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Journal J Arrhythm

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Telemedicine during COVID‐19 pandemic.

Endrj Menardi, Gian Paolo Ballari, Emanuela Racca, Marco Gagliardi, Anna Gonella, Francesca Sbarro, Renata Musso, Stella Cagliero, Giorgio Baralis,

AbstractSince 2015 most patients implanted with cardiac devices (Implantable Cardioverter Defibrillators (ICDs), Implantable Loop Recorders (ILRs), Pacemakers (PMs)) at Santa Croce e Carle Hospital (Cuneo, Italy) are remotely followed with home monitoring systems free of charge. From 2017 the home monitoring outpatient follow‐up service has been systematically organized mainly for ... Read more >>

J Arrhythm (Journal of Arrhythmia)
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Syncope, Brugada syndrome, and COVID‐19 lung disease.

Giampaolo Pasquetto, Giovanni Battista Conti, Angela Susana, Lucia Anna Leone, Emanuele Bertaglia,

A 52‐year‐old male with no history of familiar sudden death arrived at our Emergency Department after syncope with loss of consciousness occurred during high fever. The thoracic high‐resolution computed tomography demonstrated bilateral multiple ground‐glass opacities. The nose‐pharyngeal swab resulted positive for SARS‐CoV‐2. The 12‐lead ECG presented a “coved‐type” aspect in ... Read more >>

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Journal of Arrhythmia Reviewers List (2019 Jan 1 to Dec 31).

J Arrhythm (Journal of arrhythmia)
[2020, 36(3):379-385]

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Fasciculoventricular bypass tracts: Electrocardiographic and electrophysiologic features.

Dimitrios Asvestas, George Bazoukis, Panagiotis Mililis, Stelios Dragasis, Athanasia Megarisiotou, Konstantinos Vlachos, Antonios Sideris, Michael Efremidis, Konstantinos P Letsas,

Fasciculoventricular accessory pathways are rare variants of preexcitation. The differential diagnosis of fasciculoventricular accessory pathways from other preexcitation variants can be challenging. Based on two cases, we discuss the specific electrocardiographic and electrophysiologic features of fasciculoventricular bypass tracts. ... Read more >>

J Arrhythm (Journal of arrhythmia)
[2020, 36(3):537-541]

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Correlation of the peak oxygen consumption and ventilatory aerobic threshold by cardiopulmonary exercise testing with atrial fibrillation recurrences after ablation in patients with paroxysmal atrial fibrillation.

Daiki Yamashita, Shigeshi Kamikawa, Ryou Tanaka, Natsumi Tabita, Saori Nishimura, Miyuki Mitsuoka, Shunich Higashiya, Hirosuke Yamaji, Takashi Murakami, Kazuyoshi Hina, Shozo Kusachi,

Background:The cardiopulmonary function is hypothesized to be associated with atrial fibrillation/atrial tachyarrhythmia (AF/AT) recurrence after AF ablation. Purpose:To clarify the relationship between the cardiopulmonary function after successful ablation and AF/AT recurrence. Methods:We examined 31 patients with paroxysmal AF who underwent AF ablation. Cardiopulmonary exercise testing (CPET) was performed at 1month ... Read more >>

J Arrhythm (Journal of arrhythmia)
[2020, 36(3):456-463]

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Efficacy and safety of renal denervation in addition to pulmonary vein isolation for atrial fibrillation and hypertension-Systematic review and meta-analysis of randomized controlled trials.

Raymond Pranata, Rachel Vania, Sunu Budhi Raharjo,

Introduction:This systematic review and meta-analysis aimed to assess the latest evidence on the use of renal denervation (RDN) + pulmonary vein isolation (PVI) compared to PVI alone for treating atrial fibrillation (AF) with hypertension. Methods:A systematic literature search from several electronic databases was performed up until January 2020. The primary ... Read more >>

J Arrhythm (Journal of arrhythmia)
[2020, 36(3):386-394]

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Clinical and electrophysiological characteristics of ventricular arrhythmias arising from pulmonary cusps.

Vickram V Rangaswamy, Sachin Yalagudri, Daljeet K Saggu, Muthiah Subramanian, Chennapragadha Sridevi, Calambur Narasimhan,

Introduction:Ventricular arrhythmias (VAs) have been successfully ablated from the pulmonary sinus cusps establishing pulmonary artery (PA) as a distinct site of arrhythmic foci. The aim of the present study was to determine the clinical presentation, electrocardiographic, and ablation characteristics of PA-VAs. Methods:Thirty consecutive patients with right ventricular outflow tract (RVOT)-type VAs were included in this retrospective study. Three-dimensional electroanatomic mapping was ... Read more >>

J Arrhythm (Journal of Arrhythmia)
[2020, 36(3):471-477]

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Patient characteristics, procedure details including catheter devices, and complications of catheter ablation for ventricular tachycardia: a nationwide observational study.

Takeshi Kitamura, Mikio Nakajima, Iwanari Kawamura, Hiroyuki Ohbe, Yusuke Sasabuchi, Hiroki Matsui, Kiyohide Fushimi, Seiji Fukamizu, Hideo Yasunaga,

Background:Nationwide data are insufficient with respect to the characteristics of patients undergoing ventricular tachycardia (VT) ablation, complications of VT ablation, and procedure details including catheter devices used during VT ablation. The present study was performed to describe the patient characteristics, procedure details including catheter devices, and in-hospital complications of catheter ... Read more >>

J Arrhythm (Journal of arrhythmia)
[2020, 36(3):464-470]

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Optimal INR level in patients with atrial fibrillation with EHRA type 2 valvular heart disease receiving warfarin.

Sirote Luengsupabul, Komsing Methavigul, Ratikorn Methavigul,

Background:To date, there has been no study that compares the efficacy and safety of warfarin in atrial fibrillation (AF) patients with Evaluated Heartvalves, Rheumatic or Artificial (EHRA) type 2 valvular heart disease (VHD). This study was conducted to determine the optimal INR in these patients. Methods:This retrospective study enrolled AF ... Read more >>

J Arrhythm (Journal of arrhythmia)
[2020, 36(3):425-429]

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Histological properties of oscillating intracardiac masses associated with cardiac implantable electric devices.

Yasuo Miyagi, Yasuhiro Kawase, Shinobu Kunugi, Hiroya Oomori, Takashi Sasaki, Shun-Ichiro Sakamoto, Yosuke Ishii, Tetsuro Morota, Takashi Nitta, Akira Shimizu,

Background:There have been a few cases of echogenic cardiac implantable electric device (CIED) lead-associated oscillating intracardiac masses (ICMs) in leads imaged by echocardiography. The histological properties of ICMs could help clarify the etiological diagnosis. Although there is extensive literature on mass size, the histological properties of such masses have not ... Read more >>

J Arrhythm (Journal of arrhythmia)
[2020, 36(3):478-484]

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COVID-19 and new-onset arrhythmia.

Sandeep Singh, Rupak Desai,

J Arrhythm (Journal of Arrhythmia)
[2020, 36(3):547-548]

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How to unmask septal local abnormal ventricular activities with the new LUMIPOINTTM software.

Francesco Solimene, Francesco Maddaluno, Maurizio Malacrida, Giuseppe Stabile,

We report the use of the new automated tool LumipointTM for the detection of LAVA (local abnormal ventricular activities) when they are buried within the far-field ventricular signal, especially in regions of preserved myocardial thickness, such as the left ventricular (LV) septum. The LV substrate and the tachycardia circuit during ... Read more >>

J Arrhythm (Journal of Arrhythmia)
[2020, 36(3):528-531]

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LV pacing as an alternative option to conventional RV pacing in a patient with tricuspid valve replacement.

Svetoslav Iovev, Nezabravka Chilingirova,

Tricuspid regurgitation (TR) is a relatively common anomaly. In patients with tricuspid valve repair/replacement (TVR)the control of atrioventricular conduction irregularity can be demanding, given the unavailability for implantation of the right ventricular (RV) endocardial lead, which is not recommended in such cases because of the risk of lead fracture at ... Read more >>

J Arrhythm (Journal of arrhythmia)
[2020, 36(3):532-533]

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Editorial to the Postmarketing surveillance on the clinical use of edoxaban in patients with nonvalvular atrial fibrillation (ETNA-AF Japan): One-year safety and effectiveness analyses.

Koichi Nagashima, Yasuo Okumura,

J Arrhythm (Journal of arrhythmia)
[2020, 36(3):406-407]

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Variation of Tpeak-end, corrected Tpeak-end, QT, and corrected QT intervals, Tpeak-end/QT, Tpeak-end/corrected QT ratios and heart rate variability according to decades in the healthy male subjects aged between 30 and 79 years.

Ayhan Cosgun, Huseyin Oren,

Background:Heart rate variability (HRV) is a predictor of cardiac autonomic functions. Ventricular repolarization markers can indicate ventricular arrhythmias. We aimed to evaluate variations of HRV and these repolarization markers in five healthy male groups between age 30 and 79 years according to decades. Materials and Methods:The study group consisted of 500 ... Read more >>

J Arrhythm (Journal of arrhythmia)
[2020, 36(3):508-517]

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The effect of bilateral cardiac sympathetic denervation for refractory ventricular tachycardia in ischemic cardiomyopathy.

Yuko Miki, Takehito Sasaki, Yoshinori Okazaki, Mitsuho Inoue, Katsura Niijima, Hiroyuki Motoda, Yutaka Take, Kentaro Minami, Nogiku Niwamae, Mitsuhiro Kamiyoshihara, Kohki Nakamura, Shigeto Naito,

Recent studies have shown that cardiac sympathetic denervation (CSD) is effective in the treatment of refractory ventricular tachyarrhythmia in patients with structural heart disease. This case report aimed to highlight the effect of bilateral CSD in suppressing treatment-resistant ventricular tachycardia in patients with ischemic cardiomyopathy. ... Read more >>

J Arrhythm (Journal of arrhythmia)
[2020, 36(3):524-527]

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Clinical factors related to successful or unsuccessful cardioversion in the EdoxabaN versus warfarin in subjectS UndeRgoing cardiovErsion of Atrial Fibrillation (ENSURE-AF) randomized trial.

Gregory Y H Lip, Jose L Merino, Maciej Banach, Naab Al-Saady, James Jin, Michael Melino, Shannon M Winters, Monika Kozieł, Andreas Goette,

Background:EdoxabaN versus warfarin in subjectS UndeRgoing cardiovErsion of Atrial Fibrillation evaluated use of nonvitamin K antagonist oral anticoagulant edoxaban vs enoxaparin-warfarin in patients with nonvalvular atrial fibrillation undergoing electrical cardioversion. Hypothesis:To assess clinical factors related to successful or unsuccessful cardioversion. To evaluate whether differences in adverse events based on anticoagulation ... Read more >>

J Arrhythm (Journal of arrhythmia)
[2020, 36(3):430-438]

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Transient narrowing of a wide QRS tachycardia. What is the mechanism?

Francisco Ribes, Ángel Martínez-Brótons, Ángel Ferrero-De-Loma-Osorio, Lourdes Bondanza, Cristina Albiach, Víctor Marcos-Garcés, Ricardo Ruiz-Granell,

Electrocardiogram showing a regular wide QRS tachycardia with left branch block (LBBB) like in morphology at 200 beats per minute (bpm). During electrophysiology study, it suddenly gets narrow and faster. What is the mechanism of the switch from a broad complex to a narrow complex tachycardia? ... Read more >>

J Arrhythm (Journal of Arrhythmia)
[2020, 36(3):542-543]

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Comparison of effectiveness and safety between uninterrupted direct oral anticoagulants with and without switching to dabigatran in atrial fibrillation ablation.

Masahide Harada, Yuji Motoike, Yoshihiro Nomura, Asuka Nishimura, Masayuki Koshikawa, Kazuhiro Murayama, Yoshiharu Ohno, Eiichi Watanabe, Hideo Izawa, Yukio Ozaki,

Introduction:Recent studies have demonstrated the feasibility of uninterrupted direct oral anticoagulants (DOACs) with a temporary switch to dabigatran ("dabigatran bridge") for atrial fibrillation (AF) ablation. We compared the effectiveness and safety between uninterrupted DOACs with and without the "dabigatran bridge" in patients taking factor Xa inhibitors. Methods:AF patients on factor ... Read more >>

J Arrhythm (Journal of arrhythmia)
[2020, 36(3):417-424]

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A multicenter study comparing the outcome of catheter ablation of atrial fibrillation between cryoballoon and radiofrequency ablation in patients with heart failure (CRABL-HF): Study design.

Koji Miyamoto, Kanae Hasegawa, Hiroki Takahashi, Yoh Masue, Naoya Kataoka, Koji Fukuzawa, Keiichi Ashikaga, Takashi Noda, Kazuhiro Satomi, Hiroshi Tada, Masahiko Takagi, Satoshi Yasuda, Kengo Kusano,

Background:Catheter ablation of atrial fibrillation (AF) is increasingly performed worldwide in patients with heart failure (HF). However, it has been recently emphasized that AF ablation in patients with HF is associated with increased risks of procedure-related complications and mortality. There are little data about the differences in the efficacy and ... Read more >>

J Arrhythm (Journal of arrhythmia)
[2020, 36(3):449-455]

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Cardiac implantable electronic device infection: Does the device need to be extracted?

Sandhya Nagarakanti, Eliahu Bishburg, Anita Bapat,

Background:Cardiac implantable electronic devices (CIED) have become a common treatment modality in clinical practice. The increase in utilization of these devices has been associated with an increase in infection rates. Published guidelines define when a device is deemed infected (CDI); recommendations for the work-up of CDI and criteria for extraction. ... Read more >>

J Arrhythm (Journal of arrhythmia)
[2020, 36(3):493-497]

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Nonlinear parameter of heart rate variability can diagnose early cardiac autonomic neuropathy.

Pramita Dubey, Manish Verma, Nitin Ashok John, Manish Gutch,

This is a case of a 63-year-old female presenting with diabetes mellitus, hypertension, hypothyroidism, and postmenopausal osteoporosis with findings showing abnormal AFT with reduced heart rate variability (HRV) and multiple lobed Poincaré plot, pointing to premature atrial contractions. ... Read more >>

J Arrhythm (Journal of arrhythmia)
[2020, 36(3):534-536]

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Significant but limited predictive value of atrial burst pacing.

Yasushi Mukai, Shunsuke Kawai,

J Arrhythm (Journal of arrhythmia)
[2020, 36(3):448]

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Cryoablation: A useful tool in selected cases.

Gregory E Supple,

J Arrhythm (Journal of arrhythmia)
[2020, 36(3):522-523]

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Electrocardiographic features of the presence of occult myocardial disease in patients with VPD-induced cardiomyopathy.

Sung Il Im, Hye Bin Gwag, Youngjun Park, Seung-Jung Park, June Soo Kim, Young Keun On, Kyoung-Min Park,

Background:Frequent ventricular premature depolarizations (VPDs) can cause reversible cardiomyopathy (CMP). However, many patients maintain a normal left ventricular (LV) function with a high VPD burden. The electrocardiographic characteristics of VPD-induced CMP have not been elucidated. Methods:One hundred and eighty (91 men, age; 51 ± 15 years) patients with frequent idiopathic VPDs (>10% VPDs/day ... Read more >>

J Arrhythm (Journal of arrhythmia)
[2020, 36(3):485-492]

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