Journal of Innovations in Cardiac Rhythm Management最新文献

{"title":"Letter from the Editor in Chief.","authors":"Devi Nair","doi":"10.19102/icrm.2025.16027","DOIUrl":"https://doi.org/10.19102/icrm.2025.16027","url":null,"abstract":"","PeriodicalId":36299,"journal":{"name":"Journal of Innovations in Cardiac Rhythm Management","volume":"16 2","pages":"A7-A8"},"PeriodicalIF":0.0,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11900842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617464","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":"Using a Novel Pulsed Field Ablation Technique to Identify the Critical Isthmus Within a Tachycardia Circuit.","authors":"James Mannion, Faizan Rathore, Jakub David, Jonathan Lyne","doi":"10.19102/icrm.2025.16023","DOIUrl":"10.19102/icrm.2025.16023","url":null,"abstract":"<p><p>Pulsed field ablation uses irreversible electroporation to interrupt cellular membranes and induce myocyte apoptosis. Reversible electroporation has been used in other specialties, but its utility in cardiac ablation is unknown. Here, a 69-year-old woman undergoing repeat ablation for atypical atrial flutter presented with extensive scar after cardiac surgery (including MAZE) and previous ablation, leading to a macro re-entry circuit. To minimize superfluous lesions and further arrhythmia, we used a single pulse confirming the isthmus location, with cessation of the arrhythmia. As a conclusion, reversible electroporation may be used to test areas of interest prior to irreversible lesion creation.</p>","PeriodicalId":36299,"journal":{"name":"Journal of Innovations in Cardiac Rhythm Management","volume":"16 2","pages":"6195-6198"},"PeriodicalIF":0.0,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11882119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574125","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":"Unveiling Rarity: Giant Septal Coronary Vein Dissection, an Unforeseen Twist in Complications of Left Bundle Branch Area Pacing.","authors":"Ronpichai Chokesuwattanaskul, Monravee Tumkosit, Krit Jongnarangsin","doi":"10.19102/icrm.2025.16022","DOIUrl":"10.19102/icrm.2025.16022","url":null,"abstract":"<p><p>Left bundle branch area pacing (LBBAP) is a promising pacing technique aimed at mitigating pacing-induced cardiomyopathy; however, a gap in understanding persists concerning intraprocedural complications and their management. This case study sheds light on a rare complication associated with LBBAP. Through sheath penetration into the interventricular septum at a typical site, a septogram revealed the dissection of a large septal coronary vein. Herein, we propose the management strategy and its outcome.</p>","PeriodicalId":36299,"journal":{"name":"Journal of Innovations in Cardiac Rhythm Management","volume":"16 2","pages":"6184-6186"},"PeriodicalIF":0.0,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11882116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573968","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":"Cardiac Contractility Modulation Therapy and Device Algorithm-related Challenges.","authors":"Farman Ali, Khurram Arshad, Rabia Latif, Faizan Malik, Aman Ullah, Fnu Raheela, Sarita Rao, Sohail Hassan","doi":"10.19102/icrm.2025.16024","DOIUrl":"10.19102/icrm.2025.16024","url":null,"abstract":"<p><p>Heart failure (HF) is a complex and potentially life-threatening medical condition posing significant risks to individuals. It is associated with substantial health care expenditures, considerable morbidity and mortality, and a decline in functional capacity and quality of life. Cardiac contractility modulation (CCM) has emerged as a promising device-based treatment for patients with HF with reduced ejection fraction (HFrEF). Studies have shown that CCM treatment in HFrEF patients can improve exercise tolerance and quality of life and reduce HF hospitalizations. As CCM therapy becomes a more prevalent treatment for HFrEF, the natural learning curve inherent in the use of new technologies necessitates broader provider training and careful patient follow-up. To that end, this article highlights the importance of developing a fundamental troubleshooting algorithm to help optimize the management of patients who have an implanted CCM device.</p>","PeriodicalId":36299,"journal":{"name":"Journal of Innovations in Cardiac Rhythm Management","volume":"16 2","pages":"6187-6194"},"PeriodicalIF":0.0,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11882118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573963","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":"Conduction System Pacing: Where Are We in 2025?","authors":"Imran Niazi","doi":"10.19102/icrm.2025.16015","DOIUrl":"10.19102/icrm.2025.16015","url":null,"abstract":"","PeriodicalId":36299,"journal":{"name":"Journal of Innovations in Cardiac Rhythm Management","volume":"16 1","pages":"6151-6153"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081354","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":"Letter from the Editor in Chief.","authors":"Devi Nair","doi":"10.19102/icrm.2025.16019","DOIUrl":"10.19102/icrm.2025.16019","url":null,"abstract":"","PeriodicalId":36299,"journal":{"name":"Journal of Innovations in Cardiac Rhythm Management","volume":"16 1","pages":"A7-A8"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081361","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":"2024 Literature Review of Postoperative Atrial Fibrillation: A Surgeon's Perspective.","authors":"Andy C Kiser","doi":"10.19102/icrm.2025.16017","DOIUrl":"10.19102/icrm.2025.16017","url":null,"abstract":"","PeriodicalId":36299,"journal":{"name":"Journal of Innovations in Cardiac Rhythm Management","volume":"16 1","pages":"6154-6157"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081343","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":"Pediatric Electrophysiology in 2024: End of the Year Review.","authors":"Johannes C Von Alvensleben, Kathryn K Collins","doi":"10.19102/icrm.2025.16014","DOIUrl":"10.19102/icrm.2025.16014","url":null,"abstract":"","PeriodicalId":36299,"journal":{"name":"Journal of Innovations in Cardiac Rhythm Management","volume":"16 1","pages":"6141-6143"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081379","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":"Comparison of Electrocardiogram Characteristics of Two Commercially Available Implantable Loop Monitors: Impact of These Characteristics in the Correct Adjudication of Recorded Events and Minimized Undersensing and Oversensing of Events.","authors":"Atul Prakash, Eisha Gupta, Tariq Hadaya, Ravnit Singh","doi":"10.19102/icrm.2025.16013","DOIUrl":"10.19102/icrm.2025.16013","url":null,"abstract":"<p><p>Implantable cardiac monitors (ICMs) are useful in the detection of tachycardias, bradycardias, and atrial fibrillation. Undersensing and oversensing of events occur despite complex algorithms. The devices available have subtle differences, which may account for a difference in recorded characteristics. The electrocardiogram (ECG) characteristics of different monitors may influence their ability to correctly identify the events recorded. The objective is to compare the ECG characteristics of two commercially available implantable loop monitors and the ability to improve diagnostic accuracy. Two cohorts of patients were examined. Cohort 1 consisted of 30 patients with a Reveal LINQ I (Medtronic, Minneapolis, MN, USA) implanted, which was replaced with a BIOMONITOR III (Biotronik, Berlin, Germany) when the former had reached end of life. The new monitor was implanted at the same site in all patients. This provided a unique opportunity to compare ECGs obtained by both devices with no other confounding variable. Cohort 2 consisted of patients who had undergone implantation of either device at the discretion of the physician. This was therefore a retrospective analysis of 106 patients who had been implanted with one of the devices within a 2-year period. In both cohorts, we compared R-wave amplitude, the ability to accurately detect P-waves, and the frequency of undersensing and oversensing of events. In cohort 1, the mean R-wave was 0.35 ± 0.2 mV with the LINQ I as compared to 0.98 ± 0.4 with the BIOMONITOR III (<i>P</i> = .001). A P-wave in sinus rhythm was present in 19 (63%) subjects with the LINQ I implants versus 28 (93%) with the BIOMONITOR III implants (<i>P</i> = .004). Undersensing of events was noted in five (16%) patients with the LINQ I versus five (16%) with the BIOMONITOR III (<i>P</i> > .5). Oversensing was seen in 4 patients (13.33%) with the LINQ I versus 0 with the BIOMONITOR III (<i>P</i> = .012). In cohort 2, the mean R-wave with the BIOMONITOR III was significantly greater than with the LINQ I (0.65 ± 0.37 vs. 0.48 ± 0.38; <i>P</i> = .02). A visible P-wave was seen in 33 of 53 patients with the BIOMONITOR III as compared to 16 of 536 patients with the LINQ I monitor (<i>P</i> = .01). The number of patients identified as having under- or oversensing was, however, not significantly different (<i>P</i> = .08) in this cohort. In both patient cohorts, the BIOMONITOR III was noted to have significantly greater R-wave amplitude as compared with the LINQ I. A visible P-wave was also more commonly seen in patients with a BIOMONITOR III. In the paired cohort, but not in the unpaired cohort, the BIOMONITOR III was less likely to oversense R-waves. There was no significant difference in undersensing between the devices.</p>","PeriodicalId":36299,"journal":{"name":"Journal of Innovations in Cardiac Rhythm Management","volume":"16 1","pages":"6167-6172"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081351","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":"Late Onset of Left Atrial Appendage Thrombus Under Oral Anticoagulation in a Patient with a History of Left Atrial Appendage Isolation Using Cryoballoon.","authors":"Cem Çöteli, Samuray Zakariyayev, Ugur Nadir Karakulak, Hikmet Yorgun, Kudret Aytemir","doi":"10.19102/icrm.2025.16011","DOIUrl":"10.19102/icrm.2025.16011","url":null,"abstract":"<p><p>Empirical left atrial appendage isolation (eLAAi) using a cryoballoon reduces atrial tachyarrhythmia recurrences in persistent atrial fibrillation. Nonetheless, the most significant concern associated with this procedure is the risk of thromboembolic events, particularly without consistent oral anticoagulant (OAC) use. This case highlights a late thrombus formation post-eLAAi despite proper OAC adherence, raising questions about OAC's effectiveness in such scenarios. The case suggests considering percutaneous left atrial appendage closure after eLAAi, even in patients with thrombus and ongoing OAC therapy.</p>","PeriodicalId":36299,"journal":{"name":"Journal of Innovations in Cardiac Rhythm Management","volume":"16 1","pages":"6158-6161"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081357","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}