Arrhythmia & Electrophysiology Review最新文献

Management of Cardiac Rhythm Disorders in Cardio-oncology.

IF 2.6

Arrhythmia & Electrophysiology Review Pub Date : 2025-02-20 eCollection Date: 2025-01-01 DOI: 10.15420/aer.2024.20

Letizia Rosa Romano, Alberto Polimeni, Ciro Indolfi, Antonio Curcio

{"title":"Management of Cardiac Rhythm Disorders in Cardio-oncology.","authors":"Letizia Rosa Romano, Alberto Polimeni, Ciro Indolfi, Antonio Curcio","doi":"10.15420/aer.2024.20","DOIUrl":"10.15420/aer.2024.20","url":null,"abstract":"Arrhythmias and cancer are two pathological conditions that often coexist due to a patient's pre-existing comorbidities, or toxicity linked to anti-neoplastic drugs, and both are often characterised by poor prognosis. Cardio-oncology is a new interdisciplinary field that focuses on the cardiovascular health of cancer patients, especially those undergoing cancer treatment. Furthermore, cardiotoxicity can cause arrhythmias through primary and secondary mechanisms. Chemotherapy drugs have been shown to directly affect molecular pathways associated with arrhythmia development, as well as indirectly through mechanisms involving ischaemia or inflammatory injury to the heart. Understanding how to prevent and to treat these electrophysiological issues in cancer is an important challenge for cardio-oncologists. This review explores the intersection between cardio-oncology and electrophysiology, the various cardiac cell types implicated in the development of arrhythmias during cancer, the interplay between arrhythmias and cancer pathogenesis, and the need for the implantation of electronic devices along with their associated risks.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"14 ","pages":"e05"},"PeriodicalIF":2.6,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11904418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623258","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

His Bundle Pacing in the Era of Left Bundle Branch Pacing.

IF 2.6

Arrhythmia & Electrophysiology Review Pub Date : 2025-02-20 eCollection Date: 2025-01-01 DOI: 10.15420/aer.2024.31

Marek Jastrzębski, Weijian Huang, Pablo Moriña Vazquez, Pugazhendhi Vijayaraman

引用次数: 0

Conduction System Pacing for CRT: A Physiological Alternative.

IF 2.6

Arrhythmia & Electrophysiology Review Pub Date : 2025-02-18 eCollection Date: 2025-01-01 DOI: 10.15420/aer.2024.10

Bengt Herweg, Mishal Mumtaz, Pugazhendhi Vijayaraman

引用次数: 0

Temperature-controlled Ablation Versus Conventional Ablation for Pulmonary Vein Isolation in the Treatment of AF: A Systematic Review and Meta-Analysis.

IF 2.6

Arrhythmia & Electrophysiology Review Pub Date : 2025-01-30 eCollection Date: 2025-01-01 DOI: 10.15420/aer.2024.41

Benjamin Clay, Balamrit S Sokhal, Sarah Zeriouh, Neil T Srinivasan, Parag R Gajendragadkar, Claire A Martin

{"title":"Temperature-controlled Ablation Versus Conventional Ablation for Pulmonary Vein Isolation in the Treatment of AF: A Systematic Review and Meta-Analysis.","authors":"Benjamin Clay, Balamrit S Sokhal, Sarah Zeriouh, Neil T Srinivasan, Parag R Gajendragadkar, Claire A Martin","doi":"10.15420/aer.2024.41","DOIUrl":"10.15420/aer.2024.41","url":null,"abstract":"Background: This study compared the efficacy and safety of temperature-controlled and conventional contact-force-sensing radiofrequency ablation catheters for pulmonary vein isolation (PVI) in AF.Methods: Seven studies (1,138 patients) were included. Randomised controlled trials and observational (single-arm and two-arm) studies that reported freedom from AF ≥3 months after PVI with temperature-controlled radiofrequency ablation catheters (Biosense Webster QDOT MICRO operating in QMODE or Medtronic DiamondTemp) were included.Results: Freedom from AF at a mean (± SD) follow-up of 9.0 ± 3.6 months did not differ significantly between temperature-controlled and conventional ablation (OR 1.22; 95% CI [-0.79, 1.64]; p=0.24). Total procedure duration (-13.5 minutes; 95% CI [-17.1, -10.0 minutes]; p<0.001) and total ablation duration (-8.9 min; 95% CI [-10.3, -7.5 min]; p<0.01) were significantly shorter for temperature-controlled ablation. There were no significant differences between temperature-controlled and conventional ablation in either the aggregated rates of procedural complications (OR 0.69; 95% CI [-0.15, 1.54]; p=0.11) or in the rate of any individual complication.Conclusion: Temperature-controlled ablation was found to be at least non-inferior to conventional ablation in all measures of efficacy and safety. Further randomised controlled trials are warranted to evaluate long-term rates of freedom from AF and patient comfort.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"14 ","pages":"e03"},"PeriodicalIF":2.6,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11865669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522574","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

Predictors of Improvement in Left Ventricular Systolic Dysfunction in Patients with Atrial Fibrillation Undergoing Catheter Ablation: Systematic Review.

IF 2.6

Arrhythmia & Electrophysiology Review Pub Date : 2025-01-30 eCollection Date: 2025-01-01 DOI: 10.15420/aer.2024.24

Nikhil Ahluwalia, Ahmed Hussain, Rui Providencia, Richard J Schilling

{"title":"Predictors of Improvement in Left Ventricular Systolic Dysfunction in Patients with Atrial Fibrillation Undergoing Catheter Ablation: Systematic Review.","authors":"Nikhil Ahluwalia, Ahmed Hussain, Rui Providencia, Richard J Schilling","doi":"10.15420/aer.2024.24","DOIUrl":"10.15420/aer.2024.24","url":null,"abstract":"Background: Left ventricular systolic dysfunction (LVSD) can improve after catheter ablation (CA) in many patients with AF. However, prospective prediction of response can be challenging. The aim of this study was, therefore, to perform a systematic literature review of features associated with improvement in left ventricular ejection fraction (LVEF) in patients with AF and LVSD undergoing first CA.Method: Systematic search of Ovid MEDLINE, Embase and Cochrane Library databases up to 24 January 2024, for studies involving adult patients with LVSD receiving treatment for AF. The focus was on research articles and clinical trials reporting features associated with changes in LVEF following CA. The review followed PRISMA guidelines.Results: A total of 789 unique articles were reviewed and 20 were included in the systematic review. Sixty-nine per cent (range, 54-79%) of included patients met the criteria for responder status, which were based on LVEF improvement (usually an increase in LVEF >10% or to >50% at follow-up). Baseline surrogates of myocardial fibrosis on MRI (R2=-0.67), electroanatomical mapping (R2=-0.93) and biochemical surrogates have shown the strongest association with LVEF change. Left atrium and LV chamber size, diastolic dysfunction ECGbased parameters and a known heart failure aetiology have shown prognostic value independently and in combination.Discussion: Imaging, clinical and ECG-based surrogates of LV fibrosis may be pre-CA markers of LVEF improvement in patients with AF and LVSD. However, the confounding effect of procedural outcomes should be considered. A composite risk stratification tool would have clinical utility in risk stratification and patient selection; however, prospective studies are needed.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"14 ","pages":"e02"},"PeriodicalIF":2.6,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11865674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522573","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

Catheter Ablation for Vasovagal Syncope: The Therapeutic Potential of Gateway Plexi.

IF 2.6

Arrhythmia & Electrophysiology Review Pub Date : 2025-01-14 eCollection Date: 2025-01-01 DOI: 10.15420/aer.2024.36

Mohamed Zuhair, Daniel Keene, Dimitrios Panagopoulos, Louisa Malcolme-Lawes, Bradley Porter, Prapa Kanagaratnam, Phang Boon Lim

{"title":"Catheter Ablation for Vasovagal Syncope: The Therapeutic Potential of Gateway Plexi.","authors":"Mohamed Zuhair, Daniel Keene, Dimitrios Panagopoulos, Louisa Malcolme-Lawes, Bradley Porter, Prapa Kanagaratnam, Phang Boon Lim","doi":"10.15420/aer.2024.36","DOIUrl":"10.15420/aer.2024.36","url":null,"abstract":"Vasovagal syncope (VVS) is the most common cause of syncope, and significantly impacts quality of life despite its benign nature. For some patients, conventional management strategies such as lifestyle changes, pharmacotherapy and pacemaker implantation, fail to prevent recurrence. Cardioneuroablation (CNA), a novel intervention targeting the cardiac autonomic nervous system's ganglionated plexi, has shown promise in addressing refractory VVS. This review examines the therapeutic potential of CNA, exploring the anatomy and physiology of the cardiac autonomic nervous system, the role of ganglionated plexi in cardiac regulation and the rationale behind their selection as ablation targets. The review also discusses diverse strategies for ganglionated plexi identification and ablation. The gateway ganglionated plexi hypothesis is used to explain the success of CNA across varied procedural methods, despite the absence of a standardized technique. These gateway ganglionated plexi, located near the sinoatrial and atrioventricular nodes, potentially serve as central nodes influencing heart rhythm and rate, thus explaining the high success rates in VVS treatment using different approaches.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"14 ","pages":"e01"},"PeriodicalIF":2.6,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466804","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

Functional Substrate Mapping: A New Frontier in the Treatment of Ventricular Tachycardia in Structural Heart Disease.

IF 2.6

Arrhythmia & Electrophysiology Review Pub Date : 2024-12-20 eCollection Date: 2024-01-01 DOI: 10.15420/aer.2024.39

Jaffar Al-Sheikhli, Patrick Tran, Rafaella Siang, Maria Niespialowska-Steuden, Joseph Mayer, Tarvinder Dhanjal

引用次数: 0

Revisiting the Atrioventricular Conduction Axis for the 21st Century. 在 21 世纪重新审视房室传导轴。

IF 2.6

Arrhythmia & Electrophysiology Review Pub Date : 2024-11-08 eCollection Date: 2024-01-01 DOI: 10.15420/aer.2024.15

Robert H Anderson, Damián Sánchez-Quintana, Diane E Spicer, Yolanda Macías, Andrew C Cook, José-Angel Cabrera, Rehan Mahmud, Eduardo Back Sternick, Justin T Tretter

{"title":"Revisiting the Atrioventricular Conduction Axis for the 21st Century.","authors":"Robert H Anderson, Damián Sánchez-Quintana, Diane E Spicer, Yolanda Macías, Andrew C Cook, José-Angel Cabrera, Rehan Mahmud, Eduardo Back Sternick, Justin T Tretter","doi":"10.15420/aer.2024.15","DOIUrl":"10.15420/aer.2024.15","url":null,"abstract":"In this review, we summarise the ongoing debate surrounding the anatomy of the atrioventricular conduction axis and its relevance to pacing. We highlight previous disagreements and emphasise the importance of understanding the anatomical location of the axis. We give credit and support to the initial descriptions by His and Tawara, in particular their attention to the relationship of the atrioventricular conduction axis with the membranous septum. We express our disagreements with recent diagrams that incorrectly, in our opinion, depict the left bundle and right bundle branches. We offer our own latest understanding of the location and relationships of the atrioventricular conduction axis, including details of its development, and differences between human and animal hearts. We also emphasise the importance of understanding the relationship between the inferior pyramidal space and the inferoseptal recess so as appropriately to place the axis within the heart. We conclude by emphasising the need to consider the heart in the context of the body, describing its component parts by using attitudinally appropriate nomenclature.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"13 ","pages":"e20"},"PeriodicalIF":2.6,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11588108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142715070","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

Conduction System Pacing in Children and Congenital Heart Disease. 儿童和先天性心脏病的传导系统起搏。

IF 2.6

Arrhythmia & Electrophysiology Review Pub Date : 2024-11-07 eCollection Date: 2024-01-01 DOI: 10.15420/aer.2024.09

Óscar Cano, Jeremy P Moore

引用次数: 0

Association Between Atrial Fibrillation and Long-term Mortality in Acute MI Patients. 急性心肌梗死患者心房颤动与长期死亡率之间的关系

IF 2.6

Arrhythmia & Electrophysiology Review Pub Date : 2024-11-04 eCollection Date: 2024-01-01 DOI: 10.15420/aer.2024.21

Ferdinand Bauke, Christa Meisinger, Philip Raake, Jakob Linseisen, Timo Schmitz

{"title":"Association Between Atrial Fibrillation and Long-term Mortality in Acute MI Patients.","authors":"Ferdinand Bauke, Christa Meisinger, Philip Raake, Jakob Linseisen, Timo Schmitz","doi":"10.15420/aer.2024.21","DOIUrl":"10.15420/aer.2024.21","url":null,"abstract":"Background: AF is a common complication of an acute MI (AMI) and goes along with adverse events. Nevertheless, the therapeutical guidelines and pharmacological possibilities have improved over the past years. Therefore, this contemporary study aimed to clarify the effect of AF on long-term mortality in patients with incident AMI.Methods: This study included 2,313 patients aged 25-84 years with initial AMI that occurred from 2009 until 2017, documented within the population-based Augsburg Myocardial Infarction Registry. Patients were monitored from hospital admission, with a median follow-up duration of 4.5 years (interquartile range 4.4 years). Survival analysis and multivariable Cox regression analysis were conducted to explore the relationship between AF and long-term all-cause and cardiovascular disease mortality.Results: Altogether, 156 individuals had AF on their admission ECG, while the remaining 2,157 presented with sinus rhythm (SR). Patients with AF were significantly older, more frequently had arterial hypertension, non-ST-segment elevation MI, worse kidney function, smaller AMIs, and were more often former and non-smokers. An increased long-term all-cause mortality was observed among the AF group. (AF patients 39.1%, SR group 16.7%), Upon multivariable adjustment, a HR of 1.40 (95% CI [1.05-1.87]; p=0.023) was calculated when comparing the AF with SR patients.Conclusion: An independently increased risk of long-term mortality for patients with AF compared with patients with SR in case of incident AMI was identified. Therefore, AF should be considered as a serious risk factor in AMI patients, and must be treated aggressively to reduce mortality risk.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"13 ","pages":"e17"},"PeriodicalIF":2.6,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11577868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142680597","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