[The Maimonides mental health regime (1138-1204): nine centuries ahead.].

According to the World Health Organization (WHO), mental health is a fundamental component of a healthy lifestyle. Currently this notion has become universal and has permeated the public consciousness, society and the political agenda of public health programs. In Spain, as a result of the pandemic due to the Coronavirus Disease 2019 (COVID-19), this health issue has been revived and has also been the subject of parliamentary debates.

Exclusion of fluoroscopy use in catheter ablation procedures: six years of experience at a single center.

Background: Nonfluoroscopic mapping systems have demonstrated significant reduction of radiation exposure in radiofrequency (RF) catheter ablation procedures. However, their use as only imaging guide is still limited.

Objective: To evaluate the usefulness of a completely nonfluoroscopic approach to catheter ablation of supraventricular arrhythmias using the Ensite-NavX™ electroanatomical navigation system.

Ventricular resynchronization therapy by direct His-bundle pacing using an internal cardioverter defibrillator.

Aims: Cardiac resynchronization therapy (CRT) has been demonstrated to improve the functional class of patients with refractory heart failure if QRS width is >120 ms. Addition of an internal cardioverter defibrillator diminishes the prevalence of mortality of such patients. The technique for CRT requires selective stimulation of the left ventricle (LV), commonly undertaken through the coronary sinus.

Permanent His-bundle pacing: seeking physiological ventricular pacing.

Aims: Right ventricular apical pacing can have deleterious effects and the His bundle has been widely reported to be an alternative site. This paper presents our experience with permanent His-bundle pacing (HBP).

Methods And Results: Patients referred for pacemaker implants (regardless of block type) were screened to determine if temporary HBP corrected conduction dysfunctions (threshold < or =2.

The potential and reality of permanent his bundle pacing.

Right ventricular apex pacing can have deleterious effects. Our aims were to investigate how many patients referred for permanent pacing were suitable candidates for permanent His bundle pacing, and to determine the proportion in whom such pacing was successful. All cases of suprahisian block and most cases of infrahisian block (71.

[Permanent His-bundle pacing in patients with infra-Hisian atrioventricular block].

Introduction And Objectives: Permanent His-bundle pacing is effective in patients with supra-Hisian atrioventricular block. We report our experience in patients with infra-Hisian atrioventricular block.

Methods: The study involved selected patients referred for syncope and intraventricular conduction disturbance, infra-Hisian atrioventricular block, with left ventricular dyssynchrony and no coronary sinus access.

Cardiac resynchronization through selective His bundle pacing in a patient with the so-called InfraHis atrioventricular block.

We present a case of infraHis AV block in which selective His bundle pacing with His-ventricular conduction through the conduction system was accomplished. While further investigations are developed, this approach may be an alternative for cardiac resynchronization in cases of difficult coronary sinus access.