{"title":"Ventricular tachycardia termination in a 70-year-old female with arrhythmogenic right ventricular cardiomyopathy","authors":"Tadhg Prendiville, Paul Angaran, Iqwal Mangat","doi":"10.1016/j.ipej.2025.12.020","DOIUrl":"10.1016/j.ipej.2025.12.020","url":null,"abstract":"","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":"26 1","pages":"Pages 71-74"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858157","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}
{"title":"Signature ECG part 5: Exercise induced syncope","authors":"Anand Manickavasagam , Arthur AM. Wilde","doi":"10.1016/j.ipej.2025.11.010","DOIUrl":"10.1016/j.ipej.2025.11.010","url":null,"abstract":"<div><div>14-year-old boy presented with aborted sudden cardiac arrest during exertion. His brother died suddenly at 16 years of age during an emotional situation. On stress testing, patient developed classical bidirectional PVCs typical of CPVT (Catecholaminergic polymorphic ventricular tachycardia). The genetic testing showed pathogenic heterozygous variant in CASQ<sub>2</sub> gene. Patient was started on propranolol and flecainide and advised to avoid strenuous physical activity.</div></div>","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":"26 1","pages":"Pages 59-60"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640748","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}
{"title":"Influence of pulmonary vein ovality on the occlusion efficacy of a size-adjustable cryoballoon: Insights from a 3D silicone model study","authors":"Takafumi Koyama , Futa Oi , Masato Murakami , Shigeru Saito , Shinji Takeoka","doi":"10.1016/j.ipej.2025.12.019","DOIUrl":"10.1016/j.ipej.2025.12.019","url":null,"abstract":"<div><h3>Background</h3><div>Cryoballoon ablation is an established therapy for atrial fibrillation, but complete pulmonary vein (PV) occlusion can be challenging in large or anatomically complex veins. The size-adjustable cryoballoon (POLARx™ FIT), expandable to 31 mm, was developed to improve occlusion; however, downsizing to a 28-mm balloon is sometimes required. The impact of PV morphology, particularly ovality, on occlusion performance remains unclear.</div></div><div><h3>Methods</h3><div>In vitro PV models with long-axis diameters of 30 mm and 24 mm were created, each including multiple ovality indices. Occlusion was assessed using 28-mm and 31-mm POLARx™ FIT cryoballoons. Intraluminal PV pressure was measured as an index of occlusion efficacy, with three repeated measurements averaged for each model.</div></div><div><h3>Results</h3><div>For the 31-mm balloon, a significant negative correlation was observed between ovality index and PV pressure in both model sizes (p < 0.0001), indicating reduced occlusion with increasing ovality. No such correlation was observed for the 28-mm balloon. In 24-mm models, the 28-mm balloon achieved higher and more consistent pressures.</div></div><div><h3>Conclusion</h3><div>Pre-freeze mechanical occlusion differed according to balloon size and PV geometry. The 31-mm balloon performed best in larger, more circular veins, whereas the 28-mm balloon showed more uniform performance across varying shapes, likely reflecting differences in stiffness and compliance. These findings provide mechanistic insight into balloon–PV interactions and warrant further experimental and clinical validation.</div></div>","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":"26 1","pages":"Pages 23-27"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851022","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}
{"title":"Ganglionated plexus ablation for refractory vasovagal syncope: Moving from “promising” to “protocolized”","authors":"Tolga Aksu","doi":"10.1016/j.ipej.2026.01.005","DOIUrl":"10.1016/j.ipej.2026.01.005","url":null,"abstract":"","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":"26 1","pages":"Pages 20-22"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145918781","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}
{"title":"Anatomy of the coronary sinus in atrial fibrillation: Focus on the vein of Marshall and ethanol ablation strategies","authors":"Adolfo Fontenla , David Gonzalez-Casal , Tomás Datino , Nina Soto Flores , Damián Sánchez-Quintana , José-Ángel Cabrera","doi":"10.1016/j.ipej.2026.02.005","DOIUrl":"10.1016/j.ipej.2026.02.005","url":null,"abstract":"","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":"26 1","pages":"Pages 35-45"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137843","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}
Xinyue Liang , Shaolei Yi , Yan Hao, Shuai Wang, Lianghua Chen
{"title":"Incessant ventricular tachycardia from a surviving Purkinje network years after myocardial infarction: A case report","authors":"Xinyue Liang , Shaolei Yi , Yan Hao, Shuai Wang, Lianghua Chen","doi":"10.1016/j.ipej.2026.01.002","DOIUrl":"10.1016/j.ipej.2026.01.002","url":null,"abstract":"<div><div>Ventricular tachycardia (VT) in the setting of chronic myocardial infarction (MI) is overwhelmingly attributed to macro-reentry. We report an extremely rare case of late-onset, incessant monomorphic VT driven by abnormal Purkinje automaticity. A 77-year-old male, two years post-inferoposterior MI, presented with symptomatic VT and an exceptionally high premature ventricular contraction (PVC) burden of 29.1 %. The VT's mostly regular rhythm with occasional irregularity, combined with a reduced left ventricular ejection fraction (LVEF) of 48 %, suggested a continuous focal driver with intermittent exit block causing tachycardia-induced cardiomyopathy. High-density mapping revealed a centrifugal activation pattern, with the earliest site showing long, fractionated diastolic potentials adjacent to Purkinje potentials. A targeted regional substrate ablation strategy (\"de-networking\") of the arrhythmogenic substrate successfully terminated the arrhythmia. Consequently, the PVC burden was reduced to 1.5 % and the LVEF recovered to 54 % at one-month follow-up. This case demonstrates that late-onset, incessant VT from a surviving Purkinje network is a curable cause of cardiomyopathy, with targeted ablation leading to arrhythmia suppression and significant ventricular function recovery.</div></div>","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":"26 1","pages":"Pages 30-34"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146041602","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}