8,773 results match your criteria Atrial Flutter


Optimal duration and predictors of diagnostic utility of patient-activated ambulatory ECG monitoring.

Heart Asia 2018 24;10(2):e011061. Epub 2018 Nov 24.

Department of Cardiology, National University Heart Centre Singapore, Singapore, Singapore.

Objective: We studied the optimal duration of ambulatory event monitors for symptomatic patients and the predictors of detected events.

Methods: Patients with palpitations or dizziness received a patient-activated handheld event monitor which records 30 s single-lead ECG strips. Patients were monitored in an ambulatory setting for a range of 1-4 weeks and ECG strips interpreted by five independent electrophysiologists. Read More

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http://dx.doi.org/10.1136/heartasia-2018-011061DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267449PMC
November 2018

Patterns of adipose tissue fatty acids and the risk of atrial fibrillation: A case-cohort study.

PLoS One 2018 11;13(12):e0208833. Epub 2018 Dec 11.

Aalborg University Hospital, Department of Cardiology, Aalborg, Denmark.

Fatty acids in adipose tissue share dietary sources and metabolic pathways and therefore occur in patterns. The aim of the present study was to investigate the association between adipose tissue fatty acid patterns identified by the data-driven dimension-reducing method treelet transform and the risk of atrial fibrillation. A total of 57,053 Danish men and women aged 50-64 years participating in the Diet, Cancer and Health cohort had an adipose tissue biopsy taken at baseline. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0208833PLOS
December 2018

Patterns of Incidence Rates of Cardiac Complications in Patients With Congenital Heart Disease.

Can J Cardiol 2018 Dec 29;34(12):1624-1630. Epub 2018 Sep 29.

Department of Cardiology, University Hospital of Basel, University of Basel, Basel, Switzerland. Electronic address:

Background: This study aimed to evaluate age at the first onset of cardiac complications and variation of frequency of complications between different congenital heart defects.

Methods: The analysis included participants of the Swiss Adult Congenital Heart Disease Registry (SACHER). For this study, cardiac complications up to the time of inclusion in SACHER were analysed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0828282X183119
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http://dx.doi.org/10.1016/j.cjca.2018.09.010DOI Listing
December 2018
1 Read

Cardiac Involvement in Emery-Dreifuss Muscular Dystrophy and Related Management Strategies.

Int Heart J 2018 Dec 5. Epub 2018 Dec 5.

Department of Cardiovascular Medicine, Second Xiangya Hospital of Central South University.

Emery-Dreifuss muscular dystrophy (EDMD) is a group of hereditary muscular dystrophy syndrome caused by deficiency of genes encoding nuclear envelope proteins. Patients having EDMD show the triad of muscle dystrophy, joint contracture, and cardiac disease. In almost all patients, cardiac involvement is prevalent and is the most severe aspect of EDMD. Read More

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http://dx.doi.org/10.1536/ihj.17-604DOI Listing
December 2018
1 Read

Synchronous diaphragmatic contraction associated with dual-chamber transvenous pacing in a dog.

J Vet Cardiol 2018 Nov 28. Epub 2018 Nov 28.

Boston Scientific Corporation, 3 Scimed Place, Maple Grove, MN 55311, USA.

A 3-year-old, 20-kg, spayed female, mix-breed dog received a dual-chamber pacemaker for management of symptomatic 3rd-degree atrioventricular block. Synchronous diaphragmatic contraction was documented to occur with atrial pacing. Various methods to reduce the occurrence of pacemaker-related phrenic nerve stimulation are discussed. Read More

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http://dx.doi.org/10.1016/j.jvc.2018.10.003DOI Listing
November 2018
1 Read

Neonatal atrial flutter: Three cases and review of the literature.

Turk J Pediatr 2018 ;60(3):306-309

Division of Neonatology, Istanbul Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey.

Yılmaz-Semerci S, Bornaun H, Kurnaz D, Cebeci B, Babayiğit A, Büyükkale G, Çetinkaya M. Neonatal atrial flutter: Three cases and review of the literature. Turk J Pediatr 2018; 60: 306-309. Read More

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http://dx.doi.org/10.24953/turkjped.2018.03.011DOI Listing
January 2018

Alternative strategies to improve success rate of mitral isthmus block.

Medicine (Baltimore) 2018 Nov;97(48):e13060

Heart Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul.

Achieving bidirectional conduction block (BDB) across the mitral isthmus (MI) is technically challenging. We describe our experience using different ablation strategies for achieving successful MI block.We reviewed the records of patients who had undergone MI ablation for peri-mitral (PM) flutter at our institution from January 2010 to May 2015. Read More

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http://dx.doi.org/10.1097/MD.0000000000013060DOI Listing
November 2018
3 Reads

Yield and consistency of arrhythmia detection with patch electrocardiographic monitoring: The Multi-Ethnic Study of Atherosclerosis.

J Electrocardiol 2018 Nov - Dec;51(6):997-1002. Epub 2018 Jul 30.

Department of Biostatistics, University of Washington; 1959 NE Pacific Ave, Seattle, WA 98195, USA. Electronic address:

Background: Patch electrocardiographic (ECG) monitors permit extended noninvasive ambulatory monitoring. To guide use of these devices, information is needed about their performance. We sought to determine in a large general population sample the acceptability of patch ECG monitors, the yield of arrhythmia detection, and the consistency of findings in participants monitored twice. Read More

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http://dx.doi.org/10.1016/j.jelectrocard.2018.07.027DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6278608PMC
July 2018
1 Read

Automatic atrial fibrillation and flutter detection by a handheld ECG recorder, and utility of sequential finger and precordial recordings.

J Electrocardiol 2018 Nov - Dec;51(6):1135-1140. Epub 2018 Oct 18.

Cardiology Department, Geneva University Hospital, Geneva, Switzerland. Electronic address:

Background: Handheld ECG recorders may have algorithms which automatically inform the user of presence of arrhythmia. The main objectives of this study were to evaluate the accuracy of the arrhythmia diagnosis algorithm of Beurer ME90 recorder to diagnose atrial fibrillation (AF)/flutter, and to evaluate whether recording technique (finger versus precordial) affects diagnostic performance.

Methods: Consecutive patients admitted at the cardiology ward of a tertiary care hospital were enrolled. Read More

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http://dx.doi.org/10.1016/j.jelectrocard.2018.10.093DOI Listing
October 2018

Atypical flutter following lung transplantation involving recipient-to-donor tissue connections.

HeartRhythm Case Rep 2018 Nov 22;4(11):548-552. Epub 2018 Aug 22.

Section of Cardiac Electrophysiology, Temple University Hospital, Philadelphia, Pennsylvania.

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http://dx.doi.org/10.1016/j.hrcr.2018.08.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241169PMC
November 2018
1 Read

Atrial flutter and embolic risk: The relationship between atrial flutter cycle length and left atrial appendage function.

J Electrocardiol 2018 Oct 9;52:11-16. Epub 2018 Oct 9.

Institute of Cardiology, University Foundation of Cardiology, Porto Alegre, Brazil. Electronic address:

Background: The potential for thromboembolism in atrial flutter (AFL) is different from atrial fibrillation. AFL cycle length (AFL-CL) may be related to reduced left atrial appendage (LAA) function. Very rapid AFL-CL can lead to mechanical and electrophysiological disorders that contribute to lower LAA emptying velocity (LAEV). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00220736183004
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http://dx.doi.org/10.1016/j.jelectrocard.2018.10.086DOI Listing
October 2018
4 Reads

Diagnosis and treatment of aortic saddle embolism.

Ann Vasc Surg 2018 Nov 23. Epub 2018 Nov 23.

Department of Vascular Surgery, Qilu Hospital, Shandong University, 107, Wenhua Xi Road, Jinan, 250012, People's Republic of China. Electronic address:

Objective: Acute aortic occlusion is a rare but life-threatening medical condition that can result from aortic saddle embolism, thrombosis of an atherosclerotic aorta, or aortic dissection. Herein are described the diagnostic and therapeutic characteristics for a series of patients with aortic saddle embolism.

Methods: A retrospective review of medical records was performed for patients receiving treatment for aortic saddle embolism at a university hospital in China between January 2001 and September 2017. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08905096183086
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http://dx.doi.org/10.1016/j.avsg.2018.08.094DOI Listing
November 2018
16 Reads

The Accuracy and Clinical Applicability of a Sensor Based Electromagnetic Non-fluoroscopic Catheter Tracking System.

Korean Circ J 2018 Aug 31. Epub 2018 Aug 31.

Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.

Background And Objectives: The differences between electromagnetic-based mapping (EM) and impedance-based mapping (IM) in 3D anatomical reconstruction have not been fully clarified. We aimed to investigate the anatomical accuracy between EM (MediGuide™) and IM (EnSite Velocity™) systems.

Methods: We investigated 15 consecutive patients (10 males, mean age 58±9 years) who underwent pulmonary veins (PVs) isolation for paroxysmal atrial fibrillation (PAF). Read More

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http://dx.doi.org/10.4070/kcj.2018.0195DOI Listing
August 2018
1 Read

Single-Procedure Outcomes and Quality-of-Life Improvement 12 Months Post-Cryoballoon Ablation in Persistent Atrial Fibrillation: Results From the Multicenter CRYO4PERSISTENT AF Trial.

JACC Clin Electrophysiol 2018 Nov 25;4(11):1440-1447. Epub 2018 Aug 25.

Centre Hospitalier Universitaire de Grenoble-Alpes, Grenoble, France.

Objectives: The CRYO4PERSISTENT AF (Cryoballoon Ablation for Early Persistent Atrial Fibrillation) trial aims to report long-term outcomes after a single pulmonary vein isolation (PVI)-only ablation procedure using the second-generation cryoballoon in persistent atrial fibrillation (PerAF) patients.

Background: Pulmonary vein isolation is recognized as the cornerstone of atrial fibrillation (AF) ablation, including ablation of PerAF.

Methods: The CRYO4PERSISTENT AF trial (NCT02213731) is a prospective, multicenter, single-arm trial designed to assess single-procedure outcomes of PVI using the cryoballoon. Read More

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http://dx.doi.org/10.1016/j.jacep.2018.07.007DOI Listing
November 2018
1 Read

Management and Disposition of Atrial Fibrillation in the Emergency Department: A Systematic Review.

J Atr Fibrillation 2018 Jun-Jul;11(1):1810. Epub 2018 Jun 30.

Division of Cardiology, Department of Medicine, University of North Carolina, Chapel Hill, NC.

Introduction: Management of atrial fibrillation (AF) and atrial flutter (AFL) in the emergency department (ED) varies greatly, and there are currently no United States guidelines to guide management with regard to patient disposition after ED treatment. The aim of this systematic review was to evaluate the literature for decision aids to guide disposition of patients with AF/AFLin the ED, and assess potential outcomes associated with different management strategies in the ED.

Methods And Results: A systematic review was done using PubMed (MEDLINE), Cochrane Central Register of Controlled Trials (CENTRAL), and EMBASE, combining the search terms "Atrial Fibrillation", "Atrial Flutter", "Emergency Medicine", "Emergency Service", and "Emergency Treatment". Read More

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http://dx.doi.org/10.4022/jafib.1810DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207234PMC

Coronary Sinus Electrograms May Predict New-onset Atrial Fibrillation After Typical Atrial Flutter Radiofrequency Ablation (CSE-AF).

J Atr Fibrillation 2018 Jun-Jul;11(1):1809. Epub 2018 Jun 30.

Division of Cardiology, Heart Rhythm Service, Queen's University, Kingston, Ontario, Canada.

Background: Complex fractionated electrograms (EGMs) of the coronary sinus electrograms (CSEs) are employed as a target during radiofrequency ablations (RFA) of atrial fibrillation (AF). Anatomically, CSEs includes both of left atrium (LA), coronary sinus musculature and right atrium (RA) electrograms.

Aim: To determine the significance of fractionated CSE and delayed potentials as a predictor of new-onset AF after radiofrequency ablation (RFA) of isolated atrial flutter (AFL). Read More

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http://dx.doi.org/10.4022/jafib.1809DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207233PMC
June 2018
1 Read

A decade of catheter ablation of cardiac arrhythmias in Sweden: ablation practices and outcomes.

Eur Heart J 2018 Nov 17. Epub 2018 Nov 17.

Department of Cardiology, Karolinska University Hospital, Solna, Sweden.

Aims: Catheter ablation is considered the treatment of choice for many tachyarrhythmias, but convincing 'real-world' data on efficacy and safety are lacking. Using Swedish national registry data, the ablation spectrum, procedural characteristics, as well as ablation efficacy and reported adverse events are reported.

Methods And Results: Consecutive patients (≥18 years of age) undergoing catheter ablation in Sweden between 01 January 2006 and 31 December 2015 were included in the study. Read More

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http://fdslive.oup.com/www.oup.com/pdf/production_in_progres
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http://dx.doi.org/10.1093/eurheartj/ehy709DOI Listing
November 2018
11 Reads

Dialysis Modality and Incident Atrial Fibrillation in Older Patients With ESRD.

Am J Kidney Dis 2018 Nov 15. Epub 2018 Nov 15.

Section of Nephrology, Department of Medicine, Baylor College of Medicine, Houston, TX. Electronic address:

Rationale & Objective: Atrial fibrillation (AF) is common in patients with kidney failure treated by maintenance dialysis. Whether the incidence of AF differs between patients receiving hemodialysis and peritoneal dialysis is uncertain.

Study Design: Retrospective cohort study. Read More

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http://dx.doi.org/10.1053/j.ajkd.2018.09.011DOI Listing
November 2018
1 Read

Demonstration of an adjacent conduction gaps-derived left atrial and pulmonary vein flutter by high-density mapping.

J Interv Card Electrophysiol 2018 Nov 17. Epub 2018 Nov 17.

Department of Cardiology, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan.

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http://link.springer.com/10.1007/s10840-018-0485-1
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http://dx.doi.org/10.1007/s10840-018-0485-1DOI Listing
November 2018
4 Reads

Atrioventricular nodal reentrant tachycardia and cannon A waves: A case report.

Am J Emerg Med 2018 Nov 12. Epub 2018 Nov 12.

McGovern Medical School, University of Texas Health Science Center at Houston, (UTHealth), Department of Emergency Medicine, United States of America.

Regular, narrow complex tachycardia with a ventricular rate around 150 can be challenging. The differential includes sinus tachycardia, atrioventricular nodal reentrant tachycardia (AVNRT), atrioventricular reentrant tachycardia (AVRT), and atrial tachycardia (focal or macro re-entrant - i.e. Read More

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http://dx.doi.org/10.1016/j.ajem.2018.11.016DOI Listing
November 2018
1 Read

High-Detailed evaluation of the right atrial anatomy by three-dimensional rotational angiography during ablation procedures for atrioventricular nodal reentrant tachycardia and atrial flutter.

Scand Cardiovasc J 2018 Nov 16:1-23. Epub 2018 Nov 16.

a Department of Cardiovascular Sciences , University of Leuven , Leuven , Belgium.

Aim: 3D Rotational angiography (3DRA) allows for detailed reconstruction of atrial anatomy and is often used in the left atrium to facilitate pulmonary vein isolation. This study aimed to reappraise the anatomy of the right atrium (RA) using 3DRA, specifically looking at Koch's triangle and the cavotricuspid isthmus (CTI) in procedures for atrio-ventricular reentrant tachycardia (AVNRT) and atrial flutter (AFl) ablation.

Methods And Results: 3DRA was performed in 97 patients undergoing ablation for AVNRT (n = 51) or AFl (n = 46). Read More

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http://dx.doi.org/10.1080/14017431.2018.1546893DOI Listing
November 2018
4 Reads

Cardiovascular incidents in male professional football players with negative preparticipation cardiac screening results: an 8-year follow-up.

Br J Sports Med 2018 Nov 15. Epub 2018 Nov 15.

Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway.

Background: Preparticipation cardiac screening of athletes aims to detect cardiovascular disease at an early stage to prevent sudden cardiac arrests and deaths. Few studies have described the cardiovascular outcomes in athletes classified as negative on screening.

Objective: To identify cardiovascular incidents in a cohort of male professional football players who were cleared to play after a negative screening result. Read More

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http://bjsm.bmj.com/lookup/doi/10.1136/bjsports-2018-099845
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http://dx.doi.org/10.1136/bjsports-2018-099845DOI Listing
November 2018
3 Reads

Dietary sodium intake is associated with long-term risk of new-onset atrial fibrillation.

Ann Med 2018 Nov 15:1-10. Epub 2018 Nov 15.

a Medical Research Center Oulu , Oulu University Hospital and University of Oulu , Oulu , Finland.

Background: The association between dietary salt intake and hypertension has been well documented. We evaluated the association between dietary sodium intake and the incidence of new-onset atrial fibrillation (AF) during a mean follow-up of 19 years among 716 subjects from the Oulu Project Elucidating Risk of Atherosclerosis (OPERA) cohort.

Material And Methods: Dietary sodium intake was evaluated from a seven-day food record. Read More

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https://www.tandfonline.com/doi/full/10.1080/07853890.2018.1
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http://dx.doi.org/10.1080/07853890.2018.1546054DOI Listing
November 2018
5 Reads

Spatio-temporal Analysis of Multichannel Atrial Electrograms Based on a Concept of Active Areas.

Conf Proc IEEE Eng Med Biol Soc 2018 Jul;2018:490-493

Atrial tachycardia and atrial flutter are frequent arrhythmia that occur spontaneously and after ablation of atrial fibrillation. Depolarization waves that differ significantly from sinus rhythm propagate across the atria with high frequency (typically 140 to 220 beats per minute). A detailed and personalized analysis of the spread of depolarization is imperative for a successful ablation therapy. Read More

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http://dx.doi.org/10.1109/EMBC.2018.8512410DOI Listing

Escape mapping to achieve bidirectional block: A case series.

Pacing Clin Electrophysiol 2018 Nov 15. Epub 2018 Nov 15.

Department of Electrophysiology,, North Shore University Hospital, Northwell Health, Manhasset, NY, USA.

Escape mapping is a novel technique that can be used to locate sites of persistent conduction and achieve exit block during an atrial fibrillation ablation. This method allows for mapping solely with the ablation catheter in the left atrium by annotating to a catheter in the coronary sinus. We illustrate the utility escape mapping during an atrial fibrillation ablation where entrance block is achieved without exit block. Read More

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http://dx.doi.org/10.1111/pace.13551DOI Listing
November 2018
3 Reads

Atrial flutter ablation by femoral approach in a woman with azygos continuation of an interrupted inferior vena cava and dual chamber pacemaker.

Tunis Med 2018 Jul;96(7):448-450

This report describes a case of isthmus-dependent atrial flutter ablation by the femoral approach in a 54-year-old woman with a previously unknown absence of the inferior vena cava (IVC) and dual chamber pacemaker. Despite looping of the catheters, ablation and termination of atrial flutter were performed successfully without function alteration of the pacemaker leads.  This is the first report of an inferior-to-superior approach for ablation of atrial flutter in the absence of the perihepatic IVC with the presence of chronic indwelling leads in the area targeted for radiofrequency. Read More

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Feasibility, safety and midterm follow-up of patients after nonsurgical closure of atrial septal defects using very large 40-46 mm nitinol septal occluders.

Catheter Cardiovasc Interv 2018 Nov 12. Epub 2018 Nov 12.

Department of Pediatric Cardiology, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, India.

Objectives: To study the feasibility of closure of large atrial septal defects (ASDs) using occluder devices >38 mm and assess the midterm complications.

Background: Feasibility and safety of large occluders >38 mm and their follow-up are largely unknown.

Methods: All patients with ASDs closed using devices >38 mm were retrospectively analyzed. Read More

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http://doi.wiley.com/10.1002/ccd.27957
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http://dx.doi.org/10.1002/ccd.27957DOI Listing
November 2018
5 Reads

Cardiovascular Risk Reduction with Icosapent Ethyl for Hypertriglyceridemia.

N Engl J Med 2018 Nov 10. Epub 2018 Nov 10.

From Brigham and Women's Hospital Heart and Vascular Center and Harvard Medical School, Boston (D.L.B.); FACT (French Alliance for Cardiovascular Trials), Département Hospitalo-Universitaire FIRE (Fibrose, Inflammation, and Remodeling), Assistance Publique-Hôpitaux de Paris, Hôpital Bichat, Université Paris-Diderot, INSERM Unité 1148, Paris (P.G.S.); National Heart and Lung Institute, Imperial College, Royal Brompton Hospital, London (P.G.S.); the Department of Medicine, University of Maryland School of Medicine, Baltimore (M.M.); the Utah Lipid Center, Salt Lake City (E.A.B.); the Office of Health Promotion and Disease Prevention, Department of Medicine, Emory University School of Medicine, Atlanta (T.A.J.); Amarin Pharma, Bedminster, NJ (S.B.K., R.T.D.J., R.A.J., L.J., C.G.); Montreal Heart Institute, Université de Montréal, Montreal (J.-C.T.); and the Department of Medicine, Baylor College of Medicine, and the Center for Cardiovascular Disease Prevention, Methodist DeBakey Heart and Vascular Center, Houston (C.M.B.).

Background: Patients with elevated triglyceride levels are at increased risk for ischemic events. Icosapent ethyl, a highly purified eicosapentaenoic acid ethyl ester, lowers triglyceride levels, but data are needed to determine its effects on ischemic events.

Methods: We performed a multicenter, randomized, double-blind, placebo-controlled trial involving patients with established cardiovascular disease or with diabetes and other risk factors, who had been receiving statin therapy and who had a fasting triglyceride level of 135 to 499 mg per deciliter (1. Read More

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http://www.nejm.org/doi/10.1056/NEJMoa1812792
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http://dx.doi.org/10.1056/NEJMoa1812792DOI Listing
November 2018
6 Reads

Cardiac biomarkers predict mortality in emergency patients presenting with atrial fibrillation.

Heart 2018 Nov 10. Epub 2018 Nov 10.

Department of Emergency Medicine, Medical University of Vienna, Vienna, Austria.

Objectives: To assess the predictive value of N-terminal pro-brain natriuretic peptide (NT-proBNP) and high-sensitive troponin T (hs-TnT) serum levels for mid-term mortality in patients presenting with symptomatic atrial fibrillation (AF) to an emergency department.

Methods: Non-interventional cohort/follow-up study, including consecutive patients presenting to a tertiary care university emergency department due to symptomatic AF between 2012 and 2016. Multivariable Cox proportional hazard regression models were used to estimate the mortality rates and hazards per 100 patient-years (pry) for NT-proBNP and hs-TnT serum levels in quintiles. Read More

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http://heart.bmj.com/lookup/doi/10.1136/heartjnl-2018-313145
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http://dx.doi.org/10.1136/heartjnl-2018-313145DOI Listing
November 2018
5 Reads

History of Atrial Fibrillation and Trajectory of Decongestion in Acute Heart Failure.

JACC Heart Fail 2018 Nov 5. Epub 2018 Nov 5.

Department of Medicine, Division of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Objectives: This study sought to characterize the course of decongestion among patients hospitalized for acute heart failure (AHF) by history of atrial fibrillation (AF) and/or atrial flutter (AFL).

Background: AF/AFL and chronic heart failure (HF) commonly coexist. Little is known regarding impact of AF/AFL on relief of congestion among patients who develop AHF. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22131779183071
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http://dx.doi.org/10.1016/j.jchf.2018.09.008DOI Listing
November 2018
4 Reads

A self-expanding percutaneous valve for patients with pulmonary regurgitation and an enlarged native right ventricular outflow tract: one-year results.

EuroIntervention 2018 Nov 6. Epub 2018 Nov 6.

Zhongshan Hospital of Fudan University, Shanghai, China.

Aims: To assess the safety and efficacy of the Venus p-valve.

Methods And Results: Patients who had moderate or severe pulmonary regurgitation after surgical repair of the right ventricular outflow tract (RVOT) with a transannular or RVOT patch were included in the study. Fifty-five patients (67% female; average age 28. Read More

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http://dx.doi.org/10.4244/EIJ-D-18-00715DOI Listing
November 2018
9 Reads

Clinical characteristics and outcome of lone atrial fibrillation at a tertiary referral centre: the Groote Schuur Hospital experience.

Cardiovasc J Afr 2018 Sep/Oct;29(5):268-272

The Cardiac Clinic, Department of Medicine, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa.

Introduction: Atrial fibrillation (AF) is a relatively common arrhythmia. When AF represents an electrophysiological phenomenon in structurally normal hearts, it is termed lone AF. This study was a retrospective, case-based analysis of patients attending the Cardiac Clinic at Groote Schuur Hospital (GSH) and describes the clinical characteristics and outcomes of patients classified as having lone atrial fibrillation. Read More

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http://cvja.co.za/onlinejournal/vol29/vol29_issue5/#6/z
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http://dx.doi.org/10.5830/CVJA-2018-005DOI Listing
May 2017
3 Reads

Safety and efficacy of a cardiologist-only approach to deep sedation for electrical cardioversion.

J Cardiovasc Med (Hagerstown) 2019 Jan;20(1):16-22

Department of Cardiology, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy.

Aims: Electrical cardioversion is still the preferred method to restore sinus rhythm in patients with atrial fibrillation. The main disadvantage is that electrical cardioversion requires deep sedation, generally administered by anaesthesiologists, for safety concern. An exclusively cardiologic management of deep sedation should have the advantage to reduce resources and time consumed. Read More

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http://Insights.ovid.com/crossref?an=01244665-900000000-9842
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http://dx.doi.org/10.2459/JCM.0000000000000731DOI Listing
January 2019
3 Reads

Rationale and design of a large-scale, app-based study to identify cardiac arrhythmias using a smartwatch: The Apple Heart Study.

Am Heart J 2019 Jan 8;207:66-75. Epub 2018 Sep 8.

Division of Cardiovascular Medicine, Stanford University, Stanford, CA. Electronic address:

Background: Smartwatch and fitness band wearable consumer electronics can passively measure pulse rate from the wrist using photoplethysmography (PPG). Identification of pulse irregularity or variability from these data has the potential to identify atrial fibrillation or atrial flutter (AF, collectively). The rapidly expanding consumer base of these devices allows for detection of undiagnosed AF at scale. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00028703183027
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http://dx.doi.org/10.1016/j.ahj.2018.09.002DOI Listing
January 2019
11 Reads

Electrical Alternans in Disguise-A Curious Case of Atrial Flutter.

JAMA Intern Med 2018 Dec;178(12):1704-1705

Department of Medicine, University of California, San Francisco, San Francisco.

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http://dx.doi.org/10.1001/jamainternmed.2018.5291DOI Listing
December 2018
1 Read

Causes and Predictors of 30-Day Readmission in Patients With Syncope/Collapse: A Nationwide Cohort Study.

J Am Heart Assoc 2018 Sep;7(18):e009746

6 University of Connecticut/Hartford Hospital Evidence-Based Practice Center Hartford CT.

Background Syncope accounts for 0.6% to 1.5% of hospitalizations in the United States. Read More

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https://www.ahajournals.org/doi/10.1161/JAHA.118.009746
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http://dx.doi.org/10.1161/JAHA.118.009746DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6222963PMC
September 2018
2 Reads

Radiofrequency ablation of typical atrial flutter with access through the azygos vein in a patient with heterotopia utilizing high-density electroanatomic mapping.

HeartRhythm Case Rep 2018 Oct 16;4(10):466-468. Epub 2018 Aug 16.

Heart Center, Segeberger Kliniken (Academic Teaching Hospital of the Universities of Kiel, Lübeck and Hamburg), Bad Segeberg, Germany.

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https://linkinghub.elsevier.com/retrieve/pii/S22140271183015
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http://dx.doi.org/10.1016/j.hrcr.2018.07.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197391PMC
October 2018
3 Reads

High treatment success rate for multidrug-resistant and extensively drug-resistant tuberculosis using a bedaquiline-containing treatment regimen.

Eur Respir J 2018 Oct 25. Epub 2018 Oct 25.

University of the Witwatersrand, Faculty of Health Sciences, Johannesburg, South Africa.

South African patients with rifampicin-resistant tuberculosis and resistance to fluoroquinolones and/or injectables (pre/XDR-TB) were granted access to bedaquiline through a Clinical Access Programme with strict inclusion and exclusion criteria. Pre/XDR-TB and XDR-TB patients were treated with 24 weeks bedaquiline within an optimised, individualised background regimen that could include levofloxacin, linezolid and clofazimine as needed. 200 patients were enrolled: 87 (43. Read More

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http://erj.ersjournals.com/lookup/doi/10.1183/13993003.01528
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http://dx.doi.org/10.1183/13993003.01528-2018DOI Listing
October 2018
7 Reads
7.640 Impact Factor

Prevalence and Resolution of Left Atrial Thrombus in Patients With Nonvalvular Atrial Fibrillation and Flutter With Oral Anticoagulation.

Am J Cardiol 2019 Jan 26;123(1):63-68. Epub 2018 Sep 26.

Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California. Electronic address:

Left atrial appendage (LAA) thrombus in nonvalvular atrial fibrillation or flutter (AF) is a major cause of stroke and presents a therapeutic dilemma in a rhythm-control strategy. The prevalence and resolution of LAA thrombus has not been studied well in the era of non-vitamin K antagonist oral anticoagulant use. This study sought to establish (1) the prevalence of LAA thrombus (2) the prevalence of LAA thrombus despite antithrombotic therapy, (3) the rate of persistence of LAA thrombus despite appropriate anticoagulant prescriptions, and (4) determinants of LAA thrombus persistence. Read More

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http://dx.doi.org/10.1016/j.amjcard.2018.09.027DOI Listing
January 2019
2 Reads

Management of atrial fibrillation-flutter: uptodate guideline paper on the current evidence.

J Community Hosp Intern Med Perspect 2018 15;8(5):269-275. Epub 2018 Oct 15.

Graduate Medical Education, University of Central Florida College of Medicine, Gainesville, FL, USA.

The term 'flutter' and 'fibrillation' were first coined to differentiate the differences between fast, regular contractions in Atrial Flutter (AFLUT) with irregular, vermiform contractions of Atrial Fibrillation (AFIB). Management of these two diseases has been a challenge for physicians. Rate control (along with rhythm control) is the first line of management for symptomatic AFIB/AFLUT with Rapid Ventricular Rate (RVR). Read More

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https://www.tandfonline.com/doi/full/10.1080/20009666.2018.1
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http://dx.doi.org/10.1080/20009666.2018.1514932DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197036PMC
October 2018
10 Reads

Incidence of Atrial Fibrillation in Patients With Recent Ischemic Stroke Versus Matched Controls.

Stroke 2018 Oct;49(10):2529-2531

Department of Neurology, Weill Cornell Medical College, New York, NY (A.E.M., M.L.C., B.B.N., H.K.).

Background and Purpose- It is unclear whether atrial fibrillation/flutter (AF) newly diagnosed after ischemic stroke represents a preexisting risk factor that led to stroke, an arrhythmia triggered by poststroke autonomic dysfunction, or an incidental finding. Methods- We compared AF incidence after hospitalizations for ischemic stroke, hemorrhagic stroke, and nonstroke conditions using inpatient and outpatient claims between 2008 and 2015 from a nationally representative 5% sample of Medicare beneficiaries. We used validated International Classification of Diseases, Ninth Revision, Clinical Modification ( ICD-9-CM) codes to identify AF-free patients hospitalized with ischemic or hemorrhagic stroke and matched them in a 1:1 ratio by age, sex, race, calendar year, vascular risk factors, and Charlson comorbidities. Read More

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http://dx.doi.org/10.1161/STROKEAHA.118.022826DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205716PMC
October 2018
1 Read

Collagen Biomarkers and Incidence of New Onset of Atrial Fibrillation in Subjects With No Overt Cardiovascular Disease at Baseline.

Circ Arrhythm Electrophysiol 2018 Oct;11(10):e006557

School of Public Health, University of Minnesota, Minneapolis (D.R.J.).

Background: Atrial fibrosis is a hallmark of structural remodeling in atrial fibrillation (AF). Plasma procollagen type III N-terminal propeptide (PIIINP) reflects collagen synthesis and degradation while collagen type I carboxy-terminal telopeptide (ICTP) reflects collagen degradation. We aimed to study baseline plasma PIIINP and ICTP and their associations with incident AF in participants initially free of overt cardiovascular disease. Read More

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https://www.ahajournals.org/doi/10.1161/CIRCEP.118.006557
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http://dx.doi.org/10.1161/CIRCEP.118.006557DOI Listing
October 2018
8 Reads

A randomized clinical trial of early invasive intervention for atrial fibrillation (EARLY-AF) - methods and rationale.

Am Heart J 2018 Dec 18;206:94-104. Epub 2018 Oct 18.

Southlake Regional Health Center, University of Toronto, Newmarket, Canada.

Background: The ideal management of patients with newly diagnosed symptomatic atrial fibrillation (AF) remains unknown. Current practice guidelines recommend a trial of antiarrhythmic drugs (AAD) prior to considering an invasive ablation procedure. However, earlier ablation offers an opportunity to halt the progressive patho-anatomical changes associated with AF, as well as impart other important clinical benefits. Read More

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http://dx.doi.org/10.1016/j.ahj.2018.05.020DOI Listing
December 2018
2 Reads

The Incremental Benefit of Color Tissue Doppler in Fetal Arrhythmia Assessment.

J Am Soc Echocardiogr 2018 Oct 16. Epub 2018 Oct 16.

Fetal and Neonatal Cardiology Program, Department of Pediatrics, Division of Cardiology, Women's & Children's Health Research Institute, University of Alberta, Stollery Children's Hospital, Edmonton, Alberta, Canada. Electronic address:

Background: Accurate fetal arrhythmia (FA) diagnosis is key for effective management. Currently, FA assessment relies on standard echocardiography-based techniques (M mode and spectral Doppler), which require adequate fetal position and cursor alignment to define temporal relationships of mechanical events. Few data exist on the application of color Doppler tissue imaging (c-DTI) in FA assessment. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08947317183044
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http://dx.doi.org/10.1016/j.echo.2018.08.009DOI Listing
October 2018
9 Reads

Age makes a difference: Symptoms in pediatric supraventricular tachycardia.

J Arrhythm 2018 Oct 13;34(5):565-571. Epub 2018 Aug 13.

Cardiology Department The Royal Children's Hospital Melbourne Victoria Australia.

Background: Supraventricular tachycardia is a group of rhythm disturbances that affect 1 in 300-1200 Australian children annually. The differentiation of supraventricular tachycardia (SVT) symptoms and age of onset according to their subtype is not well understood in the pediatric population. Most studies rely on ECG criteria only to characterize the subtype of the SVT, which is not applicable to all subtypes. Read More

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http://doi.wiley.com/10.1002/joa3.12103
Publisher Site
http://dx.doi.org/10.1002/joa3.12103DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174476PMC
October 2018
7 Reads

Clinical Features of Post Cardiac Injury Syndrome Following Catheter Ablation of Arrhythmias: Systematic Review and Additional Cases.

Heart Lung Circ 2018 Oct 7. Epub 2018 Oct 7.

Department of Cardiology, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China. Electronic address:

Background: Post cardiac injury syndrome (PCIS) is a troublesome but not uncommon complication following catheter ablation of arrhythmias. We aimed to study the clinical features of ablation-associated PCIS.

Methods: For this purpose, we conducted a computerised literature search that identified 19 published cases, and we additionally included another 2 new cases from our centres. Read More

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http://dx.doi.org/10.1016/j.hlc.2018.09.001DOI Listing
October 2018
3 Reads
1.170 Impact Factor

Mitral isthmus ablation: A hierarchical approach guided by electroanatomic correlation.

Heart Rhythm 2018 Oct 10. Epub 2018 Oct 10.

Helmsley Centre for Cardiac Electrophysiology, Mount Sinai Hospital, New York, New York. Electronic address:

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https://linkinghub.elsevier.com/retrieve/pii/S15475271183101
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http://dx.doi.org/10.1016/j.hrthm.2018.10.005DOI Listing
October 2018
8 Reads

Clinical workflow and applicability of electrophysiological cardiovascular magnetic resonance-guided radiofrequency ablation of isthmus-dependent atrial flutter.

Eur Heart J Cardiovasc Imaging 2018 Oct 10. Epub 2018 Oct 10.

Department of Electrophysiology, HELIOS Heart Center, University of Leipzig, Struempellstr. 39, Leipzig, Germany.

Aims: To determine safety and efficacy of electrophysiological cardiovascular magnetic resonance (EP-CMR)-guided radiofrequency (RF) ablation in patients with typical right atrial flutter in a routine clinical setting.

Methods And Results: Thirty patients with typical right atrial flutter underwent clinically indicated EP-CMR-guided cavotricuspid isthmus ablation. EP-CMR protocols included pre- and post-ablation CMR imaging (whole heart, T2-weighted, and early-/late-gadolinium enhancement) together with electroanatomic mapping of the right atrium. Read More

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https://academic.oup.com/ehjcimaging/advance-article/doi/10.
Publisher Site
http://dx.doi.org/10.1093/ehjci/jey143DOI Listing
October 2018
3 Reads
3.670 Impact Factor