• Previous reports 1-3 have shown the efficacy of IABCP in the control of ventricular arrhythmias after myocardial infarction, yet the arrhythmia itself is rarely considered a primary indication for IABCP use. (bmj.com)
  • Catheter ablation is a first-line treatment for many cardiac arrhythmias and is generally performed under X-ray fluoroscopy guidance. (rmmj.org.il)
  • However, current techniques for ablating complex arrhythmias such as atrial fibrillation and ventricular tachycardia are associated with sub-optimal success rates and prolonged radiation exposure. (rmmj.org.il)
  • Pre-procedure 3-D magnetic resonance imaging (MRI) has improved understanding of the anatomic basis of complex arrhythmias and is being used for planning and guidance of ablation procedures. (rmmj.org.il)
  • In the future, intra-procedure real-time MRI, together with the ability to image complex 3-D arrhythmogenic anatomy and target additional ablation to regions of incomplete lesion formation, may allow for more successful treatment of even complex arrhythmias without exposure to ionizing radiation. (rmmj.org.il)
  • Radiofrequency (RF) catheter ablation has advanced over the last 25 years from an experimental procedure to the first-line treatment for a number of cardiac arrhythmias including atrioventricular re - entrant tachycardia, accessory pathway-associated tachycardias, and typical atrial flutter. (rmmj.org.il)
  • The clinical indications for anatomy-based catheter ablation have since expanded to more complex arrhythmias such as atrial fibrillation and scar-based ventricular tachycardia. (rmmj.org.il)
  • While the feasibility of X-ray fluoroscopy guidance has been demonstrated for these complex arrhythmias, precise targeting of ablation lesions is limited by fluoroscopy's inherently poor ability to visualize cardiovascular soft tissue anatomy. (rmmj.org.il)
  • The majority of sudden cardiac death events in athletes are due to ventricular arrhythmias as a result of underlying molecular and/or structural level pathologic substrate. (scienceopen.com)
  • Unfortunately, the precise cause of death is frequently not determined definitively, but it is well accepted that the root cause frequently stems from ventricular arrhythmias as a result of an underlying molecular and/or structural level pathologic substrate. (scienceopen.com)
  • For patient education information, see the Heart Health Center , as well as Atrial Flutter , Arrhythmias (Heart Rhythm Disorders) , Stroke , Supraventricular Tachycardia (SVT, PSVT) , and Palpitations . (medscape.com)
  • CARL pioneered computational mapping of 'chaotic' heart rhythm disturbances (arrhythmias), targeting mechanistic drivers for atrial and ventricular fibrillation (AF, VF) using machine learning and computational models. (stanford.edu)
  • Specific support has been via grants HL70529 and HL162260 for ventricular arrhythmias, and HL103800, HL83359, HL122384, HL149134, and several SBIR grants for atrial arrhythmias. (stanford.edu)
  • Early use of IV beta-blockers, e.g. metoprolol, often reduces the incidence of ventricular arrhythmias. (abcmedicalnotes.com)
  • Ablation therapy is used to destroy abnormal foci responsible for atrial fibrillation. (aafp.org)
  • Surgical treatments for atrial fibrillation are reserved for patients who are undergoing cardiac surgery for other reasons. (aafp.org)
  • Atrial fibrillation is a supraventricular arrhythmia characterized by uncoordinated electrical activation of the atria and an irregular, often rapid, ventricular response causing hemodynamic compromise. (aafp.org)
  • Ablation therapy may be superior to antiarrhythmics in selected patients, including those with paroxysmal atrial fibrillation who are symptomatic but without structural heart disease, patients who are intolerant of antiarrhythmics, and patients with inadequate pharmacologic rhythm control. (aafp.org)
  • RESULTS Before IABCP, 10 patients had incessant monomorphic ventricular tachycardia and 11 had paroxysmal ventricular tachycardia and/or ventricular fibrillation (VT/VF). (bmj.com)
  • The 2011 Focused Update on the Management of Patients with Atrial Fibrillation-by the American College of Cardiology Foundation (ACCF), the AHA, and the Heart Rhythm Society (HRS)-addressed the issue of strict versus lenient rate control in patients with AF. (ahrq.gov)
  • Due to limited real-world data, the aim of this study was to explore the impact of catheter ablation (CA) for atrial fibrillation (AF) in heart failure (HF). (bvsalud.org)
  • Comparison of Cryoballoon and Hybrid Surgical Posterior Wall Isolation for Persistent Atrial Fibrillation to Conventional Ablation. (jafib.com)
  • CAlifornia Study of ABLation (CAABL): Utilization and Epidemiology after Index Hospitalization for non-valvular Atrial Fibrillation. (jafib.com)
  • Skin Burn at the Site of Indifferent Electrode after Radiofrequency Catheter Ablation of AV Node for Atrial Fibrillation. (jafib.com)
  • Nowadays, flecainide is recommended as one of the first line therapies for pharmacological conversion as well as maintenance of sinus rhythm in patients with atrial fibrillation and/or supraventricular tachycardias. (wjgnet.com)
  • Dr. Olgin's basic research lab is interested in atrial and ventricular remodeling and how these processes occur to develop a substrate for atrial fibrillation and ventricular tachycardia. (ucsf.edu)
  • He also has active studies in understanding the remodeling that occurs in the ventricle in the setting of heart failure and myocardial infarction to create the substrate for sudden death and ventricular tachycardia and fibrillation. (ucsf.edu)
  • In the past 2 years, a number of landmark clinical trials have been published which further our understanding and clinical management of patients with atrial fibrillation (AF). (romanianjournalcardiology.ro)
  • 2. Paroxysmal atrial flutter or fibrillation. (rjmatthewsmd.com)
  • Radiofrequency catheter ablation techniques are safe and effective as well, especially for patients with poor tolerance to drugs (see figure figure 3b radiofrequency ablation in WPW, as well as in the treatment of atrial flutter and fibrillation by identifying tract carrying the excitation impulse). (rjmatthewsmd.com)
  • Indications for implantation of ICD are divided to primary - prophylactic (in risk patients without previous ventricular fibrillation and persistent ventricular tachycardia) and secondary - prophylactic (prevention of sudden cardiac death in patients with previous ventricular fibrillation or persistent severe ventricular tachycardia). (amedi.sk)
  • Because atrial fibrillation is due to irregular atrial activation at the rate of 350-600 bpm with irregular conduction through the atrioventricular node, it appears on ECG as irregularly irregular narrow complex tachycardia. (medscape.com)
  • Impact of a practice guideline for patients with atrial fibrillation on medical resource utilization and costs. (medscape.com)
  • ACC/AHA/ESC 2006 Guidelines for the Management of Patients with Atrial Fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidelines for the Management of Patients With Atrial Fibrillation): developed in collaboration with the European Heart Rhythm Association and the Heart Rhythm Society. (medscape.com)
  • 2011 ACCF/AHA/HRS focused update on the management of patients with atrial fibrillation (updating the 2006 guideline): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. (medscape.com)
  • In most cases early depolarisation is benign, however, there are cases where it has been associated with polymorphic ventricular tachycardia and ventricular fibrillation. (cardiacbootcamp.org)
  • Pulmonary vein isolation remains the cornerstone of atrial fibrillation (AF) ablation. (jafib.com)
  • The primary endpoint was freedom from any documented recurrence of atrial fibrillation after a single ablation procedure. (jafib.com)
  • Among patients with persistent atrial fibrillation, we found no difference in maintenance of sinus rhythm in either linear ablation or ablation of complex fractionated electrograms was performed in addition to pulmonary vein isolation in short- and long-term follow-up. (jafib.com)
  • Since the seminal report by Dr. Michel Haïssaguerre, catheter-based ablation for atrial fibrillation (AF) has evolved and been highly effective for the elimination of atrial fibrillation (AF) compared to antiarrhythmic medications. (jafib.com)
  • The investigators hypothesized that a combination of circumferential ablation with high-frequency-stimulation-identified GP ablation is superior to conventional circumferential ablation for the prevention of recurrences of paroxysmal atrial fibrillation (AF). (novoclinica.com)
  • I can't determine how many atrial fibrillation ablations I did last month without asking an administrator to "pull the data" for me. (blogspot.com)
  • With the publication of "Apixaban versus Warfarin in Patients with Atrial Fibrillation" (the ARISTOLE trial) in the New England Journal of Medicine , the third drug in a series of medications designed to attack thrombin in the clotting cascade. (blogspot.com)
  • This electrocardiogram (ECG) shows rapid monomorphic ventricular tachycardia (VT), 280 beats/min, associated with hemodynamic collapse. (medscape.com)
  • This condition is frequently seen in patients with underlying heart disease that creates areas of differential conduction and recovery due to myocardial scarring or ischemia. (wikipedia.org)
  • Not only is the risk of death in patients with AF twice that of patients without AF, but AF can result in myocardial ischemia or even infarction, heart failure exacerbation, and tachycardia-induced cardiomyopathy if the ventricular rate is not well-controlled. (ahrq.gov)
  • History of stroke and asymptomatic lower limb ischemia results in increased short and long-term mortality in patients with ST elevation myocardial infarction. (krakow.pl)
  • Symptoms of VT are often a function of the associated heart rate, or the causal process, such as an acute myocardial infarction (MI). (medscape.com)
  • In the early days of the pandemic when information on COVID-19 infection was lacking, all COVID-19 positive patients were admitted into acute hospitals for. (annals.edu.sg)
  • Sethwala A, Habersberger J, Sher J, Pearson M, Better N . (2021) Takotsubo Cardiomyopathy triggered by intervention for a threatened acute myocardial infarction - It is not over till it is over! (cabrini.com.au)
  • Antiplatelet therapy with aspirin, clopidogrel, and dipyridamole versus clopidogrel alone or aspirin and dipyridamole in patients with acute cerebral ischaemia (TARDIS): a randomised, open-label, phase 3 superiority trial. (mdrenalconsult.com)
  • 333 consecutive adult patients with a suspected first acute myocardial infarction were randomly assigned in a 1:1 ratio by computerised block randomisation to receive primary percutaneous coronary intervention with (n=166 patients) versus without (n=167) remote conditioning (intermittent arm ischaemia through four cycles of 5-min inflation and 5-min deflation of a blood-pressure cuff). (blogspot.com)
  • Remote ischaemic conditioning before hospital admission, as a complement to angioplasty, and effect on myocardial salvage in patients with acute myocardial infarction: a randomised trial " Lancet 27 February 2010 375: 727-734. (blogspot.com)
  • Hyperacute T Wave in the Early Diagnosis of Acute Myocardial Infarction. (cardiacbootcamp.org)
  • On-site interventional "cardiology hospitalists" may improve door-to-balloon times during acute heart attacks, but will also place additional pressure on community-based interventional cardiologists to join forces with hospitals since their ability to expand their practices with new acute patients will be severely limited as a result. (blogspot.com)
  • Acute Arterial Thrombosis of Lower Extremities in COVID-19 Patients. (kbsplit.hr)
  • F. The most common form of paroxysmal supraventricular tachycardia (PSVT) is AV nodal reentry due to dual pathways of excitation in the region of the AV node (see Figure 1). (rjmatthewsmd.com)
  • Recent data support the role of flecainide in preventing ventricular tachyarrhythmias in patients with catecholaminergic polymorphic ventricular tachycardia associated both with ryanodine receptor and calsequestrin mutations. (wjgnet.com)
  • In patients with impaired left ventricular function, medically refractory ventricular arrhythmia can present a difficult management problem. (bmj.com)
  • Clinical variables independently associated with in-hospital pericardial effusion were older age, female sex, left ventricular function, paroxysmal AFib, prior bleeding, lower serum albumin and preprocedural dual antiplatelet therapy. (acc.org)
  • 3-6 In some patients, AF can severely depreciate quality of life by causing shortness of breath, intractable fatigue, and near-syncope. (ahrq.gov)
  • OBJECTIVE To review the efficacy of intra-aortic balloon counterpulsation (IABCP) in medically refractory ventricular arrhythmia. (bmj.com)
  • DESIGN Retrospective analysis of the outcome of patients with ventricular arrhythmia treated with IABCP after transfer between 1992 and 1997. (bmj.com)
  • PATIENTS 21 patients (mean age 58 years) who underwent IABCP for control of ventricular arrhythmia. (bmj.com)
  • IABCP resulted in suppression of ventricular arrhythmia in 18 patients, of whom 13 were weaned from IABCP. (bmj.com)
  • After stabilisation of ventricular arrhythmia, 10 patients were maintained on medical treatment alone and one underwent endocardial resection. (bmj.com)
  • IABCP failed to control ventricular arrhythmia in three patients and was subsequently discontinued. (bmj.com)
  • CONCLUSIONS IABCP can be an effective means of controlling refractory ventricular arrhythmia, allowing time for the institution of more definitive treatment. (bmj.com)
  • Although an underlying arrhythmogenic substrate is necessary, the arrhythmia itself will compromise an already impaired haemodynamic state, by increasing myocardial ischaemia or left ventricular wall distension, and so exacerbate the situation. (bmj.com)
  • In such circumstances non-pharmacological methods of arrhythmia management such as endocardial resection and ventricular tachycardia ablation are currently employed, despite the high risk of these procedures in the unstable patient. (bmj.com)
  • In this report we describe a retrospective review of the efficacy of IABCP in controlling ventricular arrhythmia in patients resistant to antiarrhythmic drug treatment, repeated dc cardioversion, and pacing strategies. (bmj.com)
  • Between 1992 and 1997, 21 patients (17 male, four female) were transferred to our unit (a cardiac tertiary referral centre) with medically resistant ventricular arrhythmia for further management, and were considered suitable for IABCP. (bmj.com)
  • Consideration of IABCP was given to any patient with ventricular arrhythmia refractory to conventional treatment, but who would be suitable for more definitive treatment or who might otherwise have a reasonable quality of life if the arrhythmia were controlled. (bmj.com)
  • Successful targeting of ablation primarily to the anatomic arrhythmia substrate, as opposed to mapping and targeting ablation based on electrogram characteristics, began with recognition that common atrial flutter passes through a narrow structure known as the cavo-tricuspid isthmus. (rmmj.org.il)
  • Examples of electrospatial mapping guidance of complex arrhythmia ablation. (rmmj.org.il)
  • Based on the Cardiac Arrhythmia Suppression Trial study results, flecainide is not recommended in patients with structural heart disease due to high proarrhythmic risk. (wjgnet.com)
  • Based on the Cardiac Arrhythmia Suppression Trial study results, flecainide is contraindicated for patients with structural heart disease due to high proarrhythmic risk. (wjgnet.com)
  • Twenty-six patients underwent radiofrequency catheter ablation for AF at the Erasmus Medical Center in Rotterdam, the Netherlands, and 11 patients were treated at the Onze Lieve Vrouwe Gasthuis in Amsterdam, the Netherlands. (bsl.nl)
  • There are three main physiological explanations for premature ventricular contractions: enhanced ectopic nodal automaticity, re-entry signaling, and toxic/reperfusion triggered. (wikipedia.org)
  • Atrial ventricular nodal ablation is recommended for patients refractory to medical therapy, usually older patients needing a pacemaker. (aafp.org)
  • Premature ventricular contractions may be associated with underlying heart disease, and certain characteristics are therefore elicited routinely: the presence of signs of heart disease or a known history of heart disease (e.g. previous myocardial infarction), as well as heart disease or sudden cardiac death in close relatives. (wikipedia.org)
  • Safety and Efficacy of Tenecteplase Compared with Alteplase in Patients with Large Vessel Occlusion Stroke: A Prespecified Secondary Analysis of the ACT Randomized Clinical Trial. (ottawaheart.ca)
  • The primary efficacy end point was the composite of cardiovascular death, myocardial infarction, or stroke. (mdrenalconsult.com)
  • The coprimary efficacy end points were stent thrombosis and major adverse cardiovascular and cerebrovascular events (a composite of death, myocardial infarction, or stroke) during the period from 12 to 30 months. (mdrenalconsult.com)
  • Pulsed field ablation (PFA) is a non-thermal energy source with promising safety and efficacy advantages. (go.jp)
  • However, very recent studies have begun to demonstrate the feasibility and efficacy of CSP in these patients, with growing evidence that some outcomes may be superior in comparison to conventional pacing techniques. (stanfordchildrens.org)
  • RESULTS: 915 patients from the NIS (male-71%, age ≥65-84.2%) and 822 patients from the NRD (male-69.3%, age ≥65-80.5%) underwent TAVR for AR. (bvsalud.org)
  • examined data from 65,355 patients (mean age 76.2±8.1, mean CHA2DS2-VASc score 4.6±1.5) captured by the LAAO Registry who underwent a transcatheter LAAO procedure using the first-generation Watchman device between Jan. 1, 2016 and Dec. 31, 2019. (acc.org)
  • looked at data from 551,722 Medicare patients captured by the CathPCI Registry from July 2009 to December 2016, where 29,407 patients underwent CTO PCI and 522,315 non-CTO PCI. (acc.org)
  • 28 male) suffering from LSP-AF who underwent pulmonary vein isolation (PVI) and linear ablation were compared. (bsl.nl)
  • A total of 320 patients who underwent an initial catheter ablation procedure for AF using a CB, HB, or LB in 2 hospitals were included. (go.jp)
  • mean age: 63.6±10.7 years, 38% female) presenting with AF (paroxysmal AF: 56%) underwent first-time PVI via PFA. (go.jp)
  • We performed a prospective randomized trial by assigning 92 patients with persistent AF in 1:1 ratio to pulmonary-vein isolation plus ablation of electrograms showing complex fractionated activity (45 patients), or pulmonary-vein isolation plus additional linear ablation across the left atrial roof and mitral valve isthmus (47 patients). (jafib.com)
  • We prospectively randomized patients undergoing pulmonary vein isolation to either additional linear ablation, versus the adjunctive ablation targeting fractionated or high-frequency electrograms ablation for the treatment of AF. (jafib.com)
  • Ninety-two patients with symptomatic persistent AF were randomized to PVI+ additional linear ablation group vs. PVI + physiology guided CFAE ablation. (jafib.com)
  • The risk of stroke in patients with nonrheumatic AF is 5 percent per year, and this risk approaches 7 percent per year in patients with heart failure. (ahrq.gov)
  • 11 Importantly, when ischemic stroke occurs in patients with AF, it is either fatal or of moderate to high severity in most patients. (ahrq.gov)
  • Periprocedural [pericardial effusion] after transcatheter LAAO is infrequent but associated with substantially increased risk of adverse events, including stroke and both in-hospital and early post-discharge mortality," write the study authors. (acc.org)
  • The second large ARB randomised controlled trial (RCT) published this year evaluated whether irbesartan would reduce the risk of cardiovascular events in patients with AF.3 Patients with a history of risk factors for stroke and a systolic blood pressure of at least 110 mm Hg were randomly assigned to receive either irbesartan (target dose of 300 mg once daily) or placebo. (romanianjournalcardiology.ro)
  • Complications were divided into two groups: major (infarction, stroke, major bleeding and tamponade) and minor (fever, pericarditis and inguinal haematoma). (bsl.nl)
  • Among patients with recent cerebral ischaemia, intensive antiplatelet therapy did not reduce the incidence and severity of recurrent stroke or TIA, but did significantly increase the risk of major bleeding. (mdrenalconsult.com)
  • In patients with a myocardial infarction more than 1 year previously, treatment with ticagrelor significantly reduced the risk of cardiovascular death, myocardial infarction, or stroke and increased the risk of major bleeding. (mdrenalconsult.com)
  • Prehospital treatment is usually only indicated in hemodynamically unstable patients. (medscape.com)
  • 2 By directing ablation to interrupt conduction through this region, high cure rates have been achieved with a low risk of complications. (rmmj.org.il)
  • Cardiac complications constitute a major cause of postoperative morbidity and mortality in surgical patients. (medscape.com)
  • In NRD, 2.2% of patients required dialysis for AKI, 1.5% developed vascular complications, and 0.6% required open-heart surgery within 30-days post-procedure. (bvsalud.org)
  • 13 However, since the development of the ACC/AHA/ESC Guidelines many additional studies have been published on the comparative safety and effectiveness of the different available medications used for ventricular rate control in clinical practice. (ahrq.gov)
  • Development of clinical grade MRI-compatible electrophysiology devices is required to transition intra-procedure MRI from preclinical studies to more routine use in patients. (rmmj.org.il)
  • To evaluate clinical outcomes in patients with diabetes, treated by cardiac resynchronization therapy with a defibrillator (CRT-d), and glucagon-like peptide 1 receptor agonists (GLP-1 RA) in addition to conventional hypoglycemic therapy vs. CRTd patients under conventional hypoglycemic drugs. (biomedcentral.com)
  • We genotyped SNP rs6817105 and examined the relationships among rs6817105 genotype, clinical characteristics, echocardiographic parameters, and electrophysiological parameters in 574 AF patients and 1,554 non-AF controls. (nature.com)
  • The clinical presentation of AF spans the entire spectrum from asymptomatic AF with rapid ventricular response to cardiogenic shock or devastating cerebrovascular accident (CVA). (medscape.com)
  • Heart sounds of a 16 year old girl with premature ventricular contractions and other types of ectopic beats. (wikipedia.org)
  • Premature ventricular contractions occur in healthy persons of any age, but are more prevalent in the elderly and in men. (wikipedia.org)
  • The tracing was obtained from a patient with severe ischemic cardiomyopathy during an electrophysiologic study. (medscape.com)
  • Prophylactic Catheter Ablation of Ventricular Tachycardia in Ischemic Cardiomyopathy: a systematic review and meta-analysis of randomized controlled trials. (jafib.com)
  • In a patient who is hemodynamically unstable or unconscious, however, the diagnosis of VT is made from the physical findings and ECG rhythm strip only. (medscape.com)
  • Diagnostic electrophysiologic study (EPS) requires placement of electrode catheters in the ventricle, followed by programmed ventricular stimulation using progressive pacing protocols. (medscape.com)
  • 1 These procedures are typically guided by positioning electrode catheters using X-ray fluoroscopy and using these catheters to observe the propagation of electrical activity through the heart. (rmmj.org.il)
  • Signs and symptoms related to rapid heart rate are altered sensorium, angina, shortness of breath, myocardial infarction, hypotension and other signs of shock (eg cold clammy skin, low urine output), heart failure or pulmonary congestion. (mims.com)
  • We aimed to develop a convenient, safe, effective and fast method of pulmonary vein isolation (PVI) utilizing a penta-spline PFA catheter via a single femoral vein and a venous closure system. (go.jp)
  • The investigators have recently shown that anatomic ganglionated plexi (GP) ablation is inferior to circumferential pulmonary vein (PV) ablation for the treatment of paroxysmal AF. (novoclinica.com)
  • Unstable patients are those with ongoing chest pain, severe shortness of breath, altered level of consciousness, or hypotension. (medscape.com)
  • The investigators found that irbesartan did not reduce cardiovascular events or hospitalisation rates for AF (total of 9016 enrolled with a mean follow-up of 4.1 years) and that, not surprisingly, more patients in the irbesartan group had symptomatic hypotension and renal dysfunction than those in the placebo group. (romanianjournalcardiology.ro)
  • After PVI using the penta-spline PFA catheter, extra pulse trains were added to the posterior wall for wide antral circumferential ablation. (go.jp)
  • Hence we designed a prospective study to establish freedom from AF with combined wide area circumferential ablation and linear ablation, vs. combined wide area circumferential ablation and CFAE ablation in addition to antiarrhythmic therapy. (jafib.com)
  • The investigators are, therefore, conducting a randomized study comparing conventional circumferential ablation to a combination of circumferential ablation plus specific right and left atrial GP ablation in patients with drug-refractory paroxysmal AF. (novoclinica.com)
  • Patients are subjected to conventional PV isolation through circumferential ablation 1-2 cm from the PV ostium. (novoclinica.com)
  • The area encircled by circumferential ablation will be calculated using the software provided by the CARTO system. (novoclinica.com)
  • However, very frequent PVCs can be symptomatic of an underlying heart condition (such as arrhythmogenic right ventricular cardiomyopathy). (wikipedia.org)
  • Very frequent PVCs in people with dilated cardiomyopathy may be treated with radiofrequency ablation. (wikipedia.org)
  • Hypertrophic cardiomyopathy (HCM) is a common inherited cardiomyopathy.1 The phenotypic expression of HCM is highly diversified with varying extents of myocardial hypertrophy, which can. (annals.edu.sg)
  • Symptomatic PVS requiring intervention occurred in 1 (0.3%) patient. (go.jp)
  • Symptomatic PVS requiring intervention was rare after the balloon ablation of AF. (go.jp)
  • 4 , 5 The basis of these strategies is to target specific anatomic regions and often to create extended ablation "lines" by aligning multiple point lesions or by dragging the catheter along the endocardial surface while applying ablative energy. (rmmj.org.il)
  • 1 The prevalence of AF increases with age and approaches 8 percent in patients older than 80 years of age. (ahrq.gov)
  • 9 ]-[ 13 ] Thus a broad spectrum of approaches ranging from strictly anatomical to more physiology-guided ablation has been utilized. (jafib.com)
  • We also aimed at comparing these two approaches with a combination of GP ablation and PV isolation. (novoclinica.com)
  • Atrial flutter in an unstable patient should be treated immediately with synchronized cardioversion. (medscape.com)
  • Unless the heart is under excess sympathetic or parasympathetic stimulation, the ventricular rate is usually between 80 and 180 bpm. (medscape.com)
  • Patients are subjected to specific, HF stimulation-guided and anatomic ablation of the main right and left atrial GP. (novoclinica.com)
  • However, due to high recurrence rates, especially in patients with persistent AF, PV antral isolation, complemented by linear ablation, autonomic modulation, and ablation of complex fractionated electrograms, have been attempted to increase the odds of success. (jafib.com)
  • 3 ]. PV isolation has been the cornerstone of AF ablation. (jafib.com)
  • However, due to a relatively high recurrence rate, especially in patients with persistent AF, other ablation techniques have been developed, involving a PV antral isolation, often complemented by ablation lines, and ablation of complex fractionated atrial electrograms. (jafib.com)
  • We are, therefore, conducting a randomized study comparing the three techniques in patients with drug-refractory paroxysmal AF. (novoclinica.com)
  • If pharmacological therapy is insufficient or associated with side effects, the 2006 ACC/AHA/ESC Guidelines recommend ablation of the atrioventricular node (AVN) in conjunction with permanent pacemaker implantation to control heart rate. (ahrq.gov)
  • Post-procedure MRI is now being applied to assess ablation lesion location and permanence with the goal of identifying factors leading to procedure success and failure. (rmmj.org.il)
  • The real-world evidence from recent NCDR research provides insights into transcatheter left atrial appendage occlusion (LAAO) and the safety of the Watchman FLX device as well as post procedure pericardial effusion. (acc.org)
  • During this procedure electrogram-based ablation is performed. (bsl.nl)
  • The overall procedure time and radiation exposure were higher in the PVI+linear ablation group. (jafib.com)
  • In this study, however, 26% of patients subjected to GP ablation alone without circumferential lesions were free of AF-recurrence up to one year after the ablation procedure. (novoclinica.com)
  • Previous studies have identified that the need for a permanent ventricular pacing system (PPMv) may be associated with additional adverse long-term outcomes.OBJECTIVES: The goal of this study was to quantify the attributable risk of PPMv in patients with SV, and to identify modifiable risk factors.METHODS: This international study was sponsored by the Pediatric and Congenital Electrophysiology Society. (stanfordchildrens.org)
  • Methods: Chondrocytes from five old patients with knee OA (OAC) and five young patients with recurrent shoulder dislocation (non-OAC) were used. (microbiochemjournal.com)
  • Typically, laboratory tests should be deferred until electrical cardioversion has restored sinus rhythm and the patient is stabilized. (medscape.com)
  • This retrospective cohort study identified 119,694 patients with AF and HF from the Nationwide Readmissions Database (NRD) from 2016 to 2017. (bvsalud.org)
  • RESULTS: Of the 15,952 patients, 9889 had heart failure with reduced ejection fraction (HFrEF) and 6063 had heart failure with preserved ejection fraction (HFpEF). (bvsalud.org)
  • Type 2 diabetes mellitus (T2DM) is a frequent co-morbidity, and a negative prognostic risk factor in patients with heart failure and reduced left ventricle ejection fraction (HFrEF), [ 1 ]. (biomedcentral.com)
  • ACC's NCDR suite of registries is a robust source of data for researchers, and a critical component in continuing to help hospitals, practices and clinicians advance the quality of cardiovascular care and improve patient outcomes for all. (acc.org)
  • The first of these trials, published in 2009, tested the hypothesis that the ARB valsartan could reduce the recurrence of AF in patients with underlying cardiovascular disease, diabetes or left atrial enlargement and a history of documented AF, in addition to established treatments.2 A total of 1442 patients were enrolled into the study-722 assigned to the valsartan group (target dose 320 mg) and 720 to the placebo group. (romanianjournalcardiology.ro)
  • This is not to be used for the assessment, diagnosis or management of patients. (abcmedicalnotes.com)
  • It worsens heart failure and increases mortality in patients with myocardial infarction, and is an independent risk factor for death. (aafp.org)
  • Remote ischaemic conditioning before hospital admission increases myocardial salvage, and has a favourable safety profile. (blogspot.com)
  • OBJECTIVES: To assess the effect of AFL ablation on mortality and HF readmissions in patients with AFL and HF. (bvsalud.org)
  • CONCLUSION: In patients with AFL and HFrEF, AFL ablation was associated with lower mortality and HF readmissions at 1 year. (bvsalud.org)
  • The patient should be treated with an intravenous (IV) sedative prior to cardioversion if their condition permits. (medscape.com)
  • At a 12-month follow-up, 9 (23%) patients had AF recurrence in the linear ablation and 8 (21%) patients in the CFAE groups. (jafib.com)
  • At a mean follow-up duration of 59±36 months, 48.3% of patients in the linear ablation group and 44.6% of patients in the CFAE group were free from AF (p=0.403). (jafib.com)
  • Furthermore, several randomized studies have produced conflicting results regarding the benefit of adding linear ablation lines, CFAE ablation, both or none. (jafib.com)
  • The primary outcome of incidence of in-hospital pericardial effusion requiring intervention via percutaneous drainage or surgery occurred in 1.35% of patients. (acc.org)