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Arrhythmia & Electrophysiology Review最新文献

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Successful Identification of and Discrimination Between Atrial and Ventricular Arrhythmia with the Aid of Pacing and Defibrillator Devices. 借助起搏和除颤器成功识别和区分房性和室性心律失常。
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2021-12-01 DOI: 10.15420/aer.2021.54
Rahul K Mukherjee, Manav Sohal, Nesan Shanmugam, Simon Pearse, Fadi Jouhra
{"title":"Successful Identification of and Discrimination Between Atrial and Ventricular Arrhythmia with the Aid of Pacing and Defibrillator Devices.","authors":"Rahul K Mukherjee,&nbsp;Manav Sohal,&nbsp;Nesan Shanmugam,&nbsp;Simon Pearse,&nbsp;Fadi Jouhra","doi":"10.15420/aer.2021.54","DOIUrl":"https://doi.org/10.15420/aer.2021.54","url":null,"abstract":"<p><p>The presence of supraventricular tachycardia is the leading cause of inappropriate shock in ICD recipients, and it can be a significant cause of morbidity, psychological distress and worsened clinical outcome. Modern pacing and ICD systems offer a number of discriminators that are integrated into algorithms to differentiate sustained ventricular tachycardia from supraventricular tachycardia. These algorithms can be adapted and optimised for each individual patient to ensure that only those arrhythmias that need treatment through the use of an ICD, are actually treated. This review summarises the single- and dual-chamber discriminators that can be used in the detection and classification of tachyarrhythmias.</p>","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":" ","pages":"235-240"},"PeriodicalIF":3.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/82/fb/aer-10-235.PMC8785083.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39879147","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
Artificial Intelligence, Superintelligence and Intelligence. 人工智能，超级智能和智能。
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2021-12-01 DOI: 10.15420/aer.2021.61
Demosthenes G Katritsis
{"title":"Artificial Intelligence, Superintelligence and Intelligence.","authors":"Demosthenes G Katritsis","doi":"10.15420/aer.2021.61","DOIUrl":"https://doi.org/10.15420/aer.2021.61","url":null,"abstract":"<p />","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":" ","pages":"223-224"},"PeriodicalIF":3.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6e/4b/aer-10-223.PMC8785073.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39879144","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
Impact of Catheter Ablation on Quality of Life and Healthcare Utilisation. 导管消融对生活质量和医疗保健利用的影响。
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2021-12-01 DOI: 10.15420/aer.2021.50
Sanghamitra Mohanty, Andrea Natale
{"title":"Impact of Catheter Ablation on Quality of Life and Healthcare Utilisation.","authors":"Sanghamitra Mohanty,&nbsp;Andrea Natale","doi":"10.15420/aer.2021.50","DOIUrl":"https://doi.org/10.15420/aer.2021.50","url":null,"abstract":"<p><p>Impairment of quality of life (QoL) is a well-known complication of AF. Because of the association of AF with older age and many other cardiovascular comorbidities, there are multiple factors that could influence QoL score even after successful AF intervention. However, substantial improvement in QoL has been reported following catheter ablation for AF regardless of ablation outcomes. In terms of healthcare resource utilisation, the expenses associated with AF are very high because of the hospitalisations for AF-related thromboembolic complications, aggravation of heart failure, AF interventions, and emergency room visits for incessant arrhythmia episodes, and they represent a large economic burden worldwide. Several trials have shown a drastic reduction in healthcare costs following successful AF ablation. In this review, the authors discuss this evidence systematically.</p>","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":" ","pages":"258-261"},"PeriodicalIF":3.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7b/36/aer-10-258.PMC8785075.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39879578","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
Left Bundle Branch Pacing: A Perfect Compromise? 左束分支节奏:一个完美的妥协?
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2021-12-01 DOI: 10.15420/aer.2021.60
Alexandre Raymond-Paquin, Santosh K Padala, Kenneth A Ellenbogen
{"title":"Left Bundle Branch Pacing: A Perfect Compromise?","authors":"Alexandre Raymond-Paquin,&nbsp;Santosh K Padala,&nbsp;Kenneth A Ellenbogen","doi":"10.15420/aer.2021.60","DOIUrl":"https://doi.org/10.15420/aer.2021.60","url":null,"abstract":"<p />","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":" ","pages":"241-243"},"PeriodicalIF":3.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e1/33/aer-10-241.PMC8785080.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39879148","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
Electro-energetics of Biventricular, Septal and Conduction System Pacing. 双室、间隔和传导系统起搏的电能量学。
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2021-12-01 DOI: 10.15420/aer.2021.30
Frits W Prinzen, Joost Lumens, Jürgen Duchenn, Kevin Vernooy
{"title":"Electro-energetics of Biventricular, Septal and Conduction System Pacing.","authors":"Frits W Prinzen,&nbsp;Joost Lumens,&nbsp;Jürgen Duchenn,&nbsp;Kevin Vernooy","doi":"10.15420/aer.2021.30","DOIUrl":"https://doi.org/10.15420/aer.2021.30","url":null,"abstract":"<p><p>Abnormal electrical activation of the ventricles creates abnormalities in cardiac mechanics. Local contraction patterns, as reflected by strain, are not only out of phase, but also show opposing length changes in early and late activated regions. Consequently, the efficiency of cardiac pump function (the amount of stroke work generated by a unit of oxygen consumed), is approximately 30% lower in dyssynchronous than in synchronous hearts. Maintaining good cardiac efficiency appears important for long-term outcomes. Biventricular, left ventricular septal, His bundle and left bundle branch pacing may minimise the amount of pacing-induced dyssynchrony and efficiency loss when compared to conventional right ventricular pacing. An extensive animal study indicates maintenance of mechanical synchrony and efficiency during left ventricular septal pacing and data from a few clinical studies support the idea that this is also the case for left bundle branch pacing and His bundle pacing. This review discusses electro-mechanics and mechano-energetics under the various paced conditions and provides suggestions for future research.</p>","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"10 4","pages":"250-257"},"PeriodicalIF":3.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/99/aer-10-250.PMC8785089.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9835426","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 Fibrosis, Ischaemic Stroke and Atrial Fibrillation. 心房纤维化，缺血性脑卒中和心房颤动。
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2021-12-01 DOI: 10.15420/aer.2021.51
Christian Mahnkopf, Younghoon Kwon, Nazem Akoum
{"title":"Atrial Fibrosis, Ischaemic Stroke and Atrial Fibrillation.","authors":"Christian Mahnkopf,&nbsp;Younghoon Kwon,&nbsp;Nazem Akoum","doi":"10.15420/aer.2021.51","DOIUrl":"https://doi.org/10.15420/aer.2021.51","url":null,"abstract":"<p><p>Atrial fibrosis is an important component of the arrhythmic substrate in AF. Evidence suggests that atrial fibrosis also plays a role in increasing the risk of stroke in patients with the arrhythmia. Patients with embolic stroke of undetermined source (ESUS), who are suspected to have AF but are rarely shown to have it, frequently demonstrate evidence of atrial fibrosis; measured using late-gadolinium enhancement MRI, this manifests as atrial remodelling encompassing structural, functional and electrical properties. In this review, the authors discuss the available evidence linking atrial disease, including fibrosis, with the risk of ischaemic stroke in AF, as well as in the ESUS population, in whom it has been linked to recurrent stroke and new-onset AF. They also discuss the implications of this association on future research that may elucidate the mechanism of stroke and stroke prevention strategies in the AF and ESUS populations.</p>","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":" ","pages":"225-229"},"PeriodicalIF":3.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/46/30/aer-10-225.PMC8785072.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39879145","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
Is the Adenosine Test Obsolete in the Clinical Assessment of Syncope of Unknown Origin? 在不明原因晕厥的临床评估中，腺苷试验过时了吗?
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2021-12-01 DOI: 10.15420/aer.2021.39
Melani Sotiriadou, Antonios P Antoniadis, Nikolaos Fragakis, Vassilios Vassilikos
{"title":"Is the Adenosine Test Obsolete in the Clinical Assessment of Syncope of Unknown Origin?","authors":"Melani Sotiriadou,&nbsp;Antonios P Antoniadis,&nbsp;Nikolaos Fragakis,&nbsp;Vassilios Vassilikos","doi":"10.15420/aer.2021.39","DOIUrl":"https://doi.org/10.15420/aer.2021.39","url":null,"abstract":"<p><p>Syncope is a common clinical condition affecting 50% of the general population; however, its exact pathophysiology and underlying mechanisms remain elusive. The adenosine test (ADT) has been proposed as a complementary diagnostic test in the work-up of syncope of unknown origin aiming to further elucidate the underlying pathogenetic mechanism of spontaneous syncope. Although ADT has not been endorsed by the recent European Society of Cardiology guidelines on syncope management, the use of a quick, safe and non-invasive test which can contribute to an accurate diagnosis and rationalised therapy, may deserve further consideration. This review summarises the evidence on the role of ADT in the investigation and management of syncope of unknown origin and highlights future perspectives in this area. The authors also analyse the current challenges and research targets on adenosine plasma levels and its receptors due to the involvement of the adenosine pathway in the ADT response.</p>","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":" ","pages":"230-234"},"PeriodicalIF":3.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cc/62/aer-10-230.PMC8785082.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39879146","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
Inferior Extensions of the Atrioventricular Node. 房室结的下延伸。
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2021-12-01 DOI: 10.15420/aer.2021.43
Robert H Anderson, Jill Pjm Hikspoors, Justin T Tretter, Yolanda Macías, Diane E Spicer, Wouter H Lamers, Damián Sánchez-Quintana, Eduardo Back Sternick
{"title":"Inferior Extensions of the Atrioventricular Node.","authors":"Robert H Anderson,&nbsp;Jill Pjm Hikspoors,&nbsp;Justin T Tretter,&nbsp;Yolanda Macías,&nbsp;Diane E Spicer,&nbsp;Wouter H Lamers,&nbsp;Damián Sánchez-Quintana,&nbsp;Eduardo Back Sternick","doi":"10.15420/aer.2021.43","DOIUrl":"https://doi.org/10.15420/aer.2021.43","url":null,"abstract":"<p><p>The pathways for excitation of the atrioventricular node enter either superiorly, as the so-called 'fast' pathway, or inferiorly as the 'slow' pathway. However, knowledge of the specific anatomical details of these pathways is limited. Most of the experimental studies that established the existence of these pathways were conducted in mammalian hearts, which have subtle differences to human hearts. In this review, the authors summarise their recent experiences investigating human cardiac development, correlating these results with the arrangement of the connections between the atrial myocardium and the compact atrioventricular node as revealed by serial sectioning of adult human hearts. They discuss the contributions made from the atrioventricular canal myocardium, as opposed to the primary ring. Both these rings are incorporated into the atrial vestibules, albeit with the primary ring contributing only to the tricuspid vestibule. The atrial septal cardiomyocytes are relatively late contributors to the nodal inputs. Finally, they relate our findings of human cardiac development to the postnatal arrangement.</p>","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":" ","pages":"262-272"},"PeriodicalIF":3.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1c/54/aer-10-262.PMC8785076.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39879579","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
Cardiac Pacing in Cardioinhibitory Reflex Syncope: Clinical Use of Closed-loop Stimulation. 心脏抑制性反射性晕厥的心脏起搏:闭环刺激的临床应用。
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2021-12-01 DOI: 10.15420/aer.2021.45
Marco Tomaino, Vincenzo Russo, Daniele Giacopelli, Alessio Gargaro, Michele Brignole
{"title":"Cardiac Pacing in Cardioinhibitory Reflex Syncope: Clinical Use of Closed-loop Stimulation.","authors":"Marco Tomaino,&nbsp;Vincenzo Russo,&nbsp;Daniele Giacopelli,&nbsp;Alessio Gargaro,&nbsp;Michele Brignole","doi":"10.15420/aer.2021.45","DOIUrl":"https://doi.org/10.15420/aer.2021.45","url":null,"abstract":"Cardiac pacing has been studied extensively in patients with reflex syncope over the past two decades. The heterogeneity of the forms and clinical manifestations of reflex syncope explain the controversial results of older randomised clinical trials. New evidence from recent trials has changed medical practice, now leading to clear indications for pacing in patients with asystolic syncope documented during carotid sinus massage, implantable cardiac monitoring or tilt testing. Given that recent trials in reflex syncope have been performed using the closed-loop stimulation algorithm, the authors will briefly discuss this pacing mode, review hypotheses about the mechanisms underlying its activation during syncope and provide practical instructions for programming and troubleshooting.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":" ","pages":"244-249"},"PeriodicalIF":3.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c6/5d/aer-10-244.PMC8785081.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39879577","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
Obesity and Atrial Fibrillation: Epidemiology, Pathogenesis and Effect of Weight Loss. 肥胖与房颤:流行病学、发病机制和减肥效果。
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2021-10-01 DOI: 10.15420/aer.2021.36
Ahmed M Al-Kaisey, Jonathan M Kalman
{"title":"Obesity and Atrial Fibrillation: Epidemiology, Pathogenesis and Effect of Weight Loss.","authors":"Ahmed M Al-Kaisey,&nbsp;Jonathan M Kalman","doi":"10.15420/aer.2021.36","DOIUrl":"https://doi.org/10.15420/aer.2021.36","url":null,"abstract":"<p><p>The obesity epidemic continues its relentless advance and is paralleled by an increase in the incidence of AF. Several epidemiological studies have highlighted obesity as an independent risk factor for the development of AF. This relationship is likely multifactorial through a number of interacting mechanisms. Weight loss through lifestyle changes or surgery has been associated with reverse remodelling of the atrial substrate and subsequent reduction in AF, making it an essential pillar in the management of AF in obese patients. In this review, the epidemiological data that support the obesity-AF relationship, the current insights into the underlying pathophysiological mechanism, the impact of weight loss on reverse remodelling and AF reduction, and the strategies to achieve weight loss in patients with AF are discussed.</p>","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"10 3","pages":"159-164"},"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/d4/24/aer-10-159.PMC8576485.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39876852","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: 9
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