JACC. Clinical electrophysiology最新文献

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Mitral Line Epicardial Reconduction via the Coronary Sinus Free Wall Just After Endocardial PFA. 心内膜 PFA 术后通过冠状窦游离壁的二尖瓣口线心外膜重构
IF 8 1区 医学
JACC. Clinical electrophysiology Pub Date : 2024-10-08 DOI: 10.1016/j.jacep.2024.09.006
Masaaki Yokoyama, Roberto Mené, Cinzia Monaco, Kinan Kneizeh, Konstantinos Vlachos, Karim Benali, Nicolas Derval, Pierre Jaïs, Thomas Pambrun
{"title":"Mitral Line Epicardial Reconduction via the Coronary Sinus Free Wall Just After Endocardial PFA.","authors":"Masaaki Yokoyama, Roberto Mené, Cinzia Monaco, Kinan Kneizeh, Konstantinos Vlachos, Karim Benali, Nicolas Derval, Pierre Jaïs, Thomas Pambrun","doi":"10.1016/j.jacep.2024.09.006","DOIUrl":"https://doi.org/10.1016/j.jacep.2024.09.006","url":null,"abstract":"","PeriodicalId":14573,"journal":{"name":"JACC. Clinical electrophysiology","volume":" ","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142620679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pulmonary Artery Injury Following Endocardial Left Atrial Appendage Occlusion: The Known and Unknown. 心内膜左房阑尾闭塞后的肺动脉损伤:已知与未知。
IF 8 1区 医学
JACC. Clinical electrophysiology Pub Date : 2024-10-08 DOI: 10.1016/j.jacep.2024.08.016
Aashish Katapadi, Jalaj Garg, Aditya Mansabdar, Nikhila Chelikam, Fnu Ehteshamuddin, Minar Rane, Devi Nair, James Marcum, Theodore Pope, Peter Park, Christopher Ellis, Rajesh Kabra, Monica Lo, Donita Atkins, Jacqueline Saw, Atman Shah, Dhanunjaya Lakkireddy
{"title":"Pulmonary Artery Injury Following Endocardial Left Atrial Appendage Occlusion: The Known and Unknown.","authors":"Aashish Katapadi, Jalaj Garg, Aditya Mansabdar, Nikhila Chelikam, Fnu Ehteshamuddin, Minar Rane, Devi Nair, James Marcum, Theodore Pope, Peter Park, Christopher Ellis, Rajesh Kabra, Monica Lo, Donita Atkins, Jacqueline Saw, Atman Shah, Dhanunjaya Lakkireddy","doi":"10.1016/j.jacep.2024.08.016","DOIUrl":"https://doi.org/10.1016/j.jacep.2024.08.016","url":null,"abstract":"<p><strong>Background: </strong>Left atrial appendage closure (LAAC) is frequent alternative for stroke prophylaxis in patients for whom oral anticoagulation is contraindicated. Pulmonary artery injury (PAI) is a feared yet rare complication of endocardial LAAC, but its surrounding literature is scarce.</p><p><strong>Objectives: </strong>The aim of the current study was to review prior PAI published reports and the U.S. Food and Drug Administration Manufacturer and User Facility Device Experience (MAUDE) database to understand evidence and mechanisms of PAI after LAAC.</p><p><strong>Methods: </strong>A systematic review was conducted of the literature and MAUDE database for previously reported cases of PAI, and cases were reviewed for patient characteristics and outcomes. In addition, we identify risks and review our strategies to avoid this injury.</p><p><strong>Results: </strong>Thirty-six cases (16 case reports and 20 MAUDE reports) of PAI were found. These patients had a mean age of 73.6 ± 8.2 years with a median CHA<sub>2</sub>DS<sub>2</sub>VASC score of 5 (quartile 1-quartile 3: 3-6). Most commonly, LAAC associated with PAI involved a dual-seal (75%) followed by lobular occlusive devices (19.4%); the device was unspecified in 2.8% of cases. PAI commonly presented postprocedurally, either within the first 24 hours (50%) or beyond (38.9%), with cardiac tamponade (61.1%) or cardiac arrest (19.4%). Overall, 52.8% required surgery with or without antecedent pericardiocentesis, and 16.7% were managed with pericardiocentesis. PAI was associated with a high mortality rate (ie, 33.3%). Unfortunately, no specific cardiac imaging or procedural details to predict PAI were noted in the reports.</p><p><strong>Conclusions: </strong>Presentation of PAI after LAAC can occur immediately following the procedure or be delayed. Thus, the threshold for suspicion, especially with rapid and hemodynamically significant pericardial effusion, after LAAC should be low.</p>","PeriodicalId":14573,"journal":{"name":"JACC. Clinical electrophysiology","volume":" ","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142500590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Importance of Following Treatment Guidelines in Long QT Syndrome Regardless of Genotype Status. 无论基因型状况如何,遵循长 QT 综合征治疗指南的重要性。
IF 8 1区 医学
JACC. Clinical electrophysiology Pub Date : 2024-10-08 DOI: 10.1016/j.jacep.2024.09.007
Elizabeth S Kaufman
{"title":"The Importance of Following Treatment Guidelines in Long QT Syndrome Regardless of Genotype Status.","authors":"Elizabeth S Kaufman","doi":"10.1016/j.jacep.2024.09.007","DOIUrl":"https://doi.org/10.1016/j.jacep.2024.09.007","url":null,"abstract":"","PeriodicalId":14573,"journal":{"name":"JACC. Clinical electrophysiology","volume":" ","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142620710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Multidirectional Pacing on Activation and Repolarization Parameters to Localize Ischemic Ventricular Tachycardia Circuits. 多向起搏对激活和复极化参数的影响以定位缺血性室性心动过速回路
IF 8 1区 医学
JACC. Clinical electrophysiology Pub Date : 2024-10-08 DOI: 10.1016/j.jacep.2024.07.028
Adam S C Dennis, Michele Orini, Eva Melis Hesselkilde, Arnela Saljic, Benedikt M Linz, Stefan M Sattler, James Williams, Jacob Tfelt-Hansen, Thomas Jespersen, Anthony W C Chow, Pier D Lambiase
{"title":"Impact of Multidirectional Pacing on Activation and Repolarization Parameters to Localize Ischemic Ventricular Tachycardia Circuits.","authors":"Adam S C Dennis, Michele Orini, Eva Melis Hesselkilde, Arnela Saljic, Benedikt M Linz, Stefan M Sattler, James Williams, Jacob Tfelt-Hansen, Thomas Jespersen, Anthony W C Chow, Pier D Lambiase","doi":"10.1016/j.jacep.2024.07.028","DOIUrl":"https://doi.org/10.1016/j.jacep.2024.07.028","url":null,"abstract":"<p><strong>Background: </strong>In ventricular tachycardia (VT), optimal substrate mapping strategies identifying arrhythmogenic sites are not established.</p><p><strong>Objectives: </strong>This study sought to evaluate multidirectional pacing on the distribution of specific conduction and repolarization metrics to localize re-entrant VT sites in a porcine infarct model.</p><p><strong>Methods: </strong>Substrate maps were created in 13 pigs with chronic myocardial infarction using the Advisor HD Grid (Abbott) during right ventricular (RV), left ventricular, biventricular pacing (BIV), and sinus rhythm (SR). Critical VT sites of early-, mid-, and late-diastolic signals were delineated. Vulnerable sites to re-entry were defined as sites of latest activation timing within and post-QRS complex, largest activation and activation-recovery interval gradients. Distances between the 20 most vulnerable sites and diastolic VT points were measured, and identification of VT points was assessed using the area under the receiver-operating characteristic curve.</p><p><strong>Results: </strong>A total of 34 VTs were mapped, and 48 sinus and pacing maps were obtained (10 BIV, 13 left ventricular, 13 RV, 12 SR). Late potential mapping in SR was taken as the established clinical standard for comparison. Latest activation time with BIV pacing provided the closest localization for VT isthmus (median 5.5 mm; IQR: 7.15 mm; P < 0.005). The gradient of activation-recovery interval using RV pacing had closest localization for VT exit and entrance (median 10.6 mm; IQR: 5.0 mm; P < 0.005 and 9.4 mm; IQR: 8.0 mm; P < 0.05). Global sensitivity and specificity analysis showed that gradient of activation-recovery interval in SR achieved the highest area under the receiver-operating characteristic curve, with similar results from the gradient of activation timing.</p><p><strong>Conclusions: </strong>Multidirectional pacing in combination with conduction and repolarization parameters enables better localization of VT diastolic critical sites vs SR late potentials.</p>","PeriodicalId":14573,"journal":{"name":"JACC. Clinical electrophysiology","volume":" ","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142500587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
AI and Personal Digital Health Tools: Pioneering the Future of Precision Health Care. 人工智能和个人数字健康工具:开创精准医疗的未来。
IF 8 1区 医学
JACC. Clinical electrophysiology Pub Date : 2024-10-08 DOI: 10.1016/j.jacep.2024.09.015
Hawkins C Gay, Rod S Passman
{"title":"AI and Personal Digital Health Tools: Pioneering the Future of Precision Health Care.","authors":"Hawkins C Gay, Rod S Passman","doi":"10.1016/j.jacep.2024.09.015","DOIUrl":"https://doi.org/10.1016/j.jacep.2024.09.015","url":null,"abstract":"","PeriodicalId":14573,"journal":{"name":"JACC. Clinical electrophysiology","volume":" ","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142620669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Tale of 2 Troubling Tachycardias. 两个令人不安的心动过速的故事
IF 8 1区 医学
JACC. Clinical electrophysiology Pub Date : 2024-10-08 DOI: 10.1016/j.jacep.2024.09.002
Shohei Kataoka, Haran Yogasundaram, Tomer Mann, Byron Lee, Ramanan Kumareswaran, Gregory E Supple, Henry H Hsia, David J Callans, Melvin M Scheinman
{"title":"A Tale of 2 Troubling Tachycardias.","authors":"Shohei Kataoka, Haran Yogasundaram, Tomer Mann, Byron Lee, Ramanan Kumareswaran, Gregory E Supple, Henry H Hsia, David J Callans, Melvin M Scheinman","doi":"10.1016/j.jacep.2024.09.002","DOIUrl":"https://doi.org/10.1016/j.jacep.2024.09.002","url":null,"abstract":"","PeriodicalId":14573,"journal":{"name":"JACC. Clinical electrophysiology","volume":" ","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emergent Ablation for Ventricular Tachycardia: Predictors of Prolonged Hospitalization and Mortality. 室性心动过速的紧急消融术:延长住院时间和死亡率的预测因素。
IF 8 1区 医学
JACC. Clinical electrophysiology Pub Date : 2024-10-03 DOI: 10.1016/j.jacep.2024.08.017
Shunsuke Uetake, Kanae Hasegawa, Masaaki Kurata, Giovanni Ernest Davogustto, Tiffany Ying Hu, Kara K Siergrist, Zachary Yoneda, Travis D Richardson, Arvindh N Kanagasundram, William G Stevenson, Harikrishna Tandri
{"title":"Emergent Ablation for Ventricular Tachycardia: Predictors of Prolonged Hospitalization and Mortality.","authors":"Shunsuke Uetake, Kanae Hasegawa, Masaaki Kurata, Giovanni Ernest Davogustto, Tiffany Ying Hu, Kara K Siergrist, Zachary Yoneda, Travis D Richardson, Arvindh N Kanagasundram, William G Stevenson, Harikrishna Tandri","doi":"10.1016/j.jacep.2024.08.017","DOIUrl":"https://doi.org/10.1016/j.jacep.2024.08.017","url":null,"abstract":"<p><strong>Background: </strong>Patients with ventricular tachycardia (VT) frequently present in unstable VT and are subject to urgent/high-risk ablation procedures. Clinical predictors of prolonged hospitalization and mortality are needed for optimal management of these patients.</p><p><strong>Objectives: </strong>This study seeks to identify factors associated with prolonged hospitalization and mortality in emergent unplanned VT ablation procedures.</p><p><strong>Methods: </strong>Fifty consecutive patients hospitalized emergently for VT with structural heart disease who underwent catheter ablation were prospectively followed up for outcomes and complications.</p><p><strong>Results: </strong>Of the 50 patients (mean ± SD age 67.6 ± 12.8 years), 86.0% were male, 62.0% had ischemic cardiomyopathy, and their median left ventricular ejection fraction was 28.5%. Hospital stay <7 days (median 3 days) occurred in 28 (56.0%) patients (Group 1) and >7 days (median 10 days) or death <7 days occurred in 22 (44.0%) patients (Group 2). PAINESD score and left ventricular ejection fraction were similar between the groups. Compared with Group 1, Group 2 had significantly worse NYHA functional class III or higher (25.0% vs 63.6%; P = 0.006), electrical storm (46.4% vs 77.3%; P = 0.027), and prior failed VT ablation (35.7% vs 68.2%; P = 0.023). Multivariable analysis showed that NYHA functional class III or higher and prior failed VT ablation were predictive of prolonged hospital stay. After ablation, compared with Group 1, Group 2 had worse heart failure (10.7% vs 54.5%; P = 0.001), VT recurrences (3.6% vs 68.2%; P < 0.001), and 7 deaths within 30 days.</p><p><strong>Conclusions: </strong>Patients undergoing emergent VT ablation are at high risk for prolonged hospital stay, which is predicted by NYHA functional class III or higher and a prior failed ablation. Early VT recurrences and worsening heart failure contribute to prolonged hospitalization and a high 30-day mortality.</p>","PeriodicalId":14573,"journal":{"name":"JACC. Clinical electrophysiology","volume":" ","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Genetic Testing in Younger Adults With Pacemakers 对使用心脏起搏器的年轻成年人进行基因检测。
IF 8 1区 医学
JACC. Clinical electrophysiology Pub Date : 2024-10-01 DOI: 10.1016/j.jacep.2024.06.008
Elizabeth S. Kaufman MD
{"title":"Genetic Testing in Younger Adults With Pacemakers","authors":"Elizabeth S. Kaufman MD","doi":"10.1016/j.jacep.2024.06.008","DOIUrl":"10.1016/j.jacep.2024.06.008","url":null,"abstract":"","PeriodicalId":14573,"journal":{"name":"JACC. Clinical electrophysiology","volume":"10 10","pages":"Pages 2261-2262"},"PeriodicalIF":8.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coronary Vasospasm During Pulse-Field Focal Ablation of the Cavotricuspid Isthmus Observed With Intravascular Ultrasound 通过血管内超声观察脉冲场聚焦消融腔静脉峡过程中的冠状动脉血管痉挛
IF 8 1区 医学
JACC. Clinical electrophysiology Pub Date : 2024-10-01 DOI: 10.1016/j.jacep.2024.06.032
Cinzia Monaco MD , Roberto Menè MD , Masaaki Yokoyama MD, PhD , Kinan Kneizeh MD , Thomas Pambrun MD , Pierre Coste MD, PhD , Mélèze Hocini MD , Pierre Jaïs MD, PhD , Nicolas Derval MD
{"title":"Coronary Vasospasm During Pulse-Field Focal Ablation of the Cavotricuspid Isthmus Observed With Intravascular Ultrasound","authors":"Cinzia Monaco MD ,&nbsp;Roberto Menè MD ,&nbsp;Masaaki Yokoyama MD, PhD ,&nbsp;Kinan Kneizeh MD ,&nbsp;Thomas Pambrun MD ,&nbsp;Pierre Coste MD, PhD ,&nbsp;Mélèze Hocini MD ,&nbsp;Pierre Jaïs MD, PhD ,&nbsp;Nicolas Derval MD","doi":"10.1016/j.jacep.2024.06.032","DOIUrl":"10.1016/j.jacep.2024.06.032","url":null,"abstract":"","PeriodicalId":14573,"journal":{"name":"JACC. Clinical electrophysiology","volume":"10 10","pages":"Pages 2293-2296"},"PeriodicalIF":8.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142107443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Outcomes of Pacemaker Implantation During Pregnancy 妊娠期植入起搏器的结果
IF 8 1区 医学
JACC. Clinical electrophysiology Pub Date : 2024-10-01 DOI: 10.1016/j.jacep.2024.06.033
Vardhmaan Jain MD , Abdul Mannan Khan Minhas MD , Birju Rao MD, MSCR , Stacy Westerman MD , Neal K. Bhatia MD , Mikhael F. El-Chami MD , Kamala P. Tamirisa MD , Faisal M. Merchant MD
{"title":"Outcomes of Pacemaker Implantation During Pregnancy","authors":"Vardhmaan Jain MD ,&nbsp;Abdul Mannan Khan Minhas MD ,&nbsp;Birju Rao MD, MSCR ,&nbsp;Stacy Westerman MD ,&nbsp;Neal K. Bhatia MD ,&nbsp;Mikhael F. El-Chami MD ,&nbsp;Kamala P. Tamirisa MD ,&nbsp;Faisal M. Merchant MD","doi":"10.1016/j.jacep.2024.06.033","DOIUrl":"10.1016/j.jacep.2024.06.033","url":null,"abstract":"","PeriodicalId":14573,"journal":{"name":"JACC. Clinical electrophysiology","volume":"10 10","pages":"Pages 2271-2273"},"PeriodicalIF":8.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142145657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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