Dr. Smith's ECG Blog

JUNE 21, 2024

A patient in the ICU with significant underlying cardiac disease [HFrEF 30%, non-ischemic cardiomyopathy, LBBB s/p CRT-D (biventricular pacer), AVNRT s/p ablation a few yrs ago, hx sinus tachycardia while on max tolerated BB therapy] went into a regular wide-complex tachycardia after intubation for severe COPD exacerbation. What to do?

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Tachycardia Atrial Fibrillation Pacemaker Blog 74

Medical Xpress - Cardiology

SEPTEMBER 2, 2024

2 at this year's ESC Congress 2024.

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Atrial Fibrillation Heart Failure Ablation Tachycardia 40

HeartRhythm

APRIL 30, 2024

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 heart failure (HF).

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Atrial Flutter Atrial Fibrillation Tachycardia Cardiomyopathy 40

HeartRhythm

APRIL 30, 2024

Patients with ICDs who experience atrial fibrillation (AF) have a higher risk of stroke, heart failure, and mortality. Therefore, early detection and management of atrial fibrillation (AF) are crucial in these patients.

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Atrial Fibrillation Defibrillator Sudden Cardiac Death Tachycardia 40

HeartRhythm

APRIL 30, 2024

Vein of Marshall ethanol ablation (VOM-EA) as an adjunct to pulmonary vein isolation (PVI) has been reported to improve freedom from atrial fibrillation (AF) and atrial tachycardia (AT).

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Atrial Fibrillation Ablation Tachycardia Pulmonary 40

Dr. Smith's ECG Blog

JUNE 11, 2023

The ECGs show a wide complex, irregularly irregular tachycardia. The differential of wide complex irregularly irregular includes: polymorphic VT, atrial fibrillation with WPW, atrial fibrillation with other aberrancy. Thus, the patients rhythm is atrial fibrillation with WPW.

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Tachycardia Atrial Fibrillation Chest Pain Blood Pressure 84

DAIC

DECEMBER 29, 2023

The trial will evaluate the outcomes of therapy provided with the FARAPULSE PFA System versus AADs, including device-or procedure-related adverse events, the rates of freedom from AF, atrial flutter, or atrial tachycardia, as well as AF burden – a measurement of the amount of AF an individual experiences. Circulation.

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Atrial Fibrillation Ablation Atrial Flutter Blood Clot 115

Heart BMJ

JULY 10, 2024

Clinical introduction A woman in her 60s with non-obstructive coronary artery disease, aortic valve replacement and aortic arch repair, chronic diastolic heart failure and paroxysmal atrial fibrillation (AF) and flutter (AFL), presented with 3 days of sustained palpitations that felt similar to prior episodes of AF/AFL.

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Tachycardia Aortic valve Coronary Artery Disease Atrial Fibrillation 102

Journal of Cardiovascular Electrophysiology

JANUARY 15, 2024

Abstract Introduction Atrial fibrillation and atrial flutter originating from the donor s heart is a commonly reported complication post heart transplant. Case A 47-year-old male presented with atrial tachycardia 6 months post heart transplant.

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Atrial Fibrillation Heart Transplant Atrial Flutter Transplant 40

Frontiers in Cardiovascular Medicine

JANUARY 28, 2024

Introduction A high recurrence rate of atrial fibrillation was monitored after catheter ablation for persistent atrial fibrillation. The results will evaluate sacubitril/valsartan as a novel treatment for improving prognosis and a complement to conventional drug therapy.

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Atrial Fibrillation Heart Failure Ablation Electrocardiogram 64

HeartRhythm

APRIL 30, 2024

Commonly employed empiric strategies for catheter ablation (CA) of refractory atrial fibrillation (AF) beyond pulmonary vein isolation (PVI) include posterior wall isolation (PWI), linear ablation involving left atrial (LA) roof and mitral lines, as well as targeting of areas of low voltage / myopathy.

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Atrial Fibrillation Bicuspid/Mitral Ablation Tachycardia 40

HeartRhythm

APRIL 30, 2024

The pacing delivered during the atrial relative refractory period, which is also known as the “vulnerable period,” can result in pacemaker-induced atrial tachycardias, or as in our case atrial fibrillation (AF).

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Atrial Fibrillation Pacemaker Tachycardia 40

Frontiers in Cardiovascular Medicine

JANUARY 10, 2024

However, widely split P' waves in focal atrial tachycardia (AT) on a surface electrocardiogram (ECG) have rarely been reported. Case summary A 67-year-old patient, who had undergone two radiofrequency ablations for atrial fibrillation, presented with recurrent palpitation.

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Tachycardia Electrophysiology Atrial Fibrillation Electrocardiogram 59

Frontiers in Cardiovascular Medicine

DECEMBER 14, 2023

Typical atrial flutter commonly occurs in patients with atrial fibrillation (AF). Limited information exists regarding the effects of concurrent atrial flutter on the long-term outcomes of rhythm control. All the patients with typical atrial flutter underwent CTI ablation. vs. 29.9%, p  < 0.001).

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Atrial Flutter Atrial Fibrillation Ablation Arrhythmia 64

Journal of the American Heart Association

FEBRUARY 13, 2024

BackgroundScreening for atrial fibrillation (AF) may reveal incidental arrhythmias of relevance. Among these were sinus node dysfunction in 14 patients (1.8%), AVB in 41 (5.2%), supraventricular tachycardia in 42 (5.3%), and ventricular tachycardia in 2 (0.3%). Journal of the American Heart Association, Ahead of Print.

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Atrial Fibrillation Arrhythmia Hospital Tachycardia 40

Journal of Cardiovascular Electrophysiology

JANUARY 28, 2024

Abstract Introduction Some previous studies have reported that a first-step ethanol infusion into the vein of Marshall (EIVOM) with touch-up radiofrequency (RF) ablation can facilitate mitral isthmus (MI) block and improves the ablation outcomes in persistent atrial fibrillation (PeAF) patients. 0.78, p  = .006).

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Atrial Fibrillation Ablation Bicuspid/Mitral Tachycardia 75

Frontiers in Cardiovascular Medicine

JUNE 6, 2024

Atrial tachyarrhythmias, particularly atrial fibrillation, are most common, but ventricular arrhythmias, including those related to treatment-induced QT prolongation, and bradyarrhythmias can also occur.

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Tachycardia Cancer Cardio Oncology Arrhythmia 40

Dr. Smith's ECG Blog

FEBRUARY 16, 2024

But it is not disorganized enough to be polymorphic ventricular tachycardia. The rhythm is therefore atrial fibrillation with WPW until proven otherwise. Learning Points: Wide complex irregularly irregular tachycardias include PMVT, AF with WPW, and AF with aberrancy. What do you want to do? Smith : I always cardiovert.

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Tachycardia Atrial Fibrillation Chest Pain Blood Pressure 127

HeartRhythm

FEBRUARY 22, 2024

Frequent premature ventricular contractions (PVCs) and nonsustained ventricular tachycardia (NSVT) have been associated with cardiovascular disease and mortality. Their prevalence, especially in ambulatory populations, is under-studied and limited by few female participants and the use of short-duration (24-48 hour) monitoring.

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Tachycardia Atrial Fibrillation Cardiovascular Disease 45

JAMA Cardiology

APRIL 30, 2024

A woman in her mid-60s with a history of paroxysmal atrial fibrillation and hypertension presents with 3 days of nausea, vomiting, and diarrhea. What would you do next?

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Atrial Fibrillation Tachycardia Hypertension 58

HeartRhythm

NOVEMBER 27, 2023

Pulse field ablation (PFA) using a pentaspline catheter is an effective and safe treatment method for pulmonary vein isolation (PVI) in patients with atrial fibrillation (AF).1,2 We present a case of a macro-reentrant atrial tachycardia in the lateral right atrium (RA) treated by PFA using a pentaspline catheter.

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Tachycardia Ablation Atrial Fibrillation Pulmonary 40

Circulation: Arrhythmia and Electrophysiology

DECEMBER 21, 2023

BACKGROUND:Inflammation may promote atrial fibrillation (AF) recurrence after catheter ablation. Circulation: Arrhythmia and Electrophysiology, Ahead of Print. mg twice daily or placebo for 10 days. mg twice daily or placebo for 10 days. The first dose of the study drug was administered within 4 hours before ablation.

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Atrial Fibrillation Ablation Chest Pain Atrial Flutter 40

All About Cardiovascular System and Disorders

APRIL 7, 2024

Transcript of the video: Now I am going to describe Ashman Phenomenon in atrial fibrillation, which is responsible for a long and short sequence followed by a wide QRS, in atrial fibrillation noted on ECG, which may resemble a ventricular ectopic beat. This is the diagrammatic representation of Ashman phenomenon.

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Atrial Fibrillation Tachycardia General Cardiology 52

American College of Cardiology

FEBRUARY 7, 2024

Is there a difference in the occurrence of sustained ventricular tachycardia (VT) or ventricular fibrillation (VF) and new-onset atrial fibrillation (AF) between patients undergoing biventricular pacing (BVP) versus left bundle branch area pacing (LBBAP)?

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Atrial Fibrillation Tachycardia Article 60

Journal of Cardiovascular Electrophysiology

JANUARY 10, 2024

Abstract Introduction Despite advanced ablation strategies and major technological improvements, treatment of persistent atrial fibrillation (AF) remains challenging and the underlying pathophysiology is not fully understood. ms after) and AF termination to atrial tachycardia (AT) or sinus rhythm (SR) in 12 patients (24%).

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Atrial Fibrillation Ablation Outpatient Electrocardiogram 40

Journal of Cardiovascular Electrophysiology

DECEMBER 7, 2023

FAAM ablation successfully decreased the recurrence rate of atrial tachyarrhythmia compared with conventional non-PV foci ablation. Abstract Introduction Treatment of recurrent atrial fibrillation (AF) is sometimes challenging due to non-pulmonary vein (PV) foci. The RHYTHMIA system was used to perform all the procedures.

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Ablation Atrial Fibrillation Atrial Flutter Tachycardia 40

HeartRhythm

JUNE 30, 2024

Atrial arrhythmias are an important source of morbidity in adults with congenital heart disease (CHD) and have been linked to sudden death in certain subgroups. Whereas intra-atrial reentrant tachycardia (IART) is the most common arrhythmia, the prevalence of atrial fibrillation (AF) is increasing.

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Congenital Heart Disease Congenital Arrhythmia Heart Disease 40

HeartRhythm

APRIL 30, 2024

PFA energy is non-inferior to conventional thermal energy in procedure efficacy and freedom from atrial fibrillation, suggesting comparable lesion durability when fully applied. Novel “reversible” electroporation (PF-rev) lesions have been demonstrated when low intensity PFA is applied to atrial tissue.

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Ablation Atrial Fibrillation Tachycardia Technology 40

HeartRhythm

APRIL 30, 2024

Left atrial diverticula (LADs) can be found as anatomical variants whose wall is much thinner than that of the adjacent left atrium (LA); LADs can theoretically contribute to complications such as perforations and thrombus formation during radiofrequency catheter ablation (RFCA) of atrial fibrillation (AF).

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Atrial Fibrillation Tachycardia Ablation 40

Journal of Cardiovascular Electrophysiology

JANUARY 5, 2024

Abstract Introduction It would be helpful in determining ablation strategy if the occurrence of perimitral atrial tachycardia (PMAT) could be predicted in advance. We calculated their E-PMCT.

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Bicuspid/Mitral Tachycardia Atrial Fibrillation Ablation 40

HeartRhythm

JUNE 24, 2024

The “dry” epicardial puncture is increasingly used to gain access for percutaneous epicardial ablation of ventricular tachycardia (VTs) or atrial fibrillation (AF). Injury to the heart and surrounding organs is a major complication occurring in 4% to 10% of cases.1,2

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Atrial Fibrillation Tachycardia Ablation 40

ECG Guru

SEPTEMBER 13, 2023

Let's first consider the heart rate: with a heart rate of 194 beats/min, the heart rate is too low for atrial flutter (1:1) (except in patients who have been pre-treated with medication), and the rate would be unusually high for atrial flutter with 2:1 conduction.

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Atrial Flutter Atrial Fibrillation Heart Rhythm Tachycardia 52

DAIC

DECEMBER 14, 2023

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 atrial fibrillation.

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COVID-19 Heart Rhythm Atrial Fibrillation Blood Clot 111

HeartRhythm

JULY 30, 2024

15% of all atrial fibrillation (AF) patients who undergo catheter ablation and plays significant roles in arrhythmia recurrence.1,2 15% of all atrial fibrillation (AF) patients who undergo catheter ablation and plays significant roles in arrhythmia recurrence.1,2

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Aneurysm Ablation Atrial Fibrillation Pulmonary 40

All About Cardiovascular System and Disorders

MARCH 25, 2024

This measurement has been correlated with those made at electrophysiology study and may predict the potential risk of rapid anterograde conduction if the person develops atrial fibrillation. Bidirectional ventricular tachycardia is the classical arrhythmia noted in catecholaminergic polymorphic ventricular tachycardia.

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Exercise Pediatrics Congenital Tachycardia 52

Frontiers in Cardiovascular Medicine

MARCH 27, 2024

Case summary A 51-year-old woman with a 36-year history of intermittent palpitations was admitted due to hemodynamically stable ventricular tachycardia (VT). She denied any family history of cardiovascular disease or sudden death.

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Arrhythmia Atrial Flutter Tachycardia Atrial Fibrillation 59

HeartRhythm

APRIL 30, 2024

COVID-19 has been linked to diverse electrocardiographic alterations, encompassing QTc prolongation, atrial fibrillation, ventricular tachycardia, and bradyarrhythmia1–3. Nevertheless, limited empirical evidence exists concerning infraHisian heart block associated with COVID-19.

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COVID-19 Atrial Fibrillation Tachycardia 40