Arrhythmia & Electrophysiology Review最新文献

Arrhythmogenic Mitral Valve Prolapse: Can We Risk Stratify and Prevent Sudden Cardiac Death? 致心律失常性二尖瓣脱垂：我们能进行风险分层并预防心脏性猝死吗？

Arrhythmia & Electrophysiology Review Pub Date : 2024-07-23 DOI: 10.15420/aer.2023.26

James D. Cameron, Kadhim I Kadhim, S. H. Kamsani, Hui-Chen Han, O. Farouque, Prashanthan Sanders, Han S Lim

{"title":"Arrhythmogenic Mitral Valve Prolapse: Can We Risk Stratify and Prevent Sudden Cardiac Death?","authors":"James D. Cameron, Kadhim I Kadhim, S. H. Kamsani, Hui-Chen Han, O. Farouque, Prashanthan Sanders, Han S Lim","doi":"10.15420/aer.2023.26","DOIUrl":"https://doi.org/10.15420/aer.2023.26","url":null,"abstract":"Ventricular arrhythmias associated with mitral valve prolapse (MVP) and the capacity to cause sudden cardiac death (SCD), referred to as ‘malignant MVP’, are an increasingly recognised, albeit rare, phenomenon. SCD can occur without significant mitral regurgitation, implying an interaction between mechanical derangements affecting the mitral valve apparatus and left ventricle. Risk stratification of these arrhythmias is an important clinical and public health issue to provide precise and targeted management. Evaluation requires patient and family history, physical examination and electrophysiological and imaging-based modalities. We provide a review of arrhythmogenic MVP, exploring its epidemiology, demographics, clinical presentation, mechanisms linking MVP to SCD, markers of disease severity, testing modalities and management, and discuss the importance of risk stratification. Even with recently improved understanding, it remains challenging how best to weight the prognostic importance of clinical, imaging and electrophysiological data to determine a clear high-risk arrhythmogenic profile in which an ICD should be used for the primary prevention of SCD.","PeriodicalId":505383,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"117 34","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141811905","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}

引用次数: 0

British Heart Rhythm Society Standards for Implantation and Follow-up of Cardiac Rhythm Management Devices in Adults: January 2024 Update 英国心脏节律协会成人心律管理设备植入和随访标准：2024 年 1 月更新

Arrhythmia & Electrophysiology Review Pub Date : 2024-07-01 DOI: 10.15420/aer.2024.01

Paul Foley, Honey Thomas, Mark Dayer, Sophie Robinson, Vivienne Ezzatt, Matthew Swift, Nadiya Johal, Eleri Roberts

引用次数: 0

A Review of Personalised Cardiac Computational Modelling Using Electroanatomical Mapping Data 利用电解剖图数据建立个性化心脏计算模型综述

Arrhythmia & Electrophysiology Review Pub Date : 2024-05-20 DOI: 10.15420/aer.2023.25

O. A. Jaffery, Lea Melki, Gregory Slabaugh, Wilson W. Good, C. Roney

{"title":"A Review of Personalised Cardiac Computational Modelling Using Electroanatomical Mapping Data","authors":"O. A. Jaffery, Lea Melki, Gregory Slabaugh, Wilson W. Good, C. Roney","doi":"10.15420/aer.2023.25","DOIUrl":"https://doi.org/10.15420/aer.2023.25","url":null,"abstract":"Computational models of cardiac electrophysiology have gradually matured during the past few decades and are now being personalised to provide patient-specific therapy guidance for improving suboptimal treatment outcomes. The predictive features of these personalised electrophysiology models hold the promise of providing optimal treatment planning, which is currently limited in the clinic owing to reliance on a population-based or average patient approach. The generation of a personalised electrophysiology model entails a sequence of steps for which a range of activation mapping, calibration methods and therapy simulation pipelines have been suggested. However, the optimal methods that can potentially constitute a clinically relevant in silico treatment are still being investigated and face limitations, such as uncertainty of electroanatomical data recordings, generation and calibration of models within clinical timelines and requirements to validate or benchmark the recovered tissue parameters. This paper is aimed at reporting techniques on the personalisation of cardiac computational models, with a focus on calibrating cardiac tissue conductivity based on electroanatomical mapping data.","PeriodicalId":505383,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"25 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141119279","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}

引用次数: 0

Value of Extended Arrhythmia Screening in Adult Congenital Heart Disease Patients 成人先天性心脏病患者心律失常扩展筛查的价值

Arrhythmia & Electrophysiology Review Pub Date : 2024-04-08 DOI: 10.15420/aer.2023.28

Maarten Antonius Koole, Sanne de Jong, Barbara J Mulder, B. Bouma, Mark J Schuuring

{"title":"Value of Extended Arrhythmia Screening in Adult Congenital Heart Disease Patients","authors":"Maarten Antonius Koole, Sanne de Jong, Barbara J Mulder, B. Bouma, Mark J Schuuring","doi":"10.15420/aer.2023.28","DOIUrl":"https://doi.org/10.15420/aer.2023.28","url":null,"abstract":"The European Society of Cardiology guidelines for the management of adult congenital heart disease patients recommend screening for arrhythmias and bradycardias in symptomatic patients, often being done by means of an ambulatory 24–48-hour Holter or implantable loop recorder (ILR). However, nowadays non-invasive instruments, such as patches, smartwatches and smartphones based on single-lead ECGs that perform extended monitoring, are also available. The aim of this narrative review was to assess whether these instruments, when they detect arrhythmias and bradycardias in patients with adult congenital heart disease, will lead to meaningful changes in clinical care. Clinically meaningful changes include adjustment of medication, cardioversion, electrophysiology study, ablation or implantation of a cardiovascular implantable electronic device. The following monitoring instruments are discussed: cumulative Holter, 2-week continuous monitor, smartwatch- and smartphone-based single-lead ECG, and ILR. The diagnostic yield of extended rhythm monitoring is high, and varies between 18% (smartphone-based single-lead ECG) and 41% with ILR. In conclusion, contemporary arrhythmia screening includes various new non-invasive technologies that are promising new tools as an alternative to Holter monitoring or ILR. However, the optimal mode of detection is still unclear due to the lack of head-to-head comparisons.","PeriodicalId":505383,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"82 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140729007","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}

引用次数: 0

Drug-induced AF: Arrhythmogenic Mechanisms and Management Strategies 药物诱发房颤：致心律失常机制与管理策略

Arrhythmia & Electrophysiology Review Pub Date : 2024-04-03 DOI: 10.15420/aer.2023.24

Bingxun Li, Mingjie Lin, Lin Wu

引用次数: 0

Remarkable Reviewers in 2023 2023 年杰出的评论家

Arrhythmia & Electrophysiology Review Pub Date : 2024-03-14 DOI: 10.15420/aer.2024.04

D. Katritsis

引用次数: 0

What Cannot be Missed: Important Publications on Electrophysiology in 2023 不能错过的内容：2023 年有关电生理学的重要出版物

Arrhythmia & Electrophysiology Review Pub Date : 2024-03-13 DOI: 10.15420/aer.2024.03

Andrew Grace, G. Lip, Pier D. Lambiase, Sanjiv M. Narayan, Hugh Calkins, Yutao Guo, Kenneth A Ellenbogen, D. Katritsis

引用次数: 0

Intracardiac Echocardiography-guided Left Atrial Appendage Occlusion 心内超声心动图引导下的左房阑尾封堵术

Arrhythmia & Electrophysiology Review Pub Date : 2024-03-12 DOI: 10.15420/aer.2023.29

J. C. Diaz, M. Duque, J. Marín, J. Aristizábal, Cesar Niño, Oriana Bastidas, Carlos D. Matos, Carolina Hoyos, Daniela Hincapie, Jorge E Romero

引用次数: 0

Endocardial Pulsed Field Ablation and the Oesophagus: Are Atrio-oesophageal Fistulas Now History? 心内膜脉冲场消融与食道：肛门食道瘘是否已成为历史？

Arrhythmia & Electrophysiology Review Pub Date : 2024-03-07 DOI: 10.15420/aer.2023.16

Moritz Nies, Keita Watanabe, I. Kawamura, J. Koruth

{"title":"Endocardial Pulsed Field Ablation and the Oesophagus: Are Atrio-oesophageal Fistulas Now History?","authors":"Moritz Nies, Keita Watanabe, I. Kawamura, J. Koruth","doi":"10.15420/aer.2023.16","DOIUrl":"https://doi.org/10.15420/aer.2023.16","url":null,"abstract":"Pulsed field ablation (PFA) is a novel energy form for the catheter ablation of cardiac arrhythmias, which uses electrical fields to mediate myocardial death via irreversible electroporation and other modalities. It is believed to offer relative tissue specificity, lowering – or even eliminating – the risk of complications associated with thermal energy, such as atrio-oesophageal fistulas. The proposed superior safety profile compared to thermal ablation has contributed to the enthusiastic implementation of PFA into clinical practice and is supported by early preclinical and clinical data. However, data about the effects of PFA on the oesophagus remain limited. This organ’s susceptibility to PFA has important clinical ramifications and there are two highly relevant questions. First, is the oesophagus absolutely spared by PFA or is there susceptibility to injury at higher field strengths? Second, if oesophageal injury can occur, can atrio-oesophageal fistulas ensue? The aim of this article is to provide a literature review on the effects of PFA on the oesophagus and to address these questions based on the data described.","PeriodicalId":505383,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"42 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140260479","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}

引用次数: 0

Left Atrial Appendage Occlusion: British Cardiovascular Intervention Society and British Heart Rhythm Society Position Statement 左心房阑尾闭塞：英国心血管介入学会和英国心脏节律学会立场声明

Arrhythmia & Electrophysiology Review Pub Date : 2024-03-05 DOI: 10.15420/aer.2024.08

Tim R Betts, Patrick A Calvert, Lee N Graham, G. Clesham, A. Gunarathne, Brian Clapp, Dhiraj Gupta, Jan Kovac, James D Newton, D. Hildick-Smith

引用次数: 0

Arrhythmia &amp; Electrophysiology Review最新文献

Arrhythmia & Electrophysiology Review最新文献