1,987 results match your criteria: "Heart Block First Degree"
Bradyarrhythmias in patients with embolic stroke of undetermined source: a tight relationship with atrial cardiomyopathy.
Neurol Sci
December 2024
Division of Cardiology, Cardio-Thoracic Department, University Hospital of Verona, Verona, Italy.
Background: Implantable loop recorders (ILRs) have been shown to significantly improve the detection of atrial fibrillation (AF) in patients with embolic stroke of undetermined source (ESUS). The incidence and characterization of bradyarrhythmias in this subset of patients is still unknown.
Methods: All consecutive patients who received ILRs, after an ESUS, between March 2015 and December 2022 in our Center were retrospectively enrolled and analyzed.
Resting ECG findings in male Brazilian soccer players of different ethnicities: Results from the B-Pro Foot ECG study.
J Sci Med Sport
December 2024
Graduate Program in Cardiology and Cardiovascular Sciences, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil; Exercise Cardiology Research Group (CardioEx), Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil; Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil; Internal Medicine Department, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Objectives: To compare the prevalence of training-related ECG findings in white, mixed-race, and black male Brazilian soccer players.
Design: Multicenter observational study.
Methods: This study involved athletes aged 15 to 35 years from 82 professional clubs across Brazil's five regions.
Prophylactic Permanent Pacemaker Implantation for Baseline Right Bundle Branch Block in Patients Undergoing Transcatheter Aortic Valve Replacement: Clinical Efficacy, Safety, and Long-Term Pacing Requirement.
Struct Heart
November 2024
Oxford Heart Centre, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Background: Baseline right bundle branch block (RBBB) is an established predictor of permanent pacemaker (PPM) requirement after transcatheter aortic valve replacement (TAVR). There are limited data to support prophylactic PPM implantation in advance of TAVR. We aimed to evaluate the efficacy and safety of prophylactic PPM implantation in patients with RBBB prior to TAVR, and to identify the predictors of pacing dependence after TAVR.
View Article and Find Full Text PDFProgression and prognostic significance of electrocardiographic findings in patients with cardiac amyloidosis.
ESC Heart Fail
December 2024
Tuscan Regional Amyloidosis Centre, Careggi University Hospital, Florence, Italy.
Aims: This study aimed to evaluate the change of the main electrocardiographic (ECG) characteristics and their prognostic role across the main subtypes of cardiac amyloidosis [light-chain amyloidosis (AL) and hereditary (ATTRv) and wild-type transthyretin amyloidosis (ATTRwt)].
Methods And Results: This multicentre, retrospective study was performed in six referral centres for cardiac amyloidosis. Clinical and ECG data were collected at the first and last evaluations.
Study of Conduction Blocks in ST Elevation Myocardial Infarction – A Cross-Sectional Analysis.
Eurasian J Med
October 2024
Department of General Medicine, Krishna Institute of Medical Sciences University, Maharashtra, India.
Conduction blocks complicating ST(ST-segment)-elevation myocardial infarction are associated with increased morbidity and mortality. Research indicates that anterior and inferior wall myocardial infarction were the most encountered causes of blocks but with conflicting results. However, patterns of conduction blocks have not been widely established in our population.
View Article and Find Full Text PDFVascular function assessed by flow-mediated vasodilation and nitroglycerine-induced vasodilation in subjects with first-degree atrioventricular block.
Sci Rep
December 2024
Department of Regeneration and Medicine, Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan.
Article Synopsis
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.
[Implantation of leadless pacemaker in complex congenital heart disease with Eisenmenger syndrome and high-degree atrioventricular block: a case report].
Zhonghua Xin Xue Guan Bing Za Zhi
November 2024
Department of Cardiology, the First Affiliated Hospital of Dalian Medical University, Dalian116021, China.
Familial risk of sinus node dysfunction indicating pacemaker implantation: a nationwide cohort study.
Europace
December 2024
Department of Clinical Medicine, Health, Aarhus University, Palle Juul-Jensens Boulevard 99, DK-8200 Aarhus N, Denmark.
Article Synopsis
- - The study investigated the higher risk of sinus node dysfunction (SND) that leads to pacemaker implantation and mortality among first-degree relatives of patients with pacemakers due to SND.
- - Data was collected from various Danish health registries, tracking over 6 million individuals from 1982 to 2022, and findings indicated that those with a family history of SND had a significantly higher risk (RR = 2.9) of requiring a pacemaker compared to the general population.
- - While overall mortality rates among these relatives were similar to the general population, there was a notable increase in mortality for those related to patients with early-onset SND (RR = 1.22), indicating a possible genetic
Cardiac Safety of Ozanimod Use, a Novel Sphingosine-1-Phosphate Receptor Ligand, in COVID-19 Patients Requiring Oxygen: Secondary Analysis of the COZI Randomized Clinical Trial.
CJC Open
September 2024
Institut universitaire de cardiologie et de pneumologie de Québec- Université Laval, Québec, Québec, Canada.
Article Synopsis
- Ozanimod is an immune modulator that may help reduce lung inflammation in viral infections but has potential cardiac side effects.
- A study involving COVID-19 patients analyzed the cardiac safety of ozanimod when added to standard care, with close monitoring through an electrocardiogram.
- Results showed a decrease in heart rate for ozanimod patients, especially on day 3, but no significant cardiac issues were reported over the treatment period.
Article Synopsis
- - Persistent left superior vena cava (PLSVC) is a rare venous condition that can complicate medical procedures like central venous catheterization and pacemaker placement due to its atypical drainage patterns, which can sometimes lead to serious issues like hypoxia.
- - A case study involving a 64-year-old male with multiple health issues and atrial fibrillation highlighted the challenges of managing PLSVC during a dual-chamber pacemaker implantation, where the patient experienced lead displacement post-procedure.
- - PLSVC typically results from incomplete development of the left anterior cardinal vein and is often identified incidentally during procedures, emphasizing the need for careful navigation during cardiac interventions.
Fetal-hope study: Home monitoring of fetal heart rate in SSA + pregnant women: Rationale and design.
Eur J Obstet Gynecol Reprod Biol
December 2024
Department of Internal Medicine, ASST Fatebenefratelli-Sacco, Milan, Italy; Department of Biomedical and Clinical Sciences, University of Milan, Italy.
Article Synopsis
- About 0.5-1% of women of childbearing age have anti-Ro/SSA and anti-La/SSB antibodies, potentially leading to Neonatal Lupus, primarily manifesting as complete heart block (AVB) in fetuses.
- The study aims to assess the effectiveness of home monitoring of fetal heart rates using a handheld device in pregnant women with these antibodies and to see if early treatment can help.
- Currently, patients are being recruited across 11 Italian centers for a prospective observational study, with regular monitoring and check-ups to track maternal and fetal health outcomes.
Pacemaker Implantation for Low-Grade Conduction Abnormalities After Balloon-Expandable Transcatheter Aortic Valve Implantation.
Clin Cardiol
November 2024
Department of Cardiology II-Electrophysiology, University Hospital Münster, Münster, Germany.
Article Synopsis
- * Out of 1,083 TAVI patients, 165 experienced conduction abnormalities; 19 of these (11.5%) did not have a clear guideline indication for pacing but still underwent the procedure.
- * After 6 weeks, most patients with pacemakers showed low pacing amounts and good intrinsic heart rhythms, indicating a low risk of significant heart issues, and suggesting effective strategies to minimize unnecessary ventricular pacing.
Atrioventricular nodal re-entrant tachycardia unmasking cardiac sarcoidosis: a clinical case report.
Eur Heart J Case Rep
October 2024
Department of Cardiovascular Diseases, University Hospitals Leuven, Leuven, Belgium.
Article Synopsis
- Sarcoidosis is a rare condition that can affect the heart, leading to various symptoms from mild issues to severe complications like heart failure and sudden death.
- A case was presented where a female patient experienced AV nodal re-entrant tachycardia, an unusual first sign of cardiac sarcoidosis, along with other heart rhythm disturbances.
- Awareness of the potential for rare presentations like supraventricular tachycardia is vital for early diagnosis, as it can help prevent sudden cardiac death, prompting the need for devices like implantable cardioverter-defibrillators for some patients.
Analysis and insights of cardiac amyloidosis: novel perception of rare diseases in cardiology.
Am J Transl Res
September 2024
Department of Operating Room, The First Affiliated Hospital of Gannan Medical University Ganzhou 341000, Jiangxi, China.
Article Synopsis
- Cardiac amyloidosis (CA) is a rare but serious condition that leads to heart damage, with varied symptoms and treatments based on its subtypes; understanding CA is crucial for effective management.* -
- A study analyzing data from 39 CA patients revealed key clinical features such as high rates of anemia, elevated cardiac markers, and significant renal impairment, pointing to the severity of this disease.* -
- Common electrocardiogram (ECG) abnormalities and findings from ultrasound examinations (UCG) were noted in CA patients, showing low voltage and enlarged atria, indicating the extent of heart dysfunction.*
Dilated cardiomyopathy revealing Refsum disease: a case report.
J Med Case Rep
September 2024
Cardiology Department, Ibn Rochd Hospital University, Casablanca, Morocco.
Article Synopsis
- Refsum disease is a rare genetic disorder affecting lipid metabolism, leading to the buildup of phytanic acid and resulting in symptoms like ataxia, neuropathy, and hearing loss, with potential cardiac issues developing later in life.
- A case study presented a 38-year-old man who experienced acute heart failure due to dilated cardiomyopathy, confirmed by high levels of phytanic acid, illustrating that cardiac problems are common in advanced Refsum disease.
- Management options for Refsum disease include dietary restrictions on phytanic acid and lipid apheresis to alleviate symptoms and improve patients' quality of life.
Incidence and risk factors associated with atrioventricular block in the general population: the atherosclerosis risk in communities study and Cardiovascular Health Study.
BMC Cardiovasc Disord
September 2024
Department of Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Article Synopsis
- The study aimed to identify risk factors linked to atrioventricular block (AVB) in the general population using data from the ARIC and CHS studies.
- After analyzing 731 cases of high-degree AVB over 17 years, it was found that factors like older age, being male, and having certain health conditions were significant predictors of AVB.
- The findings suggest that as the population ages, the number of high-degree AVB cases is expected to rise significantly, particularly among older adults, highlighting the need for awareness and potential interventions.
Unexpected transient atrioventricular block and slow junctional rhythm using pulsed field ablation for slow pathway modification: Excited or cautious for ablators.
Heart Rhythm
September 2024
Cardiac Arrhythmia Center, The First Affiliated Hospital of Ningbo University, Ningbo, China. Electronic address:
Article Synopsis
- This study examines the effectiveness and safety of pulsed field ablation (PFA) for treating atrioventricular nodal reentrant tachycardia (AVNRT), focusing on its impact on dual-pathway electrophysiology.
- All 40 patients achieved acute success with PFA, showing an average total ablation time of 7.9 seconds, and 80% experienced induced slow junctional rhythm; however, there were instances of transient atrioventricular block in 17.5% of patients.
- The study concludes that while PFA is highly effective for slow pathway modification, there are risks of transient AV block, especially when performed close to the His bundle,
Hypothermia and rewarming times during general anesthesia in Hispaniolan Amazon parrots (Amazona ventralis): A comparative study between isoflurane, sevoflurane and desflurane.
Vet Anaesth Analg
October 2024
Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA, USA. Electronic address:
Article Synopsis
- - The study aimed to assess how different anesthetics (isoflurane, sevoflurane, desflurane) affect induced hypothermia and rewarming times in Hispaniolan Amazon parrots, while also evaluating their cardiovascular and respiratory responses.
- - Twelve adult parrots were used in a randomized trial where they were anesthetized with the three inhalants, and various temperature-related times during anesthesia were recorded and analyzed.
- - Results showed that all anesthetics induced hypothermia at similar rates, but sevoflurane led to a significantly longer rewarming time compared to desflurane; transient apnea and heart rhythm issues were noted across all treatments.
A review of neonatal lupus syndrome.
Sci Prog
September 2024
Internal Medicine/Rheumatology, Virginia Tech Carilion School of Medicine (VTCSOM), Roanoke, VA, USA.
Article Synopsis
- Neonatal lupus syndrome (NLS) is a condition that can affect babies when their moms pass certain antibodies to them during pregnancy.
- These maternal antibodies can sometimes help protect the baby, but they can also cause problems like skin rashes or serious heart issues.
- To help prevent NLS, doctors suggest screening moms-to-be for these antibodies, especially if they have family members or conditions related to autoimmune diseases.
Real-world battery longevity of implantable loop recorders implanted for unexplained syncope: Results from a large single-center registry.
J Cardiovasc Electrophysiol
November 2024
Department of Cardiology, Heart Center, Ghent University Hospital, Ghent, Belgium.
Article Synopsis
- Implantable loop recorders (ILRs) are used for monitoring heart rhythms in patients with unexplained fainting (syncope), and this study investigated how long their batteries actually last in real-world settings.
- The study followed 309 patients over several years, finding that ILRs had a median battery life of 42 months, with nearly all (99.5%) reaching or exceeding the expected lifespan.
- It also revealed that the diagnostic yield for identifying arrhythmias was relatively low at 27%, although diagnostic rates improved over time, highlighting the importance of prolonged monitoring for better diagnosis.
First report of the clinical characteristics and outcomes of cardiac amyloidosis in Saudi Arabia.
ESC Heart Fail
December 2024
College of Medicine, Al Faisal University, Riyadh, Saudi Arabia.
Article Synopsis
- The study focuses on cardiac amyloidosis (CA), a serious disease that is often overlooked, particularly in the Middle East, and aims to assess its prevalence and characteristics in a high-risk group in Saudi Arabia.
- It was a retrospective study conducted on heart failure patients at a hospital in Riyadh, using specific "red flags" like carpal tunnel syndrome and echocardiographic signs to identify those needing screening for CA.
- Out of 177 patients screened, 11.9% were diagnosed with transthyretin amyloid CA and 7.3% with light chain CA, noting that those with positive accompanying scans tended to be older.
[Clinical analysis of maternal autoantibody-mediated complete left bundle branch block in 9 children].
Zhonghua Er Ke Za Zhi
September 2024
Department of Pediatrics, Provincial Clinical Medical College of Fujian Medical University, Fuzhou University Affiliated Provincial Hospital, Fujian Provincial Hospital, Fuzhou 350001, China.
Article Synopsis
- A retrospective study analyzed nine children diagnosed with complete left bundle branch block (CLBBB) due to maternal autoantibodies, focusing on their clinical characteristics and treatment outcomes.
- The cohort primarily included male infants diagnosed between 1 and 13 months of age, with many exhibiting maternal antibodies like antinuclear antibodies (ANA) before treatment.
- After receiving various treatments, such as immunoglobulin and glucocorticoids, the children's cardiac function improved significantly, highlighted by normalized troponin levels and improved echocardiographic findings.
Sex-specific cardiovascular risk factors in the UK Biobank.
Front Physiol
April 2024
Department of Mechanical Engineering, Stanford University, Stanford, CA, United States.
Article Synopsis
- ! The existing cardiovascular disease risk assessment methods, like the Framingham Risk Score, fail to adequately account for differences between men and women, leading to underdiagnosis of female patients. * ! Utilizing data from the UK Biobank and machine learning techniques, researchers aim to create more precise cardiovascular risk models that address these disparities and include more varied biomedical data. * ! The study highlights significant underdiagnosis rates for women in certain heart conditions and emphasizes the importance of developing sex-specific diagnostic criteria to improve risk prediction and treatment interventions in cardiovascular health. * !
Article Synopsis
- Lumbar spine surgery often leads to moderate-to-severe pain, which can be managed using methods like intrathecal morphine (ITM) and erector spinae plane block (ESPB).
- In a study involving 74 patients, ITM was compared to ESPB for managing perioperative pain, with results showing significant differences in key pain metrics and the need for additional pain relief.
- Findings indicated that while ITM offered longer-lasting pain relief and higher patient satisfaction, it also had a higher complication rate compared to ESPB.