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Supraventricular tachycardia (SVT) in children can be difficult to treat when first-line therapies (beta-blockade or digoxin) are not effective. Both flecainide and amiodarone are used as second-line therapies. We sought to compare the efficacy and safety of flecainide and amiodarone in pediatric patients with recurrent SVT.
A novel therapy offering cardiac resynchronization therapy (CRT) with additional lead placed in His bundle has been reported in a few case reports and case series as improving haemodynamical and clinical condition of patients with permanent AF in whom other therapeutic methods have not been successful.
An 85-year-old male patient was admitted to our centre with a non-ST elevation myocardial infarction. The patient had a dual chamber pacemaker in situ with an atrial and His lead. A transient increase in His threshold and loss of non-selective capture occurred at presentation of right coronary artery infarction, peaking during rotational atherectomy therapy causing loss of capture and complete AV block. A follow up interrogation two weeks post revascularisation showed a return to normal non-selective captur...
The deterioration of left atrial and ventricular functions were demonstrated in patients with frequent ventricular extrasystole (fVES). The exact pathophysiology of left atrial dysfunction in patients with fVES is unclear. Retrograde ventriculoatrial conduction (VAC) often accompanies fVES, which may contribute to atrial dysfunction. We investigated whether atrial electromechanical delay and VAC are related to these atrial functions in patients with frequent right ventricular outflow tract (RVOT) VES and pr...
Leadless pacing is generally performed from a femoral approach. However, the femoral route is not always available. Until now, data regarding implantation using a jugular approach other than a single case report is lacking.
Cardiovascular implantable electronic device (CIED) leads are a nidus for right atrial thrombi. Right-to-left thromboembolism across a patent foramen ovale (PFO) is a putative mechanism for ischemic stroke and PFO has been associated with stroke. We used a novel unbiased case-only study design to assess the effect modification of PFO-associated ischemic stroke risk by presence of CIED. We hypothesized that presence of CIED, as a nidus for right atrial thrombus formation, magnifies the PFO-ischemic stroke re...
Several clinical studies have demonstrated that remote monitoring (RM) offers potential benefits in transvenous ICD. The potential interest of RM in S-ICD recipients has never been evaluated. The aim of this study was to evaluate the alert burden and its clinical relevance in a prospective cohort of S-ICD recipients.
The existence of the upper common pathways are not well established yet. This case describes atrioventricular nodal reentry tachycardia with persistent VA dissociation that proof of upper common pathway existence. This article is protected by copyright. All rights reserved.
Micra is a transcatheter leadless pacing system delivered percutaneously through femoral vein access into the right ventricle. We are going to describe an initially standard procedure, with an unexpected troubleshooting at the end: the impossibility to release the device and retract the delivery due to a knot in the tether. This article is protected by copyright. All rights reserved.
Dislocation of the epicardial pacemaker into the peritoneal cavity is an uncommon but potentially life-threatening complication.We report a case of a 74-year-old with an abdominally implanted epicardial pacemaker that migrated through the peritoneum to the excavatio rectovesicalis. The laparoscopic approach was chosen because of the increased risks of perioperative morbidity and decreased survival. The generator was implanted into a pocket beneath the anterior rectus sheath and the lead was peritonalized wi...
Transcutaneous stimulation of the auricular branch of the vagus nerve (AB-VNS) is a potentially non-invasive, inexpensive and safe approach for vagus nerve stimulation that suppresses the induction and duration of atrial fibrillation and reduces sympathetic nerve outflow in healthyhumans. Researchers have not determined whether AB-VNS affects ventricular arrhythmias.
Patient satisfaction with remote patient monitoring (RPM) of implantable cardioverter defibrillators (ICDs) seems to be high, yet knowledge on long-term patient experiences is limited. The European REMOTE-CIED study explored patient experiences with RPM, examined patient preferences for ICD follow-up, and identified determinants of patient preferences in the first two years post-implantation.
Lead Dislodgment is an important complication of CIED implant procedure. Creating a standardized protocol that can be adopted by providers is an important component of any quality improvement measure This article is protected by copyright. All rights reserved.