Publications by authors named "Julio Hernandez-Afonso"

Introduction And Objectives: We report the results of the 2023 Spanish catheter ablation registry.

Methods: Procedural data were collected and incorporated into the REDCap platform by all participating centers through a specific form.

Results: There were 104 participating centers in 2023 compared with 103 in 2022.

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Background: Ablation of atrial fibrillation (AF), both cryoablation ablation (CBA) and radiofrequency catheter ablation (RFCA), have demonstrated to be safe and effective. About 1 in 3 patients may face a redo due to recurrence and the best technique is unknown. The aim of this study is to assess the efficacy of CBA as a repeat procedure in patients with prior CBA or RFCA.

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Article Synopsis
  • Andersen-Tawil Syndrome type 1 (ATS1) is a rare heart condition linked to mutations in the KCNJ2 gene, with a study focusing on its risks and treatment outcomes across a large patient cohort.
  • Out of 118 studied patients, 17 experienced life-threatening arrhythmic events (LAE) over an average follow-up of 6.2 years, with syncope and sustained ventricular tachycardia identified as significant risk factors.
  • The study concluded that antiarrhythmic therapy, especially amiodarone, may increase the risk of LAE in ATS1 patients, highlighting the need for careful management of these patients.
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Pulmonary vein isolation is an effective treatment for patients with symptomatic paroxysmal atrial fibrillation. Cryoablation balloon therapy has been developed as an alternative. Cryoablation complications have primarily been related to phrenic nerve palsy, vascular complications, stroke, and others of lesser incidence.

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Background: Invasive coronary procedures involve the administration of iodinated contrast and the exposure to ionising radiations, increasing morbidity and mortality. The rotational coronary angiography (RCA) allows acquiring multiple projections with a unique injection of iodinated contrast. To date, there are no meta-analyses specifically comparing RCA and conventional coronary angiography (CCA) in patients undergoing invasive coronary procedures, whether diagnostic or diagnostic and therapeutic.

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