-
Mashup Score: 4First leadless pacemaker implant in a pediatric patient via the femoral vein using intracardiac echocardiography guidance - 1 day(s) ago
Pacemaker implantation in pediatrics requires a thorough assessment of the device features before the intervention and attentive monitoring during the placement to avoid complications. A reduced risk of infection, adaptation to growth and quicker return to full activity are important features of leadless pacemakers in the young population. The AVEIR (Abbott, Lake County, IL) device has the advantage of chronic retrievability and mapping prior to fixation. Specific considerations should be kept in mind, such as the choice of the venous access and the limited space for the implantation with possible mechanical interference with the tricuspid valve.
Source: www.heartrhythmcasereports.comCategories: General Medicine News, CardiologistsTweet
-
Mashup Score: 62
We present a case of idiopathic verapamil-sensitive fascicular ventricular tachycardia (FVT) of the posterior papillary muscle subtype. This case indicates a direct connection between the P1 potential (antegrade limb) and the myocardium without bridging to the P2 potential (left posterior fascicle), supporting the hypothesis that the left posterior fascicle acts as a bystander in the FVT circuit.
Source: www.heartrhythmcasereports.comCategories: General Medicine News, Cardiology News and JournTweet
-
Mashup Score: 36Epicardial Connections Inside Pulmonary Vein Antrum Isolation Lines Contribute to Initiating and Maintaining Atrial Tachycardia - 5 day(s) ago
Complete pulmonary vein (PV) antrum isolation (PVAI) is essential to prevent the initiation and recurrence of atrial fibrillation (AF)1. However, recent reports indicate that epicardial connections (ECs) exist within PVAI lines in approximately 10% of patients with AF2-4. These ECs may contribute to incomplete PVAI and AF recurrence2,3,5-8. Herein, we report a case where ECs inside PVAI lines contributed to initiating and maintaining atrial tachycardia (AT).
Source: www.heartrhythmcasereports.comCategories: General Medicine News, Cardiology News and JournTweet
-
Mashup Score: 55
Ventricular tachycardia (VT) typically manifests with a broad QRS complex on the surface ECG, as the re-entrant circuit involves slow conduction around lines of block within ventricular myocardium (1). VT can manifest deceptive features – such as a sharp intrinsicoid deflection or a narrower QRS – rendering diagnosis challenging (2). Such cases can occur in circuits involving the His-Purkinje system. In patients with prior myocardial infarction (MI), VT may rarely present with a narrower QRS complex, and the underlying mechanisms in such cases remain elusive.
Source: www.heartrhythmcasereports.comCategories: General Medicine News, Cardiology News and JournTweet
-
Mashup Score: 17Rescuing Failed Radiofrequency Ablation: Pulsed Field Ablation in Ventricular Tachycardia - 8 day(s) ago
Pulsed field ablation (PFA) is an innovative ablative technique increasingly employed in managing Atrial Fibrillation (AF).
Source: www.heartrhythmcasereports.comCategories: General Medicine News, Cardiology News and JournTweet
-
Mashup Score: 6Refractory Inappropriate Sinus Tachycardia Post Sinus Node Sparing Hybrid Thoracoscopic Ablation Originating from the Arcuate Ridge - 12 day(s) ago
Inappropriate sinus tachycardia (IST) often presents with debilitating symptoms and requires complex management. Sinus node (SN)-sparing hybrid ablation is a recently developed procedure with endocardial and epicardial ablation that offers an effective and safe treatment option for these patients. Yet the persistence of IST and management post-ablation must be better understood. We present a case of a young woman with IST who was referred for hybrid ablation and only experienced relief following a repeat ablation of the arcuate ridge (AR).
Source: www.heartrhythmcasereports.comCategories: General Medicine News, Cardiology News and JournTweet
-
Mashup Score: 13
Filamin C (FLNC) is a structural protein that is expressed in striated muscle, providing structural stability to the sarcomere. [1] Pathogenic variants in the FLNC gene have been associated with various disease phenotypes. [2] The genotype-phenotype correlation from pathogenic FLNC variants is modulated by the location of the variant within the FLNC gene, and variants associated with one type of myopathy or cardiomyopathy are not predicted to be able to cause another phenotype. [2] Truncating FLNC variants (FLNCtv) are predicted to cause dilated or arrhythmogenic cardiomyopathy through haploinsufficiency via nonsense-mediated messenger RNA decay which causes weakened structural adhesion.
Source: www.heartrhythmcasereports.comCategories: General Medicine News, Cardiology News and JournTweet
-
Mashup Score: 18‘Inside-out’ technique to allow conduction system pacing in superior vena cava obstruction - 24 day(s) ago
Chronic venous occlusion is an increasingly common problem faced during transvenous cardiac device implantation or upgrade. This is attributable to the growing number of pacemakers implanted and subsequent need for an upgrade to a complex system (e.g. Biventricular pacing, conduction system pacing, implantable cardiac defibrillator). Venoplasty, with or without stenting, and lead implantation on the contralateral side with tunnelling across to the current device site are alternatives. However, venoplasty has variable success rates and lead implantation on the contralateral side is only possible in the absence of bilateral central venous occlusion or superior vena cava (SVC) occlusion.
Source: www.heartrhythmcasereports.comCategories: General Medicine News, Cardiology News and JournTweet
-
Mashup Score: 0
Tachycardias, atrial fibrillation (AF), atrial tachycardia, and premature ventricular contractions are known causes of reversible dilated cardiomyopathy (CM).1 Amphetamine use is also known to cause reversible dilated CM.2 Although the percentage of adults taking amphetamines is estimated at <5%,3 it is important to consider that their use is often associated with increased tachycardias and, ultimately, increased risk of developing CM.
Source: www.heartrhythmcasereports.comCategories: General Medicine News, CardiologistsTweet
-
Mashup Score: 7
Over the last decade in the United States, more physicians have been transitioning from private practice to hospital employment. There are many benefits of being employed, but my partners and I—5 interventionalists and 4 electrophysiologists previously employed by the same hospital—saw a potentially bigger upside to shifting in the opposite direction, from hospital employment to private practice. One month into launching Cardiovascular Specialists of New England (CSNE), we are seeing rapid growth in the following key areas of our practice that I consider essential for success:
Source: www.heartrhythmcasereports.comCategories: General Medicine News, Cardiology News and JournTweet
First leadless pacemaker implant in a pediatric patient via the femoral vein using intracardiac echocardiography guidance https://t.co/biJrNxq16U https://t.co/TCv64bMqbQ