Arrhythmia & Electrophysiology Review最新文献_第6页

Impact of Catheter Ablation on Stroke, Cognitive Decline and Dementia. 导管消融对脑卒中、认知能力下降和痴呆的影响。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2021-10-01 DOI: 10.15420/aer.2021.42

Tyson S Burnham, Monte L Scott, Benjamin A Steinberg, Daniel L Varela, Brian Zenger, T Jared Bunch

引用次数: 0

The DAPA Trial in the Context of Previous Prophylactic ICD Landmark Trials. 从先前的预防性 ICD 标志性试验看 DAPA 试验。

IF 2.6

Arrhythmia & Electrophysiology Review Pub Date : 2021-10-01 DOI: 10.15420/aer.2021.23

Danielle Haanschoten, Arif Elvan

{"title":"The DAPA Trial in the Context of Previous Prophylactic ICD Landmark Trials.","authors":"Danielle Haanschoten, Arif Elvan","doi":"10.15420/aer.2021.23","DOIUrl":"10.15420/aer.2021.23","url":null,"abstract":"In patients with ischaemic cardiomyopathy and severely reduced left ventricular ejection fraction (LVEF), an arrhythmogenic milieu is created by a complex interplay between myocardial scarring (assessed by cardiac MRI) and multiple other factors (ventricular ectopy, ischaemia and autonomic imbalance), favouring the occurrence of arrhythmic sudden cardiac death (SCD). Currently, a dynamic and robust model of dichotomised SCD risk assessment after primary percutaneous coronary intervention (PCI) is lacking, underlining the urgent need for further refinement of the widely accepted and guidelines-based criteria (ischaemic cardiomyopathy, LVEF ≤35%) for primary prevention. This review addresses the potential additional value of the recently published Defibrillator After Primary Angioplasty (DAPA) trial results. The DAPA trial conveys important messages and provides novel perspectives regarding left ventricular function post-primary PCI as an (early) risk marker for SCD and the impact of prophylactic ICD implantation on survival in this cohort. In the context of other previous primary prevention trials, DAPA was the first trial including only ST-elevation MI patients all treated with acute PCI.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"10 3","pages":"154-158"},"PeriodicalIF":2.6,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fb/c6/aer-10-154.PMC8576491.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39876851","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

Residual Stroke Risk in Atrial Fibrillation. 房颤的剩余卒中风险。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2021-10-01 DOI: 10.15420/aer.2021.34

Wern Yew Ding

引用次数: 7

ECG and Pacing Criteria for Differentiating Conduction System Pacing from Myocardial Pacing. 区分传导系统起搏与心肌起搏的心电图和起搏标准。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2021-10-01 DOI: 10.15420/aer.2021.26

Marek Jastrzębski

{"title":"ECG and Pacing Criteria for Differentiating Conduction System Pacing from Myocardial Pacing.","authors":"Marek Jastrzębski","doi":"10.15420/aer.2021.26","DOIUrl":"https://doi.org/10.15420/aer.2021.26","url":null,"abstract":"During His-Purkinje conduction system (HPS) pacing, it is crucial to confirm capture of the His bundle or left bundle branch versus myocardialonly capture. For this, several methods and criteria for differentiation between non-selective (ns) capture - capture of the HPS and the adjacent myocardium - and myocardial-only capture were developed. HPS capture results in faster and more homogenous depolarisation of the left ventricle than right ventricular septal (RVS) myocardial-only capture. Specifically, the depolarisation of the left ventricle (LV) does not require slow cell-to-cell spread of activation from the right side to the left side of the interventricular septum but begins simultaneously with QRS onset as in native depolarisation. These phenomena greatly influence QRS complex morphology and form the basis of electrocardiographic differentiation between HPS and myocardial paced QRS. Moreover, the HPS and the working myocardium are different tissues within the heart muscle that vary not only in conduction velocities but also in refractoriness and capture thresholds. These last two differences can be exploited for the diagnosis of HPS capture using dynamic pacing manoeuvres, namely differential output pacing, programmed stimulation and burst pacing. This review summarises current knowledge of this subject.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"10 3","pages":"172-180"},"PeriodicalIF":3.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1e/a3/aer-10-172.PMC8576513.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39891182","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: 32

The Atrioventricular Conduction Axis and its Implications for Permanent Pacing. 房室传导轴及其对永久性起搏的影响。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2021-10-01 DOI: 10.15420/aer.2021.32

José-Ángel Cabrera, Robert H Anderson, Andreu Porta-Sánchez, Yolanda Macías, Óscar Cano, Diane E Spicer, Damián Sánchez-Quintana

{"title":"The Atrioventricular Conduction Axis and its Implications for Permanent Pacing.","authors":"José-Ángel Cabrera, Robert H Anderson, Andreu Porta-Sánchez, Yolanda Macías, Óscar Cano, Diane E Spicer, Damián Sánchez-Quintana","doi":"10.15420/aer.2021.32","DOIUrl":"https://doi.org/10.15420/aer.2021.32","url":null,"abstract":"Extensive knowledge of the anatomy of the atrioventricular conduction axis, and its branches, is key to the success of permanent physiological pacing, either by capturing the His bundle, the left bundle branch or the adjacent septal regions. The inter-individual variability of the axis plays an important role in underscoring the technical difficulties known to exist in achieving a stable position of the stimulating leads. In this review, the key anatomical features of the location of the axis relative to the triangle of Koch, the aortic root, the inferior pyramidal space and the inferoseptal recess are summarised. In keeping with the increasing number of implants aimed at targeting the environs of the left bundle branch, an extensive review of the known variability in the pattern of ramification of the left bundle branch from the axis is included. This permits the authors to summarise in a pragmatic fashion the most relevant aspects to be taken into account when seeking to successfully deploy a permanent pacing lead.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"10 3","pages":"181-189"},"PeriodicalIF":3.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/70/aer-10-181.PMC8576516.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39891183","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: 11

Considerations for the Assessment of Substrates, Genetics and Risk Factors in Patients with Atrial Fibrillation. 房颤患者底物、遗传学和危险因素评估的考虑。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2021-10-01 DOI: 10.15420/aer.2020.51

Dominik Linz, Sander Verheule, Aaron Isaacs, Ulrich Schotten

引用次数: 1

Physiology and Practicality of Left Ventricular Septal Pacing. 左室间隔起搏的生理学和实用性。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2021-10-01 DOI: 10.15420/aer.2021.21

Luuk Heckman, Justin Luermans, Floor Salden, Antonius Martinus Wilhelmus van Stipdonk, Masih Mafi-Rad, Frits Prinzen, Kevin Vernooy

{"title":"Physiology and Practicality of Left Ventricular Septal Pacing.","authors":"Luuk Heckman, Justin Luermans, Floor Salden, Antonius Martinus Wilhelmus van Stipdonk, Masih Mafi-Rad, Frits Prinzen, Kevin Vernooy","doi":"10.15420/aer.2021.21","DOIUrl":"https://doi.org/10.15420/aer.2021.21","url":null,"abstract":"Left ventricular septal pacing (LVSP) and left bundle branch pacing (LBBP) have been introduced to maintain or correct interventricular and intraventricular (dys)synchrony. LVSP is hypothesised to produce a fairly physiological sequence of activation, since in the left ventricle (LV) the working myocardium is activated first at the LV endocardium in the low septal and anterior free-wall regions. Animal studies as well as patient studies have demonstrated that LV function is maintained during LVSP at levels comparable to sinus rhythm with normal conduction. Left ventricular activation is more synchronous during LBBP than LVSP, but LBBP produces a higher level of intraventricular dyssynchrony compared to LVSP. While LVSP is fairly straightforward to perform, targeting the left bundle branch area may be more challenging. Long-term effects of LVSP and LBBP are yet to be determined. This review focuses on the physiology and practicality of LVSP and provides a guide for permanent LVSP implantation.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"10 3","pages":"165-171"},"PeriodicalIF":3.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/90/97/aer-10-165.PMC8576493.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39891181","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: 6

Diagnosis and Management of Complex Reentrant Arrhythmias Involving the His-Purkinje System. 涉及His-Purkinje系统的复杂再入性心律失常的诊断和治疗。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2021-10-01 DOI: 10.15420/aer.2021.22

Raphael K Sung, Penelope A Boyden, Satoshi Higuchi, Melvin Scheinman

{"title":"Diagnosis and Management of Complex Reentrant Arrhythmias Involving the His-Purkinje System.","authors":"Raphael K Sung, Penelope A Boyden, Satoshi Higuchi, Melvin Scheinman","doi":"10.15420/aer.2021.22","DOIUrl":"https://doi.org/10.15420/aer.2021.22","url":null,"abstract":"The His-Purkinje system is a network of bundles and fibres comprised of specialised cells that allow for coordinated, synchronous activation of the ventricles. Although the histology and physiology of the His-Purkinje system have been studied for more than a century, its role in ventricular arrhythmias has recently been discovered with the ongoing elucidation of the mechanisms leading to both benign and life-threatening arrhythmias. Studies of Purkinje-cell electrophysiology show multiple mechanisms responsible for ventricular arrhythmias, including enhanced automaticity, triggered activity and reentry. The variation in functional properties of Purkinje cells in different areas of the His-Purkinje system underlie the propensity for reentry within Purkinje fibres in structurally normal and abnormal hearts. Catheter ablation is an effective therapy in nearly all forms of reentrant arrhythmias involving Purkinje tissue. However, identifying those at risk of developing fascicular arrhythmias is not yet possible. Future research is needed to understand the precise molecular and functional changes resulting in these arrhythmias.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"10 3","pages":"190-197"},"PeriodicalIF":3.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/45/01/aer-10-190.PMC8576512.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39891184","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

Troubleshooting Programming of Conduction System Pacing. 传导系统起搏故障诊断编程。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2021-07-01 DOI: 10.15420/aer.2021.16

Elise Bakelants, Haran Burri

引用次数: 8

Comment on 'Management of Cardiac Sarcoidosis in 2020'. 关于“2020年心脏结节病的管理”的评论。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2021-07-01 DOI: 10.15420/aer.2021.19

Socrates Korovesis, Eleftherios Giazitzoglou

引用次数: 0