62,128 results match your criteria: "Atrioventricular Dissociation"

BACKGROUND Cardiac tumors are divided into 2 categories: primary, originating from the heart, and metastatic, which spread to the heart from a different location, with metastatic tumors representing the vast majority. Cardiac tumors, depending on the size and location, can predispose patients to arrhythmic or hemodynamic complications. We present a patient with a history of B-cell lymphoma (DLBCL) in remission for 3 years who developed acute onset congestive heart failure and complete heart block secondary to DLBCL invasion of the myocardium.

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  • Permanent pacemaker placement is necessary for newborns with congenital complete heart block (CCHB), but existing devices may not fit well, causing complications.
  • Medtronic has created a smaller Pediatric Implantable Pulse Generator (IPG) that uses a bipolar lead, making it more suitable for neonates.
  • This case report details a minimally invasive method for implanting the new Pediatric IPG in a 2.32 kg newborn soon after birth.
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Background And Objective: Left bundle branch area pacing (LBBAP) is increasingly used for treating bradycardia and heart failure. However, real-world data are limited. The Conduction-System Pacing Italian Network Group (C-SING) collected prospective data on LBBAP procedures in a nationwide context.

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Autocorrelation maps for optimal setting in cardiac resynchronization therapy.

Comput Methods Programs Biomed

December 2024

Institute of Measurement Science, Department of Biomeasurements, Slovak Academy of Sciences, Bratislava, Slovakia.

Article Synopsis
  • The study focuses on using implanted devices to aid patients with chronic heart failure by analyzing ECG signals, specifically looking at the timing of stimulation/pacing based on QRS duration.
  • Researchers evaluated the autocorrelation maps from body surface potential maps of 17 patients, most of whom had left bundle branch block (LBBB), to find differences in heart rhythms compared to healthy controls.
  • The results indicate that certain autocorrelation parameters could serve as additional metrics for optimizing cardiac resynchronization therapy (CRT) pacing settings, particularly for patients who respond well to treatment.
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  • Cardiac sarcoidosis (CS) is an underdiagnosed condition that can lead to serious heart issues, making early detection crucial for treatment and prevention of complications like heart failure and arrhythmias.!* -
  • A study analyzed hospital records from 2016 to 2019, delineating patients diagnosed with CS versus those without, highlighting that younger male patients often presented with specific cardiac issues such as ventricular arrhythmias and heart blocks.!* -
  • The results indicated that those diagnosed with CS underwent more treatments and had longer hospital stays, emphasizing the importance of recognizing CS early for better patient outcomes.!*
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  • * A new cryopreservation method has been developed, allowing for the preparation of LMS from human myocardium at a later time, overcoming the limitations of immediate slice preparation after tissue extraction.
  • * Results show that cryopreserved cardiac tissue maintains structural integrity and viability comparable to fresh tissue, enabling longer and more complex experiments in cardiac research.
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  • Utilization of ventricular assist devices (VAD) for end-stage heart failure is advanced, but there's a need for evidence-based psychosocial support interventions post-implantation.
  • A study in Germany involved 140 patients, randomly assigned to an intervention or control group, to evaluate the impact of a new VAD support curriculum on various health outcomes.
  • Results indicated that while primary health complications were similar across both groups, the intervention significantly reduced depression in patients and showed improvements in anxiety, quality of life, social support, and self-management for those receiving the VAD intervention.
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  • The study investigates the effectiveness of a combination of suprainguinal fascia iliaca compartment block (SFICB) and sciatic nerve block (SNB) on pain relief in patients undergoing total hip arthroplasty (THA) compared to general anesthesia alone.
  • Eighty-seven patients were divided into three groups to measure postoperative pain levels using a Numeric Rating Scale (NRS) and other outcomes like heart rate and opioid consumption.
  • Results showed that the combined analgesic methods (SFICB and SNB) significantly reduced pain scores and opioid usage while also lowering inflammatory markers compared to general anesthesia alone, suggesting a better overall pain management approach.
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  • - Regadenoson is a selective A2A adenosine receptor agonist used for heart stress testing, and this study evaluates its safety for myocardial perfusion scans.
  • - The study included 63 adult patients, primarily male with an average age of about 57, and looked at their health data and any adverse reactions after using Regadenoson during the testing process.
  • - Results showed minor blood pressure drops that stabilized after an hour, with few non-serious side effects like shortness of breath and headaches, but no major health complications arose.
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Major adverse cardiovascular events after modified morrow surgery in hypertrophic obstructive cardiomyopathy: A 12-year cohort study.

Int J Cardiol

November 2024

Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, China; Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangzhou, Guangdong, China. Electronic address:

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  • Tricuspid regurgitation (TR) is a common issue after heart transplantation, and a new treatment called transcatheter tricuspid valve replacement (TTVR) has emerged, although it comes with risks.
  • A 46-year-old woman who underwent a heart transplant developed severe TR, had a TTVR procedure, but later suffered from cardiogenic shock and sudden cardiac death, linked to complications in the area of her heart's electrical conduction system.
  • This case highlights the dangers of TTVR in heart transplant patients, emphasizing the need for close monitoring due to the potential for serious heart rhythm issues like complete heart block.
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  • The exact causes of common atrial flutter are not fully understood, particularly regarding arrhythmia triggers and the impact of slow-conducting heart tissue.
  • A detailed electrophysiological study was conducted on a patient to investigate how this arrhythmia starts and is maintained, utilizing techniques like electro-anatomical mapping.
  • The study found that common atrial flutter begins with a unidirectional conduction block at the septal cavo-tricuspid isthmus, resulting in a counter-clockwise activation pattern and stabilization near specific heart regions, without any slowing of conduction.
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  • - The study investigates the effectiveness of a new ECG technique called CineECG, which visualizes heart electrical activity, in improving cardiac resynchronization therapy (CRT) for patients who don't respond well to standard treatments.
  • - Researchers analyzed CineECG data from 15 patients with heart conditions under different pacing settings and found that specific movement directions in the heart's electrical signals correlate with better immediate heart performance (measured as dP/dt max).
  • - The results indicate that the direction of the ST-T segment during repolarization can predict a significant improvement in heart function during CRT, suggesting that CineECG could help optimize treatment plans for patients.
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Inter-atrial block as a predictor of adverse outcomes in patients with HFpEF.

ESC Heart Fail

December 2024

Department of Cardiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Centre+ (MUMC+), Maastricht, The Netherlands.

Article Synopsis
  • The study investigates the prevalence and impact of inter-atrial block (IAB) as an indicator of electrical dysfunction in patients with heart failure with preserved ejection fraction (HFpEF).
  • It examines two groups: ambulatory HFpEF patients and those recently hospitalized, assessing their risk for adverse events like hospitalization and death.
  • Findings suggest that different stages of electrical atrial dysfunction significantly predict adverse outcomes, indicating that patients without dysfunction might require less intensive management.
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Compound Tongyang Fumai decoction improves quality of life in sick sinus syndrome: a randomized controlled study.

J Tradit Chin Med

December 2024

Cardiovascular Department, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China.

Objective: To evaluate the efficacy of Tongyang Fumai decoction (, TYFM) on the quality of life (QOL) as a complementary therapy for sick sinus syndrome (SSS).

Methods: This randomized controlled study involved 224 patients with symptomatic SSS. Patients were randomly assigned to either the TYFM group or the control group (receiving theophylline sustained-release tablets).

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[Patch Closure of the Ventricular Septal Defect].

Kyobu Geka

September 2024

Department of Pediatric Cardiovascular Surgery, JCHO Kyushu Hospital, Kitakyushu, Japan.

Article Synopsis
  • Ventricular septal defect (VSD) is the most common type of congenital heart disease and often requires surgical intervention.
  • The VSD patch closure surgery is crucial not only for simple VSDs but also for more complex congenital heart defects like tetralogy of Fallot and complete atrioventricular septal defect.
  • To ensure successful closure without complications, surgeons must have a thorough understanding of VSD anatomy and skillfully perform sutures and ligatures.
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Pulsed Field Ablation of Paroxysmal Supraventricular Tachycardia: A Prospective Multicenter Single-Arm Study in China.

Circ Arrhythm Electrophysiol

December 2024

Department of Cardiology (F.L., A.G., H.H., K.C., Q.Y., X.P., S.C., J.J., H.F., H.W., T.Y., X.H., Y.T., Q. Zhang, R.Z.), , West China Hospital of Sichuan University, Chengdu.

Background: Pulsed field ablation (PFA) has gained attention in cardiac electrophysiology, but data on its application to paroxysmal supraventricular tachycardia are limited. This study aimed to assess the feasibility and safety of PFA and its combination with radiofrequency ablation for treating paroxysmal supraventricular tachycardia.

Methods: A prospective, multicenter, single-arm study was conducted across 8 centers in China.

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