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Impact of the Pattern of Atrial Fibrillation on Stroke Risk and Mortality. 心房颤动模式对中风风险和死亡率的影响
IF 2.6
Arrhythmia & Electrophysiology Review Pub Date : 2021-07-01 DOI: 10.15420/aer.2021.01
Giovanni Luca Botto, Giovanni Tortora, Maria Carla Casale, Fabio Lorenzo Canevese, Francesco Angelo Maria Brasca
{"title":"Impact of the Pattern of Atrial Fibrillation on Stroke Risk and Mortality.","authors":"Giovanni Luca Botto, Giovanni Tortora, Maria Carla Casale, Fabio Lorenzo Canevese, Francesco Angelo Maria Brasca","doi":"10.15420/aer.2021.01","DOIUrl":"10.15420/aer.2021.01","url":null,"abstract":"<p><p>Thromboembolism is the most serious complication of AF, and oral anticoagulation is the mainstay therapy. Current guidelines place all AF types together in terms of anticoagulation with the major determinants being associated comorbidities translated into risk marker. Among patients in large clinical trials, those with non-paroxysmal AF appear to be at higher risk of stroke than those with paroxysmal AF. Higher complexity of the AF pattern is also associated with higher risk of mortality. Moreover, continuous monitoring of AF through cardiac implantable devices provided us with the concept of 'AF burden'. Usually, the larger the AF burden, the higher the risk of stroke; however, the relationship is not well characterised with respect to the threshold value above which the risk increases. The picture is more complex than it appears: AF and underlying disorders must act synergically respecting the magnitude of its own characteristics, which are the amount of time a patient stays in AF and the severity of associated comorbidities.</p>","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"10 2","pages":"68-76"},"PeriodicalIF":2.6,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ae/b1/aer-10-68.PMC8335885.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39317856","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
Remote Clinics and Investigations in Arrhythmia Services: What Have We Learnt During Coronavirus Disease 2019? 心律失常服务的远程诊所和调查:我们在2019冠状病毒病期间学到了什么?
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2021-07-01 DOI: 10.15420/aer.2020.37
Shohreh Honarbakhsh, Simon Sporton, Christopher Monkhouse, Martin Lowe, Mark J Earley, Ross J Hunter
{"title":"Remote Clinics and Investigations in Arrhythmia Services: What Have We Learnt During Coronavirus Disease 2019?","authors":"Shohreh Honarbakhsh,&nbsp;Simon Sporton,&nbsp;Christopher Monkhouse,&nbsp;Martin Lowe,&nbsp;Mark J Earley,&nbsp;Ross J Hunter","doi":"10.15420/aer.2020.37","DOIUrl":"https://doi.org/10.15420/aer.2020.37","url":null,"abstract":"<p><p>The coronavirus disease 2019 (COVID-19) pandemic has had a dramatic impact on the way that medical care is delivered. To minimise hospital attendance by both patients and staff, remote clinics, meetings and investigations have been used. Technologies including hand-held ECG monitoring using smartphones, patch ECG monitoring and sending out conventional Holter monitors have aided remote investigations. Platforms such as Google Meet and Zoom have allowed remote multidisciplinary meetings to be delivered effectively. The use of phone consultations has allowed outpatient care to continue despite the pandemic. The COVID-19 pandemic has resulted in a radical, and probably permanent, change in the way that outpatient care is delivered. Previous experience in remote review and the available technologies for monitoring have allowed the majority of outpatient care to be conducted without obviously compromising quality or safety.</p>","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"10 2","pages":"120-124"},"PeriodicalIF":3.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/46/5f/aer-10-120.PMC8335855.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39318267","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: 4
Maximising Opportunities Post Coronavirus Disease 2019: Time to Embrace a New Era of Atrial Fibrillation Research. 最大限度地利用冠状病毒疾病后的机遇 2019：迎接心房颤动研究新时代的时刻到了。
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2021-07-01 DOI: 10.15420/aer.2021.29
Pier D Lambiase
{"title":"Maximising Opportunities Post Coronavirus Disease 2019: Time to Embrace a New Era of Atrial Fibrillation Research.","authors":"Pier D Lambiase","doi":"10.15420/aer.2021.29","DOIUrl":"10.15420/aer.2021.29","url":null,"abstract":"","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"10 2","pages":"63-64"},"PeriodicalIF":3.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3c/86/aer-10-63.PMC8353549.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39317854","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
Conduction System Pacing for Cardiac Resynchronisation. 传导系统起搏心脏再同步。
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2021-04-01 DOI: 10.15420/aer.2020.45
Parikshit S Sharma, Pugazhendhi Vijayaraman
{"title":"Conduction System Pacing for Cardiac Resynchronisation.","authors":"Parikshit S Sharma,&nbsp;Pugazhendhi Vijayaraman","doi":"10.15420/aer.2020.45","DOIUrl":"https://doi.org/10.15420/aer.2020.45","url":null,"abstract":"<p><p>Conduction system pacing (CSP) is a technique of pacing that involves implantation of permanent pacing leads along different sites of the cardiac conduction system and includes His bundle pacing and left bundle branch pacing. There is an emerging role for CSP to achieve cardiac resynchronisation in patients with heart failure with reduced ejection fraction and inter-ventricular dyssynchrony. In this article, the authors review these strategies for resynchronisation and the available data on the use of CSP in overcoming dyssynchrony.</p>","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"10 1","pages":"51-58"},"PeriodicalIF":3.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1f/4d/aer-10-51.PMC8076975.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38873929","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: 29
Atrial Fibrillation and Oral Health. 心房颤动与口腔健康
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2021-04-01 DOI: 10.15420/aer.2021.09
Amaar Hassan, Gregory Yh Lip, Laurent Fauchier, Rebecca V Harris
{"title":"Atrial Fibrillation and Oral Health.","authors":"Amaar Hassan,&nbsp;Gregory Yh Lip,&nbsp;Laurent Fauchier,&nbsp;Rebecca V Harris","doi":"10.15420/aer.2021.09","DOIUrl":"https://doi.org/10.15420/aer.2021.09","url":null,"abstract":"© RADCLIFFE CARDIOLOGY 2021 Access at: www.AERjournal.com AF is becoming increasingly common and confers a major healthcare burden.1 The exact pathophysiological causes of AF have attracted much interest, but inflammation is thought to be an essential underlying aetiological mechanism implicated in the development of AF.2,3 Raised levels of biomarkers, such as C-reactive protein (CRP), interleukin (IL-1 and IL-6) and tumour necrosis factor (TNF), can lead to valvular changes resulting in atrial dilation and deposition of signalling molecules, such as matrix metalloproteinases (MMPs), leading to fibrosis of the atria.2 Identified risk factors for incident AF include smoking and alcohol intake, hypertension, obesity, diabetes and renal failure, along with acute conditions such as severe sepsis.2,4,5 One possible sepsis-related link with a risk factor that has hitherto received little attention is that of poor oral heath.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"10 1","pages":"7-9"},"PeriodicalIF":3.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/52/20/aer-10-07.PMC8076966.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38860836","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
Electrocardiographic Criteria for Differentiating Left from Right Idiopathic Outflow Tract Ventricular Arrhythmias. 鉴别左、右特发性流出道室性心律失常的心电图标准。
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2021-04-01 DOI: 10.15420/aer.2020.10
Marco V Mariani, Agostino Piro, Domenico G Della Rocca, Giovanni B Forleo, Naga Venkata Pothineni, Jorge Romero, Luigi Di Biase, Francesco Fedele, Carlo Lavalle
{"title":"Electrocardiographic Criteria for Differentiating Left from Right Idiopathic Outflow Tract Ventricular Arrhythmias.","authors":"Marco V Mariani,&nbsp;Agostino Piro,&nbsp;Domenico G Della Rocca,&nbsp;Giovanni B Forleo,&nbsp;Naga Venkata Pothineni,&nbsp;Jorge Romero,&nbsp;Luigi Di Biase,&nbsp;Francesco Fedele,&nbsp;Carlo Lavalle","doi":"10.15420/aer.2020.10","DOIUrl":"https://doi.org/10.15420/aer.2020.10","url":null,"abstract":"<p><p>Idiopathic ventricular arrhythmias are ventricular tachycardias or premature ventricular contractions presumably not related to myocardial scar or disorders of ion channels. Of the ventricular arrhythmias (VAs) without underlying structural heart disease, those arising from the ventricular outflow tracts (OTs) are the most common. The right ventricular outflow tract (RVOT) is the most common site of origin for OT-VAs, but these arrhythmias can, less frequently, originate from the left ventricular outflow tract (LVOT). OT-VAs are focal and have characteristic ECG features based on their anatomical origin. Radiofrequency catheter ablation (RFCA) is an effective and safe treatment strategy for OT-VAs. Prediction of the OT-VA origin according to ECG features is an essential part of the preprocedural planning for RFCA procedures. Several ECG criteria have been proposed for differentiating OT site of origin. Unfortunately, the ECG features of RVOT-VAs and LVOT-VAs are similar and could possibly lead to misdiagnosis. The authors review the ECG criteria used in clinical practice to differentiate RVOT-VAs from LVOT-VAs.</p>","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"10 1","pages":"10-16"},"PeriodicalIF":3.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/50/b9/aer-10-10.PMC8076969.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38860837","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
Electrophysiological Substrate in Patients with Barlow's Disease. 巴洛氏病患者的电生理底物。
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2021-04-01 DOI: 10.15420/aer.2020.29
Pasquale Vergara, Savino Altizio, Giulio Falasconi, Luigi Pannone, Simone Gulletta, Paolo Della Bella
{"title":"Electrophysiological Substrate in Patients with Barlow's Disease.","authors":"Pasquale Vergara,&nbsp;Savino Altizio,&nbsp;Giulio Falasconi,&nbsp;Luigi Pannone,&nbsp;Simone Gulletta,&nbsp;Paolo Della Bella","doi":"10.15420/aer.2020.29","DOIUrl":"https://doi.org/10.15420/aer.2020.29","url":null,"abstract":"<p><p>Mitral valve prolapse (MVP) is the most common valvular heart disease, affecting 2-3% of the general population. Barlow's disease is a clinical syndrome characterised by MVP. Initially thought a benign condition, MVP is now recognised as a cause of sudden cardiac death and ventricular arrhythmias. The development of new imaging techniques has contributed recently to the identification of novel risk factors. Catheter ablation of ventricular arrhythmias in patients affected by MVP is traditionally considered challenging. In this review, the authors summarise the evidence on arrhythmogenesis in the context of MVP, along with risk stratification of sudden cardiac death and the available treatment options, including new catheter ablation techniques.</p>","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"10 1","pages":"33-37"},"PeriodicalIF":3.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/27/ee/aer-10-33.PMC8076976.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38873926","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
Risk Stratification in Arrhythmogenic Right Ventricular Cardiomyopathy. 致心律失常右室心肌病的危险分层。
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2021-04-01 DOI: 10.15420/aer.2020.39
Ryan Wallace, Hugh Calkins
{"title":"Risk Stratification in Arrhythmogenic Right Ventricular Cardiomyopathy.","authors":"Ryan Wallace,&nbsp;Hugh Calkins","doi":"10.15420/aer.2020.39","DOIUrl":"https://doi.org/10.15420/aer.2020.39","url":null,"abstract":"<p><p>Arrhythmogenic right ventricular cardiomyopathy (ARVC), also called arrhythmogenic right ventricular dysplasia or arrhythmogenic cardiomyopathy, is a genetic disease characterised by progressive myocyte loss with replacement by fibrofatty tissue. This structural change leads to the prominent features of ARVC of ventricular arrhythmia and increased risk for sudden cardiac death (SCD). Emphasis should be placed on determining and stratifying the patient's risk of ventricular arrhythmia and SCD. ICDs should be used to treat the former and prevent the latter, but ICDs are not benign interventions. ICDs come with their own complications in this overall young population of patients. This article reviews the literature regarding the factors that contribute to the assessment of risk stratification in ARVC patients.</p>","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"10 1","pages":"26-32"},"PeriodicalIF":3.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9c/b5/aer-10-26.PMC8076971.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38873925","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
Dynamic High-density Functional Substrate Mapping Improves Outcomes in Ischaemic Ventricular Tachycardia Ablation: Sense Protocol Functional Substrate Mapping and Other Functional Mapping Techniques. 动态高密度功能底物定位改善缺血性室性心动过速消融的疗效:感觉协议功能底物定位和其他功能定位技术。
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2021-04-01 DOI: 10.15420/aer.2020.28
Nikolaos Papageorgiou, Neil T Srinivasan
{"title":"Dynamic High-density Functional Substrate Mapping Improves Outcomes in Ischaemic Ventricular Tachycardia Ablation: Sense Protocol Functional Substrate Mapping and Other Functional Mapping Techniques.","authors":"Nikolaos Papageorgiou,&nbsp;Neil T Srinivasan","doi":"10.15420/aer.2020.28","DOIUrl":"https://doi.org/10.15420/aer.2020.28","url":null,"abstract":"<p><p>Post-infarct-related ventricular tachycardia (VT) occurs due to reentry over surviving fibres within ventricular scar tissue. The mapping and ablation of patients in VT remains a challenge when VT is poorly tolerated and in cases in which VT is non-sustained or not inducible. Conventional substrate mapping techniques are limited by the ambiguity of substrate characterisation methods and the variety of mapping tools, which may record signals differently based on their bipolar spacing and electrode size. Real world data suggest that outcomes from VT ablation remain poor in terms of freedom from recurrent therapy using conventional techniques. Functional substrate mapping techniques, such as single extrastimulus protocol mapping, identify regions of unmasked delayed potentials, which, by nature of their dynamic and functional components, may play a critical role in sustaining VT. These methods may improve substrate mapping of VT, potentially making ablation safer and more reproducible, and thereby improving the outcomes. Further large-scale studies are needed.</p>","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"10 1","pages":"38-44"},"PeriodicalIF":3.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4b/37/aer-10-38.PMC8076974.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38873927","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
What Cannot Be Missed: Important Publications on Electrophysiology in 2020. 不容错过的:2020年关于电生理学的重要出版物。
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2021-04-01 DOI: 10.15420/aer.2021.02
Sanjiv M Narayan, Hugh Calkins, Andrew Grace, Ken Ellenbogen, Gregory Yh Lip, Pier D Lambiase, Demosthenes G Katritsis
{"title":"What Cannot Be Missed: Important Publications on Electrophysiology in 2020.","authors":"Sanjiv M Narayan,&nbsp;Hugh Calkins,&nbsp;Andrew Grace,&nbsp;Ken Ellenbogen,&nbsp;Gregory Yh Lip,&nbsp;Pier D Lambiase,&nbsp;Demosthenes G Katritsis","doi":"10.15420/aer.2021.02","DOIUrl":"https://doi.org/10.15420/aer.2021.02","url":null,"abstract":"<p />","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"10 1","pages":"5-6"},"PeriodicalIF":3.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/65/12/aer-10-05.PMC8076967.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38860835","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
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