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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9336582PMC
http://dx.doi.org/10.1093/ehjcr/ytac248DOI Listing

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Background: The epicardial connections (ECs) via intercaval fibres connecting the right-sided pulmonary veins (PVs) and right atrium (RA) can preclude isolation of the right-sided PVs. Such ECs occasionally have a unidirectional conduction property.

Case Summary: A 62-year-old man was referred to our institution for catheter ablation of paroxysmal atrial fibrillation (PAF).

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Background: Atriofascicular fibers (AFFs) are rare accessory pathways that have higher rates of recurrence after ablation because of either failure to identify AFF (M) potentials or mechanical termination with contact.

Objective: We aimed to evaluate whether electroanatomic mapping (EAM) using multielectrode, high-density nonlinear catheters can reliably localize AFF potentials and determine a site for ablation without causing mechanical termination.

Methods: Seven patients underwent electrophysiology studies (EPS) and EAM using high-density, multielectrode catheters for antidromic tachycardia using AFFs.

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Article Synopsis
  • This study investigates how the electrophysiological properties of ventricular pre-excitation change in young athletes over time, particularly when assessing their eligibility for sports participation.
  • A total of 44 pediatric patients were monitored over a minimum of two years, showing significant changes in parameters such as the accessory pathway's effective refractory period during stress tests, suggesting a need for regular follow-ups.
  • The findings indicate that some patients shifted their risk profiles for cardiac issues, emphasizing the necessity of repeat electrophysiological evaluations to ensure accurate risk assessments for athletic activities.
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Introduction The human lungs are located in the pleural cavity, divided by fissures into lobes, facilitating respiration movements. It acts as a barrier to prevent the spread of infection to adjacent lobes. The pulmonary hilum in each lung contains pulmonary vessels, bronchial vessels, and the bronchus.

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