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UC San Diego Health is the first in San Diego to successfully implant the world’s first dual chamber and leadless pacemaker system to help treat people with abnormal heart rhythms. Holding the device and pictured above is Ulrika Birgersdotter-Green, MD, cardiologist and director of pacemaker and ICD services at UC San Diego Health.
She had a single chamber ICD/Pacemaker implanted several years prior due to ventricular tachycardia. Seeing as the patient has a single chamber ICD/pacemaker, pacing the ventricle will also lead to AV dyssynchrony that will compromise ventricular filling, further impairing hemodynamics. small squares in width (260ms).
ABSTRACT Introduction Atrial fibrillation (AF) is the most common arrhythmia, and atrioventricular (AV) node ablation with pacemaker implantation is a therapeutic option for refractory cases. However, AV node ablation in patients with bioprosthetic tricuspid valves poses technical challenges.
Due to atrial and ventricular pacing dependence, a comprehensive congenital care team concluded the need for lead extraction and replacement of pacemaker via leadless peacemaking device. Laser-lead extraction and temporary atrial pacemaker placement was performed.
Abstract Introduction Catheter ablation of atrial fibrillation (AF) has emerged as the most effective therapy. However, rare anatomical abnormalities such as situs inversus totalis, dextrocardia, or interrupted inferior vena cava can make ablation challenging.
Cardioneuroablation could be a reasonable alternative to pacemaker implantation in symptomatic carotid sinus syndrome. Abstract Introduction Carotid sinus syndrome (CSS), characterized by exaggerated vagal responses leading to asystolic pauses with carotid sinus massage (CSM), often necessitates pacemaker implantation.
The primary outcome was clinically actionable event that was a composite of the newly detected atrial fibrillation (AF), pacemaker or implantable cardioverter defibrillator (ICD) implantation, catheter ablation, and anticoagulation initiation. vs. 15.8%; p =0.001), pacemaker implantation (11.2% The mean age was 64.3
Abstract Background Cardioneuroablation (CNA) is a novel therapeutic approach for functional bradyarrhythmias, specifically neurocardiogenic syncope or atrial fibrillation, achieved through endocardial radiofrequency catheter ablation of vagal innervation, obviating the need for pacemaker implantation.
Cardioneuroablation (CNA) is a catheter-based intervention, used to identify and ablate the epicardial ganglionated plexi (GP), which results in disruption of the vagal-mediated parasympathetic input to the sinus and atrioventricular node. Post-CNA, the median longest pause was 1.3 s s (range 0.8–2.2) with 0 documented pauses.
The consensus statement suggests moving to a two-year requirement (previously annual) for in-clinic interrogations for pacemaker and ICD patients without any events or comorbidities who are compliant with remote monitoring.
ABSTRACT Background Catheter ablation (CA) for atrial fibrillation (AF) in the elderly poses a growing challenge. Methods Octogenarians with AF or consecutive atrial tachycardia undergoing index or re-ablation (pulmonary vein isolation [PVI] and ablation beyond PVI with different energy sources) in a single center, were analyzed.
A permanent pacemaker was placed and the patient was atrial paced at 60bpm. After pacemaker placement — a ß-blocker was initiated. When these measures did not work — the patient underwent PVC ablation, which did achieve a good clinical result. Figure-7: I've labeled Figure-6.
Methods Recent publications on the following topics were reviewed; understanding of vasovagal syncope pathophysiology, tilt-testing methodology and interpretation, drug, ablation and pacemaker therapy.
The accessory pathway was not further stratified due to evidence of intermittent conduction with a sinus node heart rate of 60bpm, and a bicameral pacemaker was implanted.
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