Publications by authors named "D Irles"

Background: New-onset left bundle branch block (LBBB) is one of the most frequent complications after transcatheter aortic valve implantation (TAVI) and is associated with delayed high degree atrioventricular (AV) block.

Objectives: The objectives of this study were to determine the incidence of AV block in such a population and to assess the performance and safety of a risk stratification algorithm on the basis of electrophysiology study (EPS) followed by implantation of a pacemaker or implantable loop recorder (ILR).

Methods: This was a prospective open-label study with 12-month follow-up.

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Article Synopsis
  • - This study focuses on patients with repaired tetralogy of Fallot, particularly examining characteristics of those experiencing rapid ventricular tachycardia (VT) and the potential progression from nonrapid VT to rapid VT or ventricular fibrillation (VF).
  • - Researchers analyzed data from a nationwide registry and found that out of 144 patients, 61 experienced VT or VF episodes, with 28 classified as rapid, revealing distinct clinical differences between the rapid and nonrapid groups, such as age at implantation and cardiac history.
  • - The study concludes that patients with rapid VT/VF show specific clinical traits, and the consistent VT cycle lengths over time may indicate a chance for catheter ablation without needing an implantable cardioverter-defibrillator (
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Background: Women with congenital heart disease at high risk for sudden cardiac death have been poorly studied thus far.

Objectives: The aim of this study was to assess sex-related differences in patients with tetralogy of Fallot (TOF) and implantable cardioverter-defibrillators (ICDs).

Methods: Data were analyzed from the DAI-T4F (French National Registry of Patients With Tetralogy of Fallot and Implantable Cardioverter Defibrillator) cohort study, which has prospectively enrolled all patients with TOF with ICDs in France since 2010.

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Background: Increasing numbers of patients with cardiac implantable electronic devices (CIEDs) are undergoing radiotherapy (RT) for cancer. The aim of the study was to prospectively evaluate the incidence, characteristics, and associated factors of CIED dysfunctions related to RT.

Methods: Between April 2013 and March 2020, all patients with a CIED who underwent ≥1 RT session were enrolled.

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Article Synopsis
  • The study evaluated the effect of pulmonary valve replacement (PVR) on the incidence of ventricular arrhythmias in tetralogy of Fallot (TOF) patients who have implantable cardioverter-defibrillators (ICDs).
  • Results showed that among the 165 TOF patients monitored, those who underwent PVR experienced significantly fewer appropriate ICD therapies after the surgery compared to before, indicating a reduction in arrhythmia burden.
  • The findings suggest that PVR may play a crucial role in decreasing the risk of arrhythmias and highlight the importance of considering PVR in the treatment plans for high-risk TOF patients.
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