Publications by authors named "Emilie Bastard"

Aims: Isthmus-dependent (ID) clockwise (CW) atrial flutters (AFl) are rare in comparison with counterclockwise (CCW) AFl. Little is known about clinical and electrophysiological characteristics of CW AFl occurring after previous radiofrequency (RF) catheter ablation of CCW AFl. We sought to compare CW AFl de novo vs.

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Objectives: We sought to determine the incidence, diagnostic value, and outcome of intracardiac masses observed by echocardiography after device removal. We hypothesized that these "ghosts" of leads could be associated with the diagnosis of cardiac device-related infective endocarditis (CDRIE).

Background: The echocardiographic appearance of residual floating masses in the right atrium after removal of permanent pacemakers and implantable cardioverter-defibrillators was recently described.

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Cardiac resynchronization therapy (CRT) is an effective treatment of heart failure in selected patients. However, with conventional CRT, notable left ventricular (LV) reverse remodelling is achieved in only 60-70% of patients. This lack of effect of CRT might be due to incomplete resynchronization.

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Article Synopsis
  • The study aimed to assess how often traumatic tricuspid regurgitation (TTR) occurs after the removal of implanted heart leads, identifying risk factors and patient outcomes.
  • Of 208 patients with 237 lead removals, 9.1% developed TTR, with higher risks linked to using laser sheath tools and being female.
  • Long-term follow-up showed that severe TTR was associated with considerable complications, including new symptoms of heart failure in some patients and mortality for others, emphasizing the need for careful monitoring.
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  • Clinical trials show that right ventricular apical pacing can lead to negative health outcomes, like heart dysfunction and long-term risks.
  • The study highlights how different pacing sites (right, left, and biventricular) can have both harmful and beneficial effects on heart function.
  • An algorithm is suggested to help guide the choice of pacing methods based on factors like heart conduction, left ventricular health, and patient lifespan.
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