Arrhythmia & Electrophysiology Review最新文献_第7页

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

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

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

Prophylactic Cavotricuspid Isthmus Ablation in Atrial Fibrillation without Documented Typical Atrial Flutter: A Systematic Review and Meta-analysis. 无典型心房扑动的房颤患者预防性心房三尖瓣峡部消融:一项系统回顾和荟萃分析。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2022-04-01 DOI: 10.15420/aer.2021.37

Yoga Waranugraha, Ardian Rizal, Mohammad Saifur Rohman, Chia-Ti Tsai, Fu-Chun Chiu

{"title":"Prophylactic Cavotricuspid Isthmus Ablation in Atrial Fibrillation without Documented Typical Atrial Flutter: A Systematic Review and Meta-analysis.","authors":"Yoga Waranugraha, Ardian Rizal, Mohammad Saifur Rohman, Chia-Ti Tsai, Fu-Chun Chiu","doi":"10.15420/aer.2021.37","DOIUrl":"https://doi.org/10.15420/aer.2021.37","url":null,"abstract":"Background: The advantage of prophylactic cavotricuspid isthmus (CTI) ablation for AF patients without documented atrial flutter is still unclear. The present study aimed to evaluate the role of prophylactic CTI ablation in this population. Methods: A systematic review and meta-analysis study was conducted. The overall effects estimation was conducted using random effects models. The pooled effects were presented as the risk difference and standardised mean difference for dichotomous and continuous outcomes, respectively. Results: A total of 1,476 patients from four studies were included. The risk of atrial tachyarrhythmias following a successful catheter ablation procedure was greater in the pulmonary vein isolation + CTI ablation group than pulmonary vein isolation alone group (34.8% versus 28.2%; risk difference 0.08; 95% CI [0.00-0.17]; p=0.04). Prophylactic CTI ablation was associated with a higher recurrent AF rate (33.8% versus 27.1%; risk difference 0.07; 95% CI [0.01-0.13]; p=0.02). Additional prophylactic CTI ablation to pulmonary vein isolation significantly increased the radio frequency application time (standardised mean difference 0.52; 95% CI [0.04-1.01]; p=0.03). Conclusion: This study suggested that prophylactic CTI ablation was an ineffective and inefficient approach in AF without documented typical atrial flutter patients.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":" ","pages":"e10"},"PeriodicalIF":3.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/37/44/aer-11-e10.PMC9277616.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40514366","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: 5

Clinical Relevance of Sinus Rhythm Mapping to Quantify Electropathology Related to Atrial Fibrillation. 心房颤动相关电病理量化的窦性心律映射的临床意义。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2022-04-01 DOI: 10.15420/aer.2022.03

Mathijs S van Schie, Natasja Ms de Groot

引用次数: 2

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

Preprocedural Discrimination of Posteroseptal Accessory Pathways Ablated from the Right Endocardium from Those Requiring a Left-sided or Epicardial Coronary Venous Approach. 手术前区分从右心内膜切除的后间隔副通道与需要左侧或心外膜冠状静脉入路的通道。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2022-04-01 DOI: 10.15420/aer.2021.55

Mathieu Lebloa, Patrizio Pascale

{"title":"Preprocedural Discrimination of Posteroseptal Accessory Pathways Ablated from the Right Endocardium from Those Requiring a Left-sided or Epicardial Coronary Venous Approach.","authors":"Mathieu Lebloa, Patrizio Pascale","doi":"10.15420/aer.2021.55","DOIUrl":"https://doi.org/10.15420/aer.2021.55","url":null,"abstract":"The success of radiofrequency catheter ablation of the accessory pathway (AP) depends on the accurate localisation of the bypass tract. In that respect, posteroseptal or inferior paraseptal APs often pose a diagnostic challenge because of the complex anatomy at the crux of the four cardiac chambers. Considering the differences in procedure risks and success rate depending on the need for a left-sided approach or a coronary sinus ablation, an accurate anticipation of the precise location of inferior paraseptal APs is critical to inform the consent process and guide the initial mapping strategy. Here, the preprocedural clues to discriminate APs that can be ablated from the right atrium, from those requiring a left-sided or epicardial coronary venous approach, are reviewed. Both manifest and concealed APs will be considered and, following the diagnostic process made by the operator before interpretation of the intra-cardiac signals, each of the following aspects will be addressed: clinical context and initial probability; and 12-lead ECG analysis during baseline ECG with manifest AP, maximal preexcitation, and orthodromic reciprocating tachycardia.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":" ","pages":"e07"},"PeriodicalIF":3.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/46/af/aer-11-e07.PMC9194913.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40224944","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

Safety, Efficacy and Prognostic Benefit of Atrial Fibrillation Ablation in Heart Failure with Preserved Ejection Fraction. 保留射血分数的心力衰竭患者房颤消融的安全性、有效性和预后获益。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2022-04-01 DOI: 10.15420/aer.2022.10

Nicolas Johner, Mehdi Namdar, Dipen C Shah

{"title":"Safety, Efficacy and Prognostic Benefit of Atrial Fibrillation Ablation in Heart Failure with Preserved Ejection Fraction.","authors":"Nicolas Johner, Mehdi Namdar, Dipen C Shah","doi":"10.15420/aer.2022.10","DOIUrl":"https://doi.org/10.15420/aer.2022.10","url":null,"abstract":"Up to 65% of patients with heart failure with preserved ejection fraction (HFpEF) develop AF during the course of the disease. This occurrence is associated with adverse outcomes, including pump failure death. Because AF and HFpEF are mutually reinforcing risk factors, sinus rhythm restoration may represent a disease-modifying intervention. While catheter ablation exhibits acceptable safety and efficacy profiles, no randomised trials have compared AF ablation with medical management in HFpEF. However, catheter ablation has been reported to result in lower natriuretic peptides, lower filling pressures, greater peak cardiac output and improved functional capacity in HFpEF. There is growing evidence that catheter ablation may reduce HFpEF severity, hospitalisation and mortality compared to medical management. Based on indirect evidence, early catheter ablation and minimally extensive atrial injury should be favoured. Hence, individualised ablation strategies stratified by stepwise substrate inducibility provide a logical basis for catheter-based rhythm control in this heterogenous population. Randomised trials are needed for definitive evidence-based guidelines.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":" ","pages":"e18"},"PeriodicalIF":3.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cc/4d/aer-11-e18.PMC9585645.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40454610","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 Dyssynchrony and Pacing-induced Cardiomyopathy in Patients with Pacemakers, the Utility of Ultra-high-frequency ECG and Other Dyssynchrony Assessment Tools. 起搏器患者的心室非同步化和起搏诱发的心肌病，超高频ECG和其他非同步化评估工具的应用。

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2022-04-01 DOI: 10.15420/aer.2022.01

Jan Mizner, Pavel Jurak, Hana Linkova, Radovan Smisek, Karol Curila

{"title":"Ventricular Dyssynchrony and Pacing-induced Cardiomyopathy in Patients with Pacemakers, the Utility of Ultra-high-frequency ECG and Other Dyssynchrony Assessment Tools.","authors":"Jan Mizner, Pavel Jurak, Hana Linkova, Radovan Smisek, Karol Curila","doi":"10.15420/aer.2022.01","DOIUrl":"https://doi.org/10.15420/aer.2022.01","url":null,"abstract":"The majority of patients tolerate right ventricular pacing well; however, some patients manifest signs of heart failure after pacemaker implantation and develop pacing-induced cardiomyopathy. This is a consequence of non-physiological ventricular activation bypassing the conduction system. Ventricular dyssynchrony was identified as one of the main factors responsible for pacing-induced cardiomyopathy development. Currently, methods that would allow rapid and reliable ventricular dyssynchrony assessment, ideally during the implant procedure, are lacking. Paced QRS duration is an imperfect marker of dyssynchrony, and methods based on body surface mapping, electrocardiographic imaging or echocardiography are laborious and time-consuming, and can be difficult to use during the implantation procedure. However, the ventricular activation sequence can be readily displayed from the chest leads using an ultra-high-frequency ECG. It can be performed during the implantation procedure to visualise ventricular depolarisation and resultant ventricular dyssynchrony during pacing. This information can assist the electrophysiologist in selecting a pacing location that avoids dyssynchronous ventricular activation.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":" ","pages":"e17"},"PeriodicalIF":3.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b3/2c/aer-11-e17.PMC9376832.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40713911","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

Bridging the Gap Between Artificial Intelligence Research and Clinical Practice in Cardiovascular Science: What the Clinician Needs to Know 弥合人工智能研究与心血管科学临床实践之间的差距：临床医生需要知道的

IF 3

Arrhythmia & Electrophysiology Review Pub Date : 2022-04-01 DOI: 10.15420/aer.2022.07

Emily Shipley, Martha Joddrell, G. Lip, Yalin Zheng

引用次数: 1