Journal of Innovations in Cardiac Rhythm Management最新文献_第3页

Right Bundle Branch Area Pacing in a Patient with Congenitally Corrected Transposition of the Great Arteries Using Three-dimensional Electroanatomic Mapping.

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2025-01-15 eCollection Date: 2025-01-01 DOI: 10.19102/icrm.2025.16012

Serkan Cay, Hande Cetin, Serkan Topaloglu

引用次数: 0

A Year in Review: Atrial Fibrillation 2024.

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2025-01-15 eCollection Date: 2025-01-01 DOI: 10.19102/icrm.2025.16016

Amier Ahmad, Lydia M Taranto, Ankur A Karnik, Rahul Doshi

引用次数: 0

Selected Updates in Anti-arrhythmic Drug Therapy and Anticoagulants: 2024.

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2025-01-15 eCollection Date: 2025-01-01 DOI: 10.19102/icrm.2025.16018

James A Reiffel

引用次数: 0

Challenging Extraction and Replacement of an Eight-year-old Nanostim Leadless Pacemaker and AVEIR Implant. 具有挑战性的提取和更换一个8年的纳米刺激无铅起搏器和AVEIR植入物。

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2024-12-15 eCollection Date: 2024-12-01 DOI: 10.19102/icrm.2024.15126

Evan Czulada, Rajiv Kabadi, Binaya Basyal, Cyrus Hadadi, Athanasios Thomaides

{"title":"Challenging Extraction and Replacement of an Eight-year-old Nanostim Leadless Pacemaker and AVEIR Implant.","authors":"Evan Czulada, Rajiv Kabadi, Binaya Basyal, Cyrus Hadadi, Athanasios Thomaides","doi":"10.19102/icrm.2024.15126","DOIUrl":"10.19102/icrm.2024.15126","url":null,"abstract":"Leadless pacemakers (LPs) are emerging options for bradyarrhythmias. However, extraction can be risky if the device is in an unfavorable position. We present a challenging case of a Nanostim LP (NLP) (Abbott Medical Inc., Abbott Park, IL, USA) placed 8 years prior to removal and subsequent replacement with an AVEIR LP (ALP) (Abbott). A 72-year-old man received an NLP in 2015 for persistent atrial fibrillation with bradycardia. The NLP could not be interrogated in our office. An external event monitor demonstrated persistent atrial fibrillation with bradycardia and pauses. A premature battery depletion of the NLP was suspected. An ALP was chosen for replacement. On a computed tomography scan of the chest, the NLP was seen in the mid-free wall of the right ventricle, and its proximal portion abutted the tricuspid annulus. The AVEIR retrieval catheter (ARC) was used for retrieval. Multiple attempts were made to snare the device, yet it proved difficult due to poor placement and button tissue formation. The snare became damaged, and a second ARC was needed. On the successful attempt, the NLP was snared proximally and permitted docking. We advanced the protective sleeve over the NLP body, but resistance was observed due to tissue growth. Counterclockwise torsion was applied, and the device disconnected. Once the NLP was in linear orientation, the protective sleeve was eventually positioned over its body, allowing removal. The ALP was then installed without difficulty or structural complications. This report shows the importance of proper LP placement in the right ventricular septal wall. LP removal can be performed safely, yet complications can arise based on the age and location of the LP. The ARC can be successfully used to extract non-AVEIR LPs with evidence of docking button tissue growth. Similar interventions should exercise caution when attempting extraction and subsequent implantation.","PeriodicalId":36299,"journal":{"name":"Journal of Innovations in Cardiac Rhythm Management","volume":"15 12","pages":"6126-6129"},"PeriodicalIF":0.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11717154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972441","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

The Effects of Osteopathic Manipulative Treatment on Arrhythmias: A Double-blind Randomized Controlled Trial in Patients with Cardiac Implantable Electronic Devices. 骨科手法治疗对心律失常的影响：一项心脏植入式电子装置患者的双盲随机对照试验。

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2024-12-15 eCollection Date: 2024-12-01 DOI: 10.19102/icrm.2024.15121

Jacqueline Nikakis, Denis Malkov, Ermin Tale, Mahima Mangla, Jordan Keys, To Shan Li, Sheldon Yao, Todd J Cohen

{"title":"The Effects of Osteopathic Manipulative Treatment on Arrhythmias: A Double-blind Randomized Controlled Trial in Patients with Cardiac Implantable Electronic Devices.","authors":"Jacqueline Nikakis, Denis Malkov, Ermin Tale, Mahima Mangla, Jordan Keys, To Shan Li, Sheldon Yao, Todd J Cohen","doi":"10.19102/icrm.2024.15121","DOIUrl":"10.19102/icrm.2024.15121","url":null,"abstract":"This double-blind randomized controlled trial investigated the effects of osteopathic manipulative treatment (OMT) on cardiac arrhythmias in patients with cardiac implantable electronic devices (CIEDs). Participants (n = 41) with CIEDs were randomly assigned to either the OMT group or the control group (light touch/sham) and received a one-time intervention. No significant change in arrhythmia burden was found in the 1 month following intervention (P = .14). Discrete heart rate (HR), HR variability (HRV), and activity data were obtained from CIEDs in 17 of 41 subjects 1, 3, 7, 14, and 30 days prior to and after intervention. No significant difference was observed. An additional short-term substudy was performed on 20 subjects at the time of the intervention (5 min prior to and after intervention), and HR, respiratory rate, blood pressure, blood oxygen saturation (SpO2), and 1-min short-term HRV were compared. This study did not demonstrate an effect of OMT on arrhythmias, HR, respiratory rate, blood pressure, and blood SpO2. However, differences in OMT versus sham were observed for short-term HRV (P = .022) and a trend for long-term HRV. Importantly, there were no reported adverse effects with either intervention. OMT appears to be safe in cardiac patients.","PeriodicalId":36299,"journal":{"name":"Journal of Innovations in Cardiac Rhythm Management","volume":"15 12","pages":"6107-6112"},"PeriodicalIF":0.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11717155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972446","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

Phototherapy to Facilitate Wound Healing Following Pacemaker Infection: A Promising Tool to Improve Outcomes. 光疗促进起搏器感染后伤口愈合：一种有希望改善预后的工具。

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2024-12-15 eCollection Date: 2024-12-01 DOI: 10.19102/icrm.2024.15124

James Kneller

引用次数: 0

Letter from the Editor in Chief. 总编辑的来信。

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2024-12-15 eCollection Date: 2024-12-01 DOI: 10.19102/icrm.2024.15127

Devi Nair

引用次数: 0

Physiology of Pacing Symposium 2024: Letter from the Program Directors. 节律生理学研讨会2024：来自项目主管的信。

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2024-12-15 eCollection Date: 2024-12-01 DOI: 10.19102/icrm.2024.15125

Pugazhendhi Vijayaraman, Gopi Dandamudi, Kenneth A Ellenbogen, Gaurav Upadhyay, Roderick Tung

引用次数: 0

Left Bundle Branch Area Pacing Compared to Right Ventricular Outflow Tract Septal Pacing: Mid-term Results and Learning Curve. 左束支区起搏与右室流出道间隔起搏：中期结果和学习曲线。

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2024-12-15 eCollection Date: 2024-12-01 DOI: 10.19102/icrm.2024.15123

Javier Ramos-Maqueda, Mercedes Cabrera-Ramos, Jorge Melero-Polo, Isabel Montilla-Padilla, Adrián Riaño-Ondiviela, José Ramón Ruiz-Arroyo

{"title":"Left Bundle Branch Area Pacing Compared to Right Ventricular Outflow Tract Septal Pacing: Mid-term Results and Learning Curve.","authors":"Javier Ramos-Maqueda, Mercedes Cabrera-Ramos, Jorge Melero-Polo, Isabel Montilla-Padilla, Adrián Riaño-Ondiviela, José Ramón Ruiz-Arroyo","doi":"10.19102/icrm.2024.15123","DOIUrl":"10.19102/icrm.2024.15123","url":null,"abstract":"Our study evaluated the efficacy and feasibility of left bundle branch area pacing (LBBAP) compared to right ventricular outflow tract septal pacing (RVOSP). We conducted a prospective, single-center, observational study involving 200 consecutive patients who required pacemaker implantation. The patients were divided into two groups (LBBAP and RVOSP), with 100 patients in each group. We aimed to compare the safety and efficacy, as well as the procedure and fluoroscopy times, between the two groups. Additionally, we aimed to describe the learning curve for the LBBAP group. The success and acute complication rates were similar (P = .56 vs. P = .65). The procedure time was longer in the LBBAP group compared to the RVOSP group (18 [13-28] vs. 11 [7-17] min; P < .001), while the fluoroscopy time was shorter in the LBBAP group compared to the RVOSP group (2.8 [1.3-3.7] vs. 3.1 [2-5.9] min; P = .02). The paced QRS interval was narrower in the LBBAP group (123.77 ± 10.25 vs. 159.79 ± 17.0 ms; P = .001). There were no significant differences in pacing parameters like R-wave sensing (9.6 ± 5.2 vs. 9.1 ± 4.7 mV; P = .91), bipolar impedance (685.9 ± 151.8 vs. 686.5 ± 158.6 Ω; P = .98), or pacing threshold (0.70 ± 0.29 vs. 0.64 ± 0.26 V @ 0.4 ms; P = .63). In the LBBAP group, both the procedure time (12 [10.5-15] vs. 32 [28.5-38.5] min; P < .001) and the fluoroscopy time (2 [1-4.6] vs. 5.1 [3.4-12] min; P < .01) were shorter in the last quartile (Q4) compared to the first quartile (Q1). The procedure time was similar between LBBAP Q4 and RVOSP (12 [10.5-15] vs. 11 [7-17] min; P = .33). LBBAP is as safe as RVOSP and achieves a narrower paced QRS compared to RVOSP. After a rapid learning curve, a shorter fluoroscopy time and a similar procedure time can be achieved.","PeriodicalId":36299,"journal":{"name":"Journal of Innovations in Cardiac Rhythm Management","volume":"15 12","pages":"6113-6121"},"PeriodicalIF":0.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11717158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972442","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

Letter from the Editor in Chief. 主编来信

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2024-11-15 eCollection Date: 2024-11-01 DOI: 10.19102/icrm.2024.15116

Devi Nair

引用次数: 0