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Pediatric Atrial Flutter

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Chemical cardioversion of atrial flutter and fibrillation in the pediatric population with Ibutilide.

Soham Dasgupta, Ishaan Dave, Robert Whitehill, Peter Fischbach,

INTRODUCTION:Atrial flutter (AFL) and atrial fibrillation (AF) are common in pediatric patients with congenital heart disease and structurally normal hearts as well. Chemical cardioversion is attractive for patients with AFL/AF for a short period of time because of the ability to avoid sedation. We review a single center's experience with ... Read more >>

Pacing Clin Electrophysiol (Pacing and clinical electrophysiology : PACE)
[2020, 43(3):322-326]

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Adverse event rate during inpatient sotalol initiation for the management of supraventricular and ventricular tachycardia in the pediatric and young adult population.

Stephanie F Chandler, Esther Chu, Robert D Whitehill, Laura M Bevilacqua, Vassilios J Bezzerides, Elizabeth S DeWitt, Mark E Alexander, Dominic J Abrams, John K Triedman, Edward P Walsh, Douglas Y Mah,

BACKGROUND:Sotalol is an important antiarrhythmic drug in the pediatric population. Given the risk of proarrhythmia, sotalol is initiated in inpatient settings, with adult studies as recent as 2015 supporting this practice. OBJECTIVE:The purpose of this study was to determine the frequency of adverse events (AEs) during sotalol initiation for the ... Read more >>

Heart Rhythm (Heart rhythm)
[2020, :]

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Quality of life assessment in children before and after a successful ablation for supraventricular tachycardia.

M Cecilia Gonzalez Corcia, Laura Peters, Thierry Sluysmans, Stephane Moniotte, Karlien Carbonez, Catherine Barrea, Christophe Vo, Laetitia Vanhoutte, Christophe Scavee,

BACKGROUND AND OBJECTIVES:Young patients suffering from rhythm disorders have a negative impact in their quality of life. In recent years, ablation has become the first-line therapy for supraventricular arrhythmias in children. In the light of the current expertise and advancement in the field, we decided to evaluate the quality of ... Read more >>

Cardiol Young (Cardiology in the young)
[2020, 30(3):413-417]

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Cavotricuspid isthmus ablation for atrial flutter: Anatomic challenges and troubleshooting.

Georgios Christopoulos, Konstantinos C Siontis, Ugur Kucuk, Samuel J Asirvatham,

HeartRhythm Case Rep (HeartRhythm case reports)
[2020, 6(3):115-120]

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Impact of dipyridamole on adenosine dosing in pediatric and young adult patients after heart transplantation.

Michael B Satzer, Jonathan N Flyer, Warren A Zuckerman, Leonardo Liberman, Marc E Richmond, Brett R Anderson, Linda J Addonizio, Eric S Silver,

BACKGROUND:Relative contraindications to adenosine use have included heart transplant and dipyridamole. We previously demonstrated the safety and efficacy of adenosine-induced atrioventricular (AV) block in healthy young heart transplant recipients while suspending dipyridamole therapy (dual antiplatelet agent). This prospective follow-up study evaluated the safety and efficacy of adenosine use in the ... Read more >>

Pediatr Transplant (Pediatric transplantation)
[2020, :e13689]

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Biventricular reverse remodeling and relationship with mitral valve prolapse after transcatheter closure of ASD secundum, a 3D echocardiographic study.

Amal El-Sisi, Shaheen Dabour, Aya M Fattouh, Effat Assar, Rasha Naguib, Antoine Fakhry AbdelMassih,

Introduction: Mitral valve prolapse (MVP) is the most common anomaly of the mitral valve. Several studies have shown prevalence of MVP in atrial septal defect (ASD) especially secundum types (II). The aims of this study is to show the potential role of 3D echocardiography in improving the diagnosis of MVP ... Read more >>

J Cardiovasc Thorac Res (Journal of cardiovascular and thoracic research)
[2020, 12(1):15-19]

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A Case of Kawasaki Disease Accompanied by Encephalitis and Several Kinds of Arrhythmia during the Acute Phase.

Naomi Nakagawa, Masahiro Kamada, Yukiko Ishiguchi, Yuji Moritoh, Kengo Okamoto, Shinji Itamura,

Although central nervous system complications occasionally accompany during the acute phase of Kawasaki disease, clinically problematic arrhythmia is quite rare. We report a case accompanied by encephalitis and several kinds of problematic arrhythmia. Following the diagnosis of Taussig-Bing anomaly and coarctation of the aorta, the patient underwent aortic arch reconstruction, ... Read more >>

Case Rep Pediatr (Case reports in pediatrics)
[2019, 2019:7358753]

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Pediatrics and GUCHs.

J Arrhythm (Journal of Arrhythmia)
[2019, 35(Suppl 1):693-711]

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The use of intracardiac echocardiography catheters in endocardial ablation of cardiac arrhythmia: Meta-analysis of efficiency, effectiveness, and safety outcomes.

Masahiko Goya, Diana Frame, Larry Gache, Yoko Ichishima, Daiane Oliveira Tayar, Laura Goldstein, Stephanie Hsiao Yu Lee,

AIMS:The optimal use of intracardiac echocardiography (ICE) may reduce fluoroscopy time and procedural complications during endocardial ablation of cardiac arrhythmias. Due to limited evidence in this area, we conducted the first systematic literature review and meta-analysis to evaluate outcomes associated with the use of ICE. METHODS AND RESULTS:Studies reporting the ... Read more >>

J. Cardiovasc. Electrophysiol. (Journal of cardiovascular electrophysiology)
[2020, 31(3):664-673]

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Performance of seven ECG interpretation programs in identifying arrhythmia and acute cardiovascular syndrome.

J De Bie, C Martignani, G Massaro, I Diemberger,

BACKGROUND:No direct comparison of current electrocardiogram (ECG) interpretation programs exists. OBJECTIVE:Assess the accuracy of ECG interpretation programs in detecting abnormal rhythms and flagging for priority review records with alterations secondary to acute coronary syndrome (ACS). METHODS:More than 2,000 digital ECGs from hospitals and databases in Europe, USA, and Australia, were ... Read more >>

J Electrocardiol (Journal of electrocardiology)
[2020, 58:143-149]

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Effects of perioperative transcutaneous electrical acupoint stimulation on monocytic HLA-DR expression in patients undergoing coronary artery bypass grafting with cardiopulmonary bypass: study protocol for a double-blind randomized controlled trial.

Wen-Ting Chen, Jin-Feng Wei, Lan Wang, Deng-Wen Zhang, Wei Tang, Jian Wang, Yue Yong, Jing Wang, Ya-Lan Zhou, Lan Yuan, Guo-Qiang Fu, Sheng Wang, Jian-Gang Song,

BACKGROUND:Cardiac surgery involving cardiopulmonary bypass (CPB) is known to be associated with a transient postoperative immunosuppression. When severe and persistent, this immune dysfunction predisposes patients to infectious complications, which contributes to a prolonged stay in the intensive care unit (ICU), and even mortality. Effective prevention and treatment methods are still ... Read more >>

Trials (Trials)
[2019, 20(1):789]

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Neonatal supraventricular tachycardia.

Chandra Srinivasan, Seshadri Balaji,

Supraventricular tachycardia (SVT) is one of the most common conditions requiring emergency cardiac care in neonates. Atrioventricular reentrant tachycardia utilizing an atrioventricular bypass tract is the most common form of SVT presenting in the neonatal period. There is high likelihood for spontaneous resolution for most of the common arrhythmia substrates ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2019, 19(6):222-231]

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Periodontitis and cardiovascular diseases: Consensus report.

Mariano Sanz, Alvaro Marco Del Castillo, Søren Jepsen, Jose R Gonzalez-Juanatey, Francesco D'Aiuto, Philippe Bouchard, Iain Chapple, Thomas Dietrich, Israel Gotsman, Filippo Graziani, David Herrera, Bruno Loos, Phoebus Madianos, Jean-Baptiste Michel, Pablo Perel, Burkert Pieske, Lior Shapira, Michael Shechter, Maurizio Tonetti, Charalambos Vlachopoulos, Gernot Wimmer,

BACKGROUND:In Europe cardiovascular disease (CVD) is responsible for 3.9 million deaths (45% of deaths), being ischaemic heart disease, stroke, hypertension (leading to heart failure) the major cause of these CVD related deaths. Periodontitis is also a chronic non-communicable disease (NCD) with a high prevalence, being severe periodontitis, affecting 11.2% of ... Read more >>

J. Clin. Periodontol. (Journal of clinical periodontology)
[2020, 47(3):268-288]

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Is right ventricular resynchronization the key to both right and left ventricular remodeling?

Franziska Markel, Christian Paech, Roman Antonin Gebauer,

HeartRhythm Case Rep (HeartRhythm case reports)
[2020, 6(1):20-22]

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Feasibility and performance of catheter ablation with zero-fluoroscopy approach for regular supraventricular tachycardia in patients with structural and/or congenital heart disease.

Aleksandra Morka, Janusz Śledź, Karol Deutsch, Bartosz Ludwik, Magdalena Zagrodzka, Lesław Szydłowski, Sebastian Stec,

Patients with structural heart disease (SHD) are more difficult to ablate than those with a structurally healthy heart. The reason may be technical problems. We compared periprocedural data in unselected patients (including SHD group) recruited for zero-fluoroscopy catheter ablation (ZF-CA) of supraventricular arrhythmias (SVTs).Consecutive adult patients with atrioventricular nodal reentry ... Read more >>

Medicine (Baltimore) (Medicine)
[2019, 98(41):e17333]

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Long-term follow-up after transatrial-transpulmonary repair of tetralogy of Fallot: influence of timing on outcome.

Eva van den Bosch, Ad J J C Bogers, Jolien W Roos-Hesselink, Arie P J van Dijk, Marie H E J van Wijngaarden, Eric Boersma, Aagje Nijveld, Linda W G Luijten, Ronald Tanke, Laurens P Koopman, Willem A Helbing,

OBJECTIVES:Our goal was to report the long-term serial follow-up after transatrial-transpulmonary repair of tetralogy of Fallot (TOF) and to describe the influence of the timing of the repair on outcome. METHODS:We included all patients with TOF who had undergone transatrial-transpulmonary repair between 1970 and 2012. Records were reviewed for patient ... Read more >>

Eur J Cardiothorac Surg (European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery)
[2020, 57(4):635-643]

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New-onset lone maternal atrial fibrillation: A case report.

Nusrat Batool Janjua, Suhaib Akhtar Birmani, Thomas McDonagh, Abdul Hameed, Matthew McKernan,

RATIONALE:Atrial fibrillation (AF) is encountered rarely in pregnancy. Management of maternal AF is challenging as it poses a threat to both maternal and fetal well-being. PATIENT CONCERNS:We report a case of a 35 weeks pregnant woman who presented in emergency with sudden-onset palpitations and mild shortness of breath with no ... Read more >>

Medicine (Baltimore) (Medicine)
[2020, 99(7):e19156]

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Management of asymptomatic ventricular preexcitation.

Shaun Mohan, Seshadri Balaji,

An incidental discovery of Wolff Parkinson White (WPW) pattern on the electrocardiogram (ECG) is not an infrequent finding facing the physician. Most patients discovered incidentally are asymptomatic and it is hard to justify further management of such patients given the time-honored adage to "first do no harm." However, this finding ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2019, 19(6):232-239]

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Arrhythmias in hematopoietic stem cell transplantation: A systematic review and meta-analysis.

Kanhatai Chiengthong, Ploypin Lertjitbanjong, Charat Thongprayoon, Tarun Bathini, Konika Sharma, Narut Prasitlumkum, Michael A Mao, Wisit Cheungpasitporn, Ronpichai Chokesuwattanaskul,

BACKGROUND:There are controversial data regarding the relationship between hematopoietic stem cell transplantation and arrhythmias. This meta-analysis was performed to evaluate the incidence of arrhythmias in patients following hematopoietic stem cell transplantation (HSCT). METHODS:A literature search was conducted utilizing MEDLINE, EMBASE, and Cochrane Databases from inception through April 2019. Pooled incidence ... Read more >>

Eur. J. Haematol. (European journal of haematology)
[2019, 103(6):564-572]

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Anatomic Considerations Relevant to Atrial and Ventricular Arrhythmias.

John Nan, Alan Sugrue, Thomas P Ladas, Nandini Mehra, Samuel J Asirvatham,

Knowledge of relevant cardiac anatomy is crucial in understanding the pathophysiology and treatment of arrhythmias, and helps avoid potential complications in mapping and ablation. This article explores the anatomy, relevant to electrophysiologists, relating to atrial flutter and atrial fibrillation, ventricular tachycardia relating to the outflow tracts as well as endocardial ... Read more >>

Card Electrophysiol Clin (Cardiac electrophysiology clinics)
[2019, 11(3):421-432]

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Effect of right ventricular pacing on left ventricular systolic function in patients with Tetralogy of Fallot.

Alexander C Egbe, Maria Najam, Keerthana Banala, Rahul Vojjini, Karim Osman, Deshmukh Abhishek,

Background:Prevalence of pacemaker-induced cardiomyopathy (PICM) in adults with congenital heart disease is unknown. Tetralogy of Fallot (TOF) is a common diagnosis in the adult congenital heart disease population, and the purpose of this study was to determine association between frequent right ventricular (RV) pacing and temporal decrease in left ventricular ... Read more >>

Int J Cardiol Heart Vasc (International journal of cardiology. Heart & vasculature)
[2020, 26:100426]

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Variable Presentations and Ablation Sites for Manifest Nodoventricular/Nodofascicular Fibers.

Babak Nazer, Tomos E Walters, Thomas A Dewland, Aditi Naniwadekar, Jacob S Koruth, Mohammed Najeeb Osman, Anselma Intini, Minglong Chen, Jurgen Biermann, Johannes Steinfurt, Jonathan M Kalman, Ronn E Tanel, Byron K Lee, Nitish Badhwar, Edward P Gerstenfeld, Melvin M Scheinman,

BACKGROUND:Nodofascicular and nodoventricular (NFV) accessory pathways connect the atrioventricular node and the Purkinje system or ventricular myocardium, respectively. Concealed NFV pathways participate as the retrograde limb of supraventricular tachycardia (SVT). Manifest NFV pathways can comprise the anterograde limb of wide-complex SVT but are quite rare. The purpose of this report ... Read more >>

Circ Arrhythm Electrophysiol (Circulation. Arrhythmia and electrophysiology)
[2019, 12(9):e007337]

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Antenatal Therapy for Fetal Supraventricular Tachyarrhythmias: Multicenter Trial.

Takekazu Miyoshi, Yasuki Maeno, Toshimitsu Hamasaki, Noboru Inamura, Satoshi Yasukochi, Motoyoshi Kawataki, Hitoshi Horigome, Hitoshi Yoda, Mio Taketazu, Masaki Nii, Akiko Hagiwara, Hitoshi Kato, Wataru Shimizu, Isao Shiraishi, Heima Sakaguchi, Keiko Ueda, Shinji Katsuragi, Haruko Yamamoto, Haruhiko Sago, Tomoaki Ikeda, ,

BACKGROUND:Standardized treatment of fetal tachyarrhythmia has not been established. OBJECTIVES:This study sought to evaluate the safety and efficacy of protocol-defined transplacental treatment for fetal supraventricular tachycardia (SVT) and atrial flutter (AFL). METHODS:In this multicenter, single-arm trial, protocol-defined transplacental treatment using digoxin, sotalol, and flecainide was performed for singleton pregnancies from ... Read more >>

J. Am. Coll. Cardiol. (Journal of the American College of Cardiology)
[2019, 74(7):874-885]

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Characterization of Patients with Pulmonary Arterial Hypertension: Data from the Polish Registry of Pulmonary Hypertension (BNP-PL).

Grzegorz Kopeć, Marcin Kurzyna, Ewa Mroczek, Łukasz Chrzanowski, Tatiana Mularek-Kubzdela, Ilona Skoczylas, Beata Kuśmierczyk, Piotr Pruszczyk, Piotr Błaszczak, Ewa Lewicka, Danuta Karasek, Katarzyna Mizia-Stec, Michał Tomaszewski, Wojciech Jacheć, Katarzyna Ptaszyńska-Kopczyńska, Małgorzata Peregud-Pogorzelska, Anna Doboszyńska, Agnieszka Pawlak, Zbigniew Gąsior, Wiesława Zabłocka, Robert Ryczek, Katarzyna Widejko-Pietkiewicz, Marcin Waligóra, Szymon Darocha, Michał Furdal, Michał Ciurzyński, Jarosław D Kasprzak, Marek Grabka, Karol Kamiński, Piotr Hoffman, Piotr Podolec, Adam Torbicki,

Current knowledge of pulmonary arterial hypertension (PAH) epidemiology is based mainly on data from Western populations, and therefore we aimed to characterize a large group of Caucasian PAH adults of Central-Eastern European origin. We analyzed data of incident and prevalent PAH adults enrolled in a prospective national registry involving all ... Read more >>

J Clin Med (Journal of clinical medicine)
[2020, 9(1):]

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Transcatheter and intraoperative device closure of atrial septal defect in infants under three years of age.

Yangyang Han, Xiquan Zhang, Fengwei Zhang,

BACKGROUND:Transcatheter and intraoperative device closures have been widely used in the treatment of secundum atrial septal defect (ASD). However, for young infants with ASD, device closure remains controversial, and such treatment features limited data. We compared the clinical data and follow-up results of percutaneous and intraoperative device closure for ASD ... Read more >>

J Cardiothorac Surg (Journal of cardiothoracic surgery)
[2020, 15(1):9]

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