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Subject of the year: Who are we missing, who are we overtreating, and who is best served? Refining the prescription of implantable cardioverter-defibrillator therapyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory EDITOR’S FORUMDOI 10.1007/s10840-009-9439-yAuthors Andrew E. Epstein, University of Pennsylvania Electrophysiology Section, Cardiovascular Division 9 Founders, 3400 Spruce Street Philadelphia PA 19104 USA Journal Journal of Interventional Cardiac ElectrophysiologyOnline ISSN 1572-8595Print ISSN 1383-875X (Source: Journal of Interventional Cardiac Electrophysiology)
Source: Journal of Interventional Cardiac Electrophysiology - November 10, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Anatomical analysis of recurrent conduction after circumferential ablationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  In the left antrum, there was a correlation between electrophysiologic (RoC) and anatomic (long segment) properties. The observation in both antra that RoC often occurred in previously unablated areas suggested that, as an alternative to recovery of ablated myocardium, a second mechanism of RoC was plausible: conduction via unablated myocardium, which was not immediately manifest. These observations have compelled us to modify our circumferential lesion. Content Type Journal ArticleDOI 10.1007/s10840-009-9442-3Authors Sheetal Chandhok, University of Pittsburgh Cardiovascular Institute UPM...
Source: Journal of Interventional Cardiac Electrophysiology - October 29, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Activation mapping of focal atrial tachycardia: the impact of the method for estimating activation timeemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion  The three methods of activation time determination, although highly correlated with one another, may generate foci of different sizes and in different locations. However, the foci tend to cluster within relatively large areas of low-amplitude fractionated electrograms. These findings suggest a sizeable atrial region with particular electrophysiological proprieties and raise the possibility of an anatomical substrate of the tachycardia. During mapping, this region can be roughly delineated by all three methods of activation time estimation. However, details concerning the activation pattern within ...
Source: Journal of Interventional Cardiac Electrophysiology - October 28, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Reversible vestibular dysfunction secondary to sotalol useemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10840-009-9441-4Authors Suraj Kapa, Mayo Clinic College of Medicine Division of Cardiovascular Diseases, Department of Internal Medicine 200 First Street SW Rochester MN 55905 USAJill J. Nagel, Mayo Clinic College of Medicine Division of Cardiovascular Diseases, Department of Internal Medicine 200 First Street SW Rochester MN 55905 USAArshad Jahangir, Mayo Clinic College of Medicine Division of Cardiovascular Diseases, Department of Internal Medicine 200 First Street SW Rochester MN 55905 USASamuel J. Asirvatham, Mayo Clinic College of Medicine Division of Ca...
Source: Journal of Interventional Cardiac Electrophysiology - October 21, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Evaluation of atrial vulnerability immediately after radiofrequency catheter ablation of accessory pathway in patients with Wolff–Parkinson–White syndromeemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion  In WPW syndrome patients, RF catheter ablation of AP results in an ‘immediate’ decrease in atrial vulnerability. Since inducibility of AF becomes more difficult in this less vulnerable atrium, the AP itself may play an important role in the development of AF. Content Type Journal ArticleDOI 10.1007/s10840-009-9438-zAuthors Kumral Ergun Cagli, Türkiye Yuksek Ihtisas Hospital Department of Cardiology Ankara TurkeySerkan Topaloglu, Türkiye Yuksek Ihtisas Hospital Department of Cardiology Ankara TurkeyDursun Aras, Türkiye Yuksek Ihtisas Hospital Department of Cardiology Ankara TurkeyNiha...
Source: Journal of Interventional Cardiac Electrophysiology - October 21, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Pulmonary vein antrum isolation, atrioventricular junction ablation, and antiarrhythmic drugs combined with direct current cardioversion: survival rates at 7 years follow-upemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion  Compared to the other two procedures, patients with PVAI had the best survival rates at the end of 7 years. However, the observational case-control design of this study incurs the potential for confounding due to non-randomized treatment selection, and creates a major limitation in making valid generalization of the findings. Content Type Journal ArticleDOI 10.1007/s10840-009-9436-1Authors Kai Sonne, Magdeburg GermanyDimpi Patel, St. David’s Medical Center Texas Cardiac Arrhythmia Institute Austin TX USAPrasant Mohanty, St. David’s Medical Center Texas Cardiac Arrhythmia Institute ...
Source: Journal of Interventional Cardiac Electrophysiology - September 29, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Electrophysiological characteristics of heart ventricular papillary muscles in diabetic histidine decarboxylase knockout and wild-type miceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  One of the likely explanations may be that in the chain of events in HDC-KO mice on the one hand and in Streptozotocin-induced diabetes on the other hand, leading to the alterations in the heart electrophysiological parameters, there is a common link. This link may be a similar shift in the expression/function of certain K+ channel populations. Content Type Journal ArticleDOI 10.1007/s10840-009-9432-5Authors Andrea Szebeni, Semmelweis University Department of Pharmacology and Pharmacotherapy PO Box 370 1445 Budapest HungaryAndrás Falus, Semmelweis University Department of Genetics, Cell ...
Source: Journal of Interventional Cardiac Electrophysiology - September 17, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Simultaneous epicardial and endocardial substrate mapping and radiofrequency catheter ablation as first-line treatment for ventricular tachycardia and frequent ICD shocks in chronic chagasic cardiomyopathyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion  Chronic Chagas cardiomyopathy patients have larger epicardial as compared to endocardial substrate areas. Combined epicardial endocardial substrate mapping and ablation during sinus rhythm proves effective in preventing VT recurrences and appropriate ICD therapies. Content Type Journal ArticleDOI 10.1007/s10840-009-9433-4Authors Benhur Davi Henz, Federal University of São Paulo Clinical Cardiac Electrophysiology, Cardiology Division Hospital São Paulo, Paulista School of Medicine Rua Napoleao de Barros 715 - São Paulo 04024-002 São Paulo BrazilThais A. do Nascimento, Federal University ...
Source: Journal of Interventional Cardiac Electrophysiology - September 16, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Echo Doppler guidance for atrial fibrillation ablation: recognition of primary electropathyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We describe a case with persistent AF, depressed systolic function, and marked left atrial enlargement but without echo Doppler evidence of diastolic dysfunction. At electrophysiology study, findings were consistent with a primary electropathy, and the patient did well following ablation. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10840-009-9435-2Authors Kaniz Fatema, Mayo Clinic and Mayo Foundation Division of Cardiovascular Diseases and Internal Medicine Rochester MN USAJames B. Seward, Mayo Clinic and Mayo Foundation Division of Cardiovascular Diseases and Internal Medicine Rochester MN USASamue...
Source: Journal of Interventional Cardiac Electrophysiology - September 16, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Global electrophysiological and hemodynamic assessment of ventricular pacing employing non-contact mappingemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions:  In swine with preserved ventricular conduction, in vivo pacing of the RVOT and LVA was associated with preserved, physiologically similar electrical activation sequences and LV function relative to RAA pacing. In contrast, RVA pacing caused widespread electrical dyssynchrony of the LV and prolonged activation durations, thereby impairing associated cardiac performance. Such insights into alternate site cardiac pacing, which employed the combination of high-resolution electrical mapping with real-time hemodynamic assessments, may further increase acute and long-term benefits in patients requiring...
Source: Journal of Interventional Cardiac Electrophysiology - September 16, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Esophagus imaging for catheter ablation of atrial fibrillation: comparison of two methods with showing of esophageal movementemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion  Reliance on CT images, even if acquired within 24 h before ablation, does not ensure adequate intraprocedural localization of the esophagus or enhance recognition of esophageal motility. Content Type Journal ArticleDOI 10.1007/s10840-009-9434-3Authors Richard Kobza, Luzerner Kantonsspital Division of Cardiology 6000 Luzern SwitzerlandAndreas W. Schoenenberger, Inselspital University of Bern Hospital Department of Geriatrics and General Internal Medicine Bern SwitzerlandPaul Erne, Luzerner Kantonsspital Division of Cardiology 6000 Luzern Switzerland Journal Journal of Intervention...
Source: Journal of Interventional Cardiac Electrophysiology - September 16, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

A tribute to Kenneth M. Rosenemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory HistoryDOI 10.1007/s10840-009-9422-7Authors Abraham G. Kocheril, University of Illinois Chicago IL USA Journal Journal of Interventional Cardiac ElectrophysiologyOnline ISSN 1572-8595Print ISSN 1383-875X (Source: Journal of Interventional Cardiac Electrophysiology)
Source: Journal of Interventional Cardiac Electrophysiology - August 17, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Toward early diagnosis in arrhythmogenic right ventricular dysplasia/cardiomyopathyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory Subject of the YearDOI 10.1007/s10840-009-9420-9Authors Richard N. W. Hauer, University Medical Center Department of Cardiology Utrecht The Netherlands Journal Journal of Interventional Cardiac ElectrophysiologyOnline ISSN 1572-8595Print ISSN 1383-875X (Source: Journal of Interventional Cardiac Electrophysiology)
Source: Journal of Interventional Cardiac Electrophysiology - August 14, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Radiofrequency ablation of nonautomatic focal atrial tachycardia in children with structurally normal heartsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  NAFAT is a rare form of tachycardia that should be considered in the differential diagnosis of children presenting with SVT. It is amenable to mapping and radiofrequency ablation. Content Type Journal ArticleDOI 10.1007/s10840-009-9430-7Authors Jose M. Moltedo, FLENI Section of Pediatric Cardiology Buenos Aires ArgentinaBryan C. Cannon, Baylor College of Medicine and Texas Children’s Hospital Section of Cardiology, Department of Pediatrics Houston TX USAArnold L. Fenrich, Pediatrix Medical Group Children’s Cardiology Associates Austin TX USARichard A. Friedman, Baylor College of Medicin...
Source: Journal of Interventional Cardiac Electrophysiology - August 11, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Long QT syndrome due to a novel mutation in SCN5A: treatment with ICD placement at 1 month and left cardiac sympathetic denervation at 3 months of ageemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We describe the case of a newborn with congenital long QT syndrome, with 2:1 AV block and frequent episodes of Torsades de Pointes (TdP) requiring placement of a dual chamber ICD at 33 days and 3.63 kg, the youngest and smallest patient, thus far reported. Long QT syndrome was diagnosed due to bradycardia in the newborn nursery, with frequent episodes of TdP. The patient was initially treated with magnesium and esmolol then given lidocaine which resulted in dramatic transient normalization of the QTc with 1:1 AV nodal conduction. An attempt to transition to oral sodium channel and beta blockade was unsuccessf...
Source: Journal of Interventional Cardiac Electrophysiology - August 11, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

The hemodynamic pattern of the syndrome of delayed orthostatic hypotensionemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion  In patients affected by delayed OH, the progressive decrease of SBP is associated with progressive decrease of TPR, while CO and SV show little variation; the compensatory increase in HR is insufficient to compensate for the decline in blood pressure. Content Type Journal ArticleDOI 10.1007/s10840-009-9429-0Authors Cristian Podoleanu, University of Medicine and Pharmacy Targu Mures Cardiology Department, 4th Medical Clinic Str. Gh. Marinescu 1 540099 Targu Mures RomaniaRoberto Maggi, Ospedali del Tigullio Arrhythmologic Centre, Cardiology Department Lavagna (GE) 16033 ItalyDaniele Oddone, Os...
Source: Journal of Interventional Cardiac Electrophysiology - August 9, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Real-time integration of intracardiac echocardiography and 3D electroanatomical mapping to guide catheter ablation of isthmus-dependent atrial flutter in a patient with complete situs inversus and interruption of the inferior vena cava with azygos continuationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This report describes a clinical application of the new Cartosound™ module as an adjunctive technology to understand the mechanism of the arrhythmia and to guide successfully the ablation in a complex anatomy. Isthmus-dependent atrial flutter was diagnosed in a patient with complete situs inversus and interruption of the inferior vena cava with azygos continuation. Under these unusual circumstances, Cartosound facilitates interventional navigation within the right atrium and its adjacent structures and minimizes radiation exposure. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10840-009-9427-2Author...
Source: Journal of Interventional Cardiac Electrophysiology - August 9, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Lack of gelsolin promotes perpetuation of atrial fibrillation in the mouse heartemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  Gsn deficiency results in perpetuation of inducible episodes of atrial fibrillation. Altered L-type Ca2+ currents and disturbed Ca2+ handling known to be associated to gsn deficiency likely contribute to this effect. Content Type Journal ArticleDOI 10.1007/s10840-009-9425-4Authors Jan Wilko Schrickel, University of Bonn Department of Medicine-Cardiology Sigmund Freud Strasse 25 53105 Bonn GermanyKlaus Fink, University of Bonn Institute of Pharmacology Bonn GermanyRainer Meyer, University of Bonn Institute of Physiology Bonn GermanyChristian Grohé, Evangelische Lungenklinik Berlin GermanyFlo...
Source: Journal of Interventional Cardiac Electrophysiology - August 9, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Simultaneous ST-segment elevation in inferior and precordial leads following ingestion of a lethal dose of desipramine: a novel Brugada-like EKG patternemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report a case of simultaneous typical and variant Brugada EKG patterns with ST-segment elevation in the inferior as well as the precordial leads following ingestion of a lethal dose of desipramine. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10840-009-9412-9Authors Mujeeb Sheikh, The University of Toledo Medical Center 3000 Arlington ave Toledo OH 43614 USAKhalil Kanjwal, The University of Toledo Medical Center 3000 Arlington ave Toledo OH 43614 USARahil Kasmani, St Vincent’s Medical Center Toledo OH USASurendra Chutani, The University of Toledo Medical Center 3000 Arlington ave Toledo OH 43614...
Source: Journal of Interventional Cardiac Electrophysiology - July 28, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Supernormal conduction and linking in an accessory AV pathwayemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10840-009-9423-6Authors Robert T. Stevenson, Penn State Milton S. Hershey Medical Center Penn State Heart and Vascular Institute, Penn State College of Medicine 500 University Drive P.O. Box 850 Hershey PA 17033-0277 USAParag P. Patel, Penn State Milton S. Hershey Medical Center Penn State Heart and Vascular Institute, Penn State College of Medicine 500 University Drive P.O. Box 850 Hershey PA 17033-0277 USAWilliam R. Davidson, Penn State Milton S. Hershey Medical Center Penn State Heart and Vascular Institute, Penn State College of Medicine 500 University ...
Source: Journal of Interventional Cardiac Electrophysiology - July 28, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Mapping and ablation of ventricular arrhythmias with magnetic navigation: comparison between 4- and 8-mm catheter tipsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  Our findings showed that, with RMN, there is an increased success related to the catheter tip utilized. However, in patients with right ventricular outflow origin, the standard 4-mm tip provided adequate lesions for successful ablation in most patients. Content Type Journal ArticleDOI 10.1007/s10840-009-9416-5Authors Luigi Di Biase, St David’s Medical Center Texas Cardiac Arrhythmia Institute Austin TX USAJ. David Burkhardt, St David’s Medical Center Texas Cardiac Arrhythmia Institute Austin TX USADhanunjaya Lakkireddy, Mid America Cardiology at University of Kansas Hospital Kansas City...
Source: Journal of Interventional Cardiac Electrophysiology - July 28, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Relationship of late potentials to the ventricular tachycardia circuit defined by entrainmentemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  Electrograms near the VT circuit isthmus have a higher incidence of LP compared to that of entrance and exit; and the QRS–LP interval is significantly longer near entrance and isthmus compared to exit sites. These findings have important implications in substrate-based ablation strategies targeting LPs. Content Type Journal ArticleDOI 10.1007/s10840-009-9421-8Authors Henry H. Hsia, Stanford University Cardiovascular Medicine Standford USADavid Lin, University of Pennsylvania Health System Cardiovascular Division Philadelphia PA USAWilliam H. Sauer, University of Colorado Hospital Aurora ...
Source: Journal of Interventional Cardiac Electrophysiology - July 28, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

The discovery of the stethoscope by T. R. H. Laënnec (1781–1826)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory SUBJECT OF THE YEAR SERIESDOI 10.1007/s10840-009-9407-6Authors B. Lüderitz, University of Bonn Department of Medicine and Cardiology Sigmund-Freud-Str. 25 Bonn D-53105 Germany Journal Journal of Interventional Cardiac ElectrophysiologyOnline ISSN 1572-8595Print ISSN 1383-875X (Source: Journal of Interventional Cardiac Electrophysiology)
Source: Journal of Interventional Cardiac Electrophysiology - July 28, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Electrophysiological characteristics associated with symptoms in pacemaker patients with paroxysmal atrial fibrillationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  Symptoms in PAF are predicted by changes in AF episode duration, ventricular rate during AF, preceding sinus heart rate, AV nodal conduction and AF cycle length but not ventricular irregularity. Excess diurnal sympathetic tone and excess nocturnal vagal tone predispose to symptomatic PAF. These findings may have relevance for therapies for symptom control of PAF. Content Type Journal ArticleDOI 10.1007/s10840-009-9411-xAuthors John Silberbauer, East Sussex Hospitals NHS Trust Department of Cardiology, Eastbourne Hospital Kings Drive Eastbourne BN21 2UD UKRick A. Veasey, East Sussex Hospita...
Source: Journal of Interventional Cardiac Electrophysiology - July 28, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Maneuvering balloon occlusion technique to deflect LV lead into a target branch during CRT implantationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Implantation of specifically designed left ventricular (LV) lead is a relatively complex procedure that depends on the anatomy of the coronary veins, available instrumentation, and experience of the operator. In patients with dilated cardiomyopathy (DCM) tortuosity of the selected branch of coronary sinus (CS) leads to difficult or failed LV placement. A case study of a 45-year-old woman with DCM requiring lead placement is presented here. To plan for proper LV lead positioning, CS angiography was obtained through right femoral vein approach with preshaped long sheath (SJM, SL3) and occlusive balloo...
Source: Journal of Interventional Cardiac Electrophysiology - July 27, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

“Pseudo” Faraday cage: a solution for telemetry link interaction between a left ventricular assist device and an implantable cardioverter defibrillatoremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We present a case of such interaction that led to ICD communication failure following the activation of an LVAD. In this paper, we describe a practical solution to circumvent the communication interference and review the communication links of ICDs and possible mechanisms of ICD–LVAD interactions. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10840-009-9415-6Authors Sony Jacob, Wayne State University Division of Cardiology/Electrophysiology Detroit MI USAPrasad K. Cherian, Wayne State University Division of Cardiology/Electrophysiology Detroit MI USAWaqas S. Ghumman, Indiana University Krannert Inst...
Source: Journal of Interventional Cardiac Electrophysiology - July 27, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Validating optimal function of the closed loop stimulation sensor with high right septal ventricular electrode placement in ‘ablate and pace’ patientsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  CLS rate adaptive pacing is appropriate for ‘ablate and pace’ patients, and this sensor functions equally well using RVA or RVHS lead positions. Content Type Journal ArticleDOI 10.1007/s10840-009-9426-3Authors John Silberbauer, Eastbourne General Hospital Department of Cardiology East Sussex NHS Trust, Kings Drive Eastbourne BN21 2UD UKPaul S. G. Hong, Eastbourne General Hospital Department of Cardiology East Sussex NHS Trust, Kings Drive Eastbourne BN21 2UD UKRick A. Veasey, Eastbourne General Hospital Department of Cardiology East Sussex NHS Trust, Kings Drive Eastbourne BN21 2UD UKNa...
Source: Journal of Interventional Cardiac Electrophysiology - July 25, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Cardiac magnetic resonance imaging assessment of regional and global left atrial function before and after catheter ablation for atrial fibrillationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion  Extensive ablation during PVAI causes mild deterioration in LA function. However, in patients with a high burden of AF, it appears that the positive remodeling that occurs with rhythm restoration outweighs any negative effects of ablation. Content Type Journal ArticleDOI 10.1007/s10840-009-9409-4Authors David Nori, Beaumont Hospital Department of Cardiovascular Medicine 3601 West Thirteen Mile Road Royal Oak MI 48073 USAGilbert Raff, Beaumont Hospital Department of Cardiovascular Medicine 3601 West Thirteen Mile Road Royal Oak MI 48073 USAVikesh Gupta, Beaumont Hospital Department of Cardiov...
Source: Journal of Interventional Cardiac Electrophysiology - July 25, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Fluctuation in ventricular sensing leading to underdetection of ventricular fibrillation in a patient with cardiac sarcoidosisemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  In this case report, we describe markedly fluctuating ventricular sensing through an implantable cardioverter defibrillator (ICD) over a period of 29 months in a patient with cardiac sarcoidosis. We conclude that the fluctuations in the measured R wave are the result of waxing and waning inflammation associated with sarcoid activity. The patient had a stable medical course throughout the time period studied, including stable immunosuppression and stable electrolytes. We believe this is an example of an important complication of ICD implants in patients with cardiac sarcoidosis and that frequent...
Source: Journal of Interventional Cardiac Electrophysiology - July 25, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Left bundle branch block-type ventricular tachycardia originating from the left ventricular septum in a patient with cardiac sarcoidosisemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  This case report describes a left bundle branch block (LBBB)-type ventricular tachycardia (VT) with a unique reentrant circuit in a patient with cardiac sarcoidosis. The VT morphology and pace mapping supported an exit site of the VT from the basal posterior right ventricle (RV) septum. Nonetheless, concealed entrainment was established by pacing from a septal left ventricular (LV) site recording a diastolic potential, opposite site to the RV site. A point ablation at that LV site could successfully terminate the VT, suggesting that a critical isthmus was located on the LV side of the interventricul...
Source: Journal of Interventional Cardiac Electrophysiology - July 23, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Biventricular pacing in an infant with noncompaction of the ventricular myocardium, congenital AV block, and prolonged QT intervalemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We describe the case of a newborn with isolated noncompaction of the ventricular myocardium, congenital atrioventricular block, and prolonged QT, who developed a dilated cardiomyopathy after 4 months of right ventricular permanent pacing. The implanted system was upgraded to biventricular pacing. Resynchronization therapy was associated with normalized septal motion and shortening of the interventricular delay and, within 2 months after initiation, resulted in markedly improved left ventricular ejection fraction and reduced ventricular volume. Content Type Journal ArticleCategory CASE REPORTDOI 10.1007/s10...
Source: Journal of Interventional Cardiac Electrophysiology - July 23, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Cardiac calcified amorphous tumor in a patient presenting for ventricular tachycardia ablation: intracardiac echocardiogram diagnosis and managementemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We describe a case of cardiac CAT in a 58-year-old woman with prior cardiac arrest and recurrent ventricular tachycardia who presented for radiofrequency ablation. Pre-ablation intracardiac echocardiogram revealed the characteristic endomyocardial calcific pattern associated with this tumor that precluded catheter manipulation in the left ventricle. The imaging characteristics and management are described. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10840-009-9418-3Authors Ammar Habib, Mayo Clinic Department of Internal Medicine Rochester MN USAPaul A. Friedman, Mayo Clinic College of Medicine Div...
Source: Journal of Interventional Cardiac Electrophysiology - July 23, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Change is coming: Lead, follow, or get out of the wayemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory SUBJECT OF THE YEAR SERIESDOI 10.1007/s10840-009-9406-7Authors D. George Wyse, Libin Cardiovascular Institute of Alberta/University of Calgary Department of Cardiac Sciences Room G009, Health Sciences Center, 3330 Hospital Dr. NW Calgary AB Canada T2N 1N4 Journal Journal of Interventional Cardiac ElectrophysiologyOnline ISSN 1572-8595Print ISSN 1383-875X (Source: Journal of Interventional Cardiac Electrophysiology)
Source: Journal of Interventional Cardiac Electrophysiology - July 18, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Endovascular bi-ventricular pacing-defibrillator placement using a trans-atrial approachemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report here a patient without venous access to the heart from either above or below due to retroperitoneal fibrosis. A bi-ventricular pacing-defibrillator was placed using a direct trans-atrial approach with good results. This minimally invasive approach to device placement may be useful in patients with poor venous access and avoids the placement of epicardial hardware. Content Type Journal ArticleCategory CASE REPORTDOI 10.1007/s10840-009-9403-xAuthors Michael C. Giudici, Genesis Medical Center Davenport IA USANicholas V. Augelli, Genesis Medical Center Davenport IA USACharles A. Longo, Genesis Medical Center ...
Source: Journal of Interventional Cardiac Electrophysiology - June 20, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Iatrogenic Twiddler’s Syndromeemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory CASE REPORTDOI 10.1007/s10840-009-9408-5Authors Daniel P. Morin, Ochsner Clinic Foundation New Orleans LA USASei Iwai, Cornell University Medical Center Greenberg Division of Cardiology New York NY USA Journal Journal of Interventional Cardiac ElectrophysiologyOnline ISSN 1572-8595Print ISSN 1383-875X (Source: Journal of Interventional Cardiac Electrophysiology)
Source: Journal of Interventional Cardiac Electrophysiology - June 16, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Transseptal catheterization using a powered radiofrequency transseptal needleemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Mechanical pressure applied to a Brockenbrough needle at the fossa ovalis is the standard transseptal puncture technique. Circumstances where the fossa ovalis is thick or aneurysmal can make this method challenging. In this case, we illustrate the use of a radiofrequency powered transseptal needle to cross the fossa ovalis. Content Type Journal ArticleCategory Multimedia ReportDOI 10.1007/s10840-009-9414-7Authors Dipak P. Shah, University of Chicago Medical Center Section of Cardiology, Department of Medicine MC 9024, 5758 South Maryland Avenue Chicago IL 60637 USABradley P. Knight, University of...
Source: Journal of Interventional Cardiac Electrophysiology - June 16, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Left atrial strain as predictor of successful outcomes in catheter ablation for atrial fibrillation: a two-dimensional myocardial imaging studyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  Lower systolic strain of LA was strongly associated with recurrence after catheter ablation. Thus, diverse adjunctive ablation strategies should be considered to reduce recurrence in patients with lower systolic strain. Content Type Journal ArticleDOI 10.1007/s10840-009-9410-yAuthors Hye Jin Hwang, Yonsei University College of Medicine Cardiology Division, Yonsei Cardiovascular Center and Cardiovascular Research Institute Shinchon-dong 134, Seodaemun-gu Seoul South Korea 120-752Eui-Young Choi, Yonsei University College of Medicine Cardiology Division, Yonsei Cardiovascular Center and Cardio...
Source: Journal of Interventional Cardiac Electrophysiology - June 16, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Typical atrial flutter can effectively be treated using single one-minute cryoapplications: Results from a repeat electrophysiological studyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  Cryo of AFL can successfully be performed using the same application duration as used for RF ablation. Both acute and long-term results are comparable to RF ablation. AFL recurrences occurred in only a minority of patients with resumption of CTI conduction. Content Type Journal ArticleDOI 10.1007/s10840-009-9405-8Authors Randy Manusama, Academic Hospital Maastricht and Cardiovascular Research Institute Maastricht (CARIM) Department of Cardiology P.O. Box 5800 AZ 6202 Maastricht The NetherlandsCarl Timmermans, Academic Hospital Maastricht and Cardiovascular Research Institute Maastricht (CAR...
Source: Journal of Interventional Cardiac Electrophysiology - June 12, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Applications of computed tomography and magnetic resonance imaging in percutaneous ablation therapy for atrial fibrillationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Percutaneous catheter ablation is an established therapy for symptomatic drug-refractory atrial fibrillation (AF). Accurate delineation of relevant anatomy is critical but often challenging and limited in traditional technologies such as intra-procedural fluoroscopy. There has been an increased interest in non-invasive three-dimensional imaging technologies, especially computed tomography (CT) and magnetic resonance imaging (MRI), as useful tools for patients undergoing AF ablation. Here, we review applications of CT and MRI before, during, and after AF ablation and highlight areas for future resear...
Source: Journal of Interventional Cardiac Electrophysiology - June 12, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Clinical value of fibrillatory wave amplitude on surface ECG in patients with persistent atrial fibrillationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion  Longer AF duration, older age and larger LA size are associated with fine AF amplitude. High F-wave amplitude predicts procedural termination of arrhyhmia in patients with persistent AF and freedom from AF upon follow-up. Content Type Journal ArticleDOI 10.1007/s10840-009-9398-3Authors Isabelle Nault, Hôpital Cardiologique Haut-Lévêque, Bordeaux-Pessac, Université Victor Segalen Bordeaux 2 Bordeaux FranceNicolas Lellouche, Hôpital Cardiologique Haut-Lévêque, Bordeaux-Pessac, Université Victor Segalen Bordeaux 2 Bordeaux FranceSeiichiro Matsuo, Hôpital Cardiologique Haut-Lévêque, B...
Source: Journal of Interventional Cardiac Electrophysiology - April 30, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Electrophysiology of papillary muscle in SAH: changes and N-acetylcysteine protectionemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion  SAH-induced cardiac changes can be attributed to adenosine triphosphate depletion through mitochondrial dysfunction. Pretreatment of NAC to SAH on the other hand had a positive effect on these cardiac changes. But the exact mechanism by which NAC treatment protects the cardiac muscle needs further investigation. Content Type Journal ArticleDOI 10.1007/s10840-009-9400-0Authors Murat Ayaz, Selçuk University, Meram Medical Faculty, Department of Biophysics 42080 Meram Konya TurkeyOnder Guney, Selçuk University, Meram Medical University, Department of Brain Surgery 42080 Meram Konya TurkeyFat...
Source: Journal of Interventional Cardiac Electrophysiology - April 28, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Subject of the year: remote monitoringemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory SUBJECT OF THE YEAR SERIESDOI 10.1007/s10840-009-9401-zAuthors Fred Kusumoto, Mayo Clinic Electrophysiology and Pacing Service, Division of Cardiology, Department of Medicine Jacksonville FL 32224 USANora Goldschlager, San Francisco General Hospital Cardiology Division, Department of Medicine San Francisco CA 94110 USA Journal Journal of Interventional Cardiac ElectrophysiologyOnline ISSN 1572-8595Print ISSN 1383-875X (Source: Journal of Interventional Cardiac Electrophysiology)
Source: Journal of Interventional Cardiac Electrophysiology - April 24, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Rapid ventricular pacing to optimize rotational angiography in atrial fibrillation ablationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  Rotational angiography by RVP is able to delineate the LA-PV anatomy. There is a good correlation in the PV ostial diameters as assessed by rotational angiography via RVP and CT imaging. Rotational angiography by RVP is feasible during AF ablation. Content Type Journal ArticleDOI 10.1007/s10840-009-9397-4Authors Jin-Hong Gerds-Li, German Heart Institute Department of Internal Medicine/Cardiology 13353 Berlin GermanyMin Tang, German Heart Institute Department of Internal Medicine/Cardiology 13353 Berlin GermanyCharalampos Kriatselis, German Heart Institute Department of Internal Medicine/Car...
Source: Journal of Interventional Cardiac Electrophysiology - April 23, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Femoral vascular complications following catheter ablation of atrial fibrillationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion  A shorter course of post procedure anticoagulation protocol can reduce femoral complications without contributing to increased risk of thromboembolic events. Content Type Journal ArticleDOI 10.1007/s10840-009-9402-yAuthors Liza A. Prudente, University of Virginia Health System Box 801461 1215 Lee Street Charlottesville VA 22908 USAJ. Randall Moorman, University of Virginia Health System Box 801461 1215 Lee Street Charlottesville VA 22908 USADouglas Lake, University of Virginia Health System Box 801461 1215 Lee Street Charlottesville VA 22908 USAYuping Xiao, University of Virginia Health Syst...
Source: Journal of Interventional Cardiac Electrophysiology - April 23, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Catheter ablation of fatal ventricular tachyarrhythmias storm in acute coronary syndrome—role of Purkinje fiber networkemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Ventricular fibrillation (VF) or ventricular tachycardia (VT) storm is a life-threatening arrhythmia. Antiarrhythmic drugs (AADs) are not necessarily effective to rescue life from such conditions. Catheter ablation (CA) targeting triggering premature ventricular contractions (PVCs) of VF or VT that originates from Purkinje fiber network (PFN) is reported to be effective, especially in idiopathic patients. However, in condition of acute coronary syndrome (ACS), the efficacy of CA is not well understood. To clarify the usefulness of CA as an alternative way to AADs, we performed CA in four patients wi...
Source: Journal of Interventional Cardiac Electrophysiology - April 23, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

A streamlined technique of trans-septal endocardial left ventricular lead placementemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  The new technique appears more streamlined and efficient than the pre-existent techniques and may make trans-septal endocardial LV lead placement a more clinically utilized alternative to coronary sinus and surgical epicardial LV lead placement. Content Type Journal ArticleDOI 10.1007/s10840-009-9395-6Authors Ernest W. Lau, Royal Victoria Hospital Department of Cardiology Grosvenor Road Belfast BT12 6BA UK Journal Journal of Interventional Cardiac ElectrophysiologyOnline ISSN 1572-8595Print ISSN 1383-875X (Source: Journal of Interventional Cardiac Electrophysiology)
Source: Journal of Interventional Cardiac Electrophysiology - April 23, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Intracardiac echocardiography in a case with previous failed cavotricuspid isthmus ablationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We describe a case, where intracardiac echocardiography revealed a prominent ER as a likely reason for a previous failed CTI ablation and guided the looping of the ablation catheter around the ER, resulting in an ultimately successful ablation. Content Type Journal ArticleCategory Multimedia Case ReportDOI 10.1007/s10840-009-9399-2Authors Róbert Pap, University of Szeged 2nd Department of Medicine and Cardiology Centre 6720 Szeged Korányi fasor 6 HungaryGergely Klausz, University of Szeged 2nd Department of Medicine and Cardiology Centre 6720 Szeged Korányi fasor 6 HungaryRodrigo Gallardo, University of Szeged 2n...
Source: Journal of Interventional Cardiac Electrophysiology - April 23, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Successful catheter ablation of focal ventricular fibrillation originating from the right ventricleemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We present a case of a woman with VF storm that was localized to the inferobasal right ventricle and was successfully treated with radiofrequency ablation. Content Type Journal ArticleCategory CASE REPORTDOI 10.1007/s10840-009-9368-9Authors William M. Suh, University of California, Irvine Medical Center Division of Cardiology 101 The City Drive, Building 53, Mail Route 81, Room 100 Orange CA 92868-4080 USASteven J. Fowler, University of California, Irvine Medical Center Division of Cardiology 101 The City Drive, Building 53, Mail Route 81, Room 100 Orange CA 92868-4080 USATimothy Yeh, University of California, Irvine...
Source: Journal of Interventional Cardiac Electrophysiology - April 21, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

Atrial tachycardia initiating atrial fibrillation successfully ablated in the non-coronary cusp of the aortaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  A 60-year-old woman was referred for catheter ablation of atrial fibrillation (AF). Atrial flutter and atrial tachycardia (AT) also had been clinically documented. During the electrophysiological study, the clinical AT was induced by burst atrial pacing during isoproterenol infusion and exhibited negative P waves in the inferior leads, positive P waves in leads I, aVL, and aVR, and biphasic P waves in lead V1. The AT repeatedly and spontaneously accelerated to initiate AF by causing fibrillatory conduction in the atria. Successful catheter ablation of the AT was achieved in the non-coronary cusp of ...
Source: Journal of Interventional Cardiac Electrophysiology - April 21, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals

ECAS 2009 Invitationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleDOI 10.1007/s10840-009-9370-2 Journal Journal of Interventional Cardiac ElectrophysiologyOnline ISSN 1572-8595Print ISSN 1383-875X Journal Volume Volume 24 Journal Issue Volume 24, Number 3 / April, 2009 (Source: Journal of Interventional Cardiac Electrophysiology)
Source: Journal of Interventional Cardiac Electrophysiology - March 27, 2009 Category: Cardiology Tags: Journal of Interventional Cardiac Electrophysiology Source Type: journals