Publications by authors named "Kristine Jubele"

Atrial fibrillation (AF) significantly impacts the quality of life (QoL) of affected individuals. Pulmonary vein isolation (PVI) has emerged as a therapeutic approach to manage AF and improve QoL. This study aimed to assess the QoL in patients with AF undergoing PVI.

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Article Synopsis
  • Atrial fibrillation (AF) presents significant challenges in healthcare, and the effective treatment of pulmonary vein isolation shows varying definitions of success among studies.
  • An online survey, conducted with support from the European Heart Rhythm Association, gathered insights from 107 clinicians regarding their practices in monitoring and defining successful AF ablation outcomes.
  • Most clinicians (82%) routinely monitor AF recurrences post-ablation, with a majority defining success as a combination of absence of symptoms and recorded AF, and considering anticoagulation cessation primarily for patients with paroxysmal AF.
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  • A survey conducted by the European Heart Rhythm Association gathered responses from 202 cardiologists and electrophysiologists to assess the management of idiopathic monomorphic PVCs in Europe.
  • The most reported symptoms in patients were palpitations (87%), fatigue (29%), and dizziness (18%), with essential blood tests including thyroid function and electrolytes being commonly requested.
  • The survey revealed a preference for beta-blockers and antiarrhythmic drugs for treatment, and there was significant interest in using catheter ablation, particularly for patients with a high frequency of PVCs or related cardiomyopathy.
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Background: Pulmonary vein isolation (PVI) has entrenched itself as one of the main approaches for the treatment of paroxysmal symptomatic atrial fibrillation (AF). Pulmonary vein isolation prevents focal triggers from pulmonary veins from initiating AF paroxysms. As standard-PVI is performed through the inferior vena cava (IVC) approach, through the femoral vein.

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The aims of this centre-based survey, promoted and disseminated by the European Heart Rhythm Association (EHRA) was to investigate the current practice for the investigation of Sudden Unexplained Death in the Young (SUDY) amongst European countries. An online questionnaire composed of 21 questions was submitted to the EHRA Research Network, European Cardiac Arrhythmia Genetics (ECGen) Focus Group members, and European Reference Network GUARD-Heart healthcare partners. There were 81 respondents from 24 European countries.

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Data supporting the safety of cardioversion (CV) of atrial fibrillation (AF) without anticoagulation in patients with AF duration <48 h are scarce. Observational studies suggest that the risk of stroke in these patients is very low when the definite duration of the AF episode is of <48 h and the clinical risk profile as estimated through the CHA2DS2VASc score is low (a score of 0 for men and 1 for women). As the recent 2020 European Society of Cardiology (ESC) guidelines indication for this clinical scenario is based mainly on consensus, we sent out a survey to assess the current clinical practice on anticoagulation prior to and post-CV in patients with AF <24-48 h duration and low stroke risk across centres in Europe.

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Syncope is a heterogeneous syndrome encompassing a large spectrum of mechanisms and outcomes. The European Society of Cardiology published an update of the Syncope Guidelines in 2018. The aim of the present survey was to capture contemporary management of syncope and guideline implementation among European physicians.

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Practices regarding indications and timing for transoesophageal echocardiography (TOE) before cardioversion (CV) of atrial fibrillation (AF) or left atrial (LA) interventional procedures, and preferred imaging techniques and pharmacotherapy, in cases of thrombus resistant to chronic oral anticoagulation (OAC) treatment, are largely unknown. The European Heart Rhythm Association (EHRA) conducted a survey to capture contemporary clinical practice in those areas of AF care. A 22-item online questionnaire was developed and distributed among the EHRA electrophysiology research network centres.

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