Indian Pacing and Electrophysiology Journal最新文献_第5页

Basal Crux Ventricular Tachycardia in Ischemic Heart Disease. 缺血性心脏病基底症结性室性心动过速。

Indian Pacing and Electrophysiology Journal Pub Date : 2025-06-20 DOI: 10.1016/j.ipej.2025.06.009

Devendra S Bisht, Kamal Kishor

引用次数: 0

2: 1 AV block post ASD device closure - What is the mechanism. ASD设备关闭后AV阻断-机制是什么？

Indian Pacing and Electrophysiology Journal Pub Date : 2025-06-16 DOI: 10.1016/j.ipej.2025.06.005

Sanjeev S Mukherjee, Ashesh Halder, Anil Kumar Singhi, K Sivakumar

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Optimal strategy for very high-power short-duration atrial fibrillation ablation: Acute efficacy and safety of pulmonary vein and box isolation 非常高功率短时间房颤消融的最佳策略：肺静脉和箱体隔离的急性疗效和安全性。

Indian Pacing and Electrophysiology Journal Pub Date : 2025-05-01 DOI: 10.1016/j.ipej.2025.04.007

Yusuke Sakamoto, Hiroyuki Osanai, Yoshihito Nakashima, Hiroshi Asano, Masayoshi Ajioka

{"title":"Optimal strategy for very high-power short-duration atrial fibrillation ablation: Acute efficacy and safety of pulmonary vein and box isolation","authors":"Yusuke Sakamoto, Hiroyuki Osanai, Yoshihito Nakashima, Hiroshi Asano, Masayoshi Ajioka","doi":"10.1016/j.ipej.2025.04.007","DOIUrl":"10.1016/j.ipej.2025.04.007","url":null,"abstract":"<div><h3>Introduction</h3><div>The optimal strategy for very high-power short-duration (vHPSD) ablation for atrial fibrillation (AF) is unclear. Data regarding the application of box isolation (BOXI) and its complications, particularly, pulmonary vein stenosis (PVS), remain scarce. We aimed to determine the optimal strategy for vHPSD in AF ablation by focusing on pulmonary vein isolation (PVI) and BOXI and assessing the acute efficacy and safety.</div></div><div><h3>Methods</h3><div>Patients with drug-refractory AF (n = 97) were divided into two groups: Strategy 1 (n = 50; 90 W for 4 s with PVI for the bottom line and 50 W with an ablation index [AI] of 450 for the roof line) and Strategy 2 (n = 47; based on the outcomes of Strategy 1, using AI-guided ablation). The acute efficacy and safety were compared between the groups. Pre- and post-ablation imaging was conducted to assess PVS.</div></div><div><h3>Results</h3><div>Strategy 1 yielded first-pass isolation (FPI) rates of 62.5 % (PVI) and 72 % (BOXI). The weak points were the thick parts of the atrial wall and the parts with epicardial connections. Strategy 2, which was improved by AI guidance, increased the FPI rates to 97.5 % (PVI) and 95 % (BOXI) and reduced the procedural and fluoroscopy times, respectively. Follow-up imaging showed that the PVS incidence remained low and did not significantly differ between the strategies.</div></div><div><h3>Conclusion</h3><div>AI-guided ablation enhanced the efficacy of vHPSD for PVI and BOXI in Strategy 2. Furthermore, our assessment of PVS demonstrated that vHPSD maintains a favorable safety profile with a low PVS incidence.</div></div>","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":"25 3","pages":"Pages 136-145"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Irregular narrow QRS tachycardia: Chaos is order yet undeciphered 不规则窄QRS心动过速：混沌是尚未破译的秩序。

Indian Pacing and Electrophysiology Journal Pub Date : 2025-05-01 DOI: 10.1016/j.ipej.2025.05.001

Yash Lokhandwala

引用次数: 0

Co-existence of RBM20 and KCNQ1 gene mutations in a patient with long QT syndrome and dilated cardiomyopathy. “Which came first: Chicken or the egg?” RBM20和KCNQ1基因突变在长QT综合征合并扩张性心肌病患者中的共存“先有鸡还是先有蛋？”

Indian Pacing and Electrophysiology Journal Pub Date : 2025-05-01 DOI: 10.1016/j.ipej.2025.03.005

Jithin S. Panicker, Sam Jacob Chiramel

{"title":"Co-existence of RBM20 and KCNQ1 gene mutations in a patient with long QT syndrome and dilated cardiomyopathy. “Which came first: Chicken or the egg?”","authors":"Jithin S. Panicker, Sam Jacob Chiramel","doi":"10.1016/j.ipej.2025.03.005","DOIUrl":"10.1016/j.ipej.2025.03.005","url":null,"abstract":"<div><div>A 60-year-old female patient was taken to the emergency department with a history of syncope. ECG revealed polymorphic ventricular tachycardia which necessitated recurrent DC cardioversion. Post-reversion ECG showed sinus rhythm with prolonged corrected QTc. Bedside transthoracic echocardiogram revealed features suggestive of dilated cardiomyopathy (DCM) with severe left ventricular dysfunction. Next reversion to VT was managed with intravenous propranolol and DC cardioversion after which she remained in sinus rhythm. After the initiation of beta-blocker, she developed sinus bradycardia followed by complete heart block.</div><div>The concern we had while managing this case was whether the DCM caused the VT {then why long QTc?} OR was the long QTc causing DCM {due to same gene mutation}. Genetic analysis revealed the simultaneous occurrence of KCNQ1 and RBM20 mutation.</div><div>Regarding the treatment given to our patient, we continued beta-blocker, left bundle branch optimized implantable cardioverter defibrillator {LOT – Dx ICD} was done with atrial sensing, the right ventricular coil as the defibrillator, and left bundle branch area pacing.</div><div>In our patient, any of the two mutations could explain the occurrence of both DCM and long QTc. However genetic analysis revealed the simultaneous presence of both RBM20 and KCNQ1 mutation. To the best of our knowledge, this is the first report in the medical literature on the co-existence of RBM20 and KCNQ1 mutation.</div></div>","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":"25 3","pages":"Pages 171-174"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Contralateral pneumothorax, pneumomediastinum, and pneumopericardium after dual-chamber pacemaker implantation 双腔起搏器植入后对侧气胸、纵隔气肿和心包膜气肿。

Indian Pacing and Electrophysiology Journal Pub Date : 2025-05-01 DOI: 10.1016/j.ipej.2025.05.005

Mariana Pereira Santos , André Alexandre , Maria João Sousa , Severo Torres

{"title":"Contralateral pneumothorax, pneumomediastinum, and pneumopericardium after dual-chamber pacemaker implantation","authors":"Mariana Pereira Santos , André Alexandre , Maria João Sousa , Severo Torres","doi":"10.1016/j.ipej.2025.05.005","DOIUrl":"10.1016/j.ipej.2025.05.005","url":null,"abstract":"<div><div>We present a rare case of a 79-year-old man who developed contralateral pneumothorax, pneumomediastinum, and pneumopericardium following dual-chamber pacemaker implantation for symptomatic second-degree atrioventricular block. The procedure itself was uneventful, with appropriate lead placement and good electrical parameters.</div><div>However, 30 minutes post-procedure, the patient developed right-sided pleuritic chest pain and dyspnea. Imaging revealed a right-sided pneumothorax, pleural effusion, pneumomediastinum, and pneumopericardium. A chest drain was inserted due to the significant pneumothorax volume, leading to symptom resolution. Electrocardiographic changes and inflammatory marker elevation suggested pericarditis, which was successfully treated with ibuprofen and colchicine. The patient was discharged after 13 days and remained stable at a 1-year follow-up.</div><div>The suspected mechanism of injury was atrial lead perforation, although other causes, such as pleural puncture or superior vena cava injury, were considered. Management of such cases varies, with lead revision being unnecessary in this patient due to stable pacing parameters. This case highlights an unusual complication of pacemaker implantation and underscores the importance of prompt diagnosis and individualized management.</div></div>","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":"25 3","pages":"Pages 162-166"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unusual “crosstalk” phenomenon between right pulmonary veins observed during cryoballoon ablation 低温球囊消融术中观察到右肺静脉间异常的“串音”现象。

Indian Pacing and Electrophysiology Journal Pub Date : 2025-05-01 DOI: 10.1016/j.ipej.2025.04.001

Yuhei Kasai, Takayuki Kitai, Junji Morita, Tsutomu Fujita

引用次数: 0

A subtle pre-excitation playing hide and seek 一种微妙的预先兴奋玩捉迷藏。

Indian Pacing and Electrophysiology Journal Pub Date : 2025-05-01 DOI: 10.1016/j.ipej.2025.05.003

Ramanathan Velayutham, Anish Bhargav, Raja J. Selvaraj

引用次数: 0

Cardiogenetics: Closing the knowledge gap in India 心脏遗传学：缩小印度的知识差距。

Indian Pacing and Electrophysiology Journal Pub Date : 2025-05-01 DOI: 10.1016/j.ipej.2025.05.006

Priya Chockalingam, Arthur A.M. Wilde

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Annual Heart Rhythm Society (HRS) meeting 2025: highlights 2025年度心律会议亮点。

Indian Pacing and Electrophysiology Journal Pub Date : 2025-05-01 DOI: 10.1016/j.ipej.2025.05.008

Ajay Naik

引用次数: 0