Journal of Innovations in Cardiac Rhythm Management最新文献_第10页

Letter from the Editor in Chief. 主编来信

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2024-01-15 eCollection Date: 2024-01-01 DOI: 10.19102/icrm.2024.150110

Moussa Mansour

引用次数: 0

Selected Advances in the Anti-arrhythmic Management of Atrial Fibrillation: 2023. 心房颤动抗心律失常治疗的部分进展：2023 年。

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2024-01-15 eCollection Date: 2024-01-01 DOI: 10.19102/icrm.2024.15014

James A Reiffel

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The Year in Pediatric Electrophysiology: 2023. 儿科电生理学年：2023。

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2024-01-15 eCollection Date: 2024-01-01 DOI: 10.19102/icrm.2024.15016

Dustin B Nash, Kathryn K Collins

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A Case Study and Literature Review of Local Anesthetic Systemic Toxicity During Placement of a Dual-chamber Pacemaker. 安置双腔起搏器期间局部麻醉剂全身毒性的病例研究和文献综述。

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2024-01-15 eCollection Date: 2024-01-01 DOI: 10.19102/icrm.2024.15013

Sara King, Perry Nystrom, Jonathan Wajert, Mindy Ferguson

引用次数: 0

Pro-arrhythmic Effect of the Vein of Marshall Ethanol Ablation: A Case Report of Perimitral Flutter After Vein of Marshall Ethanol Ablation. 马歇尔静脉乙醇消融术的致心律失常效应：马歇尔静脉乙醇消融术后窦房结周扑的病例报告。

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2023-12-15 eCollection Date: 2023-12-01 DOI: 10.19102/icrm.2023.14122

Natee Sirinvaravong, Anthony W Salmeron, Emile G Daoud, Mahmoud Houmsse

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Letter from the Editor in Chief. 主编来信

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2023-12-15 eCollection Date: 2023-12-01 DOI: 10.19102/icrm.2023.14126

Moussa Mansour

引用次数: 0

Inappropriate Subcutaneous Implantable Cardioverter-defibrillator Shocks-A Rare Case of Triple Counting. 不适当的皮下植入式心律转复除颤器电击--三重计数的罕见病例。

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2023-12-15 eCollection Date: 2023-12-01 DOI: 10.19102/icrm.2023.14121

Sai Nikhila Ghanta, Bader Alotaibi, Hakan Paydak, J Paul Mounsey, Srikanth Vallurupalli, Subodh Devabhaktuni

{"title":"Inappropriate Subcutaneous Implantable Cardioverter-defibrillator Shocks-A Rare Case of Triple Counting.","authors":"Sai Nikhila Ghanta, Bader Alotaibi, Hakan Paydak, J Paul Mounsey, Srikanth Vallurupalli, Subodh Devabhaktuni","doi":"10.19102/icrm.2023.14121","DOIUrl":"10.19102/icrm.2023.14121","url":null,"abstract":"Sudden cardiac death (SCD) caused by ventricular tachyarrhythmias is a significant contributor to cardiovascular deaths worldwide. Implantable cardioverter-defibrillators (ICDs) have shown efficacy in preventing and reducing mortality from SCD, but traditional transvenous ICDs have inherent challenges and drawbacks, such as lead fractures, lead-associated endocarditis, and lead failure. To address these issues, subcutaneous ICDs (S-ICDs) have been developed. S-ICDs lack pacing capacity but are a valid alternative for patients at high risk for infection or with difficult venous access. Pre-implantation screening can help prevent inappropriate device shocks. We present a case in which a patient received inappropriate S-ICD therapy, which was attributed to the triple counting of P-, R-, and T-waves in a patient with sinus rhythm. This is an unusual occurrence, and, to the best of our knowledge, there are only a limited number of case reports documenting inappropriate shocks due to the oversensing of P-waves and T-waves.","PeriodicalId":36299,"journal":{"name":"Journal of Innovations in Cardiac Rhythm Management","volume":"14 12","pages":"5670-5674"},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10752427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139058848","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

Beyond Anatomy: Use of Sinus Propagation Mapping to Identify the Slow Pathway for Cryoablation in Pediatric Patients. 超越解剖：利用窦道传播图确定小儿患者冷冻消融的慢速通路。

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2023-12-15 eCollection Date: 2023-12-01 DOI: 10.19102/icrm.2023.14124

William M Fogarty Iv, Anna N Kamp, Mariah Eisner, Naomi J Kertesz, Rohan N Kumthekar

{"title":"Beyond Anatomy: Use of Sinus Propagation Mapping to Identify the Slow Pathway for Cryoablation in Pediatric Patients.","authors":"William M Fogarty Iv, Anna N Kamp, Mariah Eisner, Naomi J Kertesz, Rohan N Kumthekar","doi":"10.19102/icrm.2023.14124","DOIUrl":"10.19102/icrm.2023.14124","url":null,"abstract":"Slow pathway modification via cryoablation is a common treatment of atrioventricular nodal re-entrant tachycardia (AVNRT) in pediatric patients. Sinus propagation mapping (SPM) is a tool that has been used to augment identification of the AVNRT slow pathway. We hypothesize that the use of SPM will decrease the total number of ablations performed and decrease the number of ablations until the slow pathway is successfully modified without a significant increase in procedure time. We conducted a retrospective review of patients who underwent cryoablation for AVNRT from August 2016 through March 2021. We excluded patients >21 years of age, those who underwent radiofrequency ablation; those with prior AVNRT ablation, additional pathways, or arrhythmias; and those with congenital heart disease. Out of 122 patients identified by the IMPACT database query, 103 met the inclusion criteria. Fifty-two patients (50.5%) had SPM completed during their procedures. The median number of ablations needed until successful slow pathway modification was two ablations in patients who underwent SPM and four ablations in the non-SPM group (P = .03). There was no significant difference in the total number of ablations between groups. The median total procedural time was longer in the SPM group (152 vs. 125 min; P = .01). SPM can be utilized to further improve the successful treatment of AVNRT with cryotherapy by lowering the number of ablations needed until successful slow pathway modification. However, the technique requires some additional time to collect sufficient data points to create the sinus map.","PeriodicalId":36299,"journal":{"name":"Journal of Innovations in Cardiac Rhythm Management","volume":"14 12","pages":"5682-5688"},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10752429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139058846","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

Hibernation of the Conduction System and Atrioventricular Block Reversibility Following Revascularization in Patients without Acute Coronary Syndrome. 无急性冠状动脉综合征患者血管再通术后传导系统的冬眠和房室传导阻滞的可逆性。

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2023-12-15 eCollection Date: 2023-12-01 DOI: 10.19102/icrm.2023.14125

Alireza Malekrah, Alireza Fattahian, Iman Majidifard, Nader Asgary, Ali Kazemisaeed, Mohamad Taqi Hedayati Goudarzi, Babak Bagheri, Aliasghar Nadi

{"title":"Hibernation of the Conduction System and Atrioventricular Block Reversibility Following Revascularization in Patients without Acute Coronary Syndrome.","authors":"Alireza Malekrah, Alireza Fattahian, Iman Majidifard, Nader Asgary, Ali Kazemisaeed, Mohamad Taqi Hedayati Goudarzi, Babak Bagheri, Aliasghar Nadi","doi":"10.19102/icrm.2023.14125","DOIUrl":"10.19102/icrm.2023.14125","url":null,"abstract":"Although myocardial infarction (MI) is a reversible cause of atrioventricular (AV) block, the association of ischemia other than MI with AV block is unclear. The purpose of this study is to investigate this relationship. Among patients nominated for pacemaker implantation due to AV block in two centers from 2017-2020, 120 patients with significant coronary artery disease (CAD) in angiography were included in the study. Patients were divided into two equal groups based on their CAD treatment approach: drug therapy and revascularization. Coronary lesions were divided into three types based on location: left anterior descending artery (type 1), dominant coronary with AV node branch (type 2), and a combination of both (type 3). After coronary disease treatment, all patients were followed up with for 14 months, and AV block reversibility was assessed. There were 7 cases of block reversibility in the revascularization group (11.7%) and 1 case in the medical group (1.7%), which differed significantly (P = .02). A history of acute coronary syndrome, smoking, opium use, chronic kidney disease, hypertension, age, sex, and chronic obstructive pulmonary disease were not significantly associated with reversible block. Also, the type of coronary obstruction had no significant relationship with block reversibility (P = .3, .5, and .8 for type 1, type 2, and type 3, respectively). Hibernation due to ischemia can be a reversible cause of an AV blockage. Therefore, it is recommended that significant coronary artery lesions be revascularized before pacemaker implantation.","PeriodicalId":36299,"journal":{"name":"Journal of Innovations in Cardiac Rhythm Management","volume":"14 12","pages":"5697-5702"},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10752424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139058847","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

Pseudo-vagal Responses Elicited by Cryoballoon Ablation. 冷冻球囊消融引起的假迷走神经反应

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2023-12-15 eCollection Date: 2023-12-01 DOI: 10.19102/icrm.2023.14123

Daniel Sohinki, Vinay Mehta, Jeffrey Ardell, Stavros Stavrakis, Sunny S Po, Ali Yousif

{"title":"Pseudo-vagal Responses Elicited by Cryoballoon Ablation.","authors":"Daniel Sohinki, Vinay Mehta, Jeffrey Ardell, Stavros Stavrakis, Sunny S Po, Ali Yousif","doi":"10.19102/icrm.2023.14123","DOIUrl":"10.19102/icrm.2023.14123","url":null,"abstract":"Pulmonary vein isolation via cryoballoon (CB) ablation is the cornerstone ablation strategy for the treatment of atrial fibrillation (AF). Acute intraprocedural hypotensive and/or bradycardic responses have been reported in patients undergoing CB ablation for AF. However, it remains unclear as to whether these are due to a true vagal response (VR), which can be used to predict long-term outcomes of CB ablation. We analyzed 139 freezes across 17 patients who received CB ablation for paroxysmal AF, measuring vital signs and freeze characteristics. Only one freeze was associated with both hypotension and bradycardia, constituting a true VR. Several freezes were associated with hypotension only that did not respond to atropine administration, suggesting that these responses are not associated with a VR. Hypotensive responses were significantly associated with ice bubble bursts during CB deflation. Unlike the true VR reported in patients undergoing conscious sedation, the presence of acute hypotension shortly after CB deflation cannot be used as a predictor for long-term ablation outcomes.","PeriodicalId":36299,"journal":{"name":"Journal of Innovations in Cardiac Rhythm Management","volume":"14 12","pages":"5690-5696"},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10752428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139058851","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