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Article Synopsis
  • Radiofrequency catheter ablation is a common treatment for a heart condition called atrial flutter, with cryoablation being another option that uses cold temperatures.
  • A 65-year-old man, who didn't respond to medicine for his heart issues, had a cryoablation procedure, during which doctors saw two episodes of ST-elevation, a sign of heart trouble.
  • The first episode was fixed by stopping the freezing process, while the second was due to a spasm in the artery and was treated with medicine. This case shows the importance of special imaging technology (ICE) to keep procedures safe.
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Focal monopolar pulsed field ablation from within the great cardiac vein for idiopathic premature ventricular contractions after failed radiofrequency ablation.

Heart Rhythm

October 2024

Department of Cardiology, Maastricht University Medical Centre and Cardiovascular Research Institute Maastricht, Maastricht, The Netherlands; Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Centre for Heart Rhythm Disorders, University of Adelaide and Royal Adelaide Hospital, Adelaide, Australia. Electronic address:

Background: Idiopathic epicardial premature ventricular contractions (PVCs) originating from the left ventricular summit are difficult to eliminate.

Objective: The purpose of this study was to describe the feasibility and procedural safety of monopolar biphasic focal pulsed field ablation (F-PFA) from within the great cardiac vein (GCV) for treatment of idiopathic epicardial PVCs.

Methods: In 4 pigs, F-PFA (Centauri, CardioFocus) was applied from within the GCV followed by macroscopic gross analysis.

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Background: Endothelial dysfunction (ED) suspicion will allow to prevent accelerated atherosclerosis and premature death.

Objective: To establish the usefulness of thermography for endothelial function screening in adults with cardiovascular risk factors.

Material And Methods: Cross-sectional, analytical diagnostic test.

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Background: Given the limited access to invasive vasospastic reactivity testing in Western Countries, there is a need to further develop alternative non-invasive diagnostic methods for vasospastic angina (VSA). Hyperventilation testing (HVT) is defined as a class IIa recommendation to diagnose VSA by the Japanese Society of Cardiology.

Methods: In this systematic review and meta-analysis reported according to the PRISMA statement, we review the mechanisms, methods, modalities and diagnostic accuracy of non-invasive HVT for the diagnostic of VSA.

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