Pace-Pacing and Clinical Electrophysiology最新文献_第10页

Electrical storm following pregnancy in systemic scleroderma: A case report. 系统性硬皮病患者妊娠后的电风暴：病例报告。

IF 1.7 4区医学

Pace-Pacing and Clinical Electrophysiology Pub Date : 2024-07-01 Epub Date: 2023-12-12 DOI: 10.1111/pace.14904

Zahra Emkanjoo, Samira Shirazi, Farzad Kamali, Hamid Pouraliakbar, Mahsa Nourani, Firouz Balavandi

{"title":"Electrical storm following pregnancy in systemic scleroderma: A case report.","authors":"Zahra Emkanjoo, Samira Shirazi, Farzad Kamali, Hamid Pouraliakbar, Mahsa Nourani, Firouz Balavandi","doi":"10.1111/pace.14904","DOIUrl":"10.1111/pace.14904","url":null,"abstract":"Introduction: Systemic sclerosis (SSc) is a rare connective tissue disease characterized by immune dysfunction, vascular damage, and fibrosis affecting the skin and multiple internal organs, such as the cardiovascular and respiratory systems. In some women with preexisting SSc, pregnancy is associated with negative maternal outcomes. Tachyarrhythmia is a common clinical manifestation of cardiovascular damage in SSc patients. However, few studies have reported the use of catheter ablation and an implantable cardioverter defibrillator (ICD) in patients with SSc complicated by ventricular tachycardia (VT).Case: A 19-year-old woman known case of SSc referred to our center with recurrent VT during pregnancy and after delivery. Two-dimensional Echocardiogram showed severe systolic dysfunction with a left ventricular ejection fraction (LVEF) of 30%. Considering, recurrent VT despite medical treatment and the progressive nature of systemic sclerosis radiofrequency catheter (RF) ablation and ICD implantation were performed.Conclusion: We report a case of systemic sclerosis complicated by VT and left ventricular (LV) dysfunction during pregnancy that was successfully treated with RF ablation.","PeriodicalId":54653,"journal":{"name":"Pace-Pacing and Clinical Electrophysiology","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Different methods of 3D QRS area calculation from vectorcardiographic X, Y, and Z Leads. 根据矢量心电图 X、Y 和 Z 导联计算 3D QRS 面积的不同方法。

IF 1.7 4区医学

Pace-Pacing and Clinical Electrophysiology Pub Date : 2024-07-01 Epub Date: 2024-03-26 DOI: 10.1111/pace.14968

Amit Noheria, Christian Toquica, Uzair A Mahmood, Ashley DeBauge, Tucker Morey, Christopher J Harvey

引用次数: 0

Key influences of VDD (DX) ICD selection: Results from a prospective, national survey. VDD (DX) ICD 选择的关键影响因素：一项前瞻性全国调查的结果。

IF 1.7 4区医学

Pace-Pacing and Clinical Electrophysiology Pub Date : 2024-07-01 Epub Date: 2024-06-17 DOI: 10.1111/pace.15028

Mate Vamos, Marianna Nemeth, Bence Kesoi, Roland Papp, Balazs Polgar, Mihaly Ruppert, Csaba Mikler, Attila Liptak, Torda Selley, Tibor Balazs, Tamas Szili-Torok, Endre Zima, Gabor Zoltan Duray

{"title":"Key influences of VDD (DX) ICD selection: Results from a prospective, national survey.","authors":"Mate Vamos, Marianna Nemeth, Bence Kesoi, Roland Papp, Balazs Polgar, Mihaly Ruppert, Csaba Mikler, Attila Liptak, Torda Selley, Tibor Balazs, Tamas Szili-Torok, Endre Zima, Gabor Zoltan Duray","doi":"10.1111/pace.15028","DOIUrl":"10.1111/pace.15028","url":null,"abstract":"Background: To preserve the benefit of atrial sensing without the implantation of an additional lead, a single-lead ICD system with a floating atrial dipole (DX ICD) has been developed. The purpose of this nationwide survey was to provide an overview of the current key influences of device selection focusing on DX ICD and to test the applicability of a previously published decision-making flowchart of ICD-type selection.Methods: An online questionnaire was sent to all implanting centers in Hungary. Eleven centers reported data from 361 DX ICD and 10 CRT-DX systems implantations between February 2021 and May 2023.Results: The most important influencing clinical factors indicated by the participating doctors were elevated risk of atrial fibrillation (AF)/stroke (56%), risk of sinus/supraventricular tachycardias (SVT) (42%), and a potential need for CRT upgrade in the future (36%). The DX ICD was considered in the majority of cases instead of the VVI system (87%), and only in a small proportion instead of a DDD ICD (13%). 60% of the patients with DX ICDs were also included into remote monitoring-based follow-up. In 83% of the cases, good (>2 mV) or excellent (>5) atrial signal amplitude was recorded within 6 weeks after the implantation.Conclusion: In the current national survey, the most important influencing factors indicated by the implanters for selecting a DX ICD were the elevated risk of stroke or sinus/SVT and a potential need for CRT upgrade in the future. These findings support the use of a previously published decision-making flowchart.","PeriodicalId":54653,"journal":{"name":"Pace-Pacing and Clinical Electrophysiology","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Challenging coronary sinus lead placement for CRT: A modified "Anchoring balloon" technique. CRT冠状窦导线置入的挑战：一种改良的“锚定球囊”技术。

IF 1.7 4区医学

Pace-Pacing and Clinical Electrophysiology Pub Date : 2024-07-01 Epub Date: 2023-11-06 DOI: 10.1111/pace.14869

Ronpichai Chokesuwattanaskul, Nithi Tokavanich, Suphot Srimahachota

引用次数: 0

Transvenous permanent pacemaker implantation after debranching thoracic endovascular aortic repair; A case series. 胸主动脉去分支修复术后经静脉永久性起搏器植入术一个案例系列。

IF 1.7 4区医学

Pace-Pacing and Clinical Electrophysiology Pub Date : 2024-07-01 Epub Date: 2023-11-21 DOI: 10.1111/pace.14885

Manabu Kashiwagi, Akio Kuroi, Natsuki Higashimoto, Yosuke Katayama, Kosei Terada, Kentaro Honda, Atsushi Tanaka

引用次数: 0

Intra-Hisian Wenckebach after surgical closure of conoventricular ventricular septal defect. 脑室室间隔缺损手术后Hisian Wenckebach内。

IF 1.7 4区医学

Pace-Pacing and Clinical Electrophysiology Pub Date : 2024-07-01 Epub Date: 2023-11-08 DOI: 10.1111/pace.14867

Kathryn H Schwartzman, Christopher E Mascio, Dhaval Chauhan, Jai Udassi, Utkarsh Kohli

引用次数: 0

A unique location of the accessory pathway in a child with permanent junctional reciprocating tachycardia. 永久性交界性往复式心动过速儿童副通路的独特位置。

IF 1.7 4区医学

Pace-Pacing and Clinical Electrophysiology Pub Date : 2024-07-01 Epub Date: 2023-11-16 DOI: 10.1111/pace.14875

Soorampally Vijay, Raghav Bansal, Bharath Raj Kidambi, Nitish Naik

引用次数: 0

Electromagnetic force from electric vehicles: Potential electromagnetic interference source for subcutaneous implantable defibrillator. 电动汽车产生的电磁力：皮下植入式除颤器的潜在电磁干扰源。

IF 1.7 4区医学

Pace-Pacing and Clinical Electrophysiology Pub Date : 2024-07-01 Epub Date: 2024-06-03 DOI: 10.1111/pace.15019

Anmar Salih, Kamil Salam, Tarun Goswami, Abdul Wase

{"title":"Electromagnetic force from electric vehicles: Potential electromagnetic interference source for subcutaneous implantable defibrillator.","authors":"Anmar Salih, Kamil Salam, Tarun Goswami, Abdul Wase","doi":"10.1111/pace.15019","DOIUrl":"10.1111/pace.15019","url":null,"abstract":"Background: Electromagnetic interference (EMI) encompasses electromagnetic field signals that can be detected by a device's circuitry, potentially resulting in adverse effects such as inaccurate sensing, pacing, device mode switching, and defibrillation. EMI may impact the functioning of Cardiac Implantable Electronic Devices (CIEDs) and lead to inappropriate therapy.Method: An experimental measuring device, a loop antenna mimicking the implantable cardioverted defibrillator (ICD) antenna, was developed, and validated at the US Food and Drug Administration (FDA) and sent to Wright State University for testing. Two sets of measurements were conducted while the vehicle was connected to a 220-Volt outlet with charging at ON and OFF. Each measurement set involved three readings at various locations, with the antenna oriented in three different positions to account for diverse patient postures. The experiment utilized a Tesla Model 3 electric vehicle (EV), assessing scenarios both inside and outside the car, including the driver's seat, driver's seat floor, passenger's seat, rear seat, rear seat floor, cup holder, charging port (car), and near the charging station.Results: The detected voltage (max 400 to 504 millivolts) around the cup holder inside the car differed from all other measurement scenarios.Conclusion: The investigation highlights the identification of EMI signals originating from an EV) that could potentially interrupt the functionality of a Subcutaneous Implantable Cardioverter-Defibrillator (S-ICD). These signals fell within the R-wave Spectrum of 30-300 Hz. Further in-vivo studies are essential to determine accurately the level of interference between S-ICDs and EMI from Electric Vehicles.","PeriodicalId":54653,"journal":{"name":"Pace-Pacing and Clinical Electrophysiology","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Left versus right ventricular pacing during TAVR and balloon aortic valvuloplasty: A systematic review and meta-analysis. TAVR 和球囊主动脉瓣成形术期间左心室起搏与右心室起搏的比较：系统回顾和荟萃分析。

IF 1.7 4区医学

Pace-Pacing and Clinical Electrophysiology Pub Date : 2024-06-30 DOI: 10.1111/pace.15032

Basma Badrawy Khalefa, Mohammed Ayyad, Maram Albandak, Alaa Ayyad, Mazen Negmeldin Aly Yassin, Ahmed K Awad

{"title":"Left versus right ventricular pacing during TAVR and balloon aortic valvuloplasty: A systematic review and meta-analysis.","authors":"Basma Badrawy Khalefa, Mohammed Ayyad, Maram Albandak, Alaa Ayyad, Mazen Negmeldin Aly Yassin, Ahmed K Awad","doi":"10.1111/pace.15032","DOIUrl":"https://doi.org/10.1111/pace.15032","url":null,"abstract":"Introduction: While right ventricular pacing (RVP) is the conventional temporary pacing modality used for transcatheter aortic valve replacement (TAVR), this approach possesses inherent risks and procedural challenges. We aim to assess and compare the safety and efficacy of left ventricular pacing (LVP) and RVP during TAVR and balloon aortic valvuloplasty (BAV).Methods: Following PRISMA guidelines, a comprehensive literature search was conducted in four databases from inception to December 15th, 2023. We included observational studies and clinical trials comparing LVP with RVP during TAVR and BAV procedures. Primary outcomes included short-term mortality, mortality due to cardiac tamponade, and procedural complications including bleeding, vascular complications, and cardiac tamponade. Secondary outcomes comprised procedure duration and length of hospital stay.Results: Five studies involving 830 patients with RVP and 1577 with LVP were included. Short-term mortality was significantly higher in the RVP group (RR 2.32, 95% CI: [1.37-3.93], P = .002), as was the incidence of cardiac tamponade (RR 2.19, 95% CI: [1.11-4.32], P = .02). LVP demonstrated shorter hospital stays (MD = 1.34 d, 95% CI: [0.90, 1.78], P < .001) and reduced procedure duration (MD = 7.75 min, 95% CI: [5.08, 10.41], P < .00001) compared to RVP. New pacemaker implantation was higher in the RVP group (RR 2.23, 95% CI: [1.14, 4.39], P = .02).Conclusion: LVP during TAVR and BAV emerges a safer alternative to RVP, offering reduced mortality, hospital stays, and procedure durations.","PeriodicalId":54653,"journal":{"name":"Pace-Pacing and Clinical Electrophysiology","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Activation of PKC affects the ventricular restitution properties and arrhythmogenesis through L-type Ca⁺ current. PKC 的激活通过 L 型 Ca+ 电流影响心室的恢复特性和心律失常的发生。

IF 1.7 4区医学

Pace-Pacing and Clinical Electrophysiology Pub Date : 2024-06-25 DOI: 10.1111/pace.14998

Feng Zhang, Jianing Fan, Fuhua Lei, Tao Liu, Dawei Lin, Mu Qin, Wenbo Cheng

{"title":"Activation of PKC affects the ventricular restitution properties and arrhythmogenesis through L-type Ca+ current.","authors":"Feng Zhang, Jianing Fan, Fuhua Lei, Tao Liu, Dawei Lin, Mu Qin, Wenbo Cheng","doi":"10.1111/pace.14998","DOIUrl":"https://doi.org/10.1111/pace.14998","url":null,"abstract":"Objective: To investigate the role of protein kinase C (PKC) in action potential duration (APD) restitution and ventricular tachyarrhythmias (VAs).Methods and results: Rabbits hearts were isolated and prepared for Langendorff perfusion technique. The stimuli-extra-stimulus (S1-S2) method and dynamic S1 pacing protocol were performed to construct APD restitution and to induce APD alternans or VA, respectively, at 10 sites throughout the ventricular chamber. Administration of phorbol-12-myristate-13-acetate (PMA) (100 nM) (n = 15) greatly steepened the restitution curves (Smax > 1) (p < .01) at each site compared to the control group (n = 15). Furthermore, treatment with PMA also induced larger spatial dispersions of Smax (p < .05) and decreased the thresholds of the VA and APD alternans (p < .01). However, perfused with the PKC inhibitor, bisindolylmaleimide (BIM) (500 nM) (n = 10), reversibly flattened the APD restitution curves at each site (Smax < 1), decreased the spatial dispersions of Smax, and increased the thresholds of APD alternans and VA. According to the results of patch-clamp, peak amplitude of L-type Ca2+ current was significantly increased by addition of PMA compared with control (CTL) group (p < .05). Antagonize this current with verapamil (n = 10) can fully inhibited the PMA induced increasing of Smax and inducibility of VA and alternans.Conclusion: PKC activation increased the dispersion of APD restitution and thus led to occurrence of VA, which possibly related to the increased Ca2+ influx.","PeriodicalId":54653,"journal":{"name":"Pace-Pacing and Clinical Electrophysiology","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0