PET/CT-identified atrial hypermetabolism is an index of atrial inflammation in patients with atrial fibrillation.

Background: Although atrial inflammation has been implicated in the pathophysiology of atrial fibrillation (AF), the identification of atrial inflammation remains challenging. We aimed to establish a positron emission tomography/computed tomography (PET/CT) protocol with Fluor-labeled fluorodeoxyglucose (F-FDG) for the detection of atrial hypermetabolism as surrogate for inflammation in AF.

Methods: We included n = 75 AF and n = 75 non-AF patients undergoing three common PET/CT protocols (n = 25 per group) optimized for the detection of (a) inflammation and (b) malignancy in predefined fasting protocols, and (c) cardiac viability allowing for maximized glucose uptake.

Characterization of temporal electrical activity patterns for detection of critical isthmus regions of recurrent atypical atrial flutter.

Introduction: Identifying the critical isthmus region (CIR) of atrial re-entry tachycardias (AT) is challenging. The Lumipoint® (LP) software, developed for the Rhythmia® mapping system, aims to facilitate the successful ablation of ATs by identifying the CIR.

Objective: The objective of this study was to evaluate the quality of LP regarding the percentage of arrhythmia-relevant CIR in patients with atypical atrial flutter (AAF).

Cost minimizing planning of container inspection and repair in multiple facilities.

A problem of optimal mid-term or long-term planning of inspection and repair of freight containers in multiple facilities is introduced and investigated. The containers are of different types and quality levels, which define their repair costs and workforce requirements. The objective function includes the total holding, inspection, repair, transportation and rejection costs.

Role of catheter location on local impedance measurements and clinical outcome with the new direct sense technology in cardiac ablation procedures.

Background: A novel catheter technology (direct sense, DS) enables periprocedural local impedance (LI) measurement for estimation of tissue contact during radiofrequency ablation (RFA) for real-time assessment of lesion generation. This measure reflects specific local myocardial conduction properties in contrast to the established global impedance (GI) using a neutral body electrode. Our study aimed to assess representative LI values for the cardiac chambers, to evaluate LI drop in response to RF delivery and to compare those values to established GI measures in patients undergoing RFA procedures.

Proximity to COVID-19 on Mental Health Symptoms among Hospital Medical Staff.

Background: Exposure to patients with COVID-19 can have a significant impact on mental health of hospital medical staff. The aim of this study was to examine the influence of proximity to patients with COVID-19 considering occupational position and gender on the mental health of hospital staff.

Subjects And Methods: N=78 participants were included in the study, with n=40 of them with direct contact to patients with COVID-19 (51%); eight had contact with patients suspected of having COVID-19 (10%), and n=30 with no direct contact to people with COVID-19 (39%).