Publications by authors named "A Saplaouras"
Approximately 10 % of patients who have suffered from myocardial infarction develop new-onset atrial fibrillation (AF). Coronary artery disease implicating atrial branches has been associated with AF. The following variables have been associated with new-onset AF in the setting of acute coronary syndrome: older age, history of hypertension, history of angina, history of stroke, chronic renal failure, body mass index, no statin use, worse nutritional status, worse Killip class, admission heart rate ≥ 85 bpm, complete atrioventricular block, Glasgow prognostic score, Syntax score, CHEST score > 3, PRECISE-DAPT score ≥ 25, left ventricular ejection fraction ≤40 %, increased left atrial diameter, E/E' ratio > 12, epicardial fat tissue thickness, and thrombolysis in myocardial infarction flow < 3.
View Article and Find Full Text PDFIntroduction: Pulsed field ablation (PFA) is a form of nonthermal energy that has been recently introduced for pulmonary vein isolation (PVI). A multi-electrode pentaspline catheter for delivery of PFA guided by fluoroscopy has become widely available for clinical use.
Methods And Results: In this study, we aimed to assess whether the addition of electroanatomical mapping (EAM) for confirmation of PVI in the acute phase can increase the efficacy of the procedure in terms of arrhythmia recurrences.
Article Synopsis
- A novel lattice-tip catheter designed for high-density mapping and dual ablation was studied for its effectiveness in diagnosing and treating atrial tachycardias (ATs).
- The study involved 20 patients, where activation mapping accurately identified AT mechanisms, and successful conversion to sinus rhythm was achieved in most cases without major complications.
- The results suggest that this catheter provides effective mapping and ablation for ATs, but certain limitations need to be recognized.
Aims: The left bundle branch block (LBBB) is a strong predictor of response to cardiac resynchronization therapy (CRT). However, a significant number of patients do not respond to the treatment. The study sought to evaluate the impact of the stricter Strauss criteria for left bundle branch block (St-LBBB) on CRT response, hospitalizations, ventricular arrhythmia (VA) events and mortality.
View Article and Find Full Text PDFArticle Synopsis
- Right ventricular (RV) failure significantly affects survival rates in heart failure (HF) patients, prompting the investigation of cardiac resynchronization therapy (CRT) for improving RV function.
- A systematic review analyzed data from 30 studies, revealing CRT significantly enhances RV function metrics such as fractional area change and tricuspid annular plane systolic excursion while lowering pulmonary artery pressure.
- Despite positive findings for some RV function indices, further research is needed to understand the long-term benefits of CRT and identify which patients gain the most from the treatment.