Journal of electrocardiology最新文献

{"title":"Comments on “can electrocardiographic repolarization predict diabetes incidence: The Atherosclerosis Risk in Communities Study”","authors":"Bektas Murat , Ayberk Beral , Selda Murat","doi":"10.1016/j.jelectrocard.2025.153909","DOIUrl":"10.1016/j.jelectrocard.2025.153909","url":null,"abstract":"","PeriodicalId":15606,"journal":{"name":"Journal of electrocardiology","volume":"90 ","pages":"Article 153909"},"PeriodicalIF":1.3,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maximally preexcited tachycardia in a patient with ventricular preexcitation via a right posteroseptal accessory pathway. What is the diagnosis?","authors":"Utkarsh Kohli MD , Jeffrey K. Harris MD , Jack R. Stines MD","doi":"10.1016/j.jelectrocard.2025.153911","DOIUrl":"10.1016/j.jelectrocard.2025.153911","url":null,"abstract":"","PeriodicalId":15606,"journal":{"name":"Journal of electrocardiology","volume":"90 ","pages":"Article 153911"},"PeriodicalIF":1.3,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143601681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A simple electrocardiographic model for an improved detection of chronic thromboembolic pulmonary hypertension after pulmonary embolism","authors":"Lukas Ley MD ,&nbsp;Christoph B. Wiedenroth MD ,&nbsp;Stefan Guth MD ,&nbsp;Christian Gold MD ,&nbsp;Athiththan Yogeswaran MD ,&nbsp;Hossein Ardeschir Ghofrani MD ,&nbsp;Dirk Bandorski MD, PhD","doi":"10.1016/j.jelectrocard.2025.153908","DOIUrl":"10.1016/j.jelectrocard.2025.153908","url":null,"abstract":"<div><h3>Introduction</h3><div>Chronic thromboembolic pulmonary hypertension (CTEPH) is considered a late sequelae of a preceding pulmonary embolism (PE). There is reasonable suspicion that the majority of CTEPH patients are currently not detected. The aim of the present study was to evaluate the potential utility of a simple electrocardiographic (ECG) model for an improved detection of CTEPH after PE.</div></div><div><h3>Material and methods</h3><div>The present study was conducted as a bicentric, retrospective cross-sectional study in two German high volume referral centres for pulmonary hypertension (PH) between February 2011 and September 2023. A total of 100 patients with CTEPH and 100 patients with excluded PH were included. An ECG model for detecting CTEPH consisting of a screening test and confirmatory test was developed and subsequently tested on the present CTEPH cohort and a hypothetical cohort of PE survivors from Germany.</div></div><div><h3>Results</h3><div>Applying this ECG model to the present CTEPH cohort, 79 % of CTEPH patients were correctly identified (sensitivity: 79 %) and only 8 % of non-PH patients were incorrectly identified as PH patients (specificity: 92 %). When theoretically applying this model in CTEPH screening of a hypothetical cohort of persistently symptomatic PE survivors, a total 70 % of CTEPH patients could potentially be detected (sensitivity: 70 %) and right heart catheterisations (RHC) without pathological findings would only be performed on 2.5 % of non-CTEPH patients (specificity: 97.5 %) without the application of echocardiography. Compared to the current estimated CTEPH detection rate this would be about a threefold increase (from 24 % to 70 %).</div></div><div><h3>Conclusion</h3><div>Electrocardiographic CTEPH screening could potentially increase the CTEPH detection rate significantly, without the application of echocardiography and with performance of only very few RHCs without pathological findings, if all persistently symptomatic PE survivors were given a simple ECG as standard follow-up. However, the present approach remains largely hypothetical for now and must be validated externally.</div></div>","PeriodicalId":15606,"journal":{"name":"Journal of electrocardiology","volume":"90 ","pages":"Article 153908"},"PeriodicalIF":1.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143592394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comments on Age-dependent influence of T wave amplitude on short period temporal dispersion in healthy subjects","authors":"Bektas Murat (Assoc. Prof.) ,&nbsp;Selda Murat (Assoc. Prof) ,&nbsp;Bulent Gorenek (Prof.)","doi":"10.1016/j.jelectrocard.2025.153905","DOIUrl":"10.1016/j.jelectrocard.2025.153905","url":null,"abstract":"","PeriodicalId":15606,"journal":{"name":"Journal of electrocardiology","volume":"90 ","pages":"Article 153905"},"PeriodicalIF":1.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sudden cardiac arrest in patients with hypertrophic cardiomyopathy: Are there electrocardiographic predictors?","authors":"Jashan Gill MD ,&nbsp;Rezwan Munshi MD ,&nbsp;Jobin Varghese MD ,&nbsp;Michael T. Spooner MD ,&nbsp;Brian Olshansky MD","doi":"10.1016/j.jelectrocard.2025.153907","DOIUrl":"10.1016/j.jelectrocard.2025.153907","url":null,"abstract":"<div><h3>Background</h3><div>Hypertrophic cardiomyopathy (HCM) predisposes patients to cardiac arrest (CA). While established major risk factors may warrant the need for primary prevention by implantable cardioverter-defibrillator (ICD), it is unknown if specific electrocardiographic predictors are associated with CA. Our objective was to determine the risk of CA in patients with HCM based on the presence of identified electrocardiographic arrhythmias and conduction disorders.</div></div><div><h3>Methods</h3><div>We queried the National Inpatient Sample (NIS) from 4th quarter 2015 to 2020 to identify adult hospitalizations with HCM via ICD-10 codes excluding those presenting with syncope and those who had an ICD implant. We compared the odds of having CA in those with atrioventricular (AV) block, bundle branch block (BBB), atrial fibrillation (AF), atrial flutter (AFL), supraventricular tachycardia (SVT), and premature ventricular contractions (PVCs). Regression models were used to adjust for underlying medical comorbidities and patient demographics.</div></div><div><h3>Results</h3><div>Of 251,450 HCM hospitalizations, 12,573 (5 %) were associated with CA. Those who had CA were younger (63 vs 65 years, <em>p</em> &lt; 0.001) and had fewer comorbidities based on their Charlson Comorbidity Index score (2.49 vs 2.83, p &lt; 0.001) versus those without CA. The HCM cohort with first-, second- and third-degree AV block, left or right BBB, AF, AFL, SVT, or PVCs had increased odds of CA.</div></div><div><h3>Conclusion</h3><div>From the NIS database AV block, BBB, AF, AFL, SVT, and PVCs increased the odds of CA in HCM patients. Further prospective studies are warranted to determine if these predictors can pinpoint who may benefit from primary SCD prevention independent of other risk factors.</div></div>","PeriodicalId":15606,"journal":{"name":"Journal of electrocardiology","volume":"90 ","pages":"Article 153907"},"PeriodicalIF":1.3,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A dragon in a barn","authors":"José Nunes de Alencar MD","doi":"10.1016/j.jelectrocard.2025.153904","DOIUrl":"10.1016/j.jelectrocard.2025.153904","url":null,"abstract":"","PeriodicalId":15606,"journal":{"name":"Journal of electrocardiology","volume":"90 ","pages":"Article 153904"},"PeriodicalIF":1.3,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ventricular preexcitation and narrow QRS tachycardia. What is the diagnosis?","authors":"Utkarsh Kohli MD ,&nbsp;Jack R. Stines MD","doi":"10.1016/j.jelectrocard.2025.153906","DOIUrl":"10.1016/j.jelectrocard.2025.153906","url":null,"abstract":"","PeriodicalId":15606,"journal":{"name":"Journal of electrocardiology","volume":"90 ","pages":"Article 153906"},"PeriodicalIF":1.3,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143527152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges in localisation of culprit artery in STEMI","authors":"Shivam Goel,&nbsp;Rajiv Narang,&nbsp;Atit A. Gawalkar","doi":"10.1016/j.jelectrocard.2025.153901","DOIUrl":"10.1016/j.jelectrocard.2025.153901","url":null,"abstract":"","PeriodicalId":15606,"journal":{"name":"Journal of electrocardiology","volume":"90 ","pages":"Article 153901"},"PeriodicalIF":1.3,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143509721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A practical review of generative AI in cardiac electrophysiology medical education","authors":"Shaun A. Hanycz ,&nbsp;Pavel Antiperovitch","doi":"10.1016/j.jelectrocard.2025.153903","DOIUrl":"10.1016/j.jelectrocard.2025.153903","url":null,"abstract":"<div><div>Generative artificial intelligence (AI) is a component of artificial intelligence that creates synthetic multi-modal output in the form of text, images, and audio. Multiple approaches have been implemented into teaching surface ECG interpretation. However, learner performance remains poor. Generative AI in the form of Generative Adversarial Networks (GANs) is a novel AI model that has the potential to augment trainee ECG interpretation via creation of synthetic ECGs and anatomical depiction of conduction defects. Generative AI may be implemented in medical education to customize trainee surface ECG interpretation to improve learning and retention.</div></div>","PeriodicalId":15606,"journal":{"name":"Journal of electrocardiology","volume":"90 ","pages":"Article 153903"},"PeriodicalIF":1.3,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expect the unexpected","authors":"Pierre Groussin,&nbsp;Melvyn Dezecot,&nbsp;Philippe Mabo,&nbsp;Raphaël P. Martins","doi":"10.1016/j.jelectrocard.2025.153902","DOIUrl":"10.1016/j.jelectrocard.2025.153902","url":null,"abstract":"","PeriodicalId":15606,"journal":{"name":"Journal of electrocardiology","volume":"90 ","pages":"Article 153902"},"PeriodicalIF":1.3,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143487427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}