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Evolution of mineralocorticoid receptor antagonists, aldosterone synthase inhibitors, and alternative treatments for managing primary aldosteronism.
Hypertens Res
November 2024
Department of Endocrinology, Metabolism, Rheumatology and Nephrology, Faculty of Medicine, Oita University, Oita, Japan.
Primary aldosteronism (PA) is a prevalent and curable secondary hypertensive disorder that accounts for 5-13% of all hypertension cases. The prevalence of resistant hypertension, cerebral and cardiovascular diseases, and renal complications is higher in PA patients than in those with essential hypertension. Appropriate diagnosis and treatment at an early stage may suppress cerebral and cardiovascular events.
View Article and Find Full Text PDFTransvenous catheter ablation of a posteroseptal accessory pathway in a patient with Wolff-Parkinson-White syndrome.
Heart Rhythm
December 2024
Department of Internal Medicine, Michigan Medicine, University of Michigan, Ann Arbor, Michigan. Electronic address:
Innovative Use of a Coaxial Double-Balloon Catheter System for Treating Gastric Varices.
Cureus
October 2024
Department of Diagnostic Radiology and Nuclear Medicine, Graduate School of Medicine, Gunma University, Maebashi, JPN.
Article Synopsis
- A 52-year-old woman with a history of liver surgery developed gastric varices, which posed a risk of rupture.
- A specialized procedure called balloon-occluded retrograde transvenous obliteration (BRTO) was attempted using a double-balloon catheter, but initial venography did not visualize the varices.
- Ultimately, the treatment was successful by injecting a sclerosing agent through the catheter system, effectively embolizing the varices and highlighting the method's effectiveness for complex vascular cases.
Intramural Ventricular Arrhythmias: How to Crack a Hard Nut.
Curr Cardiol Rep
November 2024
Section of Cardiac Electrophysiology, Hospital of the University of Pennsylvania, 1 Convention Avenue, Philadelphia, Pennsylvania, 19104, USA.
Article Synopsis
- * Mapping procedures, especially in regions like the left ventricular ostium and interventricular septum, are essential for pinpointing intramural arrhythmias and planning appropriate ablation strategies.
- * Advanced techniques, such as bipolar ablation or transvenous ethanol injection, may be necessary during ablation, highlighting the importance of comprehensive mapping that includes the coronary venous system.
Single-center initial experience with a new pulsed-field ablation system: pulmonary vein isolation lesions and beyond.
Future Cardiol
December 2024
First University Department of Cardiology, National & Kapodistrian University of Athens, Hippokration General Hospital, Athens, Greece.
Article Synopsis
- This method allows for targeted treatment of heart cells while minimizing harm to nearby nerves and blood vessels.
- The initial findings from a study reveal that PFA can be effectively used beyond traditional heart areas, including near pacemaker leads, which is important for treating patients with specific cardiac devices.
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