Publications by authors named "B Herweg"

The standard approach to catheter based left atrial appendage occlusion (LAAO) involves trans-esophageal echocardiography (TEE) guided screening and placement, and procedural general anesthesia requiring overnight stay. In pursuit of improved patient experience and reduced cost, streamlined approaches in each phase of care have been explored. However, the safety and clinical outcomes for a completely protocolized minimalist approach utilizing computed tomography angiogram (CTA), intracardiac echocardiography (ICE), conscious sedation, and same-day discharge are lacking.

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  • - The study investigates the optimal timing for starting direct oral anticoagulants (DOACs) for stroke prevention in patients with atrial fibrillation and acute ischaemic stroke, comparing early initiation (around 3.5 days) to later initiation (about 5.7 days) due to concerns about bleeding risks.
  • - An analysis of 11 studies, including 13,020 participants, found that early initiation of DOACs resulted in significantly lower rates of recurrent ischaemic stroke and intracranial hemorrhage compared to the late group.
  • - While key outcomes like major hemorrhage and all-cause mortality showed no significant differences between the groups, the variability in the study designs and limited number of RCT
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  • The terminology for second-degree atrioventricular block has changed over the years, leading to confusion and misinterpretations.
  • It's crucial to stick to standard terminology and correctly use eponyms to prevent mistakes in diagnosis.
  • Clear communication in medical terms helps ensure accurate understanding and treatment of conditions.
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  • Left bundle branch area pacing (LBBAP) is being examined as a potential alternative to biventricular pacing (BVP) for patients needing cardiac resynchronization therapy (CRT), with a study comparing the two along with left bundle-optimized therapy CRT (LOT-CRT).
  • In the study involving 48 patients, LOT-CRT and BVP showed significantly greater increases in left ventricular pressure and QRS shortening compared to unipolar and bipolar LBBAP, indicating better hemodynamic performance.
  • Results also suggested that patients with interventricular conduction delay had less QRS reduction but similar improvements in left ventricular pressure compared to those with left bundle branch block, and the effectiveness of combining LBBAP with coronary vein
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