Publications by authors named "Jan Hecko"
Background: Part of the current stereotactic arrythmia radioablation (STAR) workflow is transfer of findings from the electroanatomic mapping (EAM) to computed tomography (CT). Here, we analyzed inter- and intraobserver variation in a modified EAM-CT registration using automatic registration algorithms designed to yield higher robustness.
Materials And Methods: This work is based on data of 10 patients who had previously undergone STAR.
Article Synopsis
- - The PROTOCOLENERGY trial compared two methods for cardioversion of atrial fibrillation: a stepwise escalating energy algorithm (RaA) and a maximum fixed energy algorithm (MfA), with 300 patients receiving treatment.
- - The results revealed similar success rates for establishing sinus rhythm at both 1 minute and 2 hours, but RaA led to fewer skin complications due to its lower starting energy shock.
- - The study concluded that while both protocols are effective, RaA is particularly advantageous for patients with a body mass index less than 29 to 34 kg/m, as it reduces skin redness after treatment.
Introduction: Education of patients prior to an invasive procedure is pivotal for good cooperation and knowledge retention. Virtual reality (VR) is a fast-developing technology that helps educate both medical professionals and patients.
Objective: To prove non-inferiority of VR education compared to conventional education in patients prior to the implantation of a permanent pacemaker (PPM).
Sarcopenia is a serious systemic disease that reduces overall survival. TAVI is selectively performed in patients with severe aortic stenosis who are not indicated for open cardiac surgery due to severe polymorbidity. Artificial intelligence-assisted body composition assessment from available CT scans appears to be a simple tool to stratify these patients into low and high risk based on future estimates of all-cause mortality.
View Article and Find Full Text PDFBackground: Hypertension challenges arise in part from poor adherence due to inadequate patient education. VR offers immersive learning to improve hypertension knowledge.
Objective: To compare VR education with traditional verbal education to improve hypertension knowledge.
Sudden cardiac death (SCD) is a leading cause of death among athletes, and those with a positive family history (FH) of SCD and/or cardiovascular disease (CVD) may be at increased risk. The primary objective of this study was to assess the prevalence and predictors of positive FH of SCD and CVD in athletes using four widely used preparticipation screening (PPS) systems. The secondary objective was to compare the functionality of the screening systems.
View Article and Find Full Text PDFBackground: For the treatment of patients with electrical storm (ES), we established a two-step algorithm comprising standard anti-arrhythmic measures and early ultrasound-guided stellate ganglion blockade (SGB). In this single-center study, we evaluated the short-term efficacy of the algorithm and tested the hypothesis that early SGB might prevent the need for intubations.
Methods: Overall, we analyzed data for 70 ES events in 59 patients requiring SGB (mean age 67.
Real-time measurement of ICD lead motion during stereotactic body radiotherapy of ventricular tachycardia.
Rep Pract Oncol Radiother
February 2021
Background: Here we aimed to evaluate the respiratory and cardiac-induced motion of a ICD lead used as surrogate in the heart during stereotactic body radiotherapy (SBRT) of ventricular tachycardia (VT). Data provides insight regarding motion and motion variations during treatment.
Materials And Methods: We analyzed the log files of surrogate motion during SBRT of ventricular tachycardia performed in 20 patients.
Aims: Stereotactic body radiotherapy (SBRT) for ventricular tachycardias (VTs) could be an option after failed catheter ablation. In this study, we analysed the long-term efficacy and toxicity of SBRT applied as a bail-out procedure.
Methods And Results: Patients with structural heart disease and unsuccessful catheter ablations for VTs underwent SBRT.