Journal of Cardiovascular Electrophysiology最新文献

{"title":"Maybe Not the First Report Published, but Very Nice Techniques Described, Dual Chamber Leadless via the Internal Jugular Vein.","authors":"Daniel Cortez","doi":"10.1111/jce.16631","DOIUrl":"https://doi.org/10.1111/jce.16631","url":null,"abstract":"","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143566794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concise Guidelines of the European Cardiac Arrhythmias Society (ECAS) on \"Catheter Ablation of Atrial Fibrillation\".","authors":"Riccardo Cappato, Samuel Levy, Rui Providencia, Hussam Ali, Andrey Ardashev, Sergio Barra, Antonio Creta, Michal Farkowski, Christian-Hendrik Heeger, Prapa Kanagaratnam, Thorsten Lewalter, Silvia Magnani, Richard Schilling","doi":"10.1111/jce.16561","DOIUrl":"https://doi.org/10.1111/jce.16561","url":null,"abstract":"","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rate (and Rhythm)-Limiting Steps in Newly Diagnosed Atrial Fibrillation","authors":"Romil Patel, Jeremiah Wasserlauf","doi":"10.1111/jce.16616","DOIUrl":"10.1111/jce.16616","url":null,"abstract":"","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":"36 4","pages":"830-831"},"PeriodicalIF":2.3,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Atrioventricular Node Ablation for Atrial Fibrillation in a Patient With EVOQUE Tricuspid Valve: A First Reported Case.","authors":"Padmapriya Muthu, Hema Vemulapalli, Poojan Prajapati, Juan F Rodriguez-Riascos, Ahmad Naeem Lone, Komandoor Srivathsan","doi":"10.1111/jce.16633","DOIUrl":"https://doi.org/10.1111/jce.16633","url":null,"abstract":"<p><strong>Introduction: </strong>Atrial fibrillation (AF) is the most common arrhythmia, and atrioventricular (AV) node ablation with pacemaker implantation is a therapeutic option for refractory cases. However, AV node ablation in patients with bioprosthetic tricuspid valves poses technical challenges.</p><p><strong>Methods: </strong>An 84-year-old male with an EVOQUE transcatheter tricuspid valve replacement underwent AV node ablation (AVNA) under intracardiac echocardiography (ICE) guidance.</p><p><strong>Results: </strong>Successful AV block was achieved with precise catheter positioning, improving the patient's symptoms and ventricular rate control.</p><p><strong>Conclusion: </strong>This case demonstrates the feasibility of AVNA in patients with tricuspid bioprostheses, demonstrating feasibility with ICE guidance.</p>","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of SGLT2 Inhibitors on Atrial Fibrillation Recurrence and Long-Term Clinical Outcomes in HFrEF Patients Undergoing Cryoballoon Ablation: A New Frontier Beyond Diabetes and Heart Failure.","authors":"Elif Hande Ozcan Cetin, Mehmet Serkan Cetin, Hasan Can Könte, Nedret Ülvan, Ezgi Merve Çelik, Koray Arslan, Duygu Kocyigit, Ahmet Korkmaz, Fırat Ozcan, Ozcan Ozeke, Serkan Cay, Dursun Aras, Serkan Topaloglu","doi":"10.1111/jce.16621","DOIUrl":"https://doi.org/10.1111/jce.16621","url":null,"abstract":"<p><strong>Background: </strong>Atrial fibrillation (AF) recurrence remains a significant challenge in heart failure with reduced ejection fraction (HFrEF) patients undergoing cryoballoon ablation (CBA). Sodium-glucose cotransporter-2 inhibitors (SGLT2i) have demonstrated cardiovascular benefits, including antiarrhythmic effects. This study assesses the impact of SGLT2i on AF recurrence and clinical outcomes in HFrEF patients undergoing CBA.</p><p><strong>Methods: </strong>This retrospective cohort study was conducted on 246 HFrEF patients (LVEF < 40%) undergoing CBA between January 2022 and June 2024. Patients were categorized into two groups: SGLT2i users (n = 71) and nonusers (n = 175). The primary endpoint was AF recurrence (> 30 s post-blanking period). Secondary endpoints included all-cause mortality and heart failure (HF)-related hospitalizations.</p><p><strong>Results: </strong>The median follow-up period was 347 days. AF recurrence was lower in the SGLT2i group (25.4% vs. 39.4%, p = 0.036). Kaplan-Meier analysis demonstrated higher recurrence-free survival in SGLT2i users (74.6% vs. 60.6%, log-rank p < 0.001). Cox regression confirmed SGLT2i as an independent predictor of reduced AF recurrence (HR: 0.546, 95% CI: 0.262-0.874, p = 0.011). Mortality (9.9% vs. 14.9%, p = 0.039) and HF hospitalizations (16.9% vs. 23.4%, p = 0.014) were also significantly lower in SGLT2i users.</p><p><strong>Conclusion: </strong>SGLT2i use was independently associated with lower AF recurrence, mortality, and HF-related hospitalizations in HFrEF patients undergoing CBA. These findings highlight the potential of SGLT2i as adjunctive therapy for AF management, necessitating further prospective studies to validate these results and optimize treatment strategies.</p>","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Case of Intraoperative Changes in the Nonselective Left Bundle Branch Pacing Morphology: Is Lead Dislodgment the Cause?","authors":"Naoki Matsumoto,&nbsp;Kenji Shimeno,&nbsp;Masanori Matsuo,&nbsp;Yukio Abe,&nbsp;Daiju Fukuda","doi":"10.1111/jce.16620","DOIUrl":"10.1111/jce.16620","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The QRS morphology in left bundle branch area pacing (LBBAP) is utilized to assess procedural success and to confirm left bundle branch (LBB) capture.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Results</h3>\u0000 \u0000 <p>We present a case in which the QRS morphology of the left bundle branch pacing (LBBP) changed during the procedure despite the maintenance of LBB capture throughout.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This case highlights the necessity for operators to be aware of this pitfall and raises potential questions regarding the determination of LBB capture.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":"36 4","pages":"905-908"},"PeriodicalIF":2.3,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"New SVT After Previous Ablation of a Left Lateral Accessory Pathway: What Is the Mechanism?","authors":"Nanqing Xiong,&nbsp;Yikai Zhao,&nbsp;Xinping Luo,&nbsp;Jian Li","doi":"10.1111/jce.16624","DOIUrl":"10.1111/jce.16624","url":null,"abstract":"","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":"36 4","pages":"891-894"},"PeriodicalIF":2.3,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transvenous Establishment of a Dual-Chamber Pacing in a Patient With Total Cavopulmonary Connection Using Extracardiac Conduit.","authors":"Tomomi Nagayama, Yasushi Mukai, Ichiro Sakamoto, Hiroko Deguchi Miyamoto, Kazuo Sakamoto, Susumu Takase, Ayako Ishikita, Takamori Kakino, Akiko Nishizaki, Kohtaro Abe","doi":"10.1111/jce.16626","DOIUrl":"https://doi.org/10.1111/jce.16626","url":null,"abstract":"<p><strong>Background: </strong>Patients are prone to bradyarrhythmias after Fontan surgery due to anatomical reasons and the surgery, whereas a transvenous approach to a cardiac chamber is difficult in patients after total cavopulmonary artery connection (TCPC) with an extracardiac conduit.</p><p><strong>Methods and results: </strong>We report a case of transvenous implantation of an atrial lead into the atrial roof via the pulmonary artery and a successful upgrade to the dual chamber pacing using an existing epicardial ventricular lead.</p><p><strong>Conclusion: </strong>A transvenous approach toward atrial roof via pulmonary artery may be a possible option in patients with TCPC. If successful, high-risk additional surgery can be avoided.</p>","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to the Letter to the Editor “How to Manage Ventricular Arrhythmia Following Durable Left Ventricular Assist Device Implantation”","authors":"Elena Efimova,&nbsp;Arash Arya","doi":"10.1111/jce.16590","DOIUrl":"10.1111/jce.16590","url":null,"abstract":"","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":"36 3","pages":"721-722"},"PeriodicalIF":2.3,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Catheter Ablation Improves Ventilatory Efficiency in Atrial Fibrillation-Mediated Cardiomyopathy.","authors":"Nikhil Ahluwalia, David Bruce, Ashley Ashdown, Fabrizio Focacci, Hakam Abbass, Shohreh Honarbakhsh, Anthony Chow, Mehul Dhinoja, Ross J Hunter, Steffen Petersen, Guy Lloyd, Richard J Schilling","doi":"10.1111/jce.16606","DOIUrl":"https://doi.org/10.1111/jce.16606","url":null,"abstract":"<p><strong>Background: </strong>Exercise Oscillatory Ventilation (EOV) and a steep ventilatory efficiency (VE/VCO2) slope are features of ventilatory inefficiency on cardiopulmonary exercise testing (CPET), both associated with poor prognosis in patients with heart failure (HF). The prevalence in patients with co-existent atrial fibrillation (AF) and the impact of catheter ablation (CA) is unknown.</p><p><strong>Objectives: </strong>To characterize ventilatory inefficiency in patients with persistent AF and Left Ventricular Systolic Dysfunction (LVSD) and assess the impact of CA.</p><p><strong>Methods: </strong>Patients with persistent AF and Left Ventricular Ejection Fraction (LVEF) < 50% undergoing first-time CA were prospectively enrolled. Echocardiography and CPET were performed at baseline and 6 months post-CA. EOV was defined using the Kremser-Corrà criteria, and VE/VCO2 slope gradient > 30 was considered abnormal.</p><p><strong>Results: </strong>A total of 53 participants were enrolled (mean LVEF of 34 ± 9%). A total of 10 (19.2%) exhibited EOV at baseline. These patients had larger indexed left atrial (41.6 ± 13.1 mL/m² vs. 33.3 ± 9.3 mL/m², p = 0.03) and ventricular volumes [65.7 mL/m² (57.1, 89.0) vs. 46.7 mL/m² (39.8, 61.4), p = 0.03]. The partial pressure of end-tidal carbon dioxide (P_ETCO₂) at peak exercise increased (33.7 ± 6.1 mmHg to 41.2 ± 5.8 mmHg, p < 0.001) and correlated with improvement in HF symptoms (p = -0.003) and objective HF markers. A total of 25 (48.1%) had an abnormal VE/VCO2 gradient. The EOV pattern resolved in eight (80%) participants due to a reduction in EOV burden (71.1 ± 11.9% vs. 48.8 ± 14.8%, p = 0.006) and the component amplitude of minute ventilation cycles (2.6 L/min (2.5,3.2) vs 2.2 L/min (1.8,2.6), p = 0.028). Fewer patients had an abnormal VE/VCO2 gradient after CA [25 (48.1%) vs. 16 (34.0%), p = 0.004].</p><p><strong>Conclusions: </strong>Ventilatory inefficiency is common in patients with AF and LVSD. CA improves both EOV and VE/VCO2 in AF-induced cardiomyopathy. Improvement in P_ETCO₂ is also seen and correlates with HF symptom burden.</p>","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}