Arrhythmia & Electrophysiology Review最新文献_第4页

Cardiac Resynchronisation with Conduction System Pacing. 心脏再同步与传导系统起搏。

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Arrhythmia & Electrophysiology Review Pub Date : 2023-01-01 DOI: 10.15420/aer.2023.03

Fatima M Ezzeddine, Isaac G Leon, Yong-Mei Cha

引用次数: 0

Pulsed Field Ablation for Atrial Fibrillation. 脉冲场消融治疗心房颤动。

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Arrhythmia & Electrophysiology Review Pub Date : 2023-01-01 DOI: 10.15420/aer.2022.45

David Schaack, Boris Schmidt, Shota Tohoku, Stefano Bordignon, Lukas Urbanek, Ramin Ebrahimi, Jun Hirokami, Tolga Han Efe, Shaojie Chen, Kr Julian Chun

引用次数: 4

Procedural Adaptations to Avoid Haemodynamic Instability During Catheter Ablation of Scar-related Ventricular Tachycardia. 在瘢痕性室性心动过速导管消融过程中避免血流动力学不稳定的程序调整。

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Arrhythmia & Electrophysiology Review Pub Date : 2023-01-01 DOI: 10.15420/aer.2022.24

Benjamin L Freedman, Timothy R Maher, Madison Tracey, Pasquale Santangeli, Andre d'Avila

{"title":"Procedural Adaptations to Avoid Haemodynamic Instability During Catheter Ablation of Scar-related Ventricular Tachycardia.","authors":"Benjamin L Freedman, Timothy R Maher, Madison Tracey, Pasquale Santangeli, Andre d'Avila","doi":"10.15420/aer.2022.24","DOIUrl":"https://doi.org/10.15420/aer.2022.24","url":null,"abstract":"Classically, catheter ablation for scar-related ventricular tachycardia (VT) relied upon activation and entrainment mapping of induced VT. Advances in post-MI therapies have led to VTs that are faster and haemodynamically less stable, because of more heterogeneous myocardial fibrosis patterns. The PAINESD score is one means of identifying patients at highest risk for haemodynamic decompensation during attempted VT induction, who may, therefore, benefit from alternative ablation strategies. One strategy is to use temporary mechanical circulatory support, although this warrants formal assessment of cost-effectiveness. A second strategy is to minimise or avoid VT induction altogether by employing a family of 'substrate'-based approaches aimed at identifying VT isthmuses during sinus or paced rhythm. Substrate mapping techniques are diverse, and focus on the timing, morphology and amplitude of local ventricular electrograms - sometimes aided by advanced non-invasive cardiac imaging modalities. In this review, the evolution of VT ablation over time is discussed, with an emphasis on procedural adaptations to the challenge of haemodynamic instability.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"12 ","pages":"e20"},"PeriodicalIF":3.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/87/75/aer-12-e20.PMC10350657.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9827257","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

Ventricular Arrhythmia in Cancer Patients: Mechanisms, Treatment Strategies and Future Avenues. 癌症患者室性心律失常:机制、治疗策略和未来途径。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2023-01-01 DOI: 10.15420/aer.2023.04

Manyoo A Agarwal, Aadhavi Sridharan, Rhea C Pimentel, Steven M Markowitz, Lynda E Rosenfeld, Michael G Fradley, Eric H Yang

引用次数: 2

Hypersensitivity Reactions to Components of Cardiac Implantable Electronic Devices and Their Treatment: A Systematic Review. 对心脏植入式电子装置组件的过敏反应及其治疗:系统综述。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2023-01-01 DOI: 10.15420/aer.2022.23

Emma Kealaher, Parin Shah, Tharindra Dissanayake, Dewi E Thomas, James Barry, Andrei D Margulescu

{"title":"Hypersensitivity Reactions to Components of Cardiac Implantable Electronic Devices and Their Treatment: A Systematic Review.","authors":"Emma Kealaher, Parin Shah, Tharindra Dissanayake, Dewi E Thomas, James Barry, Andrei D Margulescu","doi":"10.15420/aer.2022.23","DOIUrl":"https://doi.org/10.15420/aer.2022.23","url":null,"abstract":"Background: Hypersensitivity reactions (HSRs) to components of cardiac implantable electronic devices (CIEDs) are rare but difficult to differentiate from device infection. Data on best management strategies of HSRs to CIEDs are lacking. The aims of this systematic review are to summarise the available literature on the aetiology, diagnosis and management of HSR in CIED patients and to provide guidance on best management strategies for these patients. Methods and results: A systematic search for publications on HSR to CIED in PubMed from January 1970 to November 2022 was conducted, resulting in 43 publications reporting on 57 individual cases. The quality of data was low. The mean age was 57 ± 21 years, and 48% of patients were women. The mean time from implant to diagnosis was 29 ± 59 months. Multiple allergens were identified in 11 patients (19%). In 14 cases (25%) no allergen was identified. Blood tests were mostly normal (55%), but eosinophilia (23%), raised inflammatory markers (18%) and raised immunoglobulin E (5%) were also encountered. Symptoms included local reactions, systemic reactions or both in 77%, 21% and 7% of patients, respectively. Explantation of CIED and reimplantation of another CIED coated with a non-allergenic material was usually successful. Use of topical or systemic steroids was associated with high failure rates. Conclusion: Based on the limited data available, the treatment of choice for HSRs to CIEDs is full CIED removal, reassessment of CIED indication and reimplantation of devices coated in non-allergenic materials. Steroids (topical/systemic) have limited efficiency and should not be used. There is an urgent need for further research in this field.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"12 ","pages":"e08"},"PeriodicalIF":3.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/60/35/aer-12-e08.PMC10326667.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9815180","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: 1

Cardioneuroablation for Treating Vasovagal Syncope: Current Status and Future Directions. 心血管消融术治疗血管迷走神经性晕厥:现状和未来方向。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2023-01-01 DOI: 10.15420/aer.2023.02

Le Li, Sunny Po, Yan Yao

引用次数: 1

Sudden Cardiac Arrest in Basketball and Soccer Stadiums, the Role of Automated External Defibrillators: A Review. For the BELTRAN Study (BaskEtbaLl and soccer sTadiums: Registry on Automatic exterNal defibrillators). 在篮球和足球场馆心脏骤停，自动体外除颤器的作用:综述。BELTRAN研究(篮球和足球场馆:自动体外除颤器注册)。

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Arrhythmia & Electrophysiology Review Pub Date : 2023-01-01 DOI: 10.15420/aer.2022.30

Mario D Bassi, Juan M Farina, Jorge Bombau, Mario Fitz Maurice, Guillermo Bortman, Elaine Nuñez, Manlio Márquez, Norberto Bornancini, Adrian Baranchuk

{"title":"Sudden Cardiac Arrest in Basketball and Soccer Stadiums, the Role of Automated External Defibrillators: A Review. For the BELTRAN Study (BaskEtbaLl and soccer sTadiums: Registry on Automatic exterNal defibrillators).","authors":"Mario D Bassi, Juan M Farina, Jorge Bombau, Mario Fitz Maurice, Guillermo Bortman, Elaine Nuñez, Manlio Márquez, Norberto Bornancini, Adrian Baranchuk","doi":"10.15420/aer.2022.30","DOIUrl":"https://doi.org/10.15420/aer.2022.30","url":null,"abstract":"Sudden cardiac arrest (SCA) during sports events has a dramatic impact on stadium-goers and the public and is often associated with poor outcomes unless treated with an automated external defibrillator (AED). Despite this, stadiums vary in AED use. This review aims to identify the risks and incidences of SCA, and the use of AEDs in soccer and basketball stadiums. A narrative review of all relevant papers was conducted. Athletes across all sports face an SCA risk of 1:50,000 athlete-years, with the greatest risk of SCA in young male athletes (1:35,000 person-years) and black male athletes (1:18,000 person-years). Africa and South America have the poorest soccer SCA outcomes at 3% and 4% survival. AED use on-site improves survival greater than defibrillation by emergency services. Many stadiums do not have AEDs implemented into medical plans and the AEDs are often unrecognisable or are obstructed. Therefore, AEDs should be used on-site, use clear signalling, have certified trained personnel, and be incorporated into stadiums' medical plans.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"12 ","pages":"e03"},"PeriodicalIF":3.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/69/7b/aer-12-e03.PMC9945480.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10793682","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: 3

This is Your Brain, and This is Your Brain on Atrial Fibrillation: The Roles of Cardiac Malperfusion Events and Vascular Dysfunction in Cognitive Impairment. 这是你的大脑，这是你的大脑在心房颤动:心脏灌注不良事件和血管功能障碍在认知障碍中的作用。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2023-01-01 DOI: 10.15420/aer.2022.29

Brian Zenger, Scott Rizzi, Benjamin A Steinberg, Ravi Ranjan, T Jared Bunch

引用次数: 3

Solving the Reach Problem: A Review of Present and Future Approaches for Addressing Ventricular Arrhythmias Arising from Deep Substrate. 解决深层底物引起的室性心律失常:目前和未来治疗方法综述。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2023-01-01 DOI: 10.15420/aer.2022.28

Venkatesh Ravi, Jeffrey Winterfield, Jackson Liang, Timothy Larsen, Cicely Dye, David Sanders, Jamario Skeete, Josh Payne, Richard G Trohman, Tolga Aksu, Parikshit S Sharma, Henry D Huang

{"title":"Solving the Reach Problem: A Review of Present and Future Approaches for Addressing Ventricular Arrhythmias Arising from Deep Substrate.","authors":"Venkatesh Ravi, Jeffrey Winterfield, Jackson Liang, Timothy Larsen, Cicely Dye, David Sanders, Jamario Skeete, Josh Payne, Richard G Trohman, Tolga Aksu, Parikshit S Sharma, Henry D Huang","doi":"10.15420/aer.2022.28","DOIUrl":"https://doi.org/10.15420/aer.2022.28","url":null,"abstract":"Ventricular tachycardia (VT) is a significant cause of morbidity and mortality in patients with ischaemic and non-ischaemic cardiomyopathies. In most patients, the primary strategy of VT catheter ablation is based on the identification of critical components of reentry circuits and modification of abnormal substrate which can initiate reentry. Despite technological advancements in catheter design and improved ability to localise abnormal substrates, putative circuits and site of origins of ventricular arrhythmias (VAs), current technologies remain inadequate and durable success may be elusive when the critical substrate is deep or near to critical structures that are at risk of collateral damage. In this article, we review the available and potential future non-surgical investigational approaches for treatment of VAs and discuss the viability of these modalities.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"12 ","pages":"e04"},"PeriodicalIF":3.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fa/df/aer-12-e04.PMC10433105.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10105516","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: 2

Ganglionic Plexus Ablation: A Step-by-step Guide for Electrophysiologists and Review of Modalities for Neuromodulation for the Management of Atrial Fibrillation. 神经节丛消融术:电生理学家的一步一步指南和对心房颤动管理的神经调节模式的回顾。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2023-01-01 DOI: 10.15420/aer.2022.37

Tolga Aksu, Jamario R Skeete, Henry H Huang

引用次数: 2