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Source: Heart Rhythm
Condition: Atrial Fibrillation

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Total 356 results found since Jan 2013.

Seeing is Believing: The Importance of Continuous Monitoring to Unmask the Real-World Atrial Fibrillation Recurrence after Ablation
Atrial fibrillation (AF) is a common arrhythmia encountered in clinical practice that contribute to hemodynamic abnormalities, thromboembolic events and hospitalizations.1 The prevalence of AF is around 1% in the general population, substantially increases with age and is estimated to reach 4% in 2050.2, 3 Compared with patients without AF, patients with AF has an increased risk of dementia (hazard ratio [HR]=1.56), myocardial infarction (HR=1.62), sudden cardiac death (HR=1.83), mortality (HR=2.61), heart failure (HR=3.31) and ischemic stroke (HR=3.34).
Source: Heart Rhythm - July 28, 2018 Category: Cardiology Authors: Ting-Yung Chang, Chin-Yu Lin, Shih-Ann Chen Source Type: research

Accessory Pulmonary Vein Insertion into the Left Atrial Appendage Revealed During Intended Interventional LAA Occlusion
A 64-year-old male with paroxysmal atrial fibrillation and a recent stroke presented with internal carotid artery re-stenosis after prior angioplasty. Cardiovascular risk factors included arterial hypertension, hyperlipidemia, obesity, positive family history, heart failure, and active smoking. Due to high risk of cerebral ischemia as well as periinterventional bleeding complications, the patient was scheduled for interventional left atrial appendage (LAA) closure prior to carotid artery surgery.
Source: Heart Rhythm - July 30, 2018 Category: Cardiology Authors: Octavian Maniuc, Jonas M üntze, Maria Moritz, Peter Nordbeck Source Type: research

Silent cerebral embolism in cryoballoon ablation of atrial fibrillation: When details matter
Although the clinically manifest stroke rate related to pulmonary vein isolation (PVI) is rare and currently
Source: Heart Rhythm - July 23, 2018 Category: Cardiology Authors: Jacopo Marazzato, Roberto De Ponti Tags: Editorial Commentary Source Type: research

Net Clinical Benefit of Anticoagulant Treatments in Elderly Patients with Non-Valvular Atrial Fibrillation: Experience From the Real World
Oral anticoagulation (OAC) is effective in stroke prevention in elderly patients with non-valvular atrial fibrillation (AF), but older patients are also at greater risk of bleeding.
Source: Heart Rhythm - August 17, 2018 Category: Cardiology Authors: Hilmi Alnsasra, Moti Haim, Adi Berliner Senderey, Orna Reges, Maya Leventer-Roberts, Yoav Arnson, Morton Leibowitz, Moshe Hoshen, Meytal Avgil-Tsadok Source Type: research

Defibrillation testing and clinical outcomes after implantable cardioverter –defibrillator implantation in patients in atrial fibrillation at the time of implant: An analysis from the SIMPLE trial
The Shockless IMPLant Evaluation (SIMPLE) trial showed that defibrillation testing (DT) at the time of implantable cardioverter –defibrillator (ICD) implant did not improve shock efficacy or reduce mortality. There are no data regarding the risk of complications, including stroke, among patients with atrial fibrillation (AF) who undergo DT.
Source: Heart Rhythm - July 28, 2018 Category: Cardiology Authors: Stefan Bogdan, Michael Glikson, Stuart J. Connolly, Jia Wang, Stefan H. Hohnloser, Ursula Appl, Jorg Neuzener, Philippe Mabo, Xavier Vinolas, Frederick Gadler, Lieselot van Erven, Josef Kautzner, Brandi Meeks, Janice Pogue, Jeff S. Healey Source Type: research

Net clinical benefit of anticoagulant treatments in elderly patients with nonvalvular atrial fibrillation: Experience from the real world
Oral anticoagulation (OAC) is effective in stroke prevention in elderly patients with nonvalvular atrial fibrillation (AF), but older patients are also at higher risk of bleeding.
Source: Heart Rhythm - August 17, 2018 Category: Cardiology Authors: Hilmi Alnsasra, Moti Haim, Adi Berliner Senderey, Orna Reges, Maya Leventer-Roberts, Yoav Arnson, Morton Leibowitz, Moshe Hoshen, Meytal Avgil-Tsadok Source Type: research

Anti-coagulation in Elderly Patients with Non-Valvular Atrial Fibrillation: A Balancing Act
Atrial fibrillation(AF) is a major global health burden due to its rising prevalence and associated complications such as stroke and mortality1. Approximately 33 million people were estimated to have AF in the 2010 Global Burden of Disease study but this number is projected to increase exponentially due to the ageing population1
Source: Heart Rhythm - September 18, 2018 Category: Cardiology Authors: Ameenathul Fawzy, Gregory Y.H. Lip Source Type: research

Botulinum Toxin Injection in the Autonomic Ganglion Plexi to Prevent Post-operative Atrial Fibrillation: More than a Cosmetic Treatment
Postoperative atrial fibrillation (POAF) frequently complicates cardiac surgery, and is associated with prolonged hospitalization, increased risk of development of AF during follow-up, stroke and mortality. Several comorbidities predispose to POAF, among which inflammation and oxidative stress, but also structural atrial remodeling is associated with an increased POAF risk(1). One potential pathway that caught attention recently is the autonomic dysbalance during cardiac surgery in relation to the occurrence of POAF.
Source: Heart Rhythm - September 18, 2018 Category: Cardiology Authors: Joris R. de Groot Source Type: research

Anticoagulation in elderly patients with nonvalvular atrial fibrillation: A balancing act
Atrial fibrillation (AF) is a major global health burden because of its rising prevalence and associated complications such as stroke and mortality.1 In the 2010 Global Burden of Disease study, approximately 33 million people were estimated to have AF, but this number is projected to increase exponentially due to the ageing population1
Source: Heart Rhythm - September 18, 2018 Category: Cardiology Authors: Ameenathul Fawzy, Gregory Y.H. Lip Tags: Editorial Commentary Source Type: research

Botulinum toxin injection in the autonomic ganglion plexi to prevent postoperative atrial fibrillation: More than a cosmetic treatment
Postoperative atrial fibrillation (POAF) frequently complicates cardiac surgery and is associated with prolonged hospitalization, increased risk of development of atrial fibrillation (AF) during follow-up, stroke, and mortality. Several comorbidities predispose to POAF, including inflammation and oxidative stress but also structural atrial remodeling, are associated with an increased risk of POAF.1 One potential pathway that received attention recently is autonomic dysbalance during cardiac surgery in relation to the occurrence of POAF.
Source: Heart Rhythm - September 18, 2018 Category: Cardiology Authors: Joris R. de Groot Tags: Editorial Commentary Source Type: research

Impact of dense ‘Smoke’ detected on Transesophageal Echocardiography on stroke-risk in patients with atrial fibrillation undergoing catheter ablation
Spontaneous echocardiographic contrast ( ‘Smoke’) within the left atrial cavity on transesophageal echocardiography (TEE) suggests low blood flow velocities in the heart that may consequently lead to thromboembolic (TE) events.
Source: Heart Rhythm - October 9, 2018 Category: Cardiology Authors: Ömer Gedikli, Sanghamitra Mohanty, Chintan Trivedi, Carola Gianni, Qiong Chen, Domenico Giovanni Della Rocca, J. David Burkhardt, Javier E. Sanchez, Patrick Hranitzky, G. Joseph Gallinghouse, Amin Al-Ahmad, Rodney Horton, Luigi Di Biase, Andrea Natale Source Type: research

Impact of dense “smoke” detected on transesophageal echocardiography on stroke risk in patients with atrial fibrillation undergoing catheter ablation
Spontaneous echocardiographic contrast ( ”smoke”) within the left atrial cavity on transesophageal echocardiography (TEE) suggests low blood flow velocities in the heart that may lead to thromboembolic (TE) events.
Source: Heart Rhythm - October 9, 2018 Category: Cardiology Authors: Ömer Gedikli, Sanghamitra Mohanty, Chintan Trivedi, Carola Gianni, Qiong Chen, Domenico Giovanni Della Rocca, J. David Burkhardt, Javier E. Sanchez, Patrick Hranitzky, G. Joseph Gallinghouse, Amin Al-Ahmad, Rodney Horton, Luigi Di Biase, Andrea Natale Source Type: research

Harmonized Outcome Measures for Use in Atrial Fibrillation Patient Registries and Clinical Practice
Atrial fibrillation (AF) affects an estimated 33 million people worldwide, leading to increased mortality and an increased risk of heart failure and stroke. Many AF patient registries exist, but the ability to link and compare data across registries is hindered by differences in the outcome measures collected by each registry and a lack of harmonization.
Source: Heart Rhythm - November 15, 2018 Category: Cardiology Authors: Hugh Calkins, Richard E. Gliklich, Michelle B. Leavy, Jonathan P. Piccini, Jonathan C. Hsu, Sanghamitra Mohanty, William Lewis, Saman Nazarian, Mintu P. Turakhia Source Type: research

EP News: Clinical
Sindet-Pedersen et  al (J Am Coll Cardiol 2018;72:1790, PMID 30286922) investigated the risk of bleeding, ischemic stroke, myocardial infarction (MI), and all-cause mortality associated with direct oral anticoagulants (DOACs) compared with vitamin K antagonists (VKAs) in combination with aspirin, clopidogrel, or both in patients with atrial fibrillation (AF) after MI and/or percutaneous coronary intervention (PCI). Overall, 3222 patients were included in the retrospective registry analysis; 875 (27%) were treated with VKA+single antiplatelet therapy (SAPT), 595 (18%) were treated with DOAC+SAPT, 1074 (33%) were treated wi...
Source: Heart Rhythm - November 23, 2018 Category: Cardiology Authors: N.A. Mark Estes Tags: EP News Source Type: research

Electrical isolation of the left atrial appendage increases the risk of ischemic stroke and transient ischemic attack regardless of postisolation flow velocity
Electrical isolation of the left atrial appendage (LAA) is associated with a lower rate of atrial fibrillation (AF) recurrence in patients undergoing radiofrequency catheter ablation. However, LAA isolation can significantly impair LAA contractility.
Source: Heart Rhythm - November 28, 2018 Category: Cardiology Authors: Yun Gi Kim, Jaemin Shim, Suk-Kyu Oh, Kwang-No Lee, Jong-Il Choi, Young-Hoon Kim Tags: Featured Article Source Type: research