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Background Atrial arrhythmias (AA) and heartfailure (HF) are major causes of hospitalisation in adult congenital heart disease (ACHD). Dates of first AA and HF presentations were documented, and outcomes of RFA, including acute and long-term success, were assessed.
Atrial fibrillation is the most common cardiac arrhythmia worldwide with around 59 million people concerned in 2019. This irregular heartbeat is associated with increased risks of heartfailure, dementia and stroke. It constitutes a significant burden to healthcare systems, making its early detection and treatment a major goal.
arrhythmia yield versus 69.1% in daily-symptom patients, demonstrating that greater symptom frequenc y does not necessarily reflect increased arrhythmia burden. arrhythmia yield versus 69.1% in daily-symptom patients, demonstrating that greater symptom frequenc y does not necessarily reflect increased arrhythmia burden.
Introduction Data on the characteristics and outcomes of pregnancy and among patients with Fontan physiology are limited. We aimed to evaluate the immediate and long-term outcomes among these patients who were followed at our centre. We examined maternal and obstetric outcomes.
Results showed reductions in heart death equivalents and MACCE, with a magnified reduction among patients with elevated NTproBNP, a common marker of heart distress. These patients saw more than a 17% lower rate of heart death equivalents at up to two years compared to control patients treated with heartfailure medication alone (2.9%
Journal of the American Heart Association, Ahead of Print. BackgroundPDE2 (phosphodiesterase 2) is upregulated in human heartfailure. Cardiac PDE2transgenic mice are protected against contractile dysfunction and arrhythmias in heartfailure but whether an acute elevation of PDE2 could be of therapeutic value remains elusive.
Methods and results TRED-HF was a randomized trial investigating heartfailure therapy withdrawal in patients with recovered DCM over 6months. Clinical outcomes are reported in a non-randomized fashion from enrolment and from the end of the trial.
Abstract Left ventricular assist device (LVAD) implantation is an established treatment for patients with advanced heartfailure refractory to medical therapy. However, the incidence of ventricular arrhythmias (VAs) is high in this population, both in the acute and delayed phases after implantation.
Visiting the emergency room at the first sign of a heart attack can help begin treatment quickly and prevent complications like heartfailure. Conclusion Although heart attack and cardiac arrest are often used interchangeably, they are separate conditions with different causes and treatments.
Objective We aimed to assess the effect of SGLT2i on arrhythmias by conducting a meta-analysis using data from randomized controlled trials(RCTs). Background Sodium-glucose co-transporter 2 inhibitors (SGLT2i) have shown cardioprotective effects via multiple mechanisms that may also contribute to decrease arrhythmias risk.
Publication date: Available online 11 June 2024 Source: The American Journal of Cardiology Author(s): Steven Brady, Eldon Matthia, Steve Antoine, Juan Aranda, William Miles, Juan Vilaro, Mohammad Al-Ani, Olusola Oduntan, Yi Guo, Yujia Li, Mustafa Ahmed, Alex Parker
Background Echocardiography-guided percutaneous intramyocardial alginate-hydrogel implantation (PIMAHI) is a novel treatment approach for heartfailure (HF). During PIMAHI treatment, no sustained arrhythmia, pericardial, or pleural effusion occurred. We validated PIMAHI safety and efficacy in canine HF models. vs. 6.8 ± 0.2 mm,
Atrial fibrillation (AF) is a common arrhythmia in patients with heartfailure (HF). The coexistence of these conditions can further induce structural changes and result in worsened outcomes such as stroke, HF decompensation, poorly controlled AF, and mortality [1].
Cardiac resynchronization (CRT) with biventricular pacing (BVP) is recognized as an option to reduce mortality in patients with heartfailure with reduced ejection fraction (HFrEF). Left bundle branch area pacing (LBBAP) is an emerging role in achieving resynchronization in HFrEF and is thought to be a safe alternative to BVP.
Genetic predisposition to ventricular scarring is associated with heartfailure and ventricular arrhythmia. Although many pathogenic variants have been shown to predispose patients to poor outcomes, the impact of many VUS remains uncharacterized.
Arrhythmias can lead to cardiac arrest (CA) and heartfailure. When intractable, heart transplant (HTX) can become the only viable treatment. This rare, high-risk cohort has not been reported as a distinct group.
Myocarditis, an inflammation in the myocardium, can cause dilated cardiomyopathy, acute arrhythmia, and heartfailure. This systematic review can determine MPOX infection outcomes and prepare appropriate treatment for patients with complications. Most cases were male and involved chest pain.
Arrhythmias, and in particular atrial fibrillation (AF), are one of the greatest healthcare challenges of our time. Hospitalisation due to this condition is exponentially growing, and now outnumbers those for both heartfailure and myocardial infarction.
Abstract Aims The CASTLE-HTx trial showed the benefit of atrial fibrillation (AF) ablation compared to medical therapy in decreasing mortality, need for left ventricular assist device implantation or heart transplantation (HTx) in patients with end-stage heartfailure (HF).
Aims Timely referrals for transplantation and left ventricular assist device (LVAD) play a key role in favourable outcomes in patients with advanced heartfailure (HF). Cardiovascular mortality, driven by sudden cardiac death, is the main reason for dying while waiting for heart transplantation (HTx).
This systematic review of the literature aims to explore outcomes in the patients treated with conservative management vs. invasive strategy. with ST elevated myocardial infarction (STEMI), 3.41% with unstable angina, 0.56% with stable angina, and 0.11% were diagnosed with various types of arrhythmias. Approximately 48.5%
Ventricular arrhythmias and heartfailure are common presentations of cardiac sarcoidosis (CS). Guidelines support implantable cardioverter-defibrillator (ICD) for many CS patients with reduced ejection fraction, but arrhythmic outcomes are poorly understood.
Its effects on the heart are particularly alarming, as smoking significantly increases the risk of cardiovascular diseases (CVDs) and complicates medical procedures such as minimally invasive or bloodless heart surgeries. Smokings Impact on Surgery When heart surgery is necessary, smoking complicates both the procedure and recovery.
European Heart Rhythm Association (EHRA) Congress Date: April 7-9, 2024 Location: Berlin, Germany and online Overview: The yearly gathering of the European Heart Rhythm Association (EHRA) unites scientists, healthcare professionals, and other stakeholders engaged in the global management of arrhythmias. Hashtag: #ESCPrev2024 5.
We aimed to assess the 1-year clinical outcomes of the study population. The primary endpoint of this study was a composite of major adverse cardiovascular events (MACEs), including all-cause death, acute coronary syndromes, heartfailure events, ischaemic strokes, sustained ventricular arrhythmias and acute kidney injury at 1-year follow-up.
Objective Residual sequelae after surgical repair of tetralogy of Fallot (rTOF) affect clinical outcome. Methods Patients from the Swiss Adult Congenital HEart disease Registry were included. NT-proBNP, right atrial area and peak heart rate were independent predictors of outcomes.
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.
This multicenter observational study evaluated the impact of LBBAP on clinical outcomes and improvements in echocardiographic parameters among patients with atrioventricular block and a reduced LVEF of 36%–50%. LBBAP significantly improved LVEF without causing fatal ventricular arrhythmias. No fatal ventricular arrhythmias occurred.
ABSTRACT Introduction Atrial fibrillation (AF) can cause or aggravate heartfailure (HF). This study focused on the feasibility and outcomes of emergent AF ablation performed during hospitalization for acute HF. Arrhythmia recurrence was the primary endpoint. Catheter ablation (CA) is an effective treatment for AF.
Nevertheless, studies on the long-term outcomes of catheter ablation in patients with dilated cardiomyopathy are limited. The clinical outcomes of catheter ablation and medical therapy were compared using the propensity score matched method. years following catheter ablation.
The effects on cause-specific cardiac outcomes are reported here.Methods:SSaSS was an unblinded, cluster-randomised trial assessing the effects of potassium-enriched salt compared with regular salt among 20 995 Chinese adults with established stroke and older age and uncontrolled hypertension. 0.99]); heartfailure (9.14
Volta Medical has announced it has entered into a Joint Development Agreement with GE Healthcare to enhance arrhythmia procedures with artificial intelligence (AI)-driven electrophysiology technologies. 1 Approximately 33 million patients worldwide are living with AFib.
Tricuspid and mitral valves are debilitating conditions that can lead to arrhythmias, hypertension, and heartfailure. Leon added, “This new mitral-tricuspid valve center will mobilize a decade of specialized experiences among our contributing physicians to provide optimal clinical outcomes for our sickest patients.”
At this point, there was no improvement in LV function and he was out of the convalescent phase of his MI, so the decision was made to install an ICD for arrhythmia prophylaxis. He now has regular appointments with the heartfailure team. The R waves have not recovered, however.
Nearly 50% of patients with AFib have comorbid obstructive sleep apnea (OSA), and 75% of OSA patients report some form of arrhythmia. Untreated OSA increases likelihood of poor outcomes for AFib patients including failed treatment, heartfailure, and sudden cardiac death.
Cardiovascular composite end points included major adverse cardiovascular events plus (a composite end point of allcause mortality, myocardial infarction, stroke, or heartfailure) and cardiac arrhythmias (a composite end point of new onset atrial fibrillation and other atrial and ventricular arrythmias), all in the hospital setting.
Objective Ebstein’s anomaly is a rare congenital cardiac condition and data regarding pregnancy outcomes in this patient group are scarce. Pregnancy outcomes in women with Ebstein’s anomaly were examined. Pregnancy outcomes in women with Ebstein’s anomaly were examined. There were no maternal deaths.
An increasing number of studies have shown the impact of social determinants of health (SDoHs) on different cardiovascular outcomes. In the setting of arrhythmias, specific SDoHs can increase the incidence of atrial fibrillation and adversely affect major outcomes in these patients.
We aimed to investigate the impact of albumin levels and their changes on clinical outcomes among patients who were admitted to intensive care units due to cardiac causes.Methods:This is a retrospective, single-center, cohort study. Clinical outcomes were defined as 30-day mortality.Results:A total of 4,004 patients were enrolled.
Wild-type transthyretin amyloid cardiomyopathy (ATTRwt-CM) is often accompanied by atrial fibrillation (AF), atrial flutter (AFL), and atrial tachycardia (AT), which are difficult to control because beta-blockers and antiarrhythmic drugs can worsen heartfailure (HF).
change in PC, initiation or escalation of diuretics, mortality, arrhythmias, heartfailure hospitalization) over a 5-year period were obtained through chart review.Results:Deterioration of PC was significantly associated with worsening of all strain measures (p ≤0.05 Clinical events (e.g.,
BackgroundEmerging evidence indicates a significant link between various immune cell types and the development of heart valve disorders. Mitral valve prolapse (MVP) is a common condition that can lead to heartfailure, arrhythmias, and even sudden death. Currently, the role of immune cells in MVP is not well understood.
That could have a major impact on cardiogenic shock outcomes, which rely heavily on blood pressure, and are associated with long/costly hospital stays and high mortality risks. That could be a big deal in the cardiogenic shock space, which many believe is still in need of more effective treatments.
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