Heart rhythm最新文献

{"title":"High density mapping of upper-loop macro-reentry surrounding the superior vena cava: substrate evolved ablation strategy.","authors":"Nan Wu, Wenjie Liu, Jinlin Zhang, Li Luo, Hongwu Chen, Liangrong Zheng, Gang Yang, Xia Sheng, Yunfan Wang, Liang Zhao, Weizhu Ju, Mingfang Li, Kai Gu, Zidun Wang, Xiaohong Jiang, Hailei Liu, Minglong Chen","doi":"10.1016/j.hrthm.2025.03.1995","DOIUrl":"https://doi.org/10.1016/j.hrthm.2025.03.1995","url":null,"abstract":"<p><strong>Background: </strong>The circuit of scar-related upper-loop macro-reentry surrounding the superior vena cava (SVC-AFL) has been described by prior case reports. However, the correlation between the circuit and arrhythmogenic substrates, and the corresponding optimized ablation strategy need to be further investigated.</p><p><strong>Objective: </strong>We aimed to identify the electrophysiological substrate and corresponding ablation strategies of SVC-AFL using high-resolution mapping.</p><p><strong>Methods: </strong>From June 1, 2017 to May 1, 2023, consecutive patients with macro-reentrant atrial tachycardias (ATs) from 7 institutions were retrospectively evaluated. Patients with SVC-AFL were enrolled and analyzed.</p><p><strong>Results: </strong>Among 1282 patients with macro-reentrant ATs, 16 patients (1.2%, median age 60.9 years, 8 male) had SVC-AFL (mean cycle length, 281.0±55.1 ms), all identified during high-resolution activation mapping. All patients had prior cardiac surgery (14, 87.5%) or catheter ablation (8, 50.0%). A longitudinal surgical-incision/scar extending from the SVC to the right atrium (RA) was observed in all patients, enabling macro-reentry. SVC-AFLs with shorter circuits (<180 mm) had more slow conduction areas than those with longer circuits (>180 mm) [3.0 (2.0, 4.0) vs. 1.0 (1.0, 1.5), P=0.023]. All ATs were terminated by ablating the channel between the surgical-incision/scar and anatomical barriers. Cavotricuspid isthmus (CTI) block was achieved in all patients. During a 21-month follow-up, all patients were free of atrial arrhythmias except for 4 patients experiencing short-lived paroxysmal ATs that did not require further ablation.</p><p><strong>Conclusion: </strong>A surgical-incision/scar extending from the SVC to RA promotes the development of SVC-AFL. Substrate-based linear lesions, along with prophylactic CTI ablation, afford favorable clinical outcomes.</p>","PeriodicalId":12886,"journal":{"name":"Heart rhythm","volume":" ","pages":""},"PeriodicalIF":5.6,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788154","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":"Significant Tricuspid Regurgitation After Cardiovascular Implantable Electronic Device Implantation and the Impact on Long-term Prognosis.","authors":"Dan-Ying Lee, Tze-Fan Chao, Ta-Chuan Tuan, Chih-Min Liu, Jo-Nan Liao, Shih-Ann Chen","doi":"10.1016/j.hrthm.2025.03.1994","DOIUrl":"https://doi.org/10.1016/j.hrthm.2025.03.1994","url":null,"abstract":"","PeriodicalId":12886,"journal":{"name":"Heart rhythm","volume":" ","pages":""},"PeriodicalIF":5.6,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788160","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":"CE-499648-002 STAR VT RANDOMIZED TRIAL COMPARING STEREOTACTIC ABLATIVE RADIOSURGERY FOR RECURRENT VT WITH REPEATED RADIOFREQUENCY ABLATION IN PATIENTS WITH STRUCTURAL HEART DISEASE","authors":"Jana Haskova,&nbsp;Dan Wichterle,&nbsp;Petr Peichl,&nbsp;Lukas Knybel,&nbsp;Radek Neuwirth,&nbsp;Otakar Jiravsky,&nbsp;Marek Sramko,&nbsp;Jakub Cvek,&nbsp;Josef Kautzner","doi":"10.1016/j.hrthm.2025.03.078","DOIUrl":"10.1016/j.hrthm.2025.03.078","url":null,"abstract":"","PeriodicalId":12886,"journal":{"name":"Heart rhythm","volume":"22 4","pages":"Pages S37-S38"},"PeriodicalIF":5.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143867826","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":"CE-499649-005 MYOCARDIAL INFARCTION WITH NONOBSTRUCTIVE CORONARY ARTERIES AND FIBROSIS BURDEN AMONG COMMUNITYWIDE SUDDEN CARDIAC DEATHS BY AUTOPSY","authors":"Kosuke Nakasuka,&nbsp;Jakrin Kewcharoen,&nbsp;James W. Salazar,&nbsp;Brielle Kinkead,&nbsp;Jelix Tsan,&nbsp;Andrew Connolly,&nbsp;Ellen Moffatt,&nbsp;Zian H. Tseng","doi":"10.1016/j.hrthm.2025.03.086","DOIUrl":"10.1016/j.hrthm.2025.03.086","url":null,"abstract":"","PeriodicalId":12886,"journal":{"name":"Heart rhythm","volume":"22 4","pages":"Page S41"},"PeriodicalIF":5.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143867869","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":"AB-499650-001 FEASIBILITY AND DURABILITY OF PULMONARY VEIN ISOLATION AND POSTERIOR LEFT ATRIAL WALL ABLATION USING NANOSECOND PULSE FIELD ABLATION: A FIRST-IN-HUMAN CLINICAL EXPERIENCE","authors":"Petr Neuzil,&nbsp;Jan Petru,&nbsp;Moritoshi Funasako,&nbsp;Jacob S. Koruth,&nbsp;Pavel Hala,&nbsp;Jan Skoda,&nbsp;Vivek Y. Reddy","doi":"10.1016/j.hrthm.2025.03.087","DOIUrl":"10.1016/j.hrthm.2025.03.087","url":null,"abstract":"","PeriodicalId":12886,"journal":{"name":"Heart rhythm","volume":"22 4","pages":"Pages S41-S42"},"PeriodicalIF":5.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143867870","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":"DH-499637-005 ARTIFICIAL INTELLIGENCE-DRIVEN PRECISION ABLATION IN PERSISTENT AF: ENHANCING ENDOCARDIAL SIGNAL PREDICTION FOR ABLATION SUCCESS","authors":"Chih-Min Liu,&nbsp;Chia-Hsin Chiang,&nbsp;Yenn-Jiang Lin,&nbsp;Men-Tzung Lo,&nbsp;Chen Lin,&nbsp;Shih-Lin Chang,&nbsp;Li-Wei Lo,&nbsp;Yu-Feng Hu,&nbsp;Fa-Po Chung,&nbsp;Tze-Fan Chao,&nbsp;Ta-Chuan Tuan,&nbsp;Jo-Nan Liao,&nbsp;Chin-Yu Lin,&nbsp;Ting-Yung Chang,&nbsp;Ling Kuo,&nbsp;Cheng-I Wu,&nbsp;Shih-Ann Chen","doi":"10.1016/j.hrthm.2025.03.027","DOIUrl":"10.1016/j.hrthm.2025.03.027","url":null,"abstract":"","PeriodicalId":12886,"journal":{"name":"Heart rhythm","volume":"22 4","pages":"Pages S12-S13"},"PeriodicalIF":5.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143868119","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":"AB-499635-004 EVALUATION OF SEVERE ADVERSE EVENTS IN RELATION TO RADIOTHERAPY DOSE IN STEREOTACTIC ARRHYTHMIA RADIOTHERAPY","authors":"Wiert Hoeksema,&nbsp;Martijn H. van der Ree,&nbsp;Jorrit Visser,&nbsp;Claudia Herrera-Siklody,&nbsp;Joost Verhoeff,&nbsp;Pieter G. Postema,&nbsp;Etienne Pruvot,&nbsp;Brian Balgobind,&nbsp;Luis Schiappacasse","doi":"10.1016/j.hrthm.2025.03.017","DOIUrl":"10.1016/j.hrthm.2025.03.017","url":null,"abstract":"","PeriodicalId":12886,"journal":{"name":"Heart rhythm","volume":"22 4","pages":"Page S8"},"PeriodicalIF":5.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143868206","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":"CI-499643-005 THE EFFECTS OF SEPTAL SCAR ON CLINICAL OUTCOMES OF LBBAP IN NON-ISCHEMIC CARDIOMYOPATHY","authors":"Muthiah Subramanian,&nbsp;Daljeet K. Saggu,&nbsp;Sachin D. Yalagudri,&nbsp;Dinakar Bootla,&nbsp;Sridevi Chennapragada,&nbsp;Calambur Narasimhan","doi":"10.1016/j.hrthm.2025.03.056","DOIUrl":"10.1016/j.hrthm.2025.03.056","url":null,"abstract":"","PeriodicalId":12886,"journal":{"name":"Heart rhythm","volume":"22 4","pages":"Pages S26-S27"},"PeriodicalIF":5.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143868356","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":"EN-495062-001 GENDER DISPARITIES IN IMPLANTABLE CARDIAC DEFIBRILLATOR UTILIZATION AMONG PATIENTS WITH END-STAGE HEART FAILURE: A NATIONWIDE ANALYSIS OF THE USA","authors":"Kayode Ogunniyi,&nbsp;Demilade Soji-Ayoade,&nbsp;Christian A. Dimala,&nbsp;Michael Fatuyi,&nbsp;Israel Safiriyu,&nbsp;Richard Orji,&nbsp;Olumide Akinmoju,&nbsp;Arun U. Mahtani,&nbsp;Zeth Tolu-Akinnawo,&nbsp;Derek Ugwendum,&nbsp;Aniekeme Etuk,&nbsp;Jude Ogieuhi,&nbsp;Aakriti Parajuli,&nbsp;Franceso Rotatori,&nbsp;Nidal A. Isber,&nbsp;Jay Nfonoyim","doi":"10.1016/j.hrthm.2025.03.057","DOIUrl":"10.1016/j.hrthm.2025.03.057","url":null,"abstract":"","PeriodicalId":12886,"journal":{"name":"Heart rhythm","volume":"22 4","pages":"Page S27"},"PeriodicalIF":5.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143868357","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":"EN-495062-005 REAL-WORLD DATA OF SEX DIFFERENCES IN ABLATION STRATEGY AND OUTCOMES FOR PAROXYSMAL ATRIAL FIBRILLATION: INSIGHTS FROM THE REAL-AF REGISTRY","authors":"Zhuxin Zhang,&nbsp;Paul C. Zei,&nbsp;Jose Osorio,&nbsp;Allyson L. Varley,&nbsp;Christopher Thorne,&nbsp;William H. Sauer,&nbsp;Jorge Romero,&nbsp;Antonio Moretta,&nbsp;Subha L. Varahan,&nbsp;Matthew C. Sackett,&nbsp;Julia McHugh,&nbsp;Alexandru Costea,&nbsp;Anil Rajendra,&nbsp;Matthew Sellers,&nbsp;Yan Yao","doi":"10.1016/j.hrthm.2025.03.061","DOIUrl":"10.1016/j.hrthm.2025.03.061","url":null,"abstract":"","PeriodicalId":12886,"journal":{"name":"Heart rhythm","volume":"22 4","pages":"Page S29"},"PeriodicalIF":5.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143868428","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}