Journal of Cardiovascular Electrophysiology最新文献

{"title":"Selective Left Bundle Branch Capture Using the Uninterrupted Monitoring Technique: Mid-Term Performance and Safety Profile.","authors":"Hiroyuki Kato, Satoshi Yanagisawa, Yasuya Inden","doi":"10.1111/jce.70083","DOIUrl":"https://doi.org/10.1111/jce.70083","url":null,"abstract":"","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144955463","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 Regarding “Temporary Restoration of Sinus Rhythm Improves Outcomes of Catheter Ablation for Longstanding Persistent Atrial Fibrillation”","authors":"Mohamad Raad, Sanjay Dixit","doi":"10.1111/jce.70048","DOIUrl":"10.1111/jce.70048","url":null,"abstract":"","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":"36 9","pages":"2460-2461"},"PeriodicalIF":2.6,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144955431","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":"Safety and Feasibility of Atrial Fibrillation Ablation and Left Atrial Appendage Occlusion at Centers With Versus Without Onsite Cardiothoracic Surgery.","authors":"Dinesh Sharma, Daniel Hanna, Rachael Venn, Samantha Sublette, Luis Rechani, Robert J Cubeddu","doi":"10.1111/jce.70071","DOIUrl":"https://doi.org/10.1111/jce.70071","url":null,"abstract":"<p><strong>Background: </strong>Atrial fibrillation (AF) ablation and left atrial appendage occlusion (LAAO) are traditionally performed in centers with onsite cardiothoracic surgery (CTS), expanding these procedures to centers without CTS (Wo-CTS) raises questions about procedural safety and feasibility.</p><p><strong>Objective: </strong>To compare the safety and feasibility of AF ablation and LAAO at two centers within the Naples Comprehensive Healthcare (NCH) System in Southwest Florida, one with CTS and the other Wo-CTS.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted for consecutive patients between March 1, 2023, to May 31, 2025. Baseline demographics, clinical characteristics, and procedural complications were collected. The cardiac tamponade between the two groups was analyzed using Fisher's exact test, and length of stay (LOS) was analyzed using an independent t-test. Patient demographics were analyzed utilizing a t-test and χ² test.</p><p><strong>Results: </strong>Among 2458 patients (1788 at CTS and 670 at Wo-CTS), baseline comorbidities were similar, except for a higher prevalence of coronary artery disease at CTS. AF ablation patients at Wo-CTS had a 0.5% tamponade rate (3/550), with one requiring surgical repair after transfer. The CTS site had a 0.1% tamponade rate (1/1353, p = 0.075), managed percutaneously. LAAO complications with one hemorrhagic stroke and one device dislodgement at CTS, both managed non-surgically.</p><p><strong>Conclusion: </strong>This study supports the feasibility of performing AF ablation and LAAO at Wo-CTS centers under defined protocols and by well-trained operators. Further studies are warranted to confirm broader applicability.</p>","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144955467","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 Predictive Value of Real-World Cardiologist Performance (RWCP) Score in Atrial Fibrillation Recurrence Risk After Radiofrequency Ablation.","authors":"Yangyang Wang, Jingchao He, Yang Shao, Tong Liu, Aolin Ding, Guohua Xue, Yubing Guo, Pengyu Wu, Yunfei Gu, Hao Wang","doi":"10.1111/jce.70067","DOIUrl":"10.1111/jce.70067","url":null,"abstract":"<p><strong>Objective: </strong>To explore the predictive value of Real-world Cardiologist Performance (RWCP) score for atrial fibrillation (AF) recurrence risk after radiofrequency catheter ablation (RFCA).</p><p><strong>Methods: </strong>Patients with nonvalvular AF who underwent first-time RFCA at Luoyang Central Hospital affiliated to Zhengzhou University between October 2021 and June 2023 were included in this study. Detailed ablation data were exported from CARTO®3 system (Biosense Webster, USA), based on which, four parameters, including discharge time proportion, Catheter Contact Force Stability (C3-FOT proportion), Ablation Index Consistency (SURPOINT/TOP-4 proportion) and fragmented points proportion, were calculated. Then, the RWCP score was calculated from these parameters for each patient. Predictive value of the RWCP score for AF recurrence risk were assessed using Cox regression and Kaplan-Meier analyses.</p><p><strong>Results: </strong>A total of 148 AF patients were enrolled, including 68 males and 80 females. During follow-up, 30 patients (20.3%) experienced AF recurrence. The RWCP score was calculated using Cox regression coefficients: RWCP score = (left ring discharge time ratio × 2.853) - (left C3-FOT proportion × 0.91) + (left SURPOINT/TOP4 × 2.943) + (left fragmented points proportion × 0.423) - (right ring discharge time ratio × 4.039) - (right C3-FOT proportion × 6.159) - (right SURPOINT/TOP4 × 1.312) - (right points fragmented proportion × 4.425). It was found that patients with higher RWCP scores (-12.53 to 5.79) had higher recurrence risk than those with low scores (-28.68 to -12.76) (HR = 5.55, 95% CI: 2.23-13.80, p = 0.0002). Kaplan-Meier analysis confirmed this (p_log-rank < 0.001). To simplify the operation of RWCP, an online calculator was explored using shiny platform (https://doctorwanghao.shinyapps.io/RWCP_English/).</p><p><strong>Conclusion: </strong>The RWCP score shows promise as a tool for evaluating ablation completeness, assessing cardiologist performance and predicting AF recurrence risk after ablation.</p>","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873322","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":"Short- to Mid-Term Efficacy and Safety of Left Bundle Branch Pacing Guided by Continuous Uninterrupted Paced Intracardiac Electrogram Monitoring Targeting Transition to Selective Left Bundle Branch Capture.","authors":"Hao Wu, Longfu Jiang, Weilin Chen, Shanshan Zhuo, Jiabo Shen, Lu Zhang, Yuelin Zhang, Xinhui Peng","doi":"10.1111/jce.70054","DOIUrl":"10.1111/jce.70054","url":null,"abstract":"<p><strong>Background: </strong>Uninterrupted left bundle branch pacing (LBBP) lead implantation with the endpoint of transition to selected (S)-left bundle (LB) capture is feasible and safe during the procedure; however, the relatively long-term outcomes remain unknown.</p><p><strong>Objective: </strong>The present study aimed to evaluate the short- to mid-term performance and safety of uninterrupted LBBP lead implantation.</p><p><strong>Methods: </strong>Patients who underwent successful LBBP and achieved the implantation endpoint, guided by continuous paced intracardiac electrogram monitoring, were enrolled. Electrocardiograms, pacing parameters, echocardiographic measurements, and complications associated with LBBP were assessed during follow-up.</p><p><strong>Results: </strong>A total of 83 patients were enrolled in the study. The mean follow-up duration was 14.2 ± 8.8 months. Pacing parameters, including R-wave amplitude, pacing threshold, and impedance, remained stable throughout the follow-up period for both unipolar and bipolar configurations. The transition from nonselected (NS)-LB to S-LB was observed at various unipolar pacing outputs during follow-up, along with double transitions in bipolar pacing. The proportion of patients transitioning to NS-LB, S-LB, and left ventricular septum (LVS) under unipolar pacing at 8 V, 3 V, 2 V, and 1 V remained stable during follow-up. Left ventricular ejection fraction (62.7 ± 7.0% vs 62.1 ± 11.9%, p = 0.723) remained stable during follow-up compared to baseline. Left ventricular end-diastolic dimension (47.5 ± 5.6 mm vs. 51.1 ± 7.1 mm, p = 0.001) decreased significantly.</p><p><strong>Conclusions: </strong>Uninterrupted LBBP lead implantation with the endpoint of transition to S-LB, was safe and feasible in short- to mid-term observations. It can improve LVEF in patients with HFrEF.</p>","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144882884","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":"Electrophysiological Mechanism of Wide QRS Complex Tachycardia Revealed by an Unexpected Intervention.","authors":"Elif Hande Ozcan Cetin, Ozcan Ozeke, Meryem Kara, Sona Huseynova, Idriz Merovci, Can Ozkan, Esra Sadikoglu, Selin Yondem, Ahmet Korkmaz, Firat Ozcan, Serkan Cay, Dursun Aras, Serkan Topaloglu","doi":"10.1111/jce.70065","DOIUrl":"10.1111/jce.70065","url":null,"abstract":"","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873316","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 Novel Predictive Score to Identify the Necessity for Epicardial Ventricular Tachycardia Ablation: EPI-VT-Score.","authors":"Moneeb Khalaph, Denise Guckel, Nadica Trajkovska, Maxim Didenko, Mustapha El Hamriti, Martin Braun, Guram Imnadze, Philip Lucas, Thomas Fink, Vanessa Sciacca, Sebastian Beyer, Yuri Bocchini, Alessandro Guareschi, Arseniy Goncharov, Kawa Mohemed, Volker Rudolph, Christian Sohns, Philipp Sommer","doi":"10.1111/jce.70061","DOIUrl":"https://doi.org/10.1111/jce.70061","url":null,"abstract":"<p><strong>Background: </strong>Epicardial ventricular tachycardia (VT) ablation is a therapeutic option for drug-refractory VT, particularly when endocardial ablation fails or is inadequate. However, accurately identifying patients who will benefit most from an epicardial approach remains challenging due to its higher procedure-related risks.</p><p><strong>Objective: </strong>This study aimed to develop and validate a predictive scoring model - EPI-VT-Score - to identify patients likely to benefit from epicardial VT ablation.</p><p><strong>Methods: </strong>We retrospectively analyzed data from 138 patients (mean age 64.9 ± 11.3 years, 89.9% male) who underwent VT ablation between 2018 and 2024. Four predictors - underlying cardiomyopathy, left ventricular ejection fraction (LVEF), number of prior VT ablations, and VT-QRS interval - were identified and incorporated into the EPI-VT-Score, which ranges from 4 to 12 points. Score performance was assessed using area under curve (AUC).</p><p><strong>Results: </strong>Among 138 patients, 51 (37.0%) underwent epicardial ablation. The EPI-VT-Score accurately predicted epicardial ablation necessity with an AUC of 0.990 (95% CI, 0.978-1.000). A score ≥ 8 identified epicardial need with 92.2% sensitivity and 100% specificity. Patients scoring < 8 were effectively managed with endocardial-only ablation.</p><p><strong>Conclusion: </strong>The EPI-VT-Score can be a clinical support to evaluate preprocedural necessity for epicardial access and the complexity of the procedure to improves procedural outcomes as well as minimize unnecessary procedural risks.</p>","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873356","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":"Bayesian Evaluation of Pentaspline Pulsed Field Ablation Compared to High-Power Radiofrequency Ablation in Atrial Fibrillation.","authors":"Lucas M Barbosa, Vinícius Martins Rodrigues Oliveira, Lara Guedes, Maria do Carmo P Nunes","doi":"10.1111/jce.70069","DOIUrl":"10.1111/jce.70069","url":null,"abstract":"","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873314","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":"Association of Risk Factors and Cardiac Outcomes in Patients With Primary Prevention of Sudden Cardiac Death: HINODE Study Sub Analysis.","authors":"Hiroshi Hayashi, Wataru Shimizu, Yuki Iwasaki, Kenji Ando, Kengo Kusano, Toru Asai, Koichi Inoue, Yukihiro Inamura, Takanori Ikeda, Takeshi Mitsuhashi, Toyoaki Murohara, Nobuhiro Nishii, Akihiko Nogami, Torri Schwartz, Torsten Kayser, Yasushi Sakata, Kazutaka Aonuma","doi":"10.1111/jce.70046","DOIUrl":"https://doi.org/10.1111/jce.70046","url":null,"abstract":"<p><strong>Introduction: </strong>Primary analysis of the HINODE study revealed that mortality and ventricular tachyarrhythmia event rates for patients with primary prevention of sudden cardiac death in Japan were comparable to those of Western patients. Sub-analysis aimed to evaluate event rates in relation to accumulated risk factors (RFs) (left ventricular ejection fraction ≤ 35%, New York Heart Association class III/IV, left bundle branch block/wide QRS, renal dysfunction, diabetes, atrial fibrillation, myocardial infarction, age > 70 years, and smoking).</p><p><strong>Methods and results: </strong>Implantable cardioverter defibrillator (ICD) (N = 102) and cardiac resynchronization therapy-defibrillator (CRT-D) (N = 69) enrollees were evaluated for first appropriately treated ventricular tachycardia or fibrillation (VT/VF), recurrent heart failure (HF) hospitalizations, and all-cause mortality. Event rates were compared for patients with lower-risk (2-3 RFs) and higher-risk (4-5 RFs) using time to event analyses. The ICD-cohort contained 50 (49%) lower-risk and 52 (51%) higher-risk patients, and the CRT-D-cohort 21 (30%) lower-risk and 48 (70%) higher-risk patients. Over 24 months, no significant difference was observed in the VT/VF event rate among the higher-risk group compared to the lower-risk group for either device cohort (ICD: 17% vs. 10%, p = 0.61; CRT-D: 6% vs. 5%, p = 0.79). Similarly, no significant difference was observed in the rate of all-cause mortality, although higher-risk patients trended towards more mortality (ICD: 15% vs. 7%, p = 0.15; CRT-D: 13% vs. 5%, p = 0.33) For the ICD cohort, the risk of HF hospitalization was 2.24 (95% CI: 1.24-4.03) times greater in the higher-risk group compared to the lower-risk group and among those hospitalized for HF, the length of stay was significantly longer for the higher-risk group (median 27 days per year vs. 10 days per year, p = 0.013). No significant difference in the rate of HF hospitalizations was detected for the CRT-D cohort.</p><p><strong>Conclusion: </strong>The implantation of ICD should be considered despite the number of RFs to prevent sudden cardiac death. Proper CRT-D implantation may reduce the number of RFs over time and shorten the duration of HF-hospitalization.</p>","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873313","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: Evolution and Efficiencies.","authors":"Aravind G Kalluri, Bradley P Knight","doi":"10.1111/jce.70059","DOIUrl":"https://doi.org/10.1111/jce.70059","url":null,"abstract":"<p><p>The present review includes a discussion the goals and pitfalls of efficiency in the medical profession, a historical perspective on the evolution of catheter ablation in the field of electrophysiology (EP), and the data regarding the relationship between efficiency and outcomes in the EP lab. Focus on efficacy is critical to maximize resource utilization, avoiding complications, and optimizing patient care.</p>","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873315","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}