Publications by authors named "J Francisco-Pascual"
Pacing system analyzers to guide conduction system pacing implantation procedures: A comparison study of intracardiac and surface signals with an electrophysiology recording system.
Heart Rhythm
December 2024
Background: Left bundle branch area pacing (LBBAP) needs confirmation of left conduction system capture assessed by testing of different electrical parameters. Guidelines recommend the use of an electrophysiology recording system (EP-RS) to guide conduction system pacing procedures. However, some experienced centers perform LBBAP procedures without an EP-RS.
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- This study evaluated cardioneuroablation (CNA) as a treatment for syncope by analyzing outcomes in 77 patients over a median follow-up of 12 months, focusing on recurrence rates and complications.
- Results showed that 33.8% of patients experienced a recurrence of syncope, with women at a higher risk, while older patients (over 50) had a lower risk; general anesthesia or deep sedation and more than 30 radiofrequency applications correlated with better outcomes.
- The findings suggest that the effectiveness of CNA may be lower than previously believed, highlighting the need for careful consideration of patient factors and procedural details when assessing treatment success.
Article Synopsis
- Carotid sinus massage (CSM) is crucial for diagnosing unexplained syncope in patients over 40, yet there's significant variability in how it's performed, impacting test outcomes.
- Despite being used for over a century, many healthcare providers lack a standardized approach, leading to inconsistent practices and possibly incorrect diagnoses.
- The proposed "Six Step Method" aims to provide a uniform CSM procedure, detailing necessary equipment and protocols for optimal patient safety and accurate results.
The prevalence of congenital heart disease (CHD) in adult patients has risen with advances in diagnostic and surgical techniques. Surgical modifications and hemodynamic changes increase the susceptibility to arrhythmias, impacting morbidity and mortality rates, with arrhythmias being the leading cause of hospitalizations and sudden deaths. Patients with CHD commonly experience both supraventricular and ventricular arrhythmias, with each CHD type associated with different arrhythmia patterns.
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