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Journal Indian Pacing Electrophysiol J

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Prognostic significance of accelerated ventricular response during radiofrequency ablation of premature ventricular complexes.

Sirish Chandra Srinath Patloori, Anand Manickavasagam, David Chase, John Roshan,

BACKGROUND:Accelerated ventricular response is frequently observed during radiofrequency ablation (RFA) of premature ventricular complexes (PVCs). We hypothesized that acceleration indicates an appropriate site and adequate injury to the arrhythmogenic tissue, and sought to investigate its value in predicting the outcome. METHODS:We retrospectively analyzed RFA procedures performed for PVCs in our ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, :]

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Serum angiotensin converting enzyme, Erythrocyte sedimentation rate and high sensitive-C reactive protein levels in diagnosis of cardiac sarcoidosis- where do we stand?

Debabrata Bera, K Shanthi Naidu, Daljeet Kaur Saggu, Sachin Yalagudri, Jugal Kishor Kadel, Rakesh Sarkar, C Narasimhan,

BACKGROUND:Cardiac sarcoidosis (CS) is increasingly being recognized in the last two decades. The diagnosis of CS depends on clustering of multiple symptoms, investigations and demonstration of a non-caseating granuloma on histopathology. Serum Angiotensin Converting Enzyme (SACE) level, one of the serological markers, is often elevated in systemic sarcoidosis. However, the ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, :]

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Permanent His Bundle Pacing: A programming and troubleshooting guide.

Jillian L Hanifin, Venkatesh Ravi, Richard G Trohman, Parikshit S Sharma,

Permanent His Bundle Pacing (HBP) has recently gained popularity. However, implanting physicians and those who perform the device checks must invest in additional education in order to accurately program these devices, identify changes in morphology and perform troubleshooting to help achieve the best outcomes for the patients. This paper reviews ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, 20(3):121-128]

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The VDD ICD lead: Friend or Foe?

Suneet Mittal,

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, :]

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Un-LINQed: Spontaneous extrusion of newer generation implantable loop recorders.

Joseph Zakhar, Thomas J Blount, Anil K Gehi, Sunita J Ferns,

BACKGROUND:Insertable cardiac monitors (ICMs) are often used for long-term monitoring of cardiac rhythm. The Medtronic's LINQ Reveal ™ is a new generation wireless, automated, and patient responsive subcutaneous ECG monitoring device. Despite several advantages to its small size we have noted an unusually high incidence of extrusion at our center. ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, :]

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Recurrent single echo beats after cryoablation of atrioventricular nodal reentrant tachycardia: The pediatric population.

Soham Dasgupta, Michael Kelleman, Robert Whitehill, Peter Fischbach,

BACKGROUND:Cryoablation for atrioventricular nodal reentrant tachycardia (AVNRT) is effective and safe with a reported limitation of lower success and higher recurrence rates. We have observed cases in which slow pathway conduction was eliminated as demonstrated by atrial extra-stimulus testing within 1 min of cryo-energy delivery but returned following tissue rewarming. Frequently, ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, :]

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Successful ablation of biatrial tachycardia with preserved electrical activation of left atrial appendage by unidirectional connection via Bachmann's bundle: A case report.

Hironori Ishiguchi, Masaaki Yoshida, Masahiro Ishikura, Tetsuya Kawabata, Tsuyoshi Oda,

A 57-year-old man underwent his seventh ablation session for atrial tachycardia (AT). His previous ablations involved several regions of the right atrium (RA) and left atrium (LA). The AT was characterized as biatrial tachycardia with a circuit involving the mitral annulus and septal RA. The AT was terminated by ablation ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, :]

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Cardiovascular risks of hydroxychloroquine in treatment and prophylaxis of COVID-19 patients: A scientific statement from the Indian Heart Rhythm Society.

Aditya Kapoor, Ulhas Pandurangi, Vanita Arora, Anoop Gupta, Aparna Jaswal, Ashish Nabar, Ajay Naik, Nitish Naik, Narayanan Namboodiri, Amit Vora, Rakesh Yadav, Anil Saxena,

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, 20(3):117-120]

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Advanced cardiac imaging is helpful to determine the true etiology of outflowtract ventricular arrhythmias.

Frank Bogun,

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, 20(3):81-82]

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AH jump duration is associated with elimination of slow pathway during ablation of atrioventricular nodal reentrant tachycardia.

Sunu B Raharjo, Benny Tm Togatorop, Hananto Andriantoro, Dicky A Hanafy, Yoga Yuniadi,

INTRODUCTION:Ablating the slow pathway (SP) is the superior treatment for atrioventricular nodal reentrant tachycardia (AVNRT) with a low complication rate. However, the ablation of the SP could result in either complete elimination or modification of the SP. We aimed to investigate whether the duration of AH jump pre-ablation associated with ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, :]

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A novel strategy to treat vaso-vagal syncope: Cardiac neuromodulation by cryoballoon pulmonary vein isolation.

Riccardo Maj, Thiago Guimarães Osório, Gianluca Borio, Saverio Iacopino, Erwin Ströker, Juan Sieira, Muryo Terasawa, Shuichiro Kazawa, Alessandro Rizzo, Alessio Galli, Varnavas Varnavas, Gezim Bala, Xavier Galloo, Gaetano Paparella, Pedro Brugada, Yves De Greef, Carlo De Asmundis, Gian Battista Chierchia,

BACKGROUND:Clinical management of vaso-vagal syncope (VVS) remains challenging since no therapy has proven to completely prevent VVS recurrence. OBJECTIVE:The purpose of this study was to analyze the mid-term outcome of cryoballoon (CB) cardioneuroablation achieved by pulmonary vein isolation (PVI) in patients with VVS. METHODS:Patients who underwent CB cardioneuroablation in our ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, :]

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Micra leadless pacemaker retrieval in a pediatric patient.

Erick Jimenez, Varun Aggarwal, John Bass, Daniel Cortez,

We present a case of a 13-year old patient with partially reversibly post-operative heart block who underwent leadless pacemaker placement. After post-anesthesia wretching/gagging episode she developed device microdislodgement and increased/intolerable capture thresholds. The device was removed and another placed with adequate thresholds for good longevity. ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, 20(3):132-134]

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Polymorphism of the Beta-1 Gly389Arg receptor in patients with dual atrioventricular nodal physiology.

Douglas Joel Boris, Tiago Luiz Luz Leiria, Diego Chemello, Marco Aurélio Lumertz Saffi, Gustavo Glotz de Lima,

INTRODUCTION:Gly389Arg β1 adrenergic receptor polymorphisms seem to exert an influence on the modulation of the adrenergic effect in several types of patients. This study aimed to determine the prevalence of Gly389Arg polymorphisms among patients with evidence of double nodal pathway and to correlate the electrophysiological properties with the different genotypes of ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, 20(3):112-116]

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Defining the substrate for ventricular tachycardia ablation: The impact of rhythm at the time of mapping.

Danesh K Kella, Seth H Sheldon, Amit Noheria, Deepak Padmanabhan, Thomas Munger, Samuel J Asirvatham, Suraj Kapa,

BACKGROUND:Voltage mapping is critical to define substrate during ablation. In ventricular tachycardia, abnormal potentials may be targets. However, wavefront of activation could impact local signal characteristics. This may be particularly true when comparing sinus rhythm versus paced rhythms. We sought to determine how activation wavefront impacts electrogram characteristics. METHODS:Patients with ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, :]

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Cell phone based ECG monitoring: Old wine in new bottle, or something better?

Aparna Jaswal, Anil Saxena,

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, 20(2):47-48]

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Premature ventricular contractions in patients with an implantable cardioverter defibrillator cardiac resynchronization therapy device: Results from the UMBRELLA registry.

Finn Akerström, Marta Pachón, José B Martínez-Ferrer, Javier Alzueta, Luisa Pérez, Ignacio Fernández Lozano, Anibal Rodríguez, Miguel A Arias,

BACKGROUND:Premature ventricular contractions (PVC) are known to reduce the percentage of biventricular (BiV) pacing in patients with cardiac resynchronization (CRT), decreasing the clinical response. The aim of this study was to evaluate the prevalence of a high PVC burden, as well as therapeutic action (pharmacotherapy, catheter ablation or device programming), ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, 20(3):91-96]

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QTc dispersion as a novel marker in identifying patients requiring an epicardial approach for ablation of scar mediated ventricular tachycardia.

Darshan Krishnappa, Baris Akdemir, Teerapat Nantsupawat, Balaji Krishnan, Ilknur Can, Selcuk Adabag, Jian-Ming Li, Venkatakrishna N Tholakanahalli,

INTRODUCTION:Epicardial exit sites of ventricular tachycardia (VT) are frequently encountered during VT ablation requiring an epicardial ablation approach for successful elimination of VT. We sought to assess the utility of repolarization markers in identifying individuals requiring an epicardial ablation approach in addition to an endocardial approach. METHODS:32 patients who underwent ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, :]

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A cracking complication: Displacement of existing clavicle fracture complicating subcutaneous implantable cardioverter defibrillator implantation.

Umar Ismail, Justin Cloutier, Clarence Khoo, Ali Khadem, Colette M Seifer,

An 18 year old male with an incompletely healed clavicle fracture presented with unexplained syncope. Subsequent investigations were consistent with a diagnosis of arrhythmogenic right ventricular cardiomyopathy (ARVC). A subcutaneous implantable cardioverter-defibrillator (S-ICD) was successfully implanted and defibrillation threshold (DFT) testing performed as per standard protocol. Shortly following the procedure, ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, 20(3):129-131]

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Outcomes using a single tapered dilator for Micra leadless pacemaker implant.

Moghniuddin Mohammed, Juwairiya Arshi, Brian M Ramza, Alan P Wimmer, Daniel A Steinhaus, Michael J Giocondo, Sanjaya K Gupta, Omair K Yousuf,

OBJECTIVES:Comparison of outcomes, device deployment time (DT), and total time (TT) using a single tapered Coons dilator versus sequential serial dilation for implantation of the Micra leadless pacemaker. BACKGROUND:Micra leadless pacemaker placement requires a 23 French Micra introducer sheath (MIS) for percutaneous delivery. We sought to evaluate outcomes with use ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, 20(3):105-111]

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Outflow-tract ventricular tachycardia: Can 12 lead ECG during sinus rhythm identify underlying cardiac sarcoidosis?

Debabrata Bera, Daljeet Saggu, Sachin Yalagudri, Jugal Kishor Kadel, Rakesh Sarkar, Soumen Devidutta, Johann Christopher, Behzad Pavri, Calambur Narasimhan,

BACKGROUND:Patients with outflow tract ventricular tachycardia (OTVT) with normal echocardiogram are labeled as idiopathic VT (IVT). However, a subset of these patients is subsequently diagnosed with underlying cardiac sarcoidosis (CS). OBJECTIVE:Whether electrocardiogram (ECG) abnormalities in sinus rhythm (SR) can differentiate underlying CS from IVT. METHODS:We retrospectively analyzed the SR-ECGs of ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, 20(3):83-90]

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Unique features of epicardial ventricular arrhythmias/premature ventricular complexes ablated from coronary venous system in veteran population.

Philip L Mar, Mamta Barmeda, Marcelle A Stucky, Subodh R Devabahktuni, Jason Garlie, John M Miller, Rahul Jain,

INTRODUCTION:Ventricular arrhythmias/premature ventricular complexes (VA/PVCs) that can be ablated from within the coronary venous system (CVS) have not been described in the United States Veterans Health Administration (VHA) population. We retrospectively studied the VA/PVCs ablations that were performed in the VHA population. METHODS:Data from 42 consecutive patients who underwent VA/PVCs ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, 20(3):97-104]

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Serum Galectin-3 level and recurrence of atrial fibrillation post-ablation - Systematic review and meta-analysis.

Raymond Pranata, Emir Yonas, Veresa Chintya, Alexander Edo Tondas, Sunu Budhi Raharjo,

BACKGROUND:Serum galectin-3, a circulating biomarker of fibrosis, has been associated with atrial remodelling. Recent studies investigating serum galectin-3 and AF recurrence post-ablation have shown mixed results. We aimed to analyze the latest evidence on the association between serum galectin-3 and AF recurrence after catheter ablation. METHODS:We performed a comprehensive search ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, 20(2):64-69]

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Incidence, clinical, electrophysiological characteristics and outcomes of patients with Wolff-Parkinson-White syndrome and atrial fibrillation.

Debasis Acharya, Sameer Rane, Shomu Bohora, Hiren Kevadiya,

AIMS AND OBJECTIVES:Atrial fibrillation (AF) with preexcitation can be life threatening. Our study evaluated the incidence, clinical features, electrophysiologic characteristics and outcomes of patients presenting with AF and fast ventricular rates associated with an antegrade conducting accessory pathway. METHODS:Hospital data of patients who had undergone electrophysiology study and radiofrequency ablation ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, 20(1):3-7]

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Atrial fibrillation and preexcitation - A licence to kill.

R Sakthivel, Raja J Selvaraj,

Atrial fibrillation becomes a potentially lethal arrhythmia in the presence of preexcitation because the rapid ventricular activation can result in ventricular fibrillation. Fortunately, radiofrequency ablation is an effective treatment for these patients. Specific points of interest regarding this association are the mechanism of increased incidence of atrial fibrillation and the ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, 20(1):1-2]

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Comparison of arrhythmia detection by conventional Holter and a novel ambulatory ECG system using patch and Android App, over 24 h period.

Chakkalakkal Prabhakaran Karunadas, Cibu Mathew,

BACKGROUND:Ambulatory electrocardiogram (AECG) is done for evaluation of arrhythmia. Commonly used AECG system is 24 h Holter. Patch based second generation AECG monitoring devices, which can record for longer periods, are now available. OBJECTIVE:Android App based WebCardio using WiPatch is a new AECG system which records ECG in two leads for ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2020, 20(2):49-53]

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