Heart rhythm最新文献

{"title":"Battery longevity and its predictors in subcutaneous implantable cardioverter-defibrillators (S-ICDs): A mathematical analysis derived from a large dataset","authors":"Willeke van der Stuijt MD, PhD , Jeffrey L. Williams MD , Amy J. Brisben PhD , Al Koshiol BS , Nathan Carter MS , Mark S. Link MD , Samir F. Saba MD","doi":"10.1016/j.hrthm.2024.09.009","DOIUrl":"10.1016/j.hrthm.2024.09.009","url":null,"abstract":"","PeriodicalId":12886,"journal":{"name":"Heart rhythm","volume":"22 3","pages":"Pages 868-870"},"PeriodicalIF":5.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142284469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Atrial fibrillation in Black American patients: A review of genetics, risk factors, and outcomes","authors":"Aseel Houmsse MS ,&nbsp;Nipun Malhotra MSc ,&nbsp;Sakima A. Smith MD ,&nbsp;Mona El Refaey PhD","doi":"10.1016/j.hrthm.2024.10.074","DOIUrl":"10.1016/j.hrthm.2024.10.074","url":null,"abstract":"<div><div>Atrial fibrillation (AF), the most common arrhythmia in the United States, affects 6 million Americans, with numbers projected to increase to 12 million by 2030. A racial paradox difference in the incidence and prevalence of AF exists between Black and White Americans. Black Americans are less prone than White Americans to development of AF, but they display a higher burden of modifiable risk factors for cardiovascular disease and higher rates of ischemic stroke. Data pertaining to the American Heart Association Life’s Simple 7 (LS7) health metrics show that Black Americans have suboptimal LS7 scores compared with White Americans on average despite lower genetic predisposition to AF. This trend suggests the impact of cardiovascular health on the development and progression of AF. Social, genetic, and lifestyle risk factors have been shown to play a role in the racial paradox and AF outcomes in Black Americans. This review summarizes factors contributing to the racial paradox and discusses suggestions for improved health outcomes in Black Americans with AF.</div></div>","PeriodicalId":12886,"journal":{"name":"Heart rhythm","volume":"22 3","pages":"Pages 617-626"},"PeriodicalIF":5.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142618782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Remarkable Reviewers","authors":"","doi":"10.1016/S1547-5271(25)00043-8","DOIUrl":"10.1016/S1547-5271(25)00043-8","url":null,"abstract":"","PeriodicalId":12886,"journal":{"name":"Heart rhythm","volume":"22 3","pages":"Page 599"},"PeriodicalIF":5.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety and feasibility of cardiac electrophysiology procedures in ambulatory surgery centers","authors":"Arash Aryana MD, PhD, FHRS ,&nbsp;Sudarone Thihalolipavan MD ,&nbsp;Mark E. Willcox MD ,&nbsp;Somya Swarup BS ,&nbsp;Jason Zagrodzky MD, FHRS ,&nbsp;H. James Wang MD, FHRS ,&nbsp;Florentino A. Lupercio MD, FHRS ,&nbsp;David N. Kenigsberg MD, FHRS ,&nbsp;Sophia Kenigsberg ,&nbsp;Rhea A. Mahapatra ,&nbsp;Padraig Gearoid O’Neill MD, FHRS ,&nbsp;Steven J. Compton MD, FHRS ,&nbsp;Andrea Natale MD, FHRS ,&nbsp;Kenneth A. Ellenbogen MD, FHRS ,&nbsp;Vijendra Swarup MD, FHRS","doi":"10.1016/j.hrthm.2024.07.123","DOIUrl":"10.1016/j.hrthm.2024.07.123","url":null,"abstract":"<div><h3>Background</h3><div>Despite their improved safety, by and large, cardiac electrophysiology procedures including catheter ablation (CA), are presently performed in hospital outpatient departments.</div></div><div><h3>Objective</h3><div>This large multicenter study investigated the safety and outcomes associated with various cardiac electrophysiology procedures performed at 6 ambulatory surgery centers (ASCs), primarily during the coronavirus disease 2019 pandemic under the Center for Medicare and Medicaid Services Hospitals Without Walls program.</div></div><div><h3>Methods</h3><div>We retrospectively analyzed the outcomes from consecutive electrophysiology procedures performed in ASCs with same-day discharge, including transesophageal echocardiography, cardioversion, cardiac implantable electronic device (CIED) implantation, electrophysiology studies, and CA for atrial fibrillation (AF), atrial flutter (AFL)/supraventricular tachycardia, ventricular premature complexes (VPCs), and atrioventricular node.</div></div><div><h3>Results</h3><div>Altogether, 4037 procedures were performed, including 779 transesophageal echocardiography/cardioversion procedures (19.3%), 1453 CIED implantation procedures (36.0%), 26 electrophysiology studies (0.6%), and 1779 CA procedures (44.1%) for AF (75.4%), AFL/supraventricular tachycardia (18.8%), VPC (4.7%), and atrioventricular node (1.1%). Overall, 80.2% of CA procedures were for left-sided atrial arrhythmias (AF/atypical AFL) requiring transseptal catheterization. Left-sided VPC ablation procedures (42.2%) were performed using a transseptal/retrograde approach. Adverse event rates were low, but comparable between CIED implantation and CA (0.76% vs 0.73%; <em>P</em> = .93), as were the incidences of urgent/unplanned postprocedure hospitalization (0.48% vs 0.45%; <em>P</em> = .89), respectively. Moreover, the adverse event rates in ASCs vs hospital outpatient departments did not differ for CIED (0.76% vs 0.65%; <em>P</em> = .71) or CA (0.73% vs 0.80%; <em>P</em> = .79).</div></div><div><h3>Conclusion</h3><div>The results from this large multicenter study suggest that ASCs represent a safe and effective setting to perform a variety of cardiac electrophysiology procedures including CA. These findings bear important implications for healthcare delivery and policy.</div></div>","PeriodicalId":12886,"journal":{"name":"Heart rhythm","volume":"22 3","pages":"Pages 717-724"},"PeriodicalIF":5.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141901466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What stands in the way becomes the way: Catheter ablation of VT in severe heart failure","authors":"Pasquale Santangeli MD, PhD ,&nbsp;Francis E. Marchlinski MD, FHRS","doi":"10.1016/j.hrthm.2024.11.009","DOIUrl":"10.1016/j.hrthm.2024.11.009","url":null,"abstract":"","PeriodicalId":12886,"journal":{"name":"Heart rhythm","volume":"22 3","pages":"Pages 710-711"},"PeriodicalIF":5.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142618819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Allergy therapy for patients with a cardiac channelopathy: Do not withhold lifesaving treatments","authors":"Andrew S. Tseng MD, MPH ,&nbsp;John R. Giudicessi MD, PhD ,&nbsp;Michael J. Ackerman MD, PhD","doi":"10.1016/j.hrthm.2024.07.114","DOIUrl":"10.1016/j.hrthm.2024.07.114","url":null,"abstract":"","PeriodicalId":12886,"journal":{"name":"Heart rhythm","volume":"22 3","pages":"Pages 852-853"},"PeriodicalIF":5.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141874647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of left bundle branch area pacing as the primary cardiac resynchronization strategy vs biventricular pacing on resource utilization and clinical outcomes in a community hospital","authors":"Freddy Del-Carpio Munoz MD, MSc, FHRS ,&nbsp;Siva Mulpuru MD, MPH, FHRS ,&nbsp;Erin Luethe ,&nbsp;Caitlin Carpenter ,&nbsp;Charles Cagin MD ,&nbsp;Kyle Liu ,&nbsp;Jingjing Chen MD ,&nbsp;Yong-Mei Cha MD, FHRS ,&nbsp;Paul Friedman MD, FHRS ,&nbsp;Xiaoke Liu MD, PhD","doi":"10.1016/j.hrthm.2024.07.112","DOIUrl":"10.1016/j.hrthm.2024.07.112","url":null,"abstract":"","PeriodicalId":12886,"journal":{"name":"Heart rhythm","volume":"22 3","pages":"Pages 854-855"},"PeriodicalIF":5.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141878570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conduction system pacing associated with reduced heart failure hospitalizations and all-cause mortality compared with traditional right ventricular pacing in the Medicare population","authors":"Pugazhendhi Vijayaraman MD, FHRS ,&nbsp;Colleen Longacre PhD, MPH ,&nbsp;Jordana Kron MD ,&nbsp;Faiz Subzposh MD ,&nbsp;Patrick Zimmerman PhD ,&nbsp;Kiah Butler PhD ,&nbsp;George H. Crossley MD ,&nbsp;Kenneth A. Ellenbogen MD, FHRS","doi":"10.1016/j.hrthm.2024.08.052","DOIUrl":"10.1016/j.hrthm.2024.08.052","url":null,"abstract":"<div><h3>Background</h3><div>Conduction system pacing (CSP) has emerged as an alternative therapy to traditional right ventricular (RV) pacing. However, most CSP studies reflect small cohorts or single-center experience.</div></div><div><h3>Objective</h3><div>This analysis compared CSP with dual-chamber (DC) RV pacing in a large, population-based cohort using data from the Micra Coverage with Evidence Development study.</div></div><div><h3>Methods</h3><div>Medicare administrative claims data were used to identify patients implanted with a DC RV pacemaker. Lead placement data from Medtronic’s device registration system identified patients treated with CSP (n = 6197) using a 3830 catheter–delivered lead or DC RV (non–3830 lead, non–CSP placement; n = 16,989) at the same centers. CSP patients were stratified into left bundle branch area pacing (LBBAP; n = 4738) and His bundle pacing (HBP; n = 1459). Incident heart failure hospitalizations, all-cause mortality, complication rates, and reinterventions at 6 months were analyzed.</div></div><div><h3>Results</h3><div>CSP patients with a 3830 catheter–delivered lead experienced significantly lower rates of incident heart failure hospitalization (hazard ratio [HR], 0.70; <em>P</em> = .02) and all-cause mortality at 6 months compared with DC RV patients (HR, 0.66; <em>P</em> &lt; .0001). There was no difference in chronic complications (HR, 0.97; <em>P</em> = .62) or need for reintervention (HR, 0.95; <em>P</em> = .63) with CSP compared with DC RV, although LBBAP patients experienced significantly lower rates of complications (HR, 0.71; <em>P</em> = .001) compared with HBP.</div></div><div><h3>Conclusion</h3><div>DC pacemaker patients treated with CSP using a 3830 catheter–delivered lead experienced significant all-cause mortality and heart failure hospitalization benefits compared with DC RV pacing. LBBAP had lower complications compared with HBP. These real-world results align with findings in small clinical studies demonstrating the benefits of CSP.</div></div>","PeriodicalId":12886,"journal":{"name":"Heart rhythm","volume":"22 3","pages":"Pages 735-743"},"PeriodicalIF":5.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142125514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Heart transplantation for pediatric patients with malignant arrhythmias: Indications and outcomes","authors":"Joseph Atallah MD CM, SM ,&nbsp;Simon Urschel MD ,&nbsp;James K. Kirklin MD ,&nbsp;Ryan Cantor PhD ,&nbsp;Hong Zhao PhD ,&nbsp;Jillian Motiuk MN ,&nbsp;Timothy M. Hoffman MD ,&nbsp;Molly Weisert MD ,&nbsp;Irene D. Lytrivi MD ,&nbsp;Nikki M. Singh MD ,&nbsp;Estela Azeka MD, PhD ,&nbsp;Carol A. Wittlieb-Weber MD","doi":"10.1016/j.hrthm.2024.09.066","DOIUrl":"10.1016/j.hrthm.2024.09.066","url":null,"abstract":"<div><h3>Background</h3><div>Arrhythmias can lead to cardiac arrest and heart failure. When intractable, heart transplantation (HTX) can become the only viable treatment. This rare high-risk cohort has not been reported as a distinct group.</div></div><div><h3>Objective</h3><div>The purpose of this study was to characterize the outcomes of pediatric patients listed for HTX with the primary indication being malignant arrhythmia (MA).</div></div><div><h3>Methods</h3><div>Using the Pediatric Heart Transplant Society prospective registry, we identified all patients younger than 18 years listed between 2014 and 2022. MA as the listing indication was categorized into primary tachyarrhythmia (PT), inherited arrhythmia (IA), congenital heart disease, and cardiomyopathy (CM) with secondary arrhythmia. Demographic, listing, and transplant data were analyzed.</div></div><div><h3>Results</h3><div>Among 4630 patients listed and 3317 transplanted, MA was the indication in 63 (1.4%) and 49 (1.5%), respectively. Patients with MA were categorized as PT in 11 (17%), IA in 4 (6%), congenital heart disease in 6 (10%), and CM in 42 (67%). Compared with the non-MA cohort, patients listed for MA were older (mean age 10.6 ± 6.2 years vs 6.1 ± 6.2 years; <em>P</em> &lt; .01), more likely to present with cardiac arrest (43% vs 11%; <em>P</em> &lt; .01), and less likely to be in the intensive care unit (40% vs 58%; <em>P</em> &lt; .01) or on inotropes (30% vs 60%; <em>P</em> &lt; .01) at the time of listing. Outcomes including waitlist mortality, transplantation, posttransplant survival, and freedom from rejection were comparable to those of the non-MA cohort.</div></div><div><h3>Conclusion</h3><div>Patients with MA constitute a small proportion of those listed for HTX in childhood. CM was the most common category, while IA and PT were rare. Their waitlist mortality and posttransplant outcomes were comparable to those of the non-MA cohort.</div></div>","PeriodicalId":12886,"journal":{"name":"Heart rhythm","volume":"22 3","pages":"Pages 703-709"},"PeriodicalIF":5.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiac defibrillation in humans","authors":"Douglas P. Zipes MD, FHRS","doi":"10.1016/j.hrthm.2024.08.065","DOIUrl":"10.1016/j.hrthm.2024.08.065","url":null,"abstract":"","PeriodicalId":12886,"journal":{"name":"Heart rhythm","volume":"22 3","pages":"Pages 600-601"},"PeriodicalIF":5.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}