{"title":"The usefulness of \"reversed U-curve\" HD grid mapping","authors":"","doi":"10.1016/j.ipej.2024.04.011","DOIUrl":"10.1016/j.ipej.2024.04.011","url":null,"abstract":"","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":"24 4","pages":"Pages 210-211"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0972629224000512/pdfft?md5=3a049c3a359e4770e0b42b9c2f4fe6f5&pid=1-s2.0-S0972629224000512-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867634","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}
{"title":"Challenging wide QRS tachycardia diagnosis: One trigger two mechanisms","authors":"","doi":"10.1016/j.ipej.2024.04.008","DOIUrl":"10.1016/j.ipej.2024.04.008","url":null,"abstract":"<div><p>The coexistence of different types of wide QRS complex tachycardias induced by the same trigger has rarely been observed. The electrical instability and incessant nature of tachycardias can cause tachycardiomyopathy and will not allow accurate diagnosis during an electrophysiological study (EPS). In case of an electrical storm, elimination of the trigger may be the first approach to provide patient stability. We report a successfully managed case of repetitive initiation of pleomorphic ventricular tachycardia and Mahaim-type antidromic atrioventricular reentrant tachycardia, induced by a premature ventricular complex in the right ventricular outflow tract.</p></div>","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":"24 4","pages":"Pages 200-203"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0972629224000500/pdfft?md5=ec85b3cd13112fde893c5acf3d9eab30&pid=1-s2.0-S0972629224000500-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867398","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}
{"title":"Refractory coronary vasospasm complicated by complete atrio-ventricular block during neck surgery: is there an indication for pacing?","authors":"","doi":"10.1016/j.ipej.2024.05.005","DOIUrl":"10.1016/j.ipej.2024.05.005","url":null,"abstract":"<div><p>Vasospastic angina is a clinical condition characterized by coronary artery spasm in angiographically normal coronary arteries. Vasospastic angina can often lead to ventricular arrhythmias, sudden cardiac death, or life-threatening bradyarrhythmias, such as high-degree atrioventricular block or asystole. We present the unusual case of a woman with depressive syndrome who underwent emergency surgery for hemostasis of a neck lesion that caused hemorrhagic shock after a suicide attempt. During surgery, the electrocardiogram revealed inferior and posterior ST-segment elevation, total atrioventricular block and torsades de pointes; the patient also suffered 4 minutes of cardiac arrest. A temporary pacemaker was placed. Coronary angiography showed right coronary artery vasospasm. Following a second similar episode after tracheostomy, a permanent pacemaker was implanted. The indication for definitive electrostimulation in such a context and the stimulation mechanisms of the carotid sinus underlying vasospasm constitute the interesting points of this clinical case.</p></div><div><h3>Learning objective</h3><p>The indication for definitive electrostimulation in a context of recurrent episodes of high-degree atrioventricular block during vasospastic angina and the stimulation mechanisms of the carotid sinus underlying vasospasm constitute the interesting points of this clinical case.</p></div>","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":"24 4","pages":"Pages 217-220"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0972629224000561/pdfft?md5=6f9ae79d688f0c87500739aacacba37d&pid=1-s2.0-S0972629224000561-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916483","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}
{"title":"Ripple map delineation of the reentrant circuit in a tricuspid annular atrial tachycardia mimicking focal activity","authors":"","doi":"10.1016/j.ipej.2024.06.004","DOIUrl":"10.1016/j.ipej.2024.06.004","url":null,"abstract":"<div><p>A 70-year-old man with hypertensive heart disease underwent catheter ablation of persistent atrial fibrillation. After completing the pulmonary vein isolation, atrial burst pacing induced an annular atrial tachycardia (AT). Overdrive pacing exhibited constant fusion, indicating a macroreentrant mechanism of the AT. However, the CARTO3 activation map created using the Octaray catheter (both Biosense Webster, Irvine, CA) exhibited a centrifugal spread with the earliest activation site at the 4 o'clock position of the tricuspid annulus. In contrast, the Ripple map revealed a clear reentrant circuit with its isthmus located at the 4–6 o'clock position of the tricuspid annulus. The local electrograms in these areas recorded systolic and diastolic potentials simultaneously, and the misannotation of the large far-field potentials caused this discrepant result. Handling low-amplitude complex fractionated electrograms remains a challenge in creating a precise activation mapping. The Ripple map, especially when combined with the Octaray catheter, was effective in dynamically visualizing all these electrograms and accurately delineating the reentrant circuit.</p></div>","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":"24 4","pages":"Pages 229-232"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S097262922400072X/pdfft?md5=4480d86832621eb3e655befa662d1332&pid=1-s2.0-S097262922400072X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433021","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}
{"title":"Clinical utility of oesophageal temperature monitoring in AF ablation: An updated meta-analysis and review of literature","authors":"","doi":"10.1016/j.ipej.2024.05.007","DOIUrl":"10.1016/j.ipej.2024.05.007","url":null,"abstract":"<div><h3>Background</h3><p>Atrial fibrillation (AF) ablation can lead to oesophageal thermal injuries (ETI). These are thought to be the precursor of the much rarer but frequently fatal atrio-oesophageal fistulas. Many centers performing AF ablation routinely use oesophageal temperature monitoring (ETM). This meta-analysis aims to determine the utility of ETM in preventing ETI in the context of radiofrequency catheter ablation of AF.</p></div><div><h3>Methods</h3><p>A systematic search of PubMed, Embase databases and Cochrane registry was performed comparing ETI between ETM and non-ETM strategies in AF ablation. Data on endoscopically determined ETI, AF recurrence, procedure time and ablation time were extracted. Statistical analyses including subgroup and covariate analyses were performed using random effect model in R platform.</p></div><div><h3>Results</h3><p>ETI were similar in both ETM (n = 864) and non- ETM groups (n = 639) (RR 1.04, 95 % CI 0.34–3.23) across 12 studies<strong>.</strong> AF recurrence was statistically similar in both groups (IRR 0.92, 95 % CI 0.73–1.17) but showed a lower trend in non-ETM group. Ablation time was numerically lower in the ETM group and procedure time was numerically higher trend in the ETM group; but they were not statistically significant. Covariate analysis found that posterior wall ablation power setting, additional linear ablation, BMI, use of GA or prophylactic PPI after ablation had no significant correlation in the incidence of ETI.</p></div><div><h3>Conclusion</h3><p>ETM was not associated with a reduced incidence of ETI during AF ablation. Evidence supporting the routine use of ETM to reduce the risk of ETI or atrio-oesophageal fistulas is lacking.</p></div>","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":"24 4","pages":"Pages 183-188"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S097262922400069X/pdfft?md5=6c0c6a32e787ac36849d0c47c6d9d9b6&pid=1-s2.0-S097262922400069X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089112","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}
Francesco De Sensi, Luigi Addonisio, Alberto Cresti, Ugo Limbruno
{"title":"Anatomical reconstruction of right ventricular structures with intracardiac echocardiography during ablation of premature contractions from moderator band","authors":"Francesco De Sensi, Luigi Addonisio, Alberto Cresti, Ugo Limbruno","doi":"10.1016/j.ipej.2024.01.007","DOIUrl":"10.1016/j.ipej.2024.01.007","url":null,"abstract":"","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":"24 3","pages":"Pages 155-157"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11143734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139565069","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}
Sanjeev S. Mukherjee , Debabrata Bera , Ashesh Halder , Saroj Kumar Choudhury
{"title":"“On-Off” phenomenon in a case of concealed left lateral atrio-ventricular accessory pathway - What is the mechanism?","authors":"Sanjeev S. Mukherjee , Debabrata Bera , Ashesh Halder , Saroj Kumar Choudhury","doi":"10.1016/j.ipej.2024.02.001","DOIUrl":"10.1016/j.ipej.2024.02.001","url":null,"abstract":"<div><p>We report a case of symptomatic supraventricular tachycardia who had absent VA conduction during electrophysiology study. The interesting finding was appearance of VA conduction only at a specific cycle length of ventricular pacing which reproducibly induced a sustained orthodromic re-entrant tachycardia (ORT). We review the literature and conclude that supernormal AP conduction can explain such phenomenon.</p></div>","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":"24 3","pages":"Pages 160-162"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11143745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139693086","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}
{"title":"Dr. C. Thomas Peter: A celebration of life","authors":"","doi":"10.1016/j.ipej.2024.05.004","DOIUrl":"10.1016/j.ipej.2024.05.004","url":null,"abstract":"","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":"24 3","pages":"Pages 171-172"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S097262922400055X/pdfft?md5=14f775166aaa26ab98dceeaedb3d0e3f&pid=1-s2.0-S097262922400055X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141055434","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}
{"title":"Enhanced identification of ventricular tachycardia isthmus within a scar using Ripple map and Octaray catheter","authors":"Masato Okada, Koji Tanaka, Nobuaki Tanaka","doi":"10.1016/j.ipej.2024.03.001","DOIUrl":"10.1016/j.ipej.2024.03.001","url":null,"abstract":"","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":"24 3","pages":"Pages 163-164"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11143709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140068820","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}