Arrhythmia & Electrophysiology Review最新文献_第3页

Left Bundle Branch Block-associated Cardiomyopathy: A New Approach. 左束支传导阻滞相关心肌病：一种新方法

IF 2.6

Arrhythmia & Electrophysiology Review Pub Date : 2024-09-25 eCollection Date: 2024-01-01 DOI: 10.15420/aer.2024.14

Shunmuga Sundaram Ponnusamy, Pugazhendhi Vijayaraman, Kenneth A Ellenbogen

引用次数: 0

Stylet-driven Leads or Lumenless Leads for Conduction System Pacing. 用于传导系统起搏的血针驱动导联或无腔导联。

IF 2.6

Arrhythmia & Electrophysiology Review Pub Date : 2024-09-13 eCollection Date: 2024-01-01 DOI: 10.15420/aer.2024.18

Óscar Cano, Jan De Pooter, Francesco Zanon

引用次数: 0

Meta-analysis of Pulsed Field Ablation Versus Thermal Ablation for Pulmonary Vein Isolation in AF: A Broad Overview Focusing on Efficacy, Safety and Outcomes. 脉冲场消融与热消融用于房颤肺静脉隔离的 Meta 分析：以疗效、安全性和结果为重点的广泛概述。

IF 2.6

Arrhythmia & Electrophysiology Review Pub Date : 2024-08-22 eCollection Date: 2024-01-01 DOI: 10.15420/aer.2024.05

Mohammad Iqbal, William Kamarullah, Raymond Pranata, Iwan Cahyo Santosa Putra, Giky Karwiky, Chaerul Achmad, Young Hoon Kim

{"title":"Meta-analysis of Pulsed Field Ablation Versus Thermal Ablation for Pulmonary Vein Isolation in AF: A Broad Overview Focusing on Efficacy, Safety and Outcomes.","authors":"Mohammad Iqbal, William Kamarullah, Raymond Pranata, Iwan Cahyo Santosa Putra, Giky Karwiky, Chaerul Achmad, Young Hoon Kim","doi":"10.15420/aer.2024.05","DOIUrl":"10.15420/aer.2024.05","url":null,"abstract":"The recently established non-thermal, single-shot pulsed field ablation (PFA) is a potential tool for achieving rapid pulmonary vein isolation (PVI) to cause cell death by electroporation, yet data regarding this state-of-the-art technology remain sparse. In this meta-analysis, we included 3,857 patients from 20 studies. There was no significant difference in AF recurrence between the PFA and control groups. Subgroup analysis showed that additional ablation beyond PVI has a similar rate of AF recurrence to PVI alone (10% versus 13%, respectively). PVI durability was achieved in 83% (mean), 95% CI [65-99%] of the PFA group and in 79% (mean), 95% CI [60-98%] of the control group, with no significant difference in the rate of PVI durability between the two groups. The PFA group had considerably reduced procedure duration, but not fluoroscopy time. No statistically significant differences in periprocedural complications were observed. PFA is associated with shorter procedural time than thermal ablation. Cardiac complications were uncommon and mainly reversible in both the PFA and control groups.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"13 ","pages":"e13"},"PeriodicalIF":2.6,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11363063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142116979","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

Anatomical Ablation of the Atrioventricular Node. 房室结的解剖消融。

IF 2.6

Arrhythmia & Electrophysiology Review Pub Date : 2024-08-20 eCollection Date: 2024-01-01 DOI: 10.15420/aer.2024.13

Demosthenes G Katritsis, Konstantinos C Siontis, Sharad Agarwal, Stavros Stavrakis, Eleftherios Giazitzoglou, Hina Amin, Joseph E Marine, Justin T Tretter, Damian Sanchez-Quintana, Robert H Anderson, Hugh Calkins

{"title":"Anatomical Ablation of the Atrioventricular Node.","authors":"Demosthenes G Katritsis, Konstantinos C Siontis, Sharad Agarwal, Stavros Stavrakis, Eleftherios Giazitzoglou, Hina Amin, Joseph E Marine, Justin T Tretter, Damian Sanchez-Quintana, Robert H Anderson, Hugh Calkins","doi":"10.15420/aer.2024.13","DOIUrl":"10.15420/aer.2024.13","url":null,"abstract":"Background: Atrioventricular (AV) conduction ablation has been achieved by targeting the area of penetration of the conduction axis as defined by recording a His bundle potential. Ablation of the His bundle may reduce the possibility of a robust junctional escape rhythm. It was hypothesised that specific AV nodal ablation is feasible and safe.Methods: The anatomical position of the AV node in relation to the site of penetration of the conduction axis was identified as described in dissections and histological sections of human hearts. Radiofrequency (RF) ablation was accomplished based on the anatomical criteria.Results: Specific anatomical ablation of the AV node was attempted in 72 patients. Successful AV nodal ablation was accomplished in 63 patients (87.5%), following 60 minutes (IQR 50-70 minutes) of procedure time, 3.4 minutes (IQR 2.4-5.5 minutes) of fluoroscopy time, and delivery of 4 (IQR 3-6) RF lesions. An escape rhythm was present in 45 patients (71%), and the QRS complex was similar to that before ablation in all 45 patients. Atropine was administered in six patients after the 10-min waiting period and did not result in restoration of conduction. In nine patients, AV conduction could not be interrupted, and AV block was achieved with ablation of the His after delivery of 12 (IQR 8-15) RF lesions. No cases of sudden death were encountered, and all patients had persistent AV block during a median 10.5 months (IQR 5-14 months) of follow-up.Conclusion: Anatomical ablation of the AV node is feasible and safe, and results in an escape rhythm similar to that before ablation.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"13 ","pages":"e12"},"PeriodicalIF":2.6,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11363056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103907","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

Outcomes of Device-detected Atrial High-rate Episodes in Patients with No Prior History of Atrial Fibrillation: A Systematic Review and Meta-analysis. 既往无心房颤动病史患者的设备检测到的心房高频率发作的结果：系统回顾与元分析》。

IF 2.6

Arrhythmia & Electrophysiology Review Pub Date : 2024-06-18 eCollection Date: 2024-01-01 DOI: 10.15420/aer.2024.11

Hasaan Ahmed, Mahmoud Ismayl, Anirudh Palicherla, Anthony Kashou, Jalal Dufani, Andrew Goldsweig, Nandan Anavekar, Ahmed Aboeata

{"title":"Outcomes of Device-detected Atrial High-rate Episodes in Patients with No Prior History of Atrial Fibrillation: A Systematic Review and Meta-analysis.","authors":"Hasaan Ahmed, Mahmoud Ismayl, Anirudh Palicherla, Anthony Kashou, Jalal Dufani, Andrew Goldsweig, Nandan Anavekar, Ahmed Aboeata","doi":"10.15420/aer.2024.11","DOIUrl":"10.15420/aer.2024.11","url":null,"abstract":"Background: Outcomes of device-detected AF remain unclear in individuals without a prior history of AF.Methods: A meta-analysis was conducted to evaluate outcomes in individuals with no prior history of AF who experienced device-detected AF. Outcomes assessed were clinical AF, thromboembolism and all-cause mortality. A fixed-effects model was used to calculate RRs with 95% CI.Results: Compared to individuals who did not experience device-detected AF, those who did had increased risks of clinical AF (RR 3.33, 95% CI [1.99.5.57]; p<0.0001) and thromboembolic events (RR 2.21; 95% CI [1.72.2.85]; p<0.0001). The risk of all-cause mortality was similar between both groups (RR 1.19; 95% CI [0.95.1.49]; p=0.13). Subgroup analysis revealed an increased risk of thromboembolic events among device-detected AF .24 hours (RR 12.34; 95% CI [2.70.56.36]).Conclusion: While there is an increased risk of clinical AF and thromboembolism in individuals with device-detected AF, mortality was insignificant.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"13 ","pages":"e09"},"PeriodicalIF":2.6,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11231819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141562558","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

Non-invasive Vagus Nerve Simulation in Postural Orthostatic Tachycardia Syndrome. 体位性正位性心动过速综合征中的非侵入性迷走神经模拟。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2023-12-13 eCollection Date: 2023-01-01 DOI: 10.15420/aer.2023.20

Praloy Chakraborty, Kassem Farhat, Lynsie Morris, Seabrook Whyte, Xichun Yu, Stavros Stavrakis

引用次数: 0

Very-high-power Short-duration Ablation versus Conventional Ablation for Pulmonary Vein Isolation in Atrial Fibrillation: Systematic Review and Meta-analysis. 房颤肺静脉隔离的超高功率短时消融与传统消融：系统性回顾和 Meta 分析。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2023-12-07 eCollection Date: 2023-01-01 DOI: 10.15420/aer.2023.19

Raymond Pranata, Giky Karwiky, Mohammad Iqbal

{"title":"Very-high-power Short-duration Ablation versus Conventional Ablation for Pulmonary Vein Isolation in Atrial Fibrillation: Systematic Review and Meta-analysis.","authors":"Raymond Pranata, Giky Karwiky, Mohammad Iqbal","doi":"10.15420/aer.2023.19","DOIUrl":"10.15420/aer.2023.19","url":null,"abstract":"The aim of this study was to compare the effectiveness and safety of very-high-power short-duration (VHPSD) ablation (70-90 W/4-7 s) with conventional ablation (30-40 W/>20 s, 50 W/7-11 s) for pulmonary vein isolation (PVI) in patients with AF. A total of 13 studies were included in this analysis (1,527 patients). AF recurrence occurred in 14% (95% CI [11-18%]) of the VHPSD group. VHPSD was associated with lower AF recurrence (OR 0.65; 95% CI [0.48-0.89]; p=0.006) compared with the conventional ablation group. Subgroup analysis showed that additional ablation beyond PVI had a similar rate of AF recurrence (16% versus 10%) compared with PVI alone. Procedure and ablation durations were significantly shorter in the VHPSD group with a mean differences of -14.4 minutes (p=0.017) and -14.1 minutes (p<0.001), respectively. Complications occurred in 6% (95% CI [3-9%]) of the VHPSD group, and the rate was similar between the two groups (OR 1.03; 95% CI [0.60-1.80]; p=0.498). VHPSD ablation resulted in less AF recurrence and a shorter procedure time. Additional ablation beyond PVI alone in VHPSD may not provide additional benefits.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"12 ","pages":"e30"},"PeriodicalIF":3.0,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10762667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139085686","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 Emerging Role of Left Bundle Branch Area Pacing for Cardiac Resynchronisation Therapy. 左束支区起搏在心脏再同步化治疗中的新作用

IF 2.6

Arrhythmia & Electrophysiology Review Pub Date : 2023-12-01 eCollection Date: 2023-01-01 DOI: 10.15420/aer.2023.15

Juan Carlos Diaz, Mauricio Duque, Julian Aristizabal, Jorge Marin, Cesar Niño, Oriana Bastidas, Luis Miguel Ruiz, Carlos D Matos, Carolina Hoyos, Daniela Hincapie, Alejandro Velasco, Jorge E Romero

{"title":"The Emerging Role of Left Bundle Branch Area Pacing for Cardiac Resynchronisation Therapy.","authors":"Juan Carlos Diaz, Mauricio Duque, Julian Aristizabal, Jorge Marin, Cesar Niño, Oriana Bastidas, Luis Miguel Ruiz, Carlos D Matos, Carolina Hoyos, Daniela Hincapie, Alejandro Velasco, Jorge E Romero","doi":"10.15420/aer.2023.15","DOIUrl":"10.15420/aer.2023.15","url":null,"abstract":"Cardiac resynchronisation therapy (CRT) reduces the risk of heart failure-related hospitalisations and all-cause mortality, as well as improving quality of life and functional status in patients with persistent heart failure symptoms despite optimal medical treatment and left bundle branch block. CRT has traditionally been delivered by implanting a lead through the coronary sinus to capture the left ventricular epicardium; however, this approach is associated with significant drawbacks, including a high rate of procedural failure, phrenic nerve stimulation, high pacing thresholds and lead dislodgement. Moreover, a significant proportion of patients fail to derive any significant benefit. Left bundle branch area pacing (LBBAP) has recently emerged as a suitable alternative to traditional CRT. By stimulating the cardiac conduction system physiologically, LBBAP can result in a more homogeneous left ventricular contraction and relaxation, thus having the potential to improve outcomes compared with conventional CRT strategies. In this article, the evidence supporting the use of LBBAP in patients with heart failure is reviewed.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"12 ","pages":"e29"},"PeriodicalIF":2.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10762674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139085685","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

Open Window Mapping of Accessory Pathways: A Literature Review and Practical Guide. 辅助通路的开窗绘图：文献综述与实用指南》。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2023-12-01 eCollection Date: 2023-01-01 DOI: 10.15420/aer.2023.09

Rajdip Dulai, Fatima Bangash, Ajay Sharma, Alex Cambridge, Geoff Wong, Wei Lim, David Farwell, Jason Garcia, Neil T Srinivansan

引用次数: 0

Explaining the Unexplained: A Practical Approach to Investigating the Cardiac Arrest Survivor. 解释未解之谜：调查心脏骤停幸存者的实用方法》。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2023-11-23 eCollection Date: 2023-01-01 DOI: 10.15420/aer.2023.06

Gonca Suna, Greg J Mellor

引用次数: 0