EuropacePub Date : 2024-12-26DOI: 10.1093/europace/euae297
Nick S R Lan, Alicia Donovan, James Lambert, Lawrence Dembo, Amit Shah, Vimal Patel
{"title":"Analysis of unscheduled remote monitoring transmissions from patients with cardiac implantable electronic devices attending a heart failure service.","authors":"Nick S R Lan, Alicia Donovan, James Lambert, Lawrence Dembo, Amit Shah, Vimal Patel","doi":"10.1093/europace/euae297","DOIUrl":"10.1093/europace/euae297","url":null,"abstract":"","PeriodicalId":11981,"journal":{"name":"Europace","volume":" ","pages":""},"PeriodicalIF":7.9,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11683413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EuropacePub Date : 2024-12-26DOI: 10.1093/europace/euae302
{"title":"Correction to: Optimization of decrementing evoked potential mapping for functional substrate identification in ischaemic ventricular tachycardia ablation.","authors":"","doi":"10.1093/europace/euae302","DOIUrl":"10.1093/europace/euae302","url":null,"abstract":"","PeriodicalId":11981,"journal":{"name":"Europace","volume":"27 1","pages":""},"PeriodicalIF":7.9,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142946895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EuropacePub Date : 2024-12-26DOI: 10.1093/europace/euae299
Philippe Maury, Nathan Marimpouy, Maxime Beneyto
{"title":"What's the cardiac rhythm at the time of cardiac arrest? Disputed dogma or true fact?","authors":"Philippe Maury, Nathan Marimpouy, Maxime Beneyto","doi":"10.1093/europace/euae299","DOIUrl":"10.1093/europace/euae299","url":null,"abstract":"<p><p>It was widely accepted that malignant ventricular arrhythmias (VA) are the main direct initial cause for cardiac arrest and sudden cardiac death (SCD), but diverging data tended to demonstrate that asystole or pulseless activity were becoming the most prevalent cardiac rhythms at the time of cardiac arrest. We challenge here these conceptions and reinforce the persisting prominent role of VA in SCD.</p>","PeriodicalId":11981,"journal":{"name":"Europace","volume":" ","pages":""},"PeriodicalIF":7.9,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11719623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EuropacePub Date : 2024-12-26DOI: 10.1093/europace/euae303
{"title":"Correction to: Detailed analysis of electrogram peak frequency to guide ventricular tachycardia substrate mapping.","authors":"","doi":"10.1093/europace/euae303","DOIUrl":"10.1093/europace/euae303","url":null,"abstract":"","PeriodicalId":11981,"journal":{"name":"Europace","volume":"27 1","pages":""},"PeriodicalIF":7.9,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142946891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EuropacePub Date : 2024-12-26DOI: 10.1093/europace/euaf002
Hongjie Yang, Xiaoyan Shen, Huibo Wang, Wei Shuai
{"title":"Tumour necrosis factor alpha-induced protein 3-interacting protein 3 overexpression protects against arrhythmogenic remodelling in the heart failure mice.","authors":"Hongjie Yang, Xiaoyan Shen, Huibo Wang, Wei Shuai","doi":"10.1093/europace/euaf002","DOIUrl":"10.1093/europace/euaf002","url":null,"abstract":"<p><strong>Aims: </strong>Ventricular arrhythmias (VAs), which can lead to sudden cardiac death, are the primary cause of mortality in patients with heart failure (HF). However, the precise mechanisms underlying these arrhythmias are not well understood. Recent studies have implicated tumour necrosis factor alpha-induced protein 3-interacting protein 3 (TNIP3) in pathological cardiac hypertrophy. Nevertheless, its role in isoproterenol (ISO)-associated VAs remains elusive.</p><p><strong>Methods and results: </strong>We overexpressed TNIP3 in the myocardium using an adeno-associated virus 9 system, administered via tail vein injection. C57BL/6 mice received daily subcutaneous injections of ISO for two consecutive weeks to establish an HF model. We performed histopathology and electrophysiological studies to assess ventricular structural remodelling, electrical remodelling, and susceptibility to VAs. Additionally, RNA sequencing (RNA-Seq) and western blot analysis were conducted to elucidate the underlying mechanisms. The expression of TNIP3 was up-regulated following ISO treatment. TNIP3 overexpression significantly reversed ISO-induced cardiac dysfunction, fibrosis, electrical remodelling, and VAs susceptibility. Accordingly, RNA-Seq identifies that the inflammatory response takes an important role in ISO-induced Vas, and TNIP3 overexpression could alleviate ISO-induced cardiac proinflammatory response by promoting M1 to M2 macrophage polarization. Mechanistically, PI3K/Akt/NF-κB signalling is responsible for the protective effect of TNIP3 overexpression on ISO-induced HF. And PI3K/Akt signalling activation offset the protective effect of TNIP3 overexpression on ISO-induced cardiac inflammation and VAs.</p><p><strong>Conclusion: </strong>The findings of this study highlight the critical role of TNIP3 in ISO-associated cardiac remodelling and VAs, which are induced by the inhibited activation of the PI3K/Akt/NF-κB signalling pathway.</p>","PeriodicalId":11981,"journal":{"name":"Europace","volume":" ","pages":""},"PeriodicalIF":7.9,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11757166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142970222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EuropacePub Date : 2024-12-26DOI: 10.1093/europace/euae309
Carol Ann Remme, Katja E Odening
{"title":"Commemorating the 1924 Nobel Prize awarded to Willem Einthoven: a century of progress in electrocardiography and arrhythmia research.","authors":"Carol Ann Remme, Katja E Odening","doi":"10.1093/europace/euae309","DOIUrl":"10.1093/europace/euae309","url":null,"abstract":"","PeriodicalId":11981,"journal":{"name":"Europace","volume":" ","pages":""},"PeriodicalIF":7.9,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EuropacePub Date : 2024-12-26DOI: 10.1093/europace/euae308
Ari G Mandler, Christopher T Sciria, Edward V Kogan, Ilya Kim, Ilhwan Yeo, Matthew S Simon, Luke K Kim, James E Ip, Christopher F Liu, Steven M Markowitz, Bruce B Lerman, George Thomas, Jim W Cheung
{"title":"Impact of hospital lead extraction volume on management of cardiac implantable electronic device-associated infective endocarditis.","authors":"Ari G Mandler, Christopher T Sciria, Edward V Kogan, Ilya Kim, Ilhwan Yeo, Matthew S Simon, Luke K Kim, James E Ip, Christopher F Liu, Steven M Markowitz, Bruce B Lerman, George Thomas, Jim W Cheung","doi":"10.1093/europace/euae308","DOIUrl":"10.1093/europace/euae308","url":null,"abstract":"<p><strong>Aims: </strong>Utilization of transvenous lead extraction/removal (TLE) for the management of cardiac implantable electronic device (CIED)-associated infective endocarditis (IE) remains low. The aim of this study was to examine the impact of hospital TLE procedural volume on TLE utilization and outcomes for patients with CIED-associated IE.</p><p><strong>Methods and results: </strong>Using the Nationwide Readmissions Database, we evaluated 21 545 admissions for patients (mean age 70 years, 39% female) with CIEDs hospitalized with IE at TLE centres. Hospitals were categorized based on annual volume tertiles: (i) low-volume (1-17 TLEs/year), (ii) medium-volume (18-45 TLEs/year), and (iii) high-volume centres (>45 TLEs/year). Between 2016 and 2019, 57% of admissions in the study were to low-volume TLE centres. Transvenous lead extraction/removal was performed during 6.9, 19.3, and 26% of admissions for CIED-associated IE at low-, medium-, and high-volume TLE centres, respectively (P < 0.001). After adjustment for age and comorbidities, hospitalization for IE at high-volume centres was independently associated with TLE when compared with low-volume centres (adjusted odds ratio 4.26; 95% confidence interval 3.53-5.15). Transvenous lead extraction/removal-associated complication rates were similar at 2.5, 2.3, and 3.4% at low-, medium-, and high-volume centres, respectively (P = 0.493). Overall inpatient mortality during admissions to low-, medium-, and high-volume centres was also similar.</p><p><strong>Conclusion: </strong>Admissions to high-volume TLE centres were associated with higher utilization of TLE for management of CIED-associated IE. Transvenous lead extraction/removal-associated complications and mortality among patients hospitalized with CIED-associated IE were similar when stratified by hospital TLE volume, but this needs to be considered in context of significant differences in patient comorbidity burden between centres.</p>","PeriodicalId":11981,"journal":{"name":"Europace","volume":" ","pages":""},"PeriodicalIF":7.9,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EuropacePub Date : 2024-12-26DOI: 10.1093/europace/euae307
Sandra Howell, Alphonsus Lieuw, Christopher Aldo Rinaldi
{"title":"Impact of hospital lead extraction volume on management of cardiac implantable electronic device-associated infective endocarditis: does size really matter?","authors":"Sandra Howell, Alphonsus Lieuw, Christopher Aldo Rinaldi","doi":"10.1093/europace/euae307","DOIUrl":"10.1093/europace/euae307","url":null,"abstract":"","PeriodicalId":11981,"journal":{"name":"Europace","volume":" ","pages":""},"PeriodicalIF":7.9,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EuropacePub Date : 2024-12-26DOI: 10.1093/europace/euae304
Eva Schuijt, Daniel Scherr, Gernot Plank, Ulrich Schotten, Jordi Heijman
{"title":"Evolution in electrophysiology 100 years after Einthoven: translational and computational innovations in rhythm control of atrial fibrillation.","authors":"Eva Schuijt, Daniel Scherr, Gernot Plank, Ulrich Schotten, Jordi Heijman","doi":"10.1093/europace/euae304","DOIUrl":"10.1093/europace/euae304","url":null,"abstract":"<p><p>In 1924, the Dutch physiologist Willem Einthoven received the Nobel Prize in Physiology or Medicine for his discovery of the mechanism of the electrocardiogram (ECG). Anno 2024, the ECG is commonly used as a diagnostic tool in cardiology. In the paper 'Le Télécardiogramme', Einthoven described the first recording of the now most common cardiac arrhythmia: atrial fibrillation (AF). The treatment of AF includes rhythm control, aiming to alleviate symptoms and improve quality of life. Recent studies found that early rhythm control might additionally improve clinical outcomes. However, current therapeutic options have suboptimal efficacy and safety, highlighting a need for better rhythm-control strategies. In this review, we address the challenges related to antiarrhythmic drugs (AADs) and catheter ablation for rhythm control of AF, including significant recurrence rates and adverse side effects such as pro-arrhythmia. Furthermore, we discuss potential solutions to these challenges including novel tools, such as atrial-specific AADs and digital-twin-guided AF ablation. In particular, digital twins are a promising method to integrate a wide range of clinical data to address the heterogeneity in AF mechanisms. This may enable a more mechanism-based tailored approach that may overcome the limitations of previous precision medicine approaches based on individual biomarkers. However, several translational challenges need to be addressed before digital twins can be routinely applied in clinical practice, which we discuss at the end of this narrative review. Ultimately, the significant advances in the detection, understanding, and treatment of AF since its first ECG documentation are expected to help reduce the burden of this troublesome condition.</p>","PeriodicalId":11981,"journal":{"name":"Europace","volume":" ","pages":""},"PeriodicalIF":7.9,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EuropacePub Date : 2024-12-26DOI: 10.1093/europace/euae300
Tim De Coster, Arman Nobacht, Thom Oostendorp, Antoine A F de Vries, Ruben Coronel, Daniël A Pijnappels
{"title":"Monitoring and modulating cardiac bioelectricity: from Einthoven to end-user.","authors":"Tim De Coster, Arman Nobacht, Thom Oostendorp, Antoine A F de Vries, Ruben Coronel, Daniël A Pijnappels","doi":"10.1093/europace/euae300","DOIUrl":"10.1093/europace/euae300","url":null,"abstract":"<p><p>In 2024, we celebrate the 100th anniversary of Willem Einthoven receiving the Nobel Prize for his discovery of the mechanism of the electrocardiogram (ECG). Building on Einthoven's legacy, electrocardiography allows the monitoring of cardiac bioelectricity through solutions to the so-called forward and inverse problems. These solutions link local cardiac electrical signals with the morphology of the ECG, offering a reversible connection between the heart's electrical activity and its representation on the body surface. Inspired by Einthoven's work, researchers have explored the transition from monitoring to modulation of bioelectrical activity in the heart for the development of new anti-arrhythmic strategies, e.g. via optogenetics. In this review, we demonstrate the lasting influence that Einthoven has on our understanding of cardiac electrophysiology in general, and the diagnosis and treatment of cardiac arrhythmias in particular.</p>","PeriodicalId":11981,"journal":{"name":"Europace","volume":" ","pages":""},"PeriodicalIF":7.9,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11711590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}