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Radiofrequency ablation (RFA) is an important therapeutic modality for atrialfibrillation (AF), widely utilized in clinical practice due to its safety and significant efficacy. Head CT scans showed hypoattenuating areas indicative of cerebral infarction, chest CT suggested possible air accumulation in the left atrial region.
Outcomes of ablation with the FARAPULSE PFA System – a nonthermal treatment in which electric fields selectively ablate heart tissue – will be compared to outcomes following use of anti-arrhythmic drug (AAD) therapy, which is commonly prescribed for patients living with persistent AF. The company now anticipates U.S. Circulation.
Typical atrialflutter commonly occurs in patients with atrialfibrillation (AF). Limited information exists regarding the effects of concurrent atrialflutter on the long-term outcomes of rhythm control. The data were obtained from a multicenter registry of cryoballoon ablation for AF ( n = 2,689).
A significant proportion of patients with isolated atrialflutter (AFL) will develop atrialfibrillation (AF) following cavotricuspid isthmus (CTI) ablation.
Food and Drug Administration (FDA), has granted approval to Boston Scientific for its FARAPULSE Pulsed Field Ablation System. intermittent) atrialfibrillation (AF) and is a unique new alternative to standard-of-care thermal ablation treatment. said Nick Spadea-Anello, president, Electrophysiology, Boston Scientific. "The
When atrialfibrillation (AF) begins, it can start with a single focus, degenerating to multiple wavelets, and it spreads throughout the entire surface area of both atria. A fibrillatory wave that occurs at a rate of more than 600 beats per minute can cause fatigue in the long run, leading to atrial dilation.
Atypical AtrialFlutter (AAFL) prevalence is increasing due to the escalating AtrialFibrillation (AF) ablations and cardiac surgeries. We wanted to explore the outcome of the AAFL ablation, considering the recent changes in mapping and ablation.
Background The value of empirical superior vena cava isolation (SVCI) following pulmonary vein isolation (PVI) to improve the efficacy of radiofrequency catheter ablation (RFCA) for paroxysmal atrialfibrillation (PAF) remains controversial. RFCA was guided by quantitative AI in both groups. vs 81.5%, p=0.02). 95% CI 0.19
Wild-type transthyretin amyloid cardiomyopathy (ATTRwt-CM) is often accompanied by atrialfibrillation (AF), atrialflutter (AFL), and atrial tachycardia (AT), which are difficult to control because beta-blockers and antiarrhythmic drugs can worsen heart failure (HF).
Atrialfibrillation (AF) is the most common cardiac arrhythmia with increasing prevalence globally. Catheter ablation is well-established treatment for prevention of AF recurrences and decreasing AF symptoms.
Abstract Introduction Atrialfibrillation and atrialflutter originating from the donor s heart is a commonly reported complication post heart transplant. Electrophysiologic study demonstrated atrialfibrillation originating from native heart and propagated through atrio-atrial connections to the donor heart.
BACKGROUND:Inflammation may promote atrialfibrillation (AF) recurrence after catheter ablation. This study aimed to evaluate a short-term anti-inflammatory treatment with colchicine following ablation of AF.METHODS:Patients scheduled for ablation were randomized to receive colchicine 0.6 2.02];P=0.89).
FAAM ablation successfully decreased the recurrence rate of atrial tachyarrhythmia compared with conventional non-PV foci ablation. Abstract Introduction Treatment of recurrent atrialfibrillation (AF) is sometimes challenging due to non-pulmonary vein (PV) foci.
Complete and durable block across the left atrial (LA) roof can be integral to ablation of persistent atrialfibrillation (AF) and atypical atrialflutter (AFl). The right pulmonary artery (RPA) is in close proximity to the LA roof, and may provide a vantage for epicardial LA roof mapping and ablation.
Atrialfibrillation (AF) is the most common sustained arrhythmia and associated with increased morbidity and mortality. PubMed was queried for entries on AF and rurality: (atrialfibrillation OR atrialflutter) AND (rural OR urban OR rurality OR metro OR metropolitan) AND (united states OR US OR U.S.)
Cavotricuspid isthmus (CTI) ablation is crucial to right atrialflutter (AFL) and persistent atrialfibrillation (AF). Identification and eradication of this electric pathway is important to prevent the recurrence of atrial arrhythmias.
67-year-old male has a planned PVI with RFA for atrialfibrillation involving bilateral wide area circumferential ablation, left carina line, posterior left atrial linear box isolation. He also underwent separate CTI ablation for atrialflutter. g/dl from 13.3 g/dl on discharge.
Pulmonary vein isolation (PVI) remains the cornerstone of atrialfibrillation (AF) ablation. In patients with more advanced AF subtypes, atypical atrialflutter, and extensive atrial myopathy, additional linear ablation is often required; however, durable block of these remains challenging.
Abstract The QDOT MICRO™ Catheter is a novel open-irrigated contact force-sensing radiofrequency ablation catheter. It offers very high-power short-duration (vHPSD) ablation with 90 W for 4 s to improve safety and efficacy of catheter ablation procedures.
To me, it was clearly atrialflutter with 1:1 conduction. The rate of 280 is just right for atrialflutter. The waves look like atrialflutter waves, NOT like a wide ventricular complex. Recently diagnosed with intermittent paroxysmal atrialfibrillation but no EKGs available to confirm.
The WCT is interrupted by a series of variable-morphology QRS complexes, with atrialflutter waves note in II, III, and aVF. Detail of Flutter waves The rate of the flutter waves matches the rate of the WCT (about 200/m), proving that the presenting WCT had been 1:1 atrialflutter.
Abstract Background Dofetilide is a class III antiarrhythmic agent approved for the treatment of atrialfibrillation and atrialflutter. Prior catheter ablation had been performed in 33 patients (41%). A80% decrease in PVC burden was defined as a satisfactory response. An ICD was present in 72 patients (89%).
She also has a hx of paroxysmal atrialfibrillation and is on oral anticoagulant treatment. The ECG was interpreted as showing atrialflutter with 2:1 conduction. The heart rate could be compatible with that of a 2:1 conducted atrialflutter. After atrial rhythm/SR was restored the patient slowly improved.
The differential of a regular narrow QRS tachycardia is sinus tachycardia, SVT, and atrialflutter with regular conduction. There are no P waves preceding the QRS complexes, and no clear flutter waves. This includes sinus tachycardia, atrialfibrillation or flutter, MAT, and others.
a global leader in cardiac arrhythmia treatment and part of Johnson & Johnson MedTech , today announced European CE mark approval of the VARIPULSE Platform for the treatment of symptomatic drug refractory recurrent paroxysmal atrialfibrillation ( AF ) using pulsed field ablation (PFA).
ABSTRACT Introduction The safety and efficacy of paroxysmal atrialfibrillation (PAF) ablation with the HELIOSTAR multielectrode radiofrequency (RF) balloon catheter have been demonstrated in European studies; data from elsewhere are lacking. Central Illustration. Image is courtesy of Biosense Webster, Inc.,
ABSTRACT Typical atrialflutter (AFL), defined as cavotricuspid isthmus (CTI)-dependent macro-re-entrant atrial tachycardia, often causes debilitating symptoms, and is associated with increased incidence of atrialfibrillation, stroke, heart failure, and death.
ABSTRACT Introduction Freedom from recurrences of atrial tachyarrhythmia (ATA) is suboptimal after pulmonary vein isolation (PVI) in patients with persistent atrialfibrillation (PsAF). PsAF patients ( N =882) were on average 63.911.3 years old (69.2% male), and freedom from ATA recurrence was 79.7% (76.8%82.2%).
The PulseSelect Pulsed Field Ablation System, which was FDA approved in December 2023, offers physicians a safe, single-shot solution for pulmonary vein isolation (PVI) while the Affera Sphere-9 catheter enables physician treatment flexibility with its wide area focal design and 9mm lattice tip that can used with an 8.5Fr sheath.
Figure-2: Colored arrows highlight flutter waves , with 2:1 AV conduction. Patient history: It turns out that todays patient is an 80-something year old man with longstanding hypertension and paroxysmal atrialfibrillation. Before each of these WCT episodes the atrial rate decreased.
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