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Arrhythmia & Electrophysiology Review最新文献

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Differential Diagnosis of Wide QRS Tachycardias. 宽QRS心动过速的鉴别诊断。
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2020-11-01 DOI: 10.15420/aer.2020.20
Demosthenes G Katritsis, Josep Brugada
{"title":"Differential Diagnosis of Wide QRS Tachycardias.","authors":"Demosthenes G Katritsis,&nbsp;Josep Brugada","doi":"10.15420/aer.2020.20","DOIUrl":"https://doi.org/10.15420/aer.2020.20","url":null,"abstract":"<p><p>In this article, the authors discuss the differential diagnostic methods used in clinical practice to identify types of wide QRS tachycardias (QRS duration >120 ms). A correct diagnosis is critical to management, as misdiagnosis and the administration of drugs usually utilised for supraventricular tachycardia can be harmful for patients with ventricular tachycardia.</p>","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"9 3","pages":"155-160"},"PeriodicalIF":3.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b1/f8/aer-09-155.PMC7675136.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38644926","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: 7
Rhythm Control in Heart Failure Patients with Atrial Fibrillation. 心衰合并心房颤动患者的心律控制。
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2020-11-01 DOI: 10.15420/aer.2020.23
William Eysenck, Magdi Saba
{"title":"Rhythm Control in Heart Failure Patients with Atrial Fibrillation.","authors":"William Eysenck,&nbsp;Magdi Saba","doi":"10.15420/aer.2020.23","DOIUrl":"https://doi.org/10.15420/aer.2020.23","url":null,"abstract":"<p><p>AF and heart failure (HF) commonly coexist. Left atrial ablation is an effective treatment to maintain sinus rhythm (SR) in patients with AF. Recent evidence suggests that the use of ablation for AF in patients with HF is associated with an improved left ventricular ejection fraction and lower death and HF hospitalisation rates. We performed a systematic search of world literature to analyse the association in more detail and to assess the utility of AF ablation as a non-pharmacological tool in the treatment of patients with concomitant HF.</p>","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"9 3","pages":"161-166"},"PeriodicalIF":3.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4c/81/aer-09-161.PMC7675141.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38644927","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
A New Era in Zero X-ray Ablation. 零 X 射线烧蚀的新纪元。
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2020-11-01 DOI: 10.15420/aer.2020.02
Giuseppe Mascia, Marzia Giaccardi
{"title":"A New Era in Zero X-ray Ablation.","authors":"Giuseppe Mascia, Marzia Giaccardi","doi":"10.15420/aer.2020.02","DOIUrl":"10.15420/aer.2020.02","url":null,"abstract":"<p><p>In this article, the authors focus on the importance of the zero X-ray ablation approach in electrophysiology. Radiation exposure related to conventional transcatheter ablation carries small but non-negligible stochastic and deterministic effects on health. Non-fluoroscopic mapping systems can significantly reduce, or even completely avoid, radiological exposure. The zero X-ray approach determines potential clinical benefits in terms of reduction of ionising radiation exposure, as well as safe technical advantages. The use of this method can result in similar outcomes when compared to the conventional fluoroscopic technique. These results are achieved without altering the duration, or compromising the effectiveness and safety, of the procedure. The zero X-ray ablation approach is a feasible and safe alternative to fluoroscopy, which is often only used in selected cases for troubleshooting. The non-fluoroscopic approach is considered a milestone for cancer prevention in ablation procedures.</p>","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"9 3","pages":"121-127"},"PeriodicalIF":3.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d4/4d/aer-09-121.PMC7675142.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38644509","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
Electrophysiology in the Era of Coronavirus Disease 2019. 2019冠状病毒病时代的电生理学
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2020-11-01 DOI: 10.15420/aer.2020.32
Vijayabharathy Kanthasamy, Richard J Schilling
{"title":"Electrophysiology in the Era of Coronavirus Disease 2019.","authors":"Vijayabharathy Kanthasamy,&nbsp;Richard J Schilling","doi":"10.15420/aer.2020.32","DOIUrl":"https://doi.org/10.15420/aer.2020.32","url":null,"abstract":"Coronavirus disease 2019 (COVID-19) is caused by the novel betacoronavirus officially named by the WHO as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It has spread rapidly globally since the first case reported in Wuhan, China in December 2019 and has now affected more than 12 million people worldwide, with varying fatality rates across different countries. The clinical presentation of COVID-19 is heterogeneous and varies from asymptomatic to severe pneumonia/acute respiratory distress syndrome (ARDS) requiring invasive mechanical ventilation. In addition, a hyperinflammatory state secondary to cytokine release syndrome leads to hypercoagulation, multiorgan failure and increased mortality.","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"9 3","pages":"167-170"},"PeriodicalIF":3.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5e/f6/aer-09-167.PMC7675140.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38644928","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
Impact of Micro-, Mini- and Multi-Electrode Mapping on Ventricular Substrate Characterisation. 微型、小型和多电极绘图对心室基底特征描述的影响
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2020-11-01 DOI: 10.15420/aer.2020.24
Benjamin Berte, Katja Zeppenfeld, Roderick Tung
{"title":"Impact of Micro-, Mini- and Multi-Electrode Mapping on Ventricular Substrate Characterisation.","authors":"Benjamin Berte, Katja Zeppenfeld, Roderick Tung","doi":"10.15420/aer.2020.24","DOIUrl":"10.15420/aer.2020.24","url":null,"abstract":"<p><p>Accurate substrate characterisation may improve the evolving understanding and treatment of cardiac arrhythmias. During substrate-based ablation techniques, wide practice variations exist with mapping via dedicated multi-electrode catheter or conventional ablation catheters. Recently, newer ablation catheter technology with embedded mapping electrodes have been introduced. This article focuses on the general misconceptions of voltage mapping and more specific differences in unipolar and bipolar signal morphology, field of view, signal-to-noise ratio, mapping capabilities (density and resolution), catheter-specific voltage thresholds and impact of micro-, mini- and multi-electrodes for substrate mapping. Efficiency and cost-effectiveness of different catheter types are discussed. Increasing sampling density with smaller electrodes allows for higher resolution with a greater likelihood to record near-field electrical information. These advances may help to further improve our mechanistic understanding of the correlation between substrate and ventricular tachycardia, as well as macro-reentry arrhythmia in humans.</p>","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"9 3","pages":"128-135"},"PeriodicalIF":3.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6a/62/aer-09-128.PMC7675146.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38644511","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
Atrial Fibrillation Structural Substrates: Aetiology, Identification and Implications. 心房颤动的结构基质:病因学、鉴定和意义。
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2020-11-01 DOI: 10.15420/aer.2020.19
Ahmed M Al-Kaisey, Ramanathan Parameswaran, Jonathan M Kalman
{"title":"Atrial Fibrillation Structural Substrates: Aetiology, Identification and Implications.","authors":"Ahmed M Al-Kaisey,&nbsp;Ramanathan Parameswaran,&nbsp;Jonathan M Kalman","doi":"10.15420/aer.2020.19","DOIUrl":"https://doi.org/10.15420/aer.2020.19","url":null,"abstract":"<p><p>Atrial remodelling in AF underlines the electrical, structural and mechanical changes in the atria of patients with AF. Several risk factors for AF contribute to the development of the atrial substrate, with some evidence that atrial remodelling reversal is possible with targeted intervention. In this article, the authors review the electrophysiological changes that characterise the atrial substrate in patients with AF risk factors. They also discuss the pitfalls of mapping the atrial substrate and the implications for developing tailored ablation strategies to improve outcomes in patients with AF.</p>","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"9 3","pages":"113-120"},"PeriodicalIF":3.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/83/e8/aer-09-113.PMC7675137.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38644510","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: 13
His-Purkinje Conduction System Pacing: State of the Art in 2020. His-Purkinje 传导系统起搏：2020 年的技术水平。
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2020-11-01 DOI: 10.15420/aer.2020.14
Ahran D Arnold, Zachary I Whinnett, Pugazhendhi Vijayaraman
{"title":"His-Purkinje Conduction System Pacing: State of the Art in 2020.","authors":"Ahran D Arnold, Zachary I Whinnett, Pugazhendhi Vijayaraman","doi":"10.15420/aer.2020.14","DOIUrl":"10.15420/aer.2020.14","url":null,"abstract":"<p><p>Conduction system pacing involves directly stimulating the specialised His-Purkinje cardiac conduction system with the aim of activating the ventricles physiologically, in contrast to the dyssynchronous activation produced by conventional myocardial pacing. Since the first report of permanent His bundle pacing (HBP) in 2000, the stylet-driven technique of its earliest incarnation has been superseded by a more successful stylet-less approach. Widespread uptake has led to a much greater evidence base. Single-centre observational studies have now been supported by large multicentre, international registries, mechanistic studies and the first randomised controlled trials. New evidence has elucidated mechanisms of HBP and illustrated the nature and magnitude of its potential benefits for preventing pacing-induced cardiomyopathy and correcting bundle branch block. Left bundle branch pacing (LBBP) is a newer technique in which the lead is fixed deep into the left side of the intraventricular septum to allow capture of the left bundle, distal to the His bundle. LBBP holds promise as a method for physiological pacing that overcomes some of the fixation, threshold and sensing challenges of HBP. In this state-of-the-art review of His-Purkinje conduction system pacing, the authors assess recent evidence and current practice and explore emerging and future directions in this rapidly evolving field.</p>","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"9 3","pages":"136-145"},"PeriodicalIF":3.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b3/44/aer-09-136.PMC7675135.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38644924","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
In Search of Homo Deus. 《寻找上帝》
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2020-11-01 DOI: 10.15420/aer.2020.38
Demosthenes G Katritsis
{"title":"In Search of Homo Deus.","authors":"Demosthenes G Katritsis","doi":"10.15420/aer.2020.38","DOIUrl":"https://doi.org/10.15420/aer.2020.38","url":null,"abstract":"<p />","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"9 3","pages":"112"},"PeriodicalIF":3.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/04/82/aer-09-112.PMC7675134.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38644508","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
Percutaneous Left Atrial Appendage Occlusion: A View From the UK. 经皮左心耳闭塞:来自英国的观点。
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2020-08-01 DOI: 10.15420/aer.2020.03
Wern Yew Ding, Dhiraj Gupta
{"title":"Percutaneous Left Atrial Appendage Occlusion: A View From the UK.","authors":"Wern Yew Ding,&nbsp;Dhiraj Gupta","doi":"10.15420/aer.2020.03","DOIUrl":"https://doi.org/10.15420/aer.2020.03","url":null,"abstract":"<p><p>AF is associated with an increased risk of thromboembolic events, which is usually managed with oral anticoagulation therapy. However, despite a broad range of anticoagulant options and improved uptake in anticoagulation over the past decade, there are some limitations to this approach. Percutaneous left atrial appendage occlusion has been shown to be an effective alternative in this setting, and population data suggest a clear demand for this procedure. Over the past decade, several important changes to the commissioning and delivery of this service have occurred in the UK. In this article, the authors describe the use of percutaneous left atrial appendage occlusion in the UK and discuss the challenges that lie ahead.</p>","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"9 2","pages":"83-87"},"PeriodicalIF":3.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e4/71/aer-09-83.PMC7491049.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38428387","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
Hybrid Catheter-Based and Surgical Techniques for Ablation of Ventricular Arrhythmias. 导管与外科联合消融室性心律失常的研究。
IF 3
Arrhythmia & Electrophysiology Review Pub Date : 2020-08-01 DOI: 10.15420/aer.2020.08
Fouad Khalil, Konstantinos Siontis, Gabor Bagameri, Ammar M Killu
{"title":"Hybrid Catheter-Based and Surgical Techniques for Ablation of Ventricular Arrhythmias.","authors":"Fouad Khalil,&nbsp;Konstantinos Siontis,&nbsp;Gabor Bagameri,&nbsp;Ammar M Killu","doi":"10.15420/aer.2020.08","DOIUrl":"https://doi.org/10.15420/aer.2020.08","url":null,"abstract":"<p><p>Catheter ablation is a rapidly expanding and evolving field. The advent of interventional techniques and advances in technology have allowed catheter ablation to supplant antiarrhythmic surgery for ventricular arrhythmia treatment. However, issues related to access and energy delivery limit the use of catheter ablation in some cases. Hybrid catheter-based and surgical techniques represent a novel approach to overcome these limitations. The hybrid technique combines the strengths and minimises the limitations of either catheter or surgical ablation alone. There is a growing body of evidence in the literature supporting the safety and efficacy of the hybrid surgical technique. This review aims to provide an overview of hybrid surgical-catheter ablation for ventricular arrhythmia.</p>","PeriodicalId":8412,"journal":{"name":"Arrhythmia & Electrophysiology Review","volume":"9 2","pages":"97-103"},"PeriodicalIF":3.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/92/43/aer-09-97.PMC7491053.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38425801","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
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