{"title":"Leadless pacemaker implantation during pregnancy: Quantitative assessment of fetal radiation exposure","authors":"Ayan Suleimenovich Abdrakhmanov MD, PhD, FHRS, Simona Avramova-Cholakova PhD, Gaziza Marat MD, Zhanasyl Ayanovich Suleymen MD","doi":"10.1016/j.hroo.2026.04.032","DOIUrl":"10.1016/j.hroo.2026.04.032","url":null,"abstract":"<div><div>Leadless pacemakers offer an alternative to conventional pacing by eliminating lead- and pocket-related complications. However, their use during pregnancy remains very limited because of concerns related to radiation exposure. We describe the clinical experience of a 17-week pregnant patient who presented with episodes of dizziness, profound weakness, and syncope. Further evaluation revealed second-degree atrioventricular block, Mobitz type II, and transient third-degree atrioventricular block documented by Holter monitoring, indicating the need for permanent pacing. The patient underwent implantation of a Micra AV (Medtronic, USA) leadless pacemaker under fluoroscopic guidance using optimized radiation safety protocols.</div><div>The estimated fetal absorbed dose was 1.4 mGy, well below reported thresholds for deterministic effects and associated with a very low additional radiation risk compared with background risks of congenital malformations and childhood cancer. The maternal effective dose was 15 mSv. Post-procedure follow-up demonstrated complete symptom resolution, an uncomplicated continuation of pregnancy, and delivery of a healthy infant.</div><div>This case illustrates the practical feasibility of leadless pacemaker implantation during pregnancy when careful radiation minimization strategies are applied and adds real-world experience to the limited data available for critical pacing indications in pregnant patients.</div></div>","PeriodicalId":29772,"journal":{"name":"Heart Rhythm O2","volume":"7 9","pages":"Pages 1791-1795"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148981081","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}
Heart Rhythm O2Pub Date : 2026-09-01Epub Date: 2026-07-02DOI: 10.1016/j.hroo.2026.06.015
Wojciech Losos MD, MBS, Carrie Shao BA, Biqi Wang PhD, Spyros Kitsiou PhD, Ben S. Gerber MD, MPH, David D. McManus MD, ScM, FHRS
{"title":"Mobile applications for atrial fibrillation self-management: A systematic search and evaluation","authors":"Wojciech Losos MD, MBS, Carrie Shao BA, Biqi Wang PhD, Spyros Kitsiou PhD, Ben S. Gerber MD, MPH, David D. McManus MD, ScM, FHRS","doi":"10.1016/j.hroo.2026.06.015","DOIUrl":"10.1016/j.hroo.2026.06.015","url":null,"abstract":"<div><h3>Background</h3><div>Atrial fibrillation (AF) is the most common cardiac arrhythmia, increasing the risk of stroke, heart failure, and healthcare costs. Although patient self-management can improve outcomes, sustaining long-term engagement is difficult. Mobile health applications may help address this gap, but their quality and clinical alignment have not been systematically assessed using a validated framework.</div></div><div><h3>Objective</h3><div>This study aimed to systematically identify and evaluate AF self-management applications using the Mobile Application Rating Scale (MARS) and to assess how well these apps align with evidence-based practices for AF.</div></div><div><h3>Methods</h3><div>We conducted a structured search of the Apple App Store and Google Play Store (June 2024, updated January 2025) for English-language, patient-focused apps supporting AF self-management (eg, symptom logging, medication reminders, and educational content). Eligible apps offered ≥1 self-management feature and either explicitly referenced AF or, for general self-management apps, provided features directly applicable to AF self-care. 2 reviewers independently rated app quality using the MARS across 4 domains (Engagement, Functionality, Aesthetics, and Information).</div></div><div><h3>Results</h3><div>Of the 455 apps identified, 5 met all inclusion criteria. Common features included symptom tracking and medication logging, but coverage of guideline-recommended care domains varied. Mean MARS scores ranged from 4.07 to 4.53 (out of 5). Higher-performing apps excelled in functionality and information quality but often lacked features such as stroke-risk assessment and personalized feedback.</div></div><div><h3>Conclusion</h3><div>Current AF self-management apps show high MARS quality but lack comprehensive, clinically grounded functionality, highlighting a gap in digital tools for AF self-care. Improved codesign processes and standardized evaluation frameworks may guide development of more effective apps.</div></div>","PeriodicalId":29772,"journal":{"name":"Heart Rhythm O2","volume":"7 9","pages":"Pages 1698-1705"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148981197","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}
Heart Rhythm O2Pub Date : 2026-09-01Epub Date: 2026-09-18DOI: 10.1016/j.hroo.2026.08.088
Apo Youssef, Nicolle S. Milstein, Amira Herstic, Armin Saba, Advay G. Bhatt, Mohammadali Habibi, Stephanie M. Kochav, Tina C. Sichrovsky, Suneet Mittal, Dan L. Musat
{"title":"ID: 4571003 COMPARISON OF RHYTHM MONITORING STRATEGIES FOR DETECTION OF ATRIAL ARRHYTHMIA RECURRENCE FOLLOWING PULSED FIELD ABLATION IN PATIENTS WITH ATRIAL FIBRILLATION","authors":"Apo Youssef, Nicolle S. Milstein, Amira Herstic, Armin Saba, Advay G. Bhatt, Mohammadali Habibi, Stephanie M. Kochav, Tina C. Sichrovsky, Suneet Mittal, Dan L. Musat","doi":"10.1016/j.hroo.2026.08.088","DOIUrl":"10.1016/j.hroo.2026.08.088","url":null,"abstract":"","PeriodicalId":29772,"journal":{"name":"Heart Rhythm O2","volume":"7 9","pages":"Pages S51-S52"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149000550","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}
Heart Rhythm O2Pub Date : 2026-09-01Epub Date: 2026-09-18DOI: 10.1016/j.hroo.2026.08.113
Anthony Pompa, Nathan Miller, Lisa Roelle, Na Le Dang, Jennifer N. Silva
{"title":"ID: 4566942 MOBILE ELECTROPHYSIOLOGY SYSTEM WITH MIXED REALITY VIRTUAL SCREENS FOR PEDIATRIC ABLATION","authors":"Anthony Pompa, Nathan Miller, Lisa Roelle, Na Le Dang, Jennifer N. Silva","doi":"10.1016/j.hroo.2026.08.113","DOIUrl":"10.1016/j.hroo.2026.08.113","url":null,"abstract":"","PeriodicalId":29772,"journal":{"name":"Heart Rhythm O2","volume":"7 9","pages":"Pages S66-S67"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149000749","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}