Heart Rhythm O2最新文献

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Incidence and timing of new-onset atrial fibrillation after transcatheter aortic valve implantation: 14-day electrocardiographic monitoring 经导管主动脉瓣植入术后新发心房颤动的发生率和时间:14天心电图监测
IF 2.8
Heart Rhythm O2 Pub Date : 2026-10-01 Epub Date: 2026-07-04 DOI: 10.1016/j.hroo.2026.06.019
Arianna Sofia Bettelini MD, Céline Moser MD, Fabian Jordan MD, Thorald Stolte MD, Reto Stump MD, Thomas Nestelberger MD, Felix Mahfoud MD, Michael Kühne MD, Christian Sticherling MD, Patrick Badertscher MD
{"title":"Incidence and timing of new-onset atrial fibrillation after transcatheter aortic valve implantation: 14-day electrocardiographic monitoring","authors":"Arianna Sofia Bettelini MD, Céline Moser MD, Fabian Jordan MD, Thorald Stolte MD, Reto Stump MD, Thomas Nestelberger MD, Felix Mahfoud MD, Michael Kühne MD, Christian Sticherling MD, Patrick Badertscher MD","doi":"10.1016/j.hroo.2026.06.019","DOIUrl":"10.1016/j.hroo.2026.06.019","url":null,"abstract":"","PeriodicalId":29772,"journal":{"name":"Heart Rhythm O2","volume":"7 10","pages":"Pages 2055-2056"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149219214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Durability and reconnection patterns at time of repeat ablation after first-time pulmonary vein isolation by monopolar focal pulsed field ablation 单极局灶脉冲场消融首次肺静脉隔离术后重复消融时的持久性和重连模式
IF 2.8
Heart Rhythm O2 Pub Date : 2026-10-01 Epub Date: 2026-07-14 DOI: 10.1016/j.hroo.2026.07.007
Martin H. Ruwald MD, DMSc, Martin Haugdal MSc, Christian Jøns MD, PhD, Rene Worck MD, PhD, Christina Alhede MD, PhD, Arne Johannessen MD, DMSc, Uffe Gang MD, PhD, Niels Sandgaard MD, PhD, Xu Chen MD, DMSc, Morten Lock Hansen MD, PhD, Peter Karl Jacobsen MD, DMSc, Jim Hansen MD, DMSc
{"title":"Durability and reconnection patterns at time of repeat ablation after first-time pulmonary vein isolation by monopolar focal pulsed field ablation","authors":"Martin H. Ruwald MD, DMSc,&nbsp;Martin Haugdal MSc,&nbsp;Christian Jøns MD, PhD,&nbsp;Rene Worck MD, PhD,&nbsp;Christina Alhede MD, PhD,&nbsp;Arne Johannessen MD, DMSc,&nbsp;Uffe Gang MD, PhD,&nbsp;Niels Sandgaard MD, PhD,&nbsp;Xu Chen MD, DMSc,&nbsp;Morten Lock Hansen MD, PhD,&nbsp;Peter Karl Jacobsen MD, DMSc,&nbsp;Jim Hansen MD, DMSc","doi":"10.1016/j.hroo.2026.07.007","DOIUrl":"10.1016/j.hroo.2026.07.007","url":null,"abstract":"<div><h3>Background</h3><div>Reconnection patterns and durability after pulmonary vein isolation (PVI) or cavotricuspid isthmus block (CTIB) using monopolar focal pulsed field ablation (FPFA) at repeat ablation have not previously been evaluated.</div></div><div><h3>Objective</h3><div>This study aimed to characterize electrophysiological findings during repeat procedures in real-world patients with atrial fibrillation (AF).</div></div><div><h3>Methods</h3><div>Patients undergoing repeat ablation (n = 23) for symptomatic recurrent arrhythmias after first-time FPFA-guided PVI (n = 212) between October 2022 and April 2026 underwent 3-dimensional high-density mapping and ad hoc re-ablation using radiofrequency or FPFA.</div></div><div><h3>Results</h3><div>At index ablation, persistent AF was present in 13 of 23 (57%) patients, and CTIB was performed in 13 of 23 (57%) patients. Mean time to repeat procedure was 379 ± 282 days. Complete durable PVI was observed in 11 of 23 patients (48%; 95% confidence interval [CI], 27%–69%), corresponding to durable isolation in 74 of 94 veins (79%; 95% CI, 69%–87%). Regular atrial tachycardia was the predominant mechanism for recurrence, occurring in 17 of 23 patients (74%; 95% CI, 52%–90%). 17 conduction gaps were identified, predominantly clustered in carina regions (13 of 17 [76%]; <em>P</em> = .002). Reconnection occurred exclusively ipsilaterally, without significant differences between veins (17%–26%, <em>P</em> = .796). Durable CTIB was observed in 9 of 13 patients (69%; 95% CI, 39%–91%). After repeat ablation, 15 of 23 patients (65%; 95% CI, 43%–84%) remained free from atrial arrhythmia recurrence during 285 ± 204 days of follow-up.</div></div><div><h3>Conclusion</h3><div>Approximately half of patients demonstrated durable PVI at repeat procedures. Reconnection gaps clustered mainly in carina regions, highlighting the need for further studies evaluating chronic lesion durability after PFA.</div></div>","PeriodicalId":29772,"journal":{"name":"Heart Rhythm O2","volume":"7 10","pages":"Pages 1866-1873"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149219120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Left bundle branch area pacing outcomes from an African registry: Short-term findings from the MACOP study 来自非洲登记的左束分支区域起搏结果:来自MACOP研究的短期结果
IF 2.8
Heart Rhythm O2 Pub Date : 2026-10-01 Epub Date: 2026-06-09 DOI: 10.1016/j.hroo.2026.05.025
Willy Mucyo MD, Marcus Ngantcha MSc, Mzee Ngunga MD, Miriam Msunza BS, Justin Ragadu BCT, Klindheer Rampersad BCT, Mohamed Jeilan MD, Brian Vezi MD
{"title":"Left bundle branch area pacing outcomes from an African registry: Short-term findings from the MACOP study","authors":"Willy Mucyo MD,&nbsp;Marcus Ngantcha MSc,&nbsp;Mzee Ngunga MD,&nbsp;Miriam Msunza BS,&nbsp;Justin Ragadu BCT,&nbsp;Klindheer Rampersad BCT,&nbsp;Mohamed Jeilan MD,&nbsp;Brian Vezi MD","doi":"10.1016/j.hroo.2026.05.025","DOIUrl":"10.1016/j.hroo.2026.05.025","url":null,"abstract":"<div><h3>Background</h3><div>Left bundle branch area pacing (LBBAP) provides physiological ventricular activation and has emerged as an alternative to conventional cardiac resynchronization therapy. Data on LBBAP outcomes in African populations remain scarce.</div></div><div><h3>Objective</h3><div>This study aimed to describe procedural outcomes of LBBAP in an African cohort.</div></div><div><h3>Methods</h3><div>A descriptive registry study included 311 patients from Kenya and South Africa who underwent LBBAP between 2021 and 2024. Data on pacing thresholds, QRS duration (QRSd), fluoroscopy time, and left ventricular ejection fraction (LVEF) were collected and analyzed. Patients were stratified by baseline QRSd categories, conduction patterns, pacing indication, and LVEF.</div></div><div><h3>Results</h3><div>The mean age was 65 ± 14 years, with 54% male. Median follow-up was 5 months. Mean pacing threshold at implant was 0.67 ± 0.52 V at 1.0 ms, remaining stable at follow-up (0.64 ± 0.48 V, <em>P</em> = .3). Mean QRSd decreased significantly from 136.7 ± 33.6 ms at baseline to 118.4 ± 12.0 ms post-LBBAP (<em>P &lt;</em> .001), with greatest reduction in patients with left bundle branch block (LBBB: 38.9 ± 16.9 ms vs non-LBBB: 6.9 ± 30.2 ms, <em>P &lt;</em> .001). Mean fluoroscopy time was 9.7 ± 7.8 minutes. Among patients with baseline LVEF &lt;50%, mean LVEF improved from 29 ± 9% to 39 ± 12% (<em>P &lt;</em> .001), with greater improvement in patients with LBBB. Procedural success rate was 95.8%. During follow-up, 12 patients (3.86%) died, all from heart failure–related causes without documented ventricular arrhythmias on device interrogation.</div></div><div><h3>Conclusion</h3><div>The Multicenter African Cardiac Outcomes in Pacing study provides the first African registry data on LBBAP, demonstrating feasibility with stable pacing thresholds, significant QRS narrowing, and LVEF improvement, particularly in patients with LBBB. These findings support LBBAP as a viable pacing strategy in resource-limited settings.</div></div>","PeriodicalId":29772,"journal":{"name":"Heart Rhythm O2","volume":"7 10","pages":"Pages 2020-2031"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149219216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relationship between site procedural volumes and outcomes of left bundle branch area pacing using stylet-driven leads from the INSIGHT-LBBA Registry 使用INSIGHT-LBBA Registry的风格驱动导联,观察左束支区域起搏的部位程序性体积与结果之间的关系
IF 2.8
Heart Rhythm O2 Pub Date : 2026-10-01 Epub Date: 2026-07-20 DOI: 10.1016/j.hroo.2026.07.011
Ilya Y. Shadrin MD, PhD, Hillary Mulder MS, Brooke Alhanti PhD, Nicholas Wold MS, Gaurav A. Upadhyay MD, Christopher A. Latanich MD, Seth Goldbarg MD, FHRS, Kevin M. Trulock MD, Apoor Patel MD, FHRS, Zak Loring MD, MHS, FHRS, Myat Shwe Yee Tun MD, Adi Lador MD, FHRS, Jonathan Na MD, Paul W. Jones MS, Stephen B. Ruble PhD, Daniel J. Friedman MD
{"title":"Relationship between site procedural volumes and outcomes of left bundle branch area pacing using stylet-driven leads from the INSIGHT-LBBA Registry","authors":"Ilya Y. Shadrin MD, PhD,&nbsp;Hillary Mulder MS,&nbsp;Brooke Alhanti PhD,&nbsp;Nicholas Wold MS,&nbsp;Gaurav A. Upadhyay MD,&nbsp;Christopher A. Latanich MD,&nbsp;Seth Goldbarg MD, FHRS,&nbsp;Kevin M. Trulock MD,&nbsp;Apoor Patel MD, FHRS,&nbsp;Zak Loring MD, MHS, FHRS,&nbsp;Myat Shwe Yee Tun MD,&nbsp;Adi Lador MD, FHRS,&nbsp;Jonathan Na MD,&nbsp;Paul W. Jones MS,&nbsp;Stephen B. Ruble PhD,&nbsp;Daniel J. Friedman MD","doi":"10.1016/j.hroo.2026.07.011","DOIUrl":"10.1016/j.hroo.2026.07.011","url":null,"abstract":"<div><h3>Background</h3><div>Left bundle branch (LBB) area pacing (LBBAP) is increasingly used for patients with a ventricular pacing indication. Multi-center studies analyzing predominantly lumenless leads have suggested a learning curve for LBBAP; however, analogous data on stylet-driven leads (SDLs) are lacking.</div></div><div><h3>Objective</h3><div>To assess the relationship between site volume and procedural outcomes and complications using the INGEVITY+ SDL for LBBAP.</div></div><div><h3>Methods</h3><div>A secondary analysis of the INSIGHT-LBBA multi-site registry was performed, with retrospective data collected across 8 United States sites performing LBBAP with INGEVITY+ SDLs between 2020 and 2023. Outcomes included LBBAP and LBB capture success rates, pacing parameters, fluoroscopy time, number of leads used, and lead-related complications. Outcomes were assessed using a generalized estimated equation based on consecutive implants. A sensitivity analysis was performed restricted to only single- and dual-chamber LBBAP implants.</div></div><div><h3>Results</h3><div>A total of 1374 patients were enrolled in the primary INSIGHT-LBBA registry. Overall LBBAP success and LBB capture success rates were 94.5% and 78.1%, respectively. LBBAP success rate improved with experience (odds ratio, 1.09; 95% confidence interval, 1.03–1.14, per every 10 successive LBBAP implants; <em>P</em> = .001), with similar results in the sensitivity analysis. Fluoroscopy times and complication rates remained low (10.0 ± 9.2 minutes and 2.7%, respectively).</div></div><div><h3>Conclusion</h3><div>In this secondary analysis of INSIGHT-LBBA using INGEVITY+ SDLs, LBBAP and LBB capture success rates were high and improved with consecutive implants, indicative of a learning curve for implantation. Fluoroscopy times and complication rates remained low without significant change during consecutive implants. These data add to the growing literature supporting safe and effective use of SDLs for LBBAP.</div></div>","PeriodicalId":29772,"journal":{"name":"Heart Rhythm O2","volume":"7 10","pages":"Pages 1950-1962"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149219273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A diagnostic detour: Myocarditis-associated junctional ectopic tachycardia in an infant 诊断迂回:心肌炎相关的连接异位心动过速在一个婴儿
IF 2.8
Heart Rhythm O2 Pub Date : 2026-10-01 Epub Date: 2026-07-18 DOI: 10.1016/j.hroo.2026.07.008
Raj Lalli MD, Luis Altamirano-Diaz MD, Yuval Bitterman MD
{"title":"A diagnostic detour: Myocarditis-associated junctional ectopic tachycardia in an infant","authors":"Raj Lalli MD,&nbsp;Luis Altamirano-Diaz MD,&nbsp;Yuval Bitterman MD","doi":"10.1016/j.hroo.2026.07.008","DOIUrl":"10.1016/j.hroo.2026.07.008","url":null,"abstract":"","PeriodicalId":29772,"journal":{"name":"Heart Rhythm O2","volume":"7 10","pages":"Pages 2046-2047"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149219274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimization of nonresponders to left bundle branch area pacing using electrical dyssynchrony mapping 利用电非同步映射优化左束支区起搏无应答者
IF 2.8
Heart Rhythm O2 Pub Date : 2026-10-01 Epub Date: 2026-07-09 DOI: 10.1016/j.hroo.2026.06.026
Alan J. Bank MD, Fernando E. Santiago PhD, Kevin V. Burns PhD, Grace E. Hegland BA, Jason Cook MD, Edriss Charaf MD
{"title":"Optimization of nonresponders to left bundle branch area pacing using electrical dyssynchrony mapping","authors":"Alan J. Bank MD,&nbsp;Fernando E. Santiago PhD,&nbsp;Kevin V. Burns PhD,&nbsp;Grace E. Hegland BA,&nbsp;Jason Cook MD,&nbsp;Edriss Charaf MD","doi":"10.1016/j.hroo.2026.06.026","DOIUrl":"10.1016/j.hroo.2026.06.026","url":null,"abstract":"<div><h3>Background</h3><div>Left bundle branch area pacing (LBBAP) is a new approach to resynchronization in patients with heart failure (HF). Treatment of LBBAP nonresponders by optimizing programming has not been studied.</div></div><div><h3>Objective</h3><div>This study aimed to assess the effects of optimization on left ventricular (LV) size and systolic function in LBBAP nonresponders.</div></div><div><h3>Methods</h3><div>We studied 41 patients with systolic HF and attempted LBBAP 6.5 ± 4.3 months post-implantation. Nonresponders (pre-cardiac resynchronization therapy [CRT] ejection fraction [EF] &lt; 45% and increase in EF &lt; 5%) and incomplete responders (increase in EF &gt; 5% but final EF &lt; 45%) to LBBAP were included. Electrical dyssynchrony was assessed using a novel measure called cardiac resynchronization index (CRI). Patients with R waves in V1 were classified as left bundle branch pacing (LBBP) and those without R waves in V1 as deep septal pacing. Patients were programmed to optimal atrioventricular delay, ventricular–ventricular delay, and pacing mode (LBBAP-only, biventricular, or LV-only). Echocardiograms before CRT, before optimization, and 8.2 ± 4.4 months after optimization were read in blinded fashion.</div></div><div><h3>Results</h3><div>Most patients had LV leads (90.2%). LBBP was present in 41.5% and deep septal pacing in 58.5% of patients. CRI increased from 59.8% ± 25.9% to 84.5% ± 16.7%. CRT optimization significantly improved LV EF from 34.0% ± 7.0% to 37.0% ± 6.4% (<em>P</em> &lt; .0001), end-systolic volume from 83.1 ± 38.9 to 72.7 ± 35.5 mL (<em>P</em> &lt; .001), end-diastolic volume from 124.9 ± 46.3 to 112.9 ± 46.8 mL (<em>P</em> &lt; .001), and global longitudinal strain from −10.5 ± 3.2 to −11.5 ± 3.0 (<em>P</em> = .01).</div></div><div><h3>Conclusion</h3><div>CRT programming to optimal CRI significantly improves LV systolic function, end-systolic volume, end-diastolic volume, and global longitudinal strain in nonresponders and incomplete responders to LBBAP, offering a non-invasive, practical clinical approach to improving response in patients having LBBAP.</div></div>","PeriodicalId":29772,"journal":{"name":"Heart Rhythm O2","volume":"7 10","pages":"Pages 1933-1941"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149219271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Combined impact of paced QRS duration and right ventricular pacing burden on heart failure admission: Identifying clinical progression to stage C/D in pacemaker recipients 有节奏QRS持续时间和右心室起搏负担对心力衰竭入院的综合影响:确定起搏器接受者的临床进展到C/D期
IF 2.8
Heart Rhythm O2 Pub Date : 2026-10-01 Epub Date: 2026-07-21 DOI: 10.1016/j.hroo.2026.07.013
Takeshi Ueyama MD, PhD, Shoya Sugita CE, Masaaki Yoshida MD, PhD, Tomoyuki Uchida MD, PhD, Yufuko Nishida MD, Chihiro Yamada MD, Fumiaki Nakao MD, PhD, Yasuhiro Ikeda MD, PhD
{"title":"Combined impact of paced QRS duration and right ventricular pacing burden on heart failure admission: Identifying clinical progression to stage C/D in pacemaker recipients","authors":"Takeshi Ueyama MD, PhD,&nbsp;Shoya Sugita CE,&nbsp;Masaaki Yoshida MD, PhD,&nbsp;Tomoyuki Uchida MD, PhD,&nbsp;Yufuko Nishida MD,&nbsp;Chihiro Yamada MD,&nbsp;Fumiaki Nakao MD, PhD,&nbsp;Yasuhiro Ikeda MD, PhD","doi":"10.1016/j.hroo.2026.07.013","DOIUrl":"10.1016/j.hroo.2026.07.013","url":null,"abstract":"<div><h3>Background</h3><div>Right ventricular (RV) pacing-induced dyssynchrony can lead to progressive left ventricular (LV) dysfunction. Although a decline in LV ejection fraction (LVEF) after pacemaker implantation is common, the transition to symptomatic heart failure (HF) requiring hospitalization (HF admission [HFA]) represents a more clinically meaningful progression to stages C/D.</div></div><div><h3>Objective</h3><div>To determine whether paced QRS (pQRS) duration and RV pacing (RVp) burden independently or jointly predict HFA in pacemaker recipients followed with remote monitoring.</div></div><div><h3>Methods</h3><div>We retrospectively analyzed 200 pacemaker recipients actively followed with remote monitoring. pQRS at implantation and RVp during follow-up were evaluated as markers of baseline electrical dyssynchrony and cumulative pacing exposure. The primary endpoint was HFA, whereas the secondary endpoint was all-cause mortality.</div></div><div><h3>Results</h3><div>During a median follow-up of 4.5 years, 27 patients (13.5%) developed HFA. Patients with HFA had longer pQRS (171 ± 18 vs 156 ± 20 ms, <em>P</em> &lt; .001) and higher RVp (median 99% vs 38%, <em>P</em> = .002). In a multivariable Cox model, both pQRS of ≥168 ms (hazard ratio, 2.98, <em>P</em> = .011) and RVp of ≥20% (hazard ratio, 7.16, <em>P</em> = .009) and age independently predicted HFA. Neither pQRS nor RVp predicted all-cause mortality, which was associated only with age.</div></div><div><h3>Conclusion</h3><div>pQRS and RVp jointly identify patients at high risk of progression from clinical to symptomatic HF (stages C/D). Although mortality in this population is primarily age-driven, HFA reflects a modifiable consequence of pacing-related dyssynchrony. Combined assessment of pQRS and RVp may facilitate early identification of high-risk patients who could benefit from closer monitoring or alternative pacing strategies.</div></div>","PeriodicalId":29772,"journal":{"name":"Heart Rhythm O2","volume":"7 10","pages":"Pages 1942-1949"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149219272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of remote monitoring on clinical outcomes in defibrillator patients during the COVID-19 pandemic: An interrupted time series analysis COVID-19大流行期间远程监测对除颤器患者临床结果的影响:中断时间序列分析
IF 2.8
Heart Rhythm O2 Pub Date : 2026-10-01 Epub Date: 2026-06-19 DOI: 10.1016/j.hroo.2026.06.008
Sandeep Chand BPharm, Barbara Torres RN, MHA, David M. Vickers PhD, Tara A. Whitten PhD, Andrew Mardell RN, BScN, FHRS, Glen Sumner MD, MSc
{"title":"The impact of remote monitoring on clinical outcomes in defibrillator patients during the COVID-19 pandemic: An interrupted time series analysis","authors":"Sandeep Chand BPharm,&nbsp;Barbara Torres RN, MHA,&nbsp;David M. Vickers PhD,&nbsp;Tara A. Whitten PhD,&nbsp;Andrew Mardell RN, BScN, FHRS,&nbsp;Glen Sumner MD, MSc","doi":"10.1016/j.hroo.2026.06.008","DOIUrl":"10.1016/j.hroo.2026.06.008","url":null,"abstract":"<div><h3>Background</h3><div>Remote monitoring (RM) has become the standard of care for managing patients with defibrillators. Early in the coronavirus disease 2019 (COVID-19) pandemic, there were abrupt constraints to in-person device clinic access. The effect on overall device clinic access and clinical outcomes in the defibrillator population with and without RM during this time frame is uncertain.</div></div><div><h3>Objective</h3><div>This study aimed to examine the effect of the early period of the COVID-19 pandemic on health care access and clinical outcomes in patients with a defibrillator with either an RM or non-RM model of care.</div></div><div><h3>Methods</h3><div>Administrative data from the province of Alberta, Canada, were evaluated between March 17, 2018, and July 17, 2021, to observe and compare secular and pandemic-associated trends in overall visits, emergency department visits, cardiovascular hospitalizations, and all-cause mortality in the period before (prepandemic) and after March 16, 2020 (intrapandemic), between RM and non-RM patients with defibrillators. We applied interrupted time series analysis, and the significance for statistical tests was set at 5%.</div></div><div><h3>Results</h3><div>Of 4604 adults with defibrillators, 80% had RM. The onset of the pandemic was associated with an immediate increase in virtual care visits that was much greater in the RM group. Clinical outcome trends in both groups were essentially unchanged although we observed a 2-fold higher baseline mortality in the non-RM group that minimally declined after the pandemic.</div></div><div><h3>Conclusion</h3><div>During the early period of the COVID-19 pandemic, RM patients had significantly improved access to virtual device clinic care compared with non-RM patients. However, clinical outcome trends were essentially unchanged.</div></div>","PeriodicalId":29772,"journal":{"name":"Heart Rhythm O2","volume":"7 10","pages":"Pages 1971-1978"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149219277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence and key drivers of transvenous lead extraction for nonfunctional leads: A 5-year multicenter real-world analysis 非功能性导联经静脉导联提取的患病率和关键驱动因素:一项5年多中心现实世界分析
IF 2.8
Heart Rhythm O2 Pub Date : 2026-10-01 Epub Date: 2026-07-10 DOI: 10.1016/j.hroo.2026.06.027
Gianfranco Mitacchione MD, PhD, Francesco Solimene MD, Giuseppe Coppola MD, Federico Migliore MD, PhD, Matteo Baroni MD, Vincenzo Schillaci MD, Ennio C.L. Pisanò MD, Domenico Carretta MD, Angelo Di Grazia MD, Davide Castagno MD, PhD, Francesco Perna MD, Claudio Muneretto MD, Salvatore Torre MD, Stefano Bandino MD, Roberto Rordorf MD, Patrizio Mazzone MD, Gemma Pelargonio MD, Antonio Curnis MD
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引用次数: 0
Author’s Reply to “Methodological considerations in evaluating socioeconomic outcomes after atrial fibrillation ablation” 作者对“评价房颤消融后社会经济结果的方法学考虑”的答复
IF 2.8
Heart Rhythm O2 Pub Date : 2026-10-01 Epub Date: 2026-07-23 DOI: 10.1016/j.hroo.2026.07.020
Youlin Koh MBBS, FRACP, Michael Wong MBBS, FRACP, PhD
{"title":"Author’s Reply to “Methodological considerations in evaluating socioeconomic outcomes after atrial fibrillation ablation”","authors":"Youlin Koh MBBS, FRACP,&nbsp;Michael Wong MBBS, FRACP, PhD","doi":"10.1016/j.hroo.2026.07.020","DOIUrl":"10.1016/j.hroo.2026.07.020","url":null,"abstract":"","PeriodicalId":29772,"journal":{"name":"Heart Rhythm O2","volume":"7 10","pages":"Page 2062"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149219248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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