Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing最新文献

{"title":"The additive value of preprocedural cardiac computed tomography angiography (CCTA) planning in percutaneous left atrial appendage occlusion: a systematic review and meta-analysis.","authors":"Elsayed Balbaa, Mohamed Saad Rakab, Ahmed Farid Gadelmawla, Ahmed Mazen Amin, Abdelrahman M Tawfik, Abdelrahman Elgendy, Alaa R Al-Ihribat, Mustafa Turkmani, Obieda Altobaishat, Mohamed S Elgendy, Abdalhakim Shubietah, Mohamed Abuelazm","doi":"10.1007/s10840-026-02273-2","DOIUrl":"10.1007/s10840-026-02273-2","url":null,"abstract":"","PeriodicalId":520675,"journal":{"name":"Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing","volume":" ","pages":"2071-2084"},"PeriodicalIF":2.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13687204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147577393","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":"Functional mapping identifies early arrhythmogenic substrate in recurrent atrial fibrillation.","authors":"Chiara Valeriano, David Soto-Iglesias, Diego Penela, Giulio Falasconi, Dario Turturiello, Federico Landra, Jose Alderete, Daniel Viveros, Aldo Bellido, Fatima Zaraket, Paula Franco, Carlo Gigante, Lucio Teresi, Bruno Tonello, Lautaro Sánchez-Mollá, Alessia Chiara Latini, Roberta Mea, Carmine De Lucia, Emanuele Curti, Andrea Saglietto, Pietro Francia, Etel Silva Garcia, Julio Martí-Almor, Juan Fernández-Armenta, Antonio Berruezo","doi":"10.1007/s10840-026-02254-5","DOIUrl":"10.1007/s10840-026-02254-5","url":null,"abstract":"","PeriodicalId":520675,"journal":{"name":"Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing","volume":" ","pages":"1899-1908"},"PeriodicalIF":2.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146260643","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}

{"title":"Exploring the association of electrocardiographic markers and arrhythmic risk in hypertrophic cardiomyopathy: A systematic review and meta-analysis.","authors":"Sotirios Chiotis, Georgios Giannopoulos, Aikaterini Zgouridou, Sonia-Evdokia Konstantinidou, Aliki Peletidi, Fotios Economou, Vasileios Paraschou, Nikolaos Chaitidis, Aristi Boulmpou, Ioannis Doundoulakis, Vassileios P Vassilikos","doi":"10.1007/s10840-025-02213-6","DOIUrl":"10.1007/s10840-025-02213-6","url":null,"abstract":"<p><strong>Background: </strong>Hypertrophic cardiomyopathy (HCM) is a primary genetic myocardial disorder associated with sudden cardiac death (SCD) due to ventricular arrhythmias, however risk stratification remains challenging. Electrocardiographic (ECG) markers may offer non-invasive tools for improved risk assessment, but their prognostic value remains unclear. The purpose of this study is to systematically evaluate the association between ECG markers and the risk of major arrhythmic events (MAEs) in HCM patients.</p><p><strong>Methods: </strong>We conducted a systematic search of PubMed, Cochrane Central Register of Controlled Trials (CENTRAL) and Clinical Trials from inception to December 2024, including studies providing data on ECG variables and MAEs in patients with HCM. Pooled effect estimates were calculated using Der Simonian-Laird random-effects model.</p><p><strong>Results: </strong>12 studies with 3,419 HCM patients were included. Pooled results demonstrated that the presence of fragmented QRS (fQRS) was significantly associated with MAEs (OR: 7.03, 95% CI: 3.19; 15.48) with moderate diagnostic performance [AUC = 0.76, sensitivity 59% (95% CI: 37%; 78%), specificity 80% (95% CI: 64%; 90%)]. Prolonged QTc interval (MD: 10.57 ms, 95% CI: 1-20.15), T-wave peak-to-end (Tp-e) interval (MD: 15.35 ms, 95% CI: 9.45; 21.26) and QT dispersion (QTd) (SMD: 0.48; 95% CI: 0.19; 0.77) were also associated with MAEs. In contrast, PR interval, P-wave, QRS duration and the presence of right bundle branch block (RBBB) demonstrated no significant associations.</p><p><strong>Conclusion: </strong>This meta-analysis highlights the potential prognostic utility of specific ECG markers, particularly fQRS and repolarization abnormalities in stratifying arrhythmic risk in HCM.</p><p><strong>Prospero registration number: </strong>CRD42025635276.</p>","PeriodicalId":520675,"journal":{"name":"Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing","volume":" ","pages":"2011-2019"},"PeriodicalIF":2.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145986023","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}

{"title":"Efficacy of leadless left ventricular endocardial stimulation for non-responders to cardiac resynchronization therapy.","authors":"Nadeev Wijesuriya, Felicity De Vere, Sandra Howell, Alphonsus Liew, Baldeep Sidhu, Paolo Bosco, Prashanthan Sanders, Jagmeet P Singh, Mary Norine Walsh, Steven A Niederer, Christopher A Rinaldi","doi":"10.1007/s10840-025-02155-z","DOIUrl":"10.1007/s10840-025-02155-z","url":null,"abstract":"<p><strong>Background: </strong>Non-responders to conventional coronary sinus CRT represent a high-risk heart failure population with limited treatment options. Leadless LV endocardial pacing may provide benefit by delivering more physiological activation patterns, and enabling pacing from optimized LV cavity sites. We aimed to evaluate the efficacy of leadless endocardial pacing using the WiSE-CRT system in CRT non-responders.</p><p><strong>Methods: </strong>A pooled patient-level post-hoc analysis of the SELECT-LV study, the WiSE Post-Market Registry and the SOLVE-CRT trial was performed. Multivariable regression analysis identified predictors of response to WiSE-CRT, followed by ROC analysis and subgroup analysis by degree of QRS narrowing.</p><p><strong>Results: </strong>The total cohort comprised of 71 patients. Complete echocardiographic data was available in 66 patients, and complete ECG data available in 45 patients. The clinical response rate (improvement in at least one NYHA class) was 46%. The \"combined echocardiographic response rate\" (composite of reduction in LV end-systolic volume of ≥15% or improvement in LV ejection fraction of ≥5%) was 51%. The degree of QRS reduction with WiSE-CRT compared to standard CRT was an independent predictor of combined echocardiographic response. ROC analysis generated an AUC of 0.68, with a Youden index cut-off of 19ms reduction in QRS. Subgroup analysis revealed a combined echocardiographic response rate of 70.5% above the cut-off and 38.5% below p = 0.04).</p><p><strong>Conclusion: </strong>Leadless endocardial CRT is a viable treatment option for conventional CRT non-responders. The degree of QRS narrowing with LV endocardial stimulation is predictive of response. Optimizing QRS reduction when testing LV pacing sites may be beneficial in maximizing outcomes.</p>","PeriodicalId":520675,"journal":{"name":"Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing","volume":" ","pages":"1817-1828"},"PeriodicalIF":2.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13687124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145288147","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":"Potential role of a novel dual energy lattice-tip catheter in re-ablation of recurrent premature ventricular contractions: a case series.","authors":"Laura Rottner, Christian Gold, David Leistner, Reza Wakili","doi":"10.1007/s10840-026-02342-6","DOIUrl":"10.1007/s10840-026-02342-6","url":null,"abstract":"","PeriodicalId":520675,"journal":{"name":"Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing","volume":" ","pages":"1591-1593"},"PeriodicalIF":2.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13687225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826157","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":"Induction of ventricular fibrillation during both left ventricular and right atrial radiofrequency ablation with a dual energy lattice-tip ablation catheter in patient with implantable cardioverter defibrillator.","authors":"Heather Wheat, Boldizsar Kovacs, Aman Chugh, Jackson J Liang","doi":"10.1007/s10840-026-02382-y","DOIUrl":"10.1007/s10840-026-02382-y","url":null,"abstract":"","PeriodicalId":520675,"journal":{"name":"Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing","volume":" ","pages":"1615-1616"},"PeriodicalIF":2.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13687160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254933","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":"Repeat procedures after pulsed field ablation for atrial fibrillation: tertiary centre experience and meta-analysis of observational studies.","authors":"Francis J Ha, Sarah Paitry, Duron Prinsloo, Hui-Chen Han, Adam J Brown, Nitesh Nerlekar, Emily Kotschet","doi":"10.1007/s10840-026-02258-1","DOIUrl":"10.1007/s10840-026-02258-1","url":null,"abstract":"","PeriodicalId":520675,"journal":{"name":"Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing","volume":" ","pages":"1837-1846"},"PeriodicalIF":2.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13687113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146230401","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":"Innovative radiation protection system enables reduction in the weight of lead aprons during electrophysiological procedures.","authors":"Avishag Laish-Farkash, Michael Rahkovich, Yonatan Kogan, Gergana Marincheva, Eyal Ben-Assa, Ariel Roguin, Eli I Lev","doi":"10.1007/s10840-025-02123-7","DOIUrl":"10.1007/s10840-025-02123-7","url":null,"abstract":"<p><strong>Background: </strong>Fluoroscopy-guided medical procedures require medical personnel to wear lead aprons (typically 0.5-mm Pb), which weigh up to 7 kg and can cause significant occupational injuries. A novel robotic radiation-blocking system, Radiaction, reduces full-body scattered radiation by 92% for all Cath-lab staff.</p><p><strong>Objectives: </strong>This study aimed to determine if lighter lead aprons, when combined with Radiaction, can provide protection comparable to the standard 0.5-mm Pb aprons.</p><p><strong>Methods: </strong>Three setups were tested: (1) 0.5-mm Pb apron without Radiaction (control), (2) 0.25-mm Pb apron with Radiaction, and (3) 0.125-mm Pb apron with Radiaction. Radiation attenuation was measured through analytic calculations, bench tests, and clinical prospective controlled evaluations in an electrophysiology laboratory.</p><p><strong>Results: </strong>According to analytical calculations, radiation reduction was 98% for 0.5-mm Pb aprons, 98.5% for 0.25-mm Pb with Radiaction, and 97% for 0.125-mm Pb with Radiaction. Bench tests showed reductions of 97%, 98.9%, and 98%, respectively. Clinical evaluations showed reductions of 99.2% for ablation procedures (98.8% upper- and 99.6% lower body) and 97.1% reductions for cardiovascular implantable electronic devices (CIED) procedures (94.4% upper- and 99.7% lower body) with the 0.25-mm Pb apron and Radiaction. With the 0.125-mm Pb apron and Radiaction, reductions were 97.9% for ablations (97.4% upper- and 98.4% lower body) and 81.7% for CIED procedures (65% upper- and 98.5% lower body).</p><p><strong>Conclusions: </strong>The 0.25-mm Pb apron with Radiaction appears to surpass the standard 0.5-mm Pb apron in radiation protection, while the 0.125-mm Pb apron with Radiaction offers comparable protection. This suggests that Radiaction enables significant apron weight reduction during electrophysiologic procedures without compromising safety and potentially reducing orthopedic injuries.</p>","PeriodicalId":520675,"journal":{"name":"Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing","volume":" ","pages":"1735-1743"},"PeriodicalIF":2.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240733","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}

{"title":"Empiric superior vena cava isolation in atrial fibrillation ablation: an updated meta-analysis.","authors":"Marco Valerio Mariani, Tommaso Recchioni, Marta Palombi, Nicola Pierucci, Raffaele Maria Bruti, Pietro Cipollone, Domenico Laviola, Sara Trivigno, Andrea Matteucci, Agostino Piro, Cristina Chimenti, Carmine Dario Vizza, Carlo Lavalle","doi":"10.1007/s10840-026-02290-1","DOIUrl":"10.1007/s10840-026-02290-1","url":null,"abstract":"","PeriodicalId":520675,"journal":{"name":"Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing","volume":" ","pages":"1551-1553"},"PeriodicalIF":2.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147392228","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}

{"title":"Outcomes of individual DOACs vs. VKAs in AF patients with frailty: a systematic review and meta-analysis.","authors":"Travis Quevillon, Justin Chiu, Peter Amlogu, Faith Michael, William F McIntyre, Ratika Parkash, Jason G Andrade, Cynthia A Jackevicius, Jeff S Healey, Dennis T Ko, Mohammed Shurrab","doi":"10.1007/s10840-026-02263-4","DOIUrl":"10.1007/s10840-026-02263-4","url":null,"abstract":"","PeriodicalId":520675,"journal":{"name":"Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing","volume":" ","pages":"1849-1858"},"PeriodicalIF":2.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146230458","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}