Arrhythmia & Electrophysiology Review最新文献_第4页

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)。

IF 3

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

Primer on Machine Learning in Electrophysiology. 电生理学中的机器学习入门。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2023-01-01 DOI: 10.15420/aer.2022.43

Shane E Loeffler, Natalia Trayanova

引用次数: 0

Defibrillation Threshold Testing for Right-sided Device Implants: A Review to Inform Shared Decision-making, in Association with the British Heart Rhythm Society. 右侧装置植入的除颤阈值测试:与英国心律学会联合进行的一项综述，以告知共同决策。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2023-01-01 DOI: 10.15420/aer.2022.38

Michael Tb Pope, John R Paisey, Paul R Roberts

{"title":"Defibrillation Threshold Testing for Right-sided Device Implants: A Review to Inform Shared Decision-making, in Association with the British Heart Rhythm Society.","authors":"Michael Tb Pope, John R Paisey, Paul R Roberts","doi":"10.15420/aer.2022.38","DOIUrl":"https://doi.org/10.15420/aer.2022.38","url":null,"abstract":"Prevention of sudden death using ICDs requires the reliable delivery of a high-energy shock to successfully terminate VF. Until more recently, the device implant procedure included conducting defibrillation threshold (DFT) testing involving VF induction and shock delivery to ensure efficacy. Large clinical trials, including SIMPLE and NORDIC ICD, have subsequently demonstrated that this is unnecessary, with a practice of omitting DFT testing having no impact on subsequent clinical outcomes. However, these studies specifically excluded patients requiring devices implanted on the right side, in whom the shock vector is significantly different and smaller studies suggest a higher DFT. In this review, the data regarding the use of DFT testing, focusing on right-sided implants, and the results of a survey of current UK practice are presented. In addition, a strategy of shared decision-making when it comes to deciding on the use of DFT testing during right-sided ICD implant procedures is proposed.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"12 ","pages":"e10"},"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/a3/0d/aer-12-e10.PMC10326664.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9815178","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

Atrial Transseptal Catheterisation: Challenging Scenarios and Techniques to Overcome Them. 房间隔置管:具有挑战性的场景和克服它们的技术。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2023-01-01 DOI: 10.15420/aer.2022.25

Maiwand Mirwais, Pasquale Santangeli

引用次数: 0

Ablation Lesion Assessment with MRI. MRI评估消融损伤

IF 2.6

Arrhythmia & Electrophysiology Review Pub Date : 2022-04-01 DOI: 10.15420/aer.2021.63

Lluís Mont, Ivo Roca-Luque, Till F Althoff

{"title":"Ablation Lesion Assessment with MRI.","authors":"Lluís Mont, Ivo Roca-Luque, Till F Althoff","doi":"10.15420/aer.2021.63","DOIUrl":"10.15420/aer.2021.63","url":null,"abstract":"Late gadolinium enhancement (LGE) MRI is capable of detecting not only native cardiac fibrosis, but also ablation-induced scarring. Thus, it offers the unique opportunity to assess ablation lesions non-invasively. In the atrium, LGE-MRI has been shown to accurately detect and localise gaps in ablation lines. With a negative predictive value close to 100% it can reliably rule out pulmonary vein reconnection non-invasively and thus may avoid unnecessary invasive repeat procedures where a pulmonary vein isolation only approach is pursued. Even LGE-MRI-guided repeat pulmonary vein isolation has been demonstrated to be feasible as a standalone approach. LGE-MRI-based lesion assessment may also be of value to evaluate the efficacy of ventricular ablation. In this respect, the elimination of LGE-MRI-detected arrhythmogenic substrate may serve as a potential endpoint, but validation in clinical studies is lacking. Despite holding great promise, the widespread use of LGE-MRI is still limited by the absence of standardised protocols for image acquisition and post-processing. In particular, reproducibility across different centres is impeded by inconsistent thresholds and internal references to define fibrosis. Thus, uniform methodological and analytical standards are warranted to foster a broader implementation in clinical practice.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"11 1","pages":"e02"},"PeriodicalIF":2.6,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9014705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43229788","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