Kaur Khetarpal, Justin Z. Lee, Awad I. Javaid, Lanyu Mi, Nithin Rao Venepally, Bharat Narasimhan, Brian W. Hardaway, Yong ‐Mei Cha, Fred Kusumoto, Siva K. Mulpuru, Komandoor Srivathsan Tags: ORIGINAL ‐ ELECTROPHYSIOLOGY Source Type: research

Discordant responses to His refractory PVBs during a regular narrow QRS tachycardia. What is the mechanism?
This article is protected by copyright. All rights reserved (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - May 11, 2021 Category: Cardiology Authors: Krishna Kumar Mohanan Nair, Ali Shafeeq, Narayanan Namboodiri, Ajitkumar Valaparambil Tags: EP ROUNDS Source Type: research

“Long‐term incidence of upper extremity venous obstruction in implantable cardioverter defibrillator patients”
The objective of the current investigation was to elucidate the incidence and prevalence and to identify predisposing conditions in an ICD cohort over a long fol low‐up period.MethodsBased on a prospective database, we analyzed consecutive patients who received an ICD implantation in our hospital between 06/1988 and 2009 as well as all corresponding follow ‐up data until 02/2018. Cavographies were used for analysis, and all patients with at least one device replacement and one follow‐up cavography were included.ResultsOver a mean follow ‐up period of 94 ± 50 months, severe venous obstruction was found in 147...
Source: Pacing and Clinical Electrophysiology : PACE - May 11, 2021 Category: Cardiology Authors: Fritz W. Horlbeck, Christopher Eckerth, Markus Linhart, Christian Schaefer, Mark Jakob, Simon Pingel, Ute Klarmann ‐Schulz, Georg Nickenig, Joerg O. Schwab Tags: ORIGINAL ‐ DEVICES Source Type: research

Anti ‐arrhythmic and anti‐heart failure effects of low‐level electrical stimulation on aortic root ventricular ganglionated plexi
Conclusion: Short ‐term LL‐ES of ARVGP had both anti‐arrhythmic and anti‐inflammatory effectsand contributed to the treatment of tachycardia‐induced HF and its associated arrhythmia.This article is protected by copyright. All rights reserved (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - May 11, 2021 Category: Cardiology Authors: Hong ‐Tao Wang, Hong‐Ke Sun, Ai‐Ping Jin, Wei Jiang, Yan Zhang, Fei‐Fei Su, Qiang‐sunPhD Zheng Tags: ORIGINAL ‐ ELECTROPHYSIOLOGY Source Type: research

Association between integrated backscatter and arrhythmia in patients with ischemic dilated cardiomyopathy
Conclusion: Our findings suggest an association between the cIBS values and arrhythmia frequency in the study group.This article is protected by copyright. All rights reserved (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - May 10, 2021 Category: Cardiology Authors: Ekrem Bilal Karaayvaz, Berat Engin, Kivanc Yalin, Pelin Karaca Ozer, Derya Baykiz, Ahmet Kaya Bilge Tags: ORIGINAL ‐ DEVICES Source Type: research

Impact of early ( < 7 days) pacemaker implantation after cardiac surgery on long ‐term pacemaker dependency
AbstractObjectiveWe aimed to investigate pacemaker dependency after at least 1 year in patients with early (
Source: Pacing and Clinical Electrophysiology : PACE - May 10, 2021 Category: Cardiology Authors: Marc Badoz, Baptiste Favoulet, Guillaume Serzian, Fiona Ecarnot, Benoit Guillon, Romain Chopard, Nicolas Meneveau Tags: ORIGINAL ‐ DEVICES Source Type: research

Issue Information
(Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - May 8, 2021 Category: Cardiology Tags: ISSUE INFORMATION Source Type: research

Paced or sensed conduction time to determine programming with cardiac resynchronization therapy: The PASED ‐CRT Trial
ConclusionsUse of both the pLAT and sLAT method of programming demonstrated significant improvement in 6MHW distance at 3 months with pLAT demonstrating a slightly higher responder rate based on CCS (P = .56). pLAT should be considered at minimum as equivalent in patients with no intrinsic conduction. (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - May 7, 2021 Category: Cardiology Authors: Raffaele Corbisiero, JoEllen Schmidt, David Muller, Sanjay Sookhu, Meet Shah, Alexander Ochman, Pedram Kazemain Tags: ORIGINAL ‐ DEVICES Source Type: research

Pacemaker guided screening for severe sleep apnea, a possible option for patients with atrial fibrillation: A systematic review and meta ‐analysis
Conclusion: At optimal pacemaker ‐cut‐off, pacemaker‐guided screening for severe SA in patients with AF can be an effective triage tool for clinical practice. Further studies with larger sample sizes are needed to strengthen the evidence for this conclusion.This article is protected by copyright. All rights reserved (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - May 7, 2021 Category: Cardiology Authors: Martin Wyckmans, Eldar Tukanov, Robbe Winters, Robin Stinissen, Helene Vermeulen, Paul Dendale, Lien Desteghe Tags: REVIEW Source Type: research

Racial and ethnic differences in left atrial appendage occlusion wait time, complications, and periprocedural management
Conclusion: Despite an increased prevalence of comorbidities amongst non ‐whites, wait time for LAAO and procedural complications were similar in whites versus non‐whites. Among those with prior GI bleed, whites were nearly five‐fold more likely to be discharged on OAC than non‐whites, independent of income.This article is protected by copyright. All rights reserved (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - May 7, 2021 Category: Cardiology Authors: Abdullah Haddad, Matthew Bocchese, Rebecca Garber, Brian O'Neill, George A. Yesenosky, Pravin Patil, Martin G. Keane, Sabrina Islam, Jacqueline M. Sherrer, Anuj Basil, Chethan Gangireddy, Joshua M. Cooper, Edmond M. Cronin, Isaac R. Whitman Tags: ORIGINAL ‐ ELECTROPHYSIOLOGY Source Type: research

Dynamic Nomogram for Predicting Pacemaker Implantation Following Transcatheter Aortic Valve Replacement
(Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - May 6, 2021 Category: Cardiology Authors: Vien T. Truong, Daniel Beyerbach, Wojciech Mazur, Matthew Wigle, Akhil Pallerla, Emma Bateman, Tam N. M. Ngo, Satya Shreenivas, Cassady Palmer, Justin T. Tretter, Dean J. Kereiakes, Eugene S. Chung Tags: BRIEF COMMUNICATION Source Type: research

A multi ‐center experience of ablation index for evaluating lesion delivery in typical atrial flutter
AbstractBackgroundAnatomical studies demonstrate significant variation in cavotricuspid isthmus (CTI) architecture.MethodsThirty ‐eight patients underwent CTI ablation at two tertiary centers. Operators delivered 682 lesions with a target ablation index (AI) of 600 Wgs. Ablation parameters were recorded every 10–20 ms. Post hoc, Visitags were trisected according to CTI position: inferior vena cava (IVC), middle (Mid), or ventricular (V) lesions.ResultsThere were no complications. 92.1% of patients (n  = 35) remained in sinus rhythm after 14.6 ± 3.4 months. For the whole CTI, peak AI correlated...
Source: Pacing and Clinical Electrophysiology : PACE - May 4, 2021 Category: Cardiology Authors: Edd Maclean, Ron Simon, Richard Ang, Gurpreet Dhillon, Syed Ahsan, Fakhar Khan, Mark Earley, Pier D. Lambiase, James Rosengarten, Anthony W. Chow, Mehul Dhinoja, Rui Providencia, Vias Markides, Tom Wong, Ross J. Hunter, Jonathan M. Behar Tags: ELECTROPHYSIOLOGY Source Type: research

Case series on stereotactic body radiation therapy in non ‐ischemic cardiomyopathy patients with recurrent ventricular tachycardia
Conclusions: SBRT therapy reduces the number of VT burden and ATP sequence therapy in NICM patients with VT, which had a failed previous catheter ablation. However, the efficacy and safety aspects, especially in NICM cases, remained unclear.This article is protected by copyright. All rights reserved (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - May 3, 2021 Category: Cardiology Authors: Dony Yugo, Li ‐Wei Lo, Yuan‐Hung Wu, Fa‐Po Chung, Yenn‐Jiang Lin, Shih‐Lin Chang, Yu‐Feng Hu, Tze‐Fan Chao, Jo‐Nan Liao, Ting‐Yung Chang, Chin‐Yu Lin, Ta‐Chuan Tuan, Ling Kuo, Cheng‐I Wu, Chih‐Min Liu, Shin‐Huei Tags: ORIGINAL ‐ ELECTROPHYSIOLOGY Source Type: research

Local abnormal ventricular activity detection in scar ‐related VT: Microelectrode versus conventional bipolar electrode
This study sought to elucidate the detectability of LAVAs using ME compared with CBE in patients with scar ‐related ventricular tachycardia (VT).Methods: We included consecutive patients with structural heart disease who underwent radiofrequency catheter ablation for scar ‐related VT using either of the following catheters equipped with ME: QDOTTM (Biosense Webster, Diamond Bar, CA) or IntellaTip MIFITM (Boston Scientific, Natick, MA). Detection field of LAVA potentials were classified as 3 types: Type 1 (both CBE and ME detected LAVA), Type 2 (CBE did not detect LAVA while ME did), and Type 3 (CBE detected LAVA w...
Source: Pacing and Clinical Electrophysiology : PACE - May 1, 2021 Category: Cardiology Authors: Takashi Nakashima, Ghassen Cheniti, Takamitsu Takagi, Konstantinos Vlachos, Cyril Goujeau, Cl émentine André, Philipp Krisai, F. Daniel Ramirez, Gabriela Pintican, Tsukasa Kamakura, Yosuke Nakatani, Elodie Surget, Jean‐Rodolphe Roux, Vale Tags: ORIGINAL ‐ ELECTROPHYSIOLOGY Source Type: research

Out of hospital sudden death in a rural population: Low rates of icd underutilization among decedents
Conclusion: This study using decedent data shows low rates of ICD ‐underutilization in a rural population and emphasizes the role of advanced comorbidities such as CKD in ICD‐underutilization. Key Words: ICD‐utilization, out of hospital death, premature death, heart failure with reduced ejection fractionThis article is protected by copyright. All rights reserved (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - April 29, 2021 Category: Cardiology Authors: Oghenesuvwe Eboh, Yuxuan Mao, Elisabeth Lee, Victor Okunrintemi, Ouassim Derbal, Sharidan M. Hill, Samuel F. Sears, Irion Pursell, John P. Mounsey, Ashley Burch Tags: ORIGINAL ‐ DEVICES Source Type: research

Epicardial ablation of recurrent left atrial macroreentrant tachycardia from Bachmann's bundle region after endocardial ablation
This article is protected by copyright. All rights reserved (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - April 28, 2021 Category: Cardiology Authors: Hikmet Yorgun, Burak Sezen öz, Kudret Aytemir Tags: CASE REPORT Source Type: research

Home delivery of the communicator for remote monitoring of cardiac implantable devices: a multicenter experience during the COVID ‐19 lockdown
Conclusions: Home delivery of the communicator proved to be a successful approach to system activation, and received positive feedback from clinicians. The increased use of a RM protocol will reduce risks for both providers and patients, while maintaining high ‐quality care.This article is protected by copyright. All rights reserved (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - April 28, 2021 Category: Cardiology Authors: Michele Magnocavallo, Alessia Bernardini, Marco Valerio Mariani, Agostino Piro, Massimiliano Marini, Antonino Nicosia, Carmen Adduci, Antonio Rapacciuolo, Davide Saporito, Stefano Grossi, Giuseppe Santarpia, Paola Vaccaro, Roberto Rordorf, Fr Tags: ORIGINAL ‐ DEVICES Source Type: research

Effectiveness and safety of AV node ablation after His bundle pacing in patients with uncontrolled atrial arrhythmias
AbstractIntroductionIn patients with uncontrolled atrial fibrillation, atrioventricular (AV) node ablation after permanent His bundle pacing (p ‐HBP) could be a therapeutic option for heart rate (HR) control. We aimed to demonstrate the advantages of AV node ablation with p‐HBP, and to describe its effectiveness and safety.MethodsThis descriptive observational study included patients with uncontrolled permanent atrial arrhythmias who were candidates for HR control (January 2019 to July 2020) and underwent p ‐HBP and AV node ablation.ResultsA total of 39 patients were included. The median left ventricular ejection fra...
Source: Pacing and Clinical Electrophysiology : PACE - April 27, 2021 Category: Cardiology Authors: Pablo Mori ña‐Vázquez, María Teresa Moraleda‐Salas, Álvaro Arce‐León, José Venegas‐Gamero, Juan Manuel Fernández‐Gómez, José Francisco Díaz‐Fernández Tags: ORIGINAL ‐ DEVICES Source Type: research

What is retrieved must dislocate first: Few consideration how to avoid leadless pacemaker escape
(Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - April 26, 2021 Category: Cardiology Authors: Maciej Sterli ński, Marcin Demkow, Artur Oręziak, Łukasz Szumowski Tags: LETTER TO THE EDITOR Source Type: research

The IC ‐D score for predicting prophylactic cardioverter‐defibrillator implantation following acute myocardial infarction
AbstractBackgroundA reduced left ventricular ejection fraction (LVEF) ≤35% ≥6 weeks following an acute myocardial infarction (MI) may indicate prophylactic implantation of a cardioverter‐defibrillator (ICD). We sought to find predictors of absence of significant left ventricular (LV) remodeling post‐MI.MethodsAll consecutive patients hospitalized for acute MI with an LVEF ≤35% at discharge in our institution from 2010 were retrospectively included. Patients were assigned to two groups according to the persistence of an LVEF ≤35% (ICD+) or a recovery >35% (ICD ‐). Logistic regression was perfo...
Source: Pacing and Clinical Electrophysiology : PACE - April 24, 2021 Category: Cardiology Authors: Nicolas Clementy, Reda Bensaid, J érémie Bouteau, Joël Fedida, Yoann Kiavue, Pierre Socie, Romain Ackermann, Marc Goralski, Laurent Fauchier, Anne Bernard, Denis Angoulvant, Dominique Babuty Tags: ORIGINAL ‐ DEVICES Source Type: research

Impact of His bundle pacing on right ventricular performance in patients undergoing permanent pacemaker implantation
AbstractBackground: His ‐Bundle pacing (HBP) is an emerging technique for physiological pacing. However, its effects on right ventricle (RV) performance are still unknown.Methods: We enrolled consecutive patients with an indication for pacemaker (PM) implantation to compare HBP versus RV pacing (RVP) effects on RV performance. Patients were evaluated before implantation and after six months by a transthoracic echocardiogram.Results: A total of 84 patients (age 75.1 ±7.9 years, 64% male) were enrolled, 42 patients (50%) underwent successful HBP, and 42 patients (50%) apical RVP. At follow up, we found a significant...
Source: Pacing and Clinical Electrophysiology : PACE - April 23, 2021 Category: Cardiology Authors: Domenico Grieco, Edoardo Bressi, Karol Curila, Santosh K. Padala, Kamil Sedlacek, Jordana Kron, Elisa Fedele, Oana Ionita, Sara Giannuzzi, Alessandro Fagagnini, Germana Panattoni, Ermenegildo De Ruvo, Kenneth A. Ellenbogen, Leonardo Cal ò Tags: ORIGINAL ‐ DEVICES Source Type: research

Arrhythmias and Electrocardiographic findings in Coronavirus disease 2019: a systematic review and meta ‐analysis
Conclusion: Our meta ‐analysis showed that QTc prolongation, ST‐segment deviation, and various other cardiac arrhythmias were observed in patients hospitalized with COVID‐19. The presence of cardiac arrhythmias was associated with a worse prognosis.This article is protected by copyright. All rights reserved (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - April 23, 2021 Category: Cardiology Authors: Sebastian Garcia ‐Zamora, Sharen Lee, Sohaib Haseeb, George Bazoukis, Gary Tse, Jesus Alvarez‐Garcia, Enes Elvin Gul, Göksel Çinier, Bryce Alexander, Marcelo Martins Pinto‐Filho, Tong Liu, Adrian Baranchuk, The International Society of Tags: ORIGINAL ‐ ELECTROPHYSIOLOGY Source Type: research

Subcutaneous implantable cardioverter defibrillator: Can it overtake its transvenous counterpart
This article reviews the existing literature to determine whether S‐ICD can prove to be a safe alternative in comparison to Transvenous implantable cardioverter defibrillator (TV‐ICD) and in which pati ent population should S‐ICD be considered over TV‐ICD.This article is protected by copyright. All rights reserved (Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - April 20, 2021 Category: Cardiology Authors: Sugeevan Savarimuthu, Saswata Roy, Mohammed Obeidat, Amer Harky Tags: REVIEW Source Type: research

What is retrieved must dislocate first. Few consideration how to avoid leadless pacemaker escape ‐ a comment to a paper by Romeo E et al. Retrieval of a leadless transcatheter pacemaker from the right pulmonary artery: A case report. Pacing Clin Electrophysiol. 2020 Dec 6. https://doi.org/10.1111/pace.14135. Epub ahead of print. PMID: 33283282
(Source: Pacing and Clinical Electrophysiology : PACE)
Source: Pacing and Clinical Electrophysiology : PACE - April 15, 2021 Category: Cardiology Authors: Maciej Sterli ński, Marcin Demkow, Artur Oręziak, Łukasz Szumowski Tags: ORIGINAL ‐ ELECTROPHYSIOLOGY Source Type: research