Selection of Non-vitamin K Antagonist Oral Anticoagulant for Stroke Prevention in Atrial Fibrillation Based on Patient Profile: Perspectives from Vietnamese Experts. Part 1
AF, the most common arrhythmia, affects approximately 60 million people worldwide and contributes to over 8 million disability-adjusted life years.1 Based on published data from Asia, the prevalence of AF is in the range 0.49 –1.9% across different regions.2 Due to an ageing population, the incidence and p... (Source: Radcliffe Cardiology)
Source: Radcliffe Cardiology - December 15, 2023 Category: Cardiology Authors: dbarot525787 Source Type: research

Transseptal Access After Interatrial Shunt Devices: Try Everything Once and Great Things Twice
Introduction: Heart failure with preserved ejection fraction (HFpEF) and AF are both common cardiovascular conditions and frequently coexist. Recent approaches to unload the left atrium with interatrial shunt devices (IASD) are on the rise while, over the past 20 years, endovascular left atrial appendage closure (LAAC) requiring transvenous left atrial access through interatrial se... (Source: Radcliffe Cardiology)
Source: Radcliffe Cardiology - December 13, 2023 Category: Cardiology Authors: dbarot525787 Source Type: research

End-expiratory Versus Averaged Pulmonary Artery Wedge Pressure Measurements for the Diagnosis of Exercise-induced HFpEF
Introduction: Exercise right heart catheterization (RHC) is useful in the evaluation of unexplained dyspnea, particularly in diagnosing exercise-induced heart failure with preserved ejection fraction (HFpEF). Two diagnostic criteria are commonly utilized for supine exercise: pulmonary artery wedge pressure (PAWP) at peak exercise ≥25 mmHg, and multi-point s... (Source: Radcliffe Cardiology)
Source: Radcliffe Cardiology - December 13, 2023 Category: Cardiology Authors: dbarot525787 Source Type: research

A Case of Pericardial Disease Masquerading as Heart Failure with Preserved Ejection Fraction
We present a case of idiopathic pericardial disease mimicking HFpEF.... (Source: Radcliffe Cardiology)
Source: Radcliffe Cardiology - December 13, 2023 Category: Cardiology Authors: dbarot525787 Source Type: research

Impact of Left Ventricular Ejection Fraction on the Correlation between Congestion Biomarkers and Blood Volume Measurements in Heart Failure
Introduction: Assessment of congestion in heart failure (HF) is challenging. Different biomarkers of congestion have been used in clinical practice, but their correlations with blood volume analysis (BVA) measurements are not well characterized. Furthermore, whether the association differs across left ventricular ejection fraction (LVEF... (Source: Radcliffe Cardiology)
Source: Radcliffe Cardiology - December 13, 2023 Category: Cardiology Authors: dbarot525787 Source Type: research

Looking Beyond the Usual Suspects: A Rare Case of Stiff Left Atrial Syndrome after Radiotherapy for Breast Cancer
Background: The most widely known risk factors for stiff left atrial syndrome are catheter ablations and maze procedures for atrial fibrillation. Here, we describe a rare case of a stiff left atrial syndrome years after radiotherapy for breast cancer. Figure 1 ... (Source: Radcliffe Cardiology)
Source: Radcliffe Cardiology - December 13, 2023 Category: Cardiology Authors: dbarot525787 Source Type: research

Non-invasive Vagus Nerve Simulation in Postural Orthostatic Tachycardia Syndrome
Postural orthostatic tachycardia syndrome (POTS) is characterised by persistent symptoms ( ≥6 months) of orthostatic intolerance associated with an inappropriate increase in heart rate (HR; ≥30 BPM in adults and ≥40 BPM in children and adolescents) without any orthostatic hypotension (blood pressure fall>20/10  mmHg) on assuming an upright posture.1 Other than symptoms of increased HR (palpita... (Source: Radcliffe Cardiology)
Source: Radcliffe Cardiology - December 13, 2023 Category: Cardiology Authors: dbarot525787 Source Type: research

Shortened Duration of Dual Antiplatelet Therapy Following Percutaneous Coronary Intervention: A Contemporary Clinical Review
Dual antiplatelet therapy (DAPT) consisting of aspirin combined with a P2Y12 receptor inhibitor has been the standard of care for several decades in patients undergoing percutaneous coronary intervention (PCI) with implantation of coronary stents. According to current guidelines from the American College of Cardiology and American Heart Association (AC... (Source: Radcliffe Cardiology)
Source: Radcliffe Cardiology - December 11, 2023 Category: Cardiology Authors: dbarot525787 Source Type: research

Very-high-power Short-duration Ablation versus Conventional Ablation for Pulmonary Vein Isolation in Atrial Fibrillation: Systematic Review and Meta-analysis
AF is the most common sustained arrhythmia, and catheter ablation of AF is one of the most common cardiac electrophysiological procedures.1 Despite recent advances in catheter ablation procedures, the recurrence rate of AF has remained considerably high. With the advent of techniques and devices such as contact force an... (Source: Radcliffe Cardiology)
Source: Radcliffe Cardiology - December 7, 2023 Category: Cardiology Authors: dbarot525787 Source Type: research

Latest Developments in Robotic Percutaneous Coronary Interventions
Robotic-assisted percutaneous coronary intervention (R-PCI) was first successfully performed in 2004, with the first commercially available robotic platform gaining Food and Drug Administration (FDA) approval in 2016.1,2 The shift from a high-radiation exposure bedside procedure requiring manual skills to manipulate intracoronary equipment to a zero-radiation procedure with mechanical robotic control of intra... (Source: Radcliffe Cardiology)
Source: Radcliffe Cardiology - December 6, 2023 Category: Cardiology Authors: dbarot525787 Source Type: research

The Emerging Role of Left Bundle Branch Area Pacing for Cardiac Resynchronisation Therapy
Cardiac resynchronisation therapy (CRT) is a well-established treatment strategy in patients with persistent heart failure (HF)-related symptoms (defined as New York Heart Association class II –IV), despite optimal medical therapy, and a left ventricular ejection fraction (LVEF) ≤35% in patients with left bundle branch block (LBBB) or ≤40% in patients with an expected right ventricular (... (Source: Radcliffe Cardiology)
Source: Radcliffe Cardiology - December 1, 2023 Category: Cardiology Authors: dbarot525787 Source Type: research

Open Window Mapping of Accessory Pathways: A Literature Review and Practical Guide
Accessory pathways (APs) are fibrous connections of myocardial tissue found between the atria and ventricles that allow direct electrical communication between the two chambers. These pathways may permit atrioventricular reciprocating tachycardia (AVRT) or, in some cases, rapidly conducted AF, which can be life threatening due to the potential degeneration to VF.1 –3 Most commonly, APs are foun... (Source: Radcliffe Cardiology)
Source: Radcliffe Cardiology - December 1, 2023 Category: Cardiology Authors: dbarot525787 Source Type: research

Validation of the MIRACLE2 Score for Prognostication After Out-of-hospital Cardiac Arrest
Validation of the MIRACLE2 Score for Prognostication After Out-of-hospital Cardiac Arrest Out-of-hospital cardiac arrest (OHCA) poses a significant challenge, being a major cause of mortality and ongoing morbidity. In the UK,>30,000 resuscitation attempts occur annually, with the majority recognised as primarily cardiac in origin.1,2 There is international consensus that optimal management involves transport to the nearest heart attack centre (HAC) for prompt investigat... (Source: Radcliffe Cardiology)
Source: Radcliffe Cardiology - November 29, 2023 Category: Cardiology Authors: dbarot525787 Source Type: research

Peripartum Cardiogenic Shock and Mechanical Circulatory Support
Women in the US are more likely to die from pregnancy- or childbirth-related causes than women in any other high-income country.1 The Centers for Disease Control and Prevention (CDC) define a pregnancy-related death as: “The death of a woman during pregnancy or within one year of the end of pregnancy from a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condit... (Source: Radcliffe Cardiology)
Source: Radcliffe Cardiology - November 29, 2023 Category: Cardiology Authors: dbarot525787 Source Type: research

Fat Embolisation in Managing an Iatrogenic Expanding Femoral Artery Pseudoaneurysm
We report a novel case of rapid FA... (Source: Radcliffe Cardiology)
Source: Radcliffe Cardiology - November 28, 2023 Category: Cardiology Authors: dbarot525787 Source Type: research