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So it must be atrialfibrillation. Answer : it is irregularly irregular and the initial part of the QRS is fast, so this is atrialfibrillation with Left Bundle Branch Block (LBBB). Pacemaker mediated tachycardia! Another ECG was recorded 12 minutes later: Paced rhythm, probable Pacemaker-Mediated Tachycardia ?
16, 2025 Primary results from the DEFINE AFib clinical study show the Medtronic LINQ family of insertable cardiac monitors (ICM), paired with a novel algorithm, were able to detect atrialfibrillation episodes and properly risk stratify patients as high risk prior to an AF-related healthcare utilization 80% of the time. Piccini, M.D.,
ABSTRACT Background Despite leadless pacemakers (LPMs) showing promise, real-world data comparing them to transvenous pacemakers (TV-VVI) are insufficient and often contradictory, especially in patients without major comorbidities like heart failure. Hospitalization rates and re-intervention rates were comparable between both groups.
BackgroundScreening for atrialfibrillation (AF) may reveal incidental arrhythmias of relevance. Subsequently, 8 patients underwent pacemaker implantation, 1 for sinus node dysfunction (post‐AF conversion pause of 9 seconds) and 7 for advanced AVB. Journal of the American Heart Association, Ahead of Print.
ResultsThe overall in-hospital mortality was 1,7%. There were no statistically significant differences in terms of stroke, paravalvular leak, mechanical ventilation time, blood transfusion requirements, pacemaker implantation, reexploration for bleeding, conversion, wound infection, or in-hospital stay.
This case was sent by Amandeep (Deep) Singh at Highland Hospital, part of Alameda Health System. The patient presented to an outside hospital An 80yo female per triage “patient presents with chest pain, also hurts to breathe” PMH: CAD, s/p stent placement, CHF, atrialfibrillation, pacemaker (placed 1 month earlier), LBBB.
She also has a hx of paroxysmal atrialfibrillation and is on oral anticoagulant treatment. She had a single chamber ICD/Pacemaker implanted several years prior due to ventricular tachycardia. During this time, she was treated in the hospital with multiple antiarrhythmic medications including Adenosine, Verapamil and Digoxin.
She previously had Atrialfibrillation with LBBB. This shows atrialfibrillation. The fact that the response is regular proves that the atrialfibrillation is NOT conducting. When atrial fib conducts, the ventricular rate must always be irregular. She had a permanent pacemaker implanted.
He had previously undergone non‐contrasted head computed tomography (NCHCT) (magnetic resonance imaging (MRI) was unable to be performed secondary to pacemaker), which did not reveal strokes. Episodes always occurred after activity and only upon sitting. Episodes always occurred after activity and only upon sitting.
ABSTRACT Background Catheter ablation (CA) for atrialfibrillation (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.
The aim of this study is to investigate the usefulness of an implantable loop recorder (ILR) for arrhythmia detection including atrialfibrillation (AF) in HFnon-rEF patients after discharge. Methods and analysis This is a multicentre single arm study to evaluate the usefulness of ILR for detecting arrhythmia.
The primary outcome was a composite of death from any cause, stroke/transient ischemic attack, and procedure-related or valve-related hospitalization at 30 days and at 1 year. Acute kidney injury stages 2 to 4, bleeding events, and new-onset atrialfibrillation occurred more often in the SAVR group during the hospital period (P<0.001).
Patients use them to observe their heart activity by themselves when they are not in the hospital. Though their accuracy is not as high as a hospital ECG machine, they are very beneficial in detecting problems in any medical emergency and providing information about long-term heart activity.
Background:Left bundle branch area pacing (LBBAP) may be associated with greater improvement in left ventricular ejection fraction and reduction in death or heart failure hospitalization when compared with biventricular pacing (BVP) in patients requiring cardiac resynchronization therapy (CRT). HR 0.46;95%CI 0.29-0.74;p<0.001).
The medics recorded the following initial ECG at time 0: The computer read (see below) gives no further comment beyond ventricular pacemaker. underlying atrialfibrillation or atrial inactivity). About 10 minutes later, and shortly before arrival at hospital (NOT Hennepin!), What do you think?
Ioannis Katsoularis, image courtesy of Klas Sjöberg milla1cf Thu, 12/14/2023 - 09:23 December 14, 2023 — Individuals infected with COVID-19 are also at an increased risk of suffering from heart rhythm disturbances, such as atrialfibrillation.
Negative predictors of adverse outcome: Pacemaker Pre-syncope or "near-syncope," but there is still some small risk (5, 18) These last two are identified in studies, but I consider them dangerous signs and symptoms in their own right, as above: 10. QRS Syncope with Exertion (EGSYS) 7. S yncope while supine (EGSYS) 8. orthostatic vitals b.
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