985 results match your criteria Heart Block Third Degree


Mid-term outcomes of individualized surgeries in patients with Ebstein's anomaly.

Heart Vessels 2019 Mar 8. Epub 2019 Mar 8.

Department of Cardiothoracic Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, 200092, China.

The variable anatomy of Ebstein's anomaly leads to its various surgical procedures. The long-term outcomes of different operations were not well established. Thirty-five patients with Ebstein's anomaly who underwent operations from 2006 to 2018 in our department were retrospectively reviewed. Read More

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http://dx.doi.org/10.1007/s00380-019-01358-5DOI Listing
March 2019
11 Reads

Unusual conservative treatment of a complicated pacemaker pocket infection: a case report.

J Med Case Rep 2019 Mar 3;13(1):49. Epub 2019 Mar 3.

The First Clinical Medical College of Jinan University, Guangzhou, 510630, China.

Background: For patients with complicated generator pocket infection, expert consensuses universally advocate complete device and leads removal followed by delayed replacement on the contralateral side. We cured our patient by partial generator removal and reimplantation of sterilized pulse generator on the ipsilateral side. We also performed a literature review about incomplete removal therapy for the management of cardiac implantable electronic device infection. Read More

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http://dx.doi.org/10.1186/s13256-019-1987-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6397748PMC
March 2019
3 Reads

Optimization of Lead Placement in the Right Ventricle During Cardiac Resynchronization Therapy. A Simulation Study.

Front Physiol 2019 11;10:74. Epub 2019 Feb 11.

Centre for Research and Innovation in Bioengineering (Ci2B), Universitat Politècnica de València, Valencia, Spain.

Patients suffering from heart failure and left bundle branch block show electrical ventricular dyssynchrony causing an abnormal blood pumping. Cardiac resynchronization therapy (CRT) is recommended for these patients. Patients with positive therapy response normally present QRS shortening and an increased left ventricle (LV) ejection fraction. Read More

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http://dx.doi.org/10.3389/fphys.2019.00074DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378298PMC
February 2019
4 Reads

Cardiac Tamponade and Complete Heart Block During Transcatheter Aortic Valve Implantation: A Simulation Scenario for Anesthesia Providers.

MedEdPORTAL 2018 Nov 28;14:10779. Epub 2018 Nov 28.

Clinical Assistant Professor, Department of Anesthesia, University of Iowa Roy J. and Lucille A. Carver College of Medicine.

Introduction: This simulation on cardiac tamponade and complete heart block in the context of severe aortic stenosis presents the learner with a rare (cardiac tamponade) and a common (complete heart block) complication in the intraoperative setting of transfemoral aortic valve implantation in a high-fidelity, low-risk simulation environment. Based on an amalgam of index cases, the simulation was developed to address a recognized area of need for cardiothoracic anesthesia scenarios in the simulation curriculum of our home institution.

Methods: The simulation case file covered the case narrative, learning objectives, a summary of critical actions performed, and supplemental figures needed to complete the educational activity. Read More

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http://dx.doi.org/10.15766/mep_2374-8265.10779DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342360PMC
November 2018
3 Reads

Intracoronary administration of nicorandil-induced cardiac arrest during primary percutaneous coronary intervention: A case report.

Medicine (Baltimore) 2019 Feb;98(7):e14473

Department of Emergency, Qilu Hospital.

Rationale: Primary percutaneous coronary intervention (PPCI) is the most effective therapy for patients with an acute ST-segment elevation myocardial infarction (STEMI). However, up to half of STEMI patients suffer from coronary microvascular dysfunction, presenting as the slow flow or no-reflow phenomenon.

Patients Concerns: A 78-year-old man was admitted to the chest pain center with sudden chest pain and tightness for about an hour. Read More

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http://dx.doi.org/10.1097/MD.0000000000014473DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408065PMC
February 2019
1 Read
5.723 Impact Factor

A Miniaturized, Programmable Pacemaker for Long-Term Studies in the Mouse.

Circ Res 2018 Nov;123(11):1208-1219

From the Department of Radiology, Center for Systems Biology (M.H., A.D.A., S.C., Y.I., K.R.K., F.K.S., R.W., M.N.), Massachusetts General Hospital and Harvard Medical School, Boston.

Rationale: Cardiac pacing is a critical technology for the treatment of arrhythmia and heart failure. The impact of specific pacing strategies on myocardial function is an area of intense research and high clinical significance. Mouse models have proven extremely useful for probing mechanisms of heart disease, but there is currently no reliable technology for long-term pacing in the mouse. Read More

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http://dx.doi.org/10.1161/CIRCRESAHA.118.313429DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6309285PMC
November 2018
20 Reads

Prospective US investigational device exemption trial of a sutureless aortic bioprosthesis: One-year outcomes.

J Thorac Cardiovasc Surg 2018 Oct 23. Epub 2018 Oct 23.

Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic Abu Dhabi and Cleveland Clinic Foundation, Cleveland, Ohio.

Objectives: We performed a prospective, single-arm clinical trial approved under a Food and Drug Administration Investigational Device Exemption to assess safety and efficacy of Perceval, a sutureless bovine pericardial aortic valve representing the initial US experience.

Methods: From June 2013 to January 2015, 300 patients (mean age 76.7 ± 7. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00225223183282
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http://dx.doi.org/10.1016/j.jtcvs.2018.08.121DOI Listing
October 2018
29 Reads
4.168 Impact Factor

A tick beat in the electrocardiogram: Persistent third degree block as only manifestation of Lyme disease.

J Electrocardiol 2019 Jan - Feb;52:109-111. Epub 2018 Dec 6.

Internal Medicine Department, Hospital Universitario, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico.

Lyme disease is the most common tick-borne illness in North America. A 23-year-old female presented to our emergency department with a chief complaint of sudden dyspnea and chest pain. An electrocardiogram revealed a third degree heart block. Read More

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http://dx.doi.org/10.1016/j.jelectrocard.2018.12.005DOI Listing
December 2018
3 Reads

[Pulmonary embolism and complete atrioventricular block].

J Med Vasc 2018 Dec 27;43(6):375-378. Epub 2018 Sep 27.

Institut de cardiologie d'Abidjan, 01 BP V, 206 Abidjan, Côte d'Ivoire.

Complete atrioventricular block is a rare complication of pulmonary embolism. We describe the case of a black African patient, aged 42 years, who presented to the emergency department of Abidjan Heart Institute for sudden onset dyspnea and hemoptysis. ECG revealed a third degree atrioventricular block. Read More

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http://dx.doi.org/10.1016/j.jdmv.2018.08.002DOI Listing
December 2018
2 Reads

Treatment of cardiac sarcoidosis: A comparative study of steroids and steroids plus immunosuppressive drugs.

Int J Cardiol 2019 Feb 30;276:208-211. Epub 2018 Nov 30.

Département de Médecine Interne, Hôpital Bichat, Université Paris Diderot, PRES Sorbonne Paris Cité, Assistance Publique Hôpitaux de Paris, Paris, France; Département Hospitalo-Universitaire FIRE (Fibrosis, Inflammation and Remodelling in Renal and Respiratory Diseases), Paris, France; INSERM U1149, Paris, France. Electronic address:

Background: We aimed to compare the efficacy of steroids alone or associated with immunosuppressive drugs for the prevention of relapse in cardiac sarcoidosis (CS).

Methods: In this monocentric multidisciplinary retrospective single center study, all consecutive patients with histologically proven sarcoidosis hospitalized from January 2012 to December 2016 were considered. All patients with symptomatic CS were studied. Read More

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http://dx.doi.org/10.1016/j.ijcard.2018.11.131DOI Listing
February 2019
9 Reads

Early Change in Global Longitudinal Strain is an Independent Predictor of Left Ventricular Adverse Remodelling in Patients With Right Ventricular Apical Pacing.

Heart Lung Circ 2018 Nov 23. Epub 2018 Nov 23.

Department of Cardiology, The Affiliated Huaian No.1 People's Hospital of Nanjing Medical University, Huai'an, Jiangsu, People's Republic of China. Electronic address:

Background: Right ventricular apical (RVA) pacing is related to adverse left ventricular (LV) remodelling. This study assessed changes in global longitudinal strain (GLS) after permanent RVA pacing, and investigated whether GLS at one month can predict later LV ejection fraction (LVEF) decline.

Methods: The study enrolled 68 patients with normal LVEF (≥50%) who underwent dual chamber pacemaker implantation for third-degree atrioventricular block. Read More

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http://dx.doi.org/10.1016/j.hlc.2018.11.004DOI Listing
November 2018
2 Reads

Transcatheter Closure of Perimembranous Ventricular Septal Defects in Children using a Wire-Drifting Technique.

Clinics (Sao Paulo) 2018 11 29;73:e371. Epub 2018 Nov 29.

Department of Structural Heart Disease, The First Affiliated Hospital of Xi'an Jiaotong University, Shaanxi Province, China.

Objective: Explore the feasibility and safety of transcatheter closure of perimembranous ventricular septal defects using a wire-drifting technique (WT) in children.

Methods: We retrospectively analyzed 121 pediatric patients diagnosed with perimembranous ventricular septal defects who underwent interventional treatment at the First Affiliated Hospital of Xi'an Jiaotong University from Dec 2011 to Dec 2014. Based on the method used for arteriovenous loop establishment during the procedure, the patients were divided into a conventional technique (CT) group and a WT group. Read More

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http://dx.doi.org/10.6061/clinics/2018/e371DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6238823PMC
November 2018
7 Reads

Dysrhythmias in patients with a complete atrioventricular septal defect: From surgery to early adulthood.

Congenit Heart Dis 2019 Mar 28;14(2):280-287. Epub 2018 Nov 28.

Department of Cardiothoracic Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands.

Objective: Outcomes after surgical repair of complete atrioventricular septal defect (cAVSD) have improved. With advancing age, the risk of development of dysrhythmias may increase. The aims of this study were to (1) examine development of sinus node dysfunction (SND), atrial and ventricular tachyarrhythmias, and (2) study progression of atrioventricular conduction abnormalities in young adult patients with repaired cAVSD. Read More

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http://dx.doi.org/10.1111/chd.12724DOI Listing
March 2019
5 Reads

Safety of regadenoson positon emission tomography stress testing in orthotopic heart transplant patients.

J Nucl Cardiol 2018 Nov 27. Epub 2018 Nov 27.

University of Michigan Frankel Cardiovascular Center, 1500 East Medical Center Drive, Ann Arbor, MI, 48109-5853, USA.

Objectives: We sought to determine the safety of regadenoson (REG) stress testing in patients who have undergone orthotopic heart transplantation (OHT).

Background: Routine screening for cardiac allograft vasculopathy (CAV) is necessary after OHT. Adenosine stress is contraindicated after heart transplantation due to supersensitivity in denervated hearts. Read More

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http://dx.doi.org/10.1007/s12350-018-01466-1DOI Listing
November 2018
3 Reads

A 15-Year-Old Male With Wide Complex Tachyarrhythmia.

Air Med J 2018 Nov - Dec;37(6):383-387. Epub 2018 Sep 1.

Department of Emergency Medicine, Allegheny General Hospital, Pittsburgh, PA.

A 15-year-old male presented with exertional syncope and was found to be in an unstable regular wide complex tachyarrhythmia (WCT). After a trial of antiarrhythmic medication, his clinical condition declined, necessitating synchronized cardioversion. Although he noted symptomatic improvement after cardioversion, he was found to be in third-degree heart block. Read More

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http://dx.doi.org/10.1016/j.amj.2018.07.024DOI Listing
September 2018
8 Reads

Pulmonary involvement in neonatal lupus: a challenging diagnosis - case report and literature review.

Acta Reumatol Port 2018 Jul-Sep;43(3):230-234

Neonatal Intensive Care Unit.

Introduction: Pulmonary involvement is relatively frequent in adult and juvenile patients with Systemic Lupus Erythematosus (SLE), but its occurrence in newborns with Neonatal Lupus Erythematosus (NLE) is exceedingly rare.

Case Report: A mother with SLE and positive anti-SSA/Ro and anti-SSB/La delivered a preterm newborn with third-degree heart block and positive anti-SSA/Ro confirmed postnatally. A temporary pacemaker was placed at D3 and a definitive pacemaker only at D15 due to sepsis with concurrent mild respiratory failure. Read More

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November 2018
4 Reads

Disruption of RHOA-ROCK Signaling Results in Atrioventricular Block and Disturbed Development of the Putative Atrioventricular Node.

Anat Rec (Hoboken) 2019 Jan 9;302(1):83-92. Epub 2018 Nov 9.

Department of Anatomy & Embryology, Leiden University Medical Center, Leiden, The Netherlands.

The RHOA-ROCK signaling pathway is involved in numerous developmental processes, including cell proliferation, differentiation and migration. RHOA is expressed in the atrioventricular node (AVN) and altered expression of RHOA results in atrioventricular (AV) conduction disorders in mice. The current study aims to detect functional AVN disorders after disturbing RHOA-ROCK signaling in chicken embryos. Read More

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http://doi.wiley.com/10.1002/ar.23912
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http://dx.doi.org/10.1002/ar.23912DOI Listing
January 2019
13 Reads

Advanced Heart Block in Children with Lyme Disease.

Pediatr Cardiol 2019 Mar 31;40(3):513-517. Epub 2018 Oct 31.

Department of Pediatrics, Division of Pediatric Cardiology, Columbia University, College of Physicians and Surgeons, 3959 Broadway, 2-North, New York, NY, USA.

Background: The clinical course of children with advanced heart block secondary to Lyme disease has not been well characterized.

Objective: To review the presentation, management, and time to resolution of heart block due to Lyme disease in previously healthy children.

Methods: An IRB approved single-center retrospective study was conducted of all patients < 21 years old with confirmed Lyme disease and advanced second or third degree heart block between 2007 and 2017. Read More

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http://dx.doi.org/10.1007/s00246-018-2003-8DOI Listing
March 2019
5 Reads

Prognostic Implications of QRS Duration in Third-Degree Atrioventricular Block Patients with Heart Failure Treated with Cardiac Resynchronization Therapy.

Int Heart J 2018 Nov 25;59(6):1320-1326. Epub 2018 Oct 25.

Department of Cardiology, The Provincial Hospital Affiliated to Anhui Medical University.

Cardiac resynchronization therapy (CRT) improves heart function and prognosis in third-degree atrioventricular block (AVB) patients with heart failure (HF). However, it is still unclear how to screen for appropriate patients before implantation. This study aimed to evaluate the value of using QRS duration to predict CRT efficacy. Read More

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http://dx.doi.org/10.1536/ihj.17-577DOI Listing
November 2018
4 Reads

Outcome of Cardiac Sarcoidosis Presenting With High-Grade Atrioventricular Block.

Circ Arrhythm Electrophysiol 2018 Aug;11(8):e006145

Heart and Lung Center (H.-K.N., J.L., K.E., R.K., P.S., M.K.).

Background: Symptomatic high-grade atrioventricular block (AVB) is the most common and often the only presenting manifestation (lone AVB) of cardiac sarcoidosis. Implantation of an intracardiac cardioverter defibrillator instead of a pacemaker is recommended, but the true risk of fatal arrhythmia, one incident to lone AVB in particular, remains poorly known.

Methods: We used Myocardial Inflammatory Diseases in Finland Study Group Registry to analyze the presentations, left ventricular (LV) function, pacemaker therapy, and ventricular arrhythmias in cardiac sarcoidosis. Read More

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https://www.ahajournals.org/doi/10.1161/CIRCEP.117.006145
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http://dx.doi.org/10.1161/CIRCEP.117.006145DOI Listing
August 2018
19 Reads

Complete heart block in young adult with acute rheumatic fever.

Med J Malaysia 2018 Oct;73(5):323-325

Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan, Malaysia.

Acute Rheumatic fever (ARF) is commonly associated with ECG abnormalities particularly atrioventricular block. However, third degree atrioventricular block or complete heart block is a rare manifestation. Most cases occurred in children. Read More

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October 2018
11 Reads

Sutureless Valve Replacement Through a Right Anterior Mini-thoracotomy in Elderly Patients With Stenotic Bicuspid Aortic Valve.

Semin Thorac Cardiovasc Surg 2018 Oct 13. Epub 2018 Oct 13.

Department of Cardiovascular Surgery, Heart Center, Cebeci Hospitals, Ankara University School of Medicine, Ankara, Turkey.

Several indications for sutureless aortic valve replacement (SU-AVR) have been a matter of debate. We evaluated our experience with Perceval-S (LivaNova group, Saluggia, Italy) SU-AVR in patients with severe aortic stenosis (AS) involving bicuspid aortic valve (BAV), even though presence of BAV is still considered to be a contraindication for sutureless valves. From January 2013 through March 2018, 13 patients with severe AS involving BAV underwent SU-AVR with the Perceval-S (LivaNova group, Saluggia, Italy) prosthesis in a single center. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10430679183029
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http://dx.doi.org/10.1053/j.semtcvs.2018.09.025DOI Listing
October 2018
12 Reads

Home Monitoring for Fetal Heart Rhythm During Anti-Ro Pregnancies.

J Am Coll Cardiol 2018 Oct;72(16):1940-1951

Division of Cardiology, Department of Pediatrics, Hospital for Sick Children, Toronto, Canada.

Background: Fetal atrioventricular block (AVB) occurs in 2% to 4% of anti-Ro antibody-positive pregnancies and can develop in <24 h. Only rarely has standard fetal heart rate surveillance detected AVB in time for effective treatment.

Objectives: Outcome of anti-Ro pregnancies was surveilled with twice-daily home fetal heart rate and rhythm monitoring (FHRM) and surveillance echocardiography. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07351097183694
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http://dx.doi.org/10.1016/j.jacc.2018.07.076DOI Listing
October 2018
42 Reads

Short-Term and Mid-Term Results of Minimally Invasive Occlusion of Ventricular Septal Defects via a Subaxillary Approach in a Single Center.

Pediatr Cardiol 2019 Jan 8;40(1):198-203. Epub 2018 Oct 8.

Department of Pediatric Cardiac Surgery, Henan Provincial People's Hospital, Fuwai Central Cardiovascular Hospital, People's Hospital of Zhengzhou University, No. 7 Weiwu Road Jinshui District, Zhengzhou, 450003, Henan, People's Republic of China.

This retrospective, single-center study evaluated short-term and mid-term results of minimally invasive surgery to occlude ventricular septal defects (VSDs) using a subaxillary approach. The procedure was performed on 429 children (224 boys, 205 girls; age 2.4 ± 2. Read More

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http://dx.doi.org/10.1007/s00246-018-1980-yDOI Listing
January 2019
8 Reads

A Rare Case of Second Degree Mobitz Type II AV Block Associated with Cocaine Use.

Am J Med Case Rep 2018 21;6(7):146-148. Epub 2018 Aug 21.

Department of Internal Medicine, State University of New York Downstate Medical Center, Brooklyn, New York, U.S.A- 11203.

Cocaine is a commonly abused illicit drug in the United States. The complex effects of cocaine on the conduction system of the human heart has not been completely understood. Cocaine acts as a sympathomimetic by inhibition of reuptake of neuronal catecholamines, leading mostly to tachyarrhythmias on presentation. Read More

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http://pubs.sciepub.com/ajmcr/6/7/7/index.html
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http://dx.doi.org/10.12691/ajmcr-6-7-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6173318PMC
August 2018
4 Reads

Potassium levels and risk of in-hospital arrhythmias and mortality in patients admitted with suspected acute coronary syndrome.

Int J Cardiol 2019 Jan 28;274:52-58. Epub 2018 Sep 28.

Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.

Background: In acute coronary syndrome (ACS), potassium imbalance at admission has been associated with in-hospital arrhythmias, cardiac arrest, and mortality. However, several important presentation characteristics and subtype of ACS have not been considered.

Methods: Consecutive patients (n = 32,955) admitted with suspected ACS between 2006 and 2011, registered in the Swedish Web-System for Enhancement and Development of Evidence-Based care in Heart Disease Evaluated According to Recommended Therapies (SWEDEHEART) and the Stockholm CREAtinine Measurements (SCREAM) project were included. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01675273173723
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http://dx.doi.org/10.1016/j.ijcard.2018.09.099DOI Listing
January 2019
11 Reads

Heterozygous junctophilin-2 (JPH2) p.(Thr161Lys) is a monogenic cause for HCM with heart failure.

PLoS One 2018 20;13(9):e0203422. Epub 2018 Sep 20.

Blueprint Genetics, Helsinki, Finland.

During the last two decades, mutations in sarcomere genes have found to comprise the most common cause for hypertrophic cardiomyopathy (HCM), but still significant number of patients with dominant HCM in the family are left without molecular genetic diagnosis. Next generation sequencing (NGS) does not only enable evaluation of established HCM genes but also candidate genes for cardiomyopathy are frequently tested which may lead to a situation where conclusive interpretation of the variant requires extensive family studies. We aimed to characterize the phenotype related to a variant in the junctophilin-2 (JPH2) gene, which is less known non-sarcomeric candidate gene. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0203422PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6147424PMC
February 2019
17 Reads

Frequency and Significance of High-Degree Atrioventricular Block and Sinoatrial Node Dysfunction in Patients With Non-ST-Elevation Myocardial Infarction.

Am J Cardiol 2018 Nov 21;122(10):1598-1603. Epub 2018 Aug 21.

Division of Cardiovascular Medicine, Gill Heart Institute, University of Kentucky, Lexington, KY and VA Medical Center, Lexington, Kentucky.

Characteristics of conduction disorders after ST-elevation myocardial infarction (STEMI) have been well described. In contrast, limited data are available on the incidence, treatment trends, and prognostic impact of conduction disorders after non-ST-elevation myocardial infarction (NSTEMI). Using the National Inpatient Sample database, we compared the characteristics and outcomes of conduction disorders in patients with a primary diagnosis of STEMI versus NSTEMI between 2010 and 2014. Read More

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http://dx.doi.org/10.1016/j.amjcard.2018.08.001DOI Listing
November 2018
7 Reads

Rapid Progression of Heart Failure in a Patient with Idiopathic Inflammatory Myopathy.

Am J Med Case Rep 2018 23;6(8):157-160. Epub 2018 Aug 23.

Divisions of Cardiovascular Disease and Rheumatology, Department of Internal Medicine, State University of New York, Downstate Medical Center, Brooklyn, New York, U.S.A- 11203.

Idiopathic inflammatory myopathy (IIM) is a rare autoimmune myopathy that includes polymyositis, dermatomyositis, inclusion body myositis and autoimmune necrotizing myositis. Cardiac involvement was considered a rare occurrence in IIM however, recent reports suggests that cardiac involvement is a common feature and portends poor prognosis as it is usually encountered in advanced disease. IIM leads to myocarditis with subsequent development of myocardial fibrosis, cardiac conduction system disease and cardiomyopathy resulting in both systolic and diastolic heart failure. Read More

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http://dx.doi.org/10.12691/ajmcr-6-8-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6138443PMC
August 2018
19 Reads

Association between decreasing estimated glomerular filtration rate and risk of cardiac conduction defects in patients with type 2 diabetes.

Diabetes Metab 2018 12 5;44(6):473-481. Epub 2018 Sep 5.

Section of Endocrinology, Diabetes and Metabolism, Department of Medicine, University and Azienda Ospedaliera Universitaria Integrata of Verona, Piazzale Stefani, 1, 37126 Verona, Italy. Electronic address:

Aim: We aimed to assess the association between decreasing estimated glomerular filtration rate (eGFR) or abnormal albuminuria and the risk of certain cardiac conduction defects in patients with type 2 diabetes mellitus (T2DM).

Methods: We examined a hospital-based sample of 923 patients with T2DM discharged from our Division of Endocrinology over the years 2007-2014. Standard electrocardiograms (ECGs) were performed in all patients. Read More

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http://dx.doi.org/10.1016/j.diabet.2018.08.007DOI Listing
December 2018
4 Reads

Cardiac Resynchronisation Therapy (CRT) Survey II: CRT implantation in Europe and in Switzerland.

Swiss Med Wkly 2018 Aug 22;148:w14643. Epub 2018 Aug 22.

University Hospital Basel, Switzerland.

Aim: Between October 2015 and December 2016, 11,088 patients from 42 countries having cardiac resynchronisation therapy (CRT) devices implanted were included in the CRT II Survey. We compared the characteristics of Swiss CRT recipients with the overall European population.

Methods: Demographic and procedural data from seven Swiss centres recruiting all consecutive patients undergoing either de-novo CRT implantation or an upgrade to a CRT system were collected and compared with the European population. Read More

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http://dx.doi.org/10.4414/smw.2018.14643DOI Listing
August 2018
8 Reads

The prevention, screening and treatment of congenital heart block from neonatal lupus: a survey of provider practices.

Rheumatology (Oxford) 2018 07;57(suppl_5):v9-v17

Division of Rheumatology, New York University School of Medicine, NY, USA.

Objective: To survey an international sample of providers to determine their current practices for the prevention, screening, and treatment of congenital heart block (CHB) due to maternal Ro/SSA antibodies.

Methods: A survey was designed by the organizing committee of the 9th International Conference of Reproduction, Pregnancy and Rheumatic Diseases. It was sent to attendants of the conference and authors of recent publications or abstracts at ACR 2012, 2013 or 2014 on rheumatic diseases and pregnancy. Read More

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http://dx.doi.org/10.1093/rheumatology/key141DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6099126PMC
July 2018
33 Reads

Third-degree atrioventricular block followed by syncope, labile hypertension, and orthostatic hypotension in a patient with nasopharyngeal cancer: baroreflex failure.

Am J Cardiovasc Dis 2018 15;8(3):39-42. Epub 2018 Jun 15.

West Virginia University Heart and Vascular Institute Morgantown, WV, USA.

Baroreflex failure is a rare cause of syncope and labile blood pressures. Here, we present a case of baroreflex failure in a patient with history of nasopharyngeal cancer, status-post neck radiation. A 76-year-old male presented from an outside facility for possible pacemaker placement as he was found to have symptomatic third-degree atrioventricular (AV) block. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6055071PMC
June 2018
31 Reads

Complete Atrioventricular Block in an Elderly Patient Treated with Low-Dose Lacosamide.

Cardiovasc Toxicol 2018 12;18(6):579-582

Geriatrics Department, Leopold Bellan Hospital, 185 C Rue Raymond Losserand, Paris, France.

Lacosamide, one of the last antiepileptic drugs marketed, can cause extension of PR interval. Precautions are recommended when used in elderly and with other drugs extending PR interval. Cases of severe third-degree atrioventricular block have been reported only in post-marketing case reports when used at high-doses and remain rare. Read More

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http://dx.doi.org/10.1007/s12012-018-9467-xDOI Listing
December 2018
13 Reads

Inadvertent pacemaker lead dislodgement.

Pacing Clin Electrophysiol 2018 09 11;41(9):1266-1267. Epub 2018 Jul 11.

Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin, Berlin, Germany.

Transcatheter aortic valve implantation (TAVI) has become an established treatment option for aortic valve stenosis in patients with a high risk for conventional surgical valve replacement. A well-known complication is the development of conduction abnormalities. In the case of a new third-degree atrioventricular block, the complication can be life-threatening and permanent pacing is needed. Read More

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http://dx.doi.org/10.1111/pace.13412DOI Listing
September 2018
11 Reads

Pacing-induced Cardiomyopathy.

Clin Pract Cases Emerg Med 2017 Nov 18;1(4):362-364. Epub 2017 Oct 18.

Madigan Army Medical Center, Department of Emergency Medicine, Joint Base Lewis-McChord, Washington.

We present a case of pacing-induced cardiomyopathy. The patient presented with clinical symptoms of dyspnea, leg swelling, and orthopnea several months after a dual-chambered pacemaker was placed for third-degree heart block. The echocardiogram demonstrated a depressed ejection fraction. Read More

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http://dx.doi.org/10.5811/cpcem.2017.6.34398DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965215PMC
November 2017
1 Read

Glibenclamide Prevents Hypoglycemia-Induced Fatal Cardiac Arrhythmias in Rats.

Endocrinology 2018 07;159(7):2614-2620

Division of Endocrinology, Metabolism, and Diabetes, Department of Internal Medicine, University of Utah, Salt Lake City, Utah.

Sulfonylureas increase the incidence of severe hypoglycemia in people with type 2 diabetes and might increase the risk of sudden cardiac death. Sulfonylureas stimulate insulin secretion by closing pancreatic ATP-sensitive potassium ion (KATP) channels. To investigate the role of KATP channel modulators on cardiac arrhythmias and mortality in the setting of severe hypoglycemia, adult Sprague-Dawley rats underwent hyperinsulinemic (0. Read More

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http://dx.doi.org/10.1210/en.2018-00419DOI Listing
July 2018
6 Reads

Chagasic cardiomyopathy and Pompe disease: case report.

Am J Cardiovasc Dis 2018 5;8(2):19-23. Epub 2018 Apr 5.

Hospital das Clínicas da UFPE, Department of Cardiology Brazil.

Background: Pompe disease is a lysosomal storage disease with an autosomal recessive inheritance characterized by an insufficient activity of the acid alpha-glucosidase enzyme. The incidence varies from 1:40000 to 1:200000 live births and cardiac involvement in adults is rare. Chagas disease is an infection caused by the protozoan Trypanosoma cruzi, in which one-third of the cases progress to the chronic form, and may lead to cardiac involvement, usually from the fifth decade of life onwards. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5944812PMC
April 2018
8 Reads

Thermal burn resulting from prolonged transcutaneous pacing in a patient with complete heart block.

Am J Emerg Med 2018 Aug 19;36(8):1523.e5-1523.e6. Epub 2018 Apr 19.

Internal Medicine Department, Hospital Universitario, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico; Echocadiography Laboratory, Cardiology Service, Hospital Universitario, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico.

Temporary transcutaneous pacing devices are used to treat symptomatic bradyarrhythmias that are unresponsive to medical therapy until it resolves or a more stable pacing device is established. Pain is the most common complication. Skin burns as a complication are uncommon. Read More

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http://dx.doi.org/10.1016/j.ajem.2018.04.038DOI Listing
August 2018
4 Reads

Full Atrioventricular Block Secondary to Acute Poisoning Mercury: A Case Report.

Int J Environ Res Public Health 2018 04 2;15(4). Epub 2018 Apr 2.

Clinical Laboratory, Hospital General 450, Servicios de Salud de Durango, Blvd. Jose Maria Patoni No. 403, Col. El Cipres, CP 34206 Durango, Mexico.

The biological behaviour and clinical significance of mercury toxicity vary according to its chemical structure. Mercury differs in its degree of toxicity and in its effects on the nervous, digestive and immune systems as well as on organs such as the lungs, kidneys, skin, eyes and heart. Human exposure occurs mainly through inhalation of elemental mercury vapours during industrial and artisanal processes such as artisanal and small-scale gold mining. Read More

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http://dx.doi.org/10.3390/ijerph15040657DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5923699PMC
April 2018
15 Reads

Clinical and electrocardiographic presentations of transient trifascicular block in three cats.

J Vet Cardiol 2018 Jun 20;20(3):204-212. Epub 2018 Mar 20.

Cornell University College of Veterinary Medicine, 930 Campus Road, 14853, Ithaca, NY, USA. Electronic address:

This report describes transient trifascicular block in three cats presented with lethargy and inappetence, and elevated cardiac troponin I concentrations. The electrocardiogram (ECG) of cat 1 showed a sinus rhythm with pronounced first-degree atrioventricular (AV) block, right bundle branch block, and left anterior fascicular block. The ECG of cat 2 showed truncular left bundle branch block alternating with left anterior fascicular block coupled with prolonged PR intervals, second-degree heart block, and paroxysmal third-degree AV block. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17602734173020
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http://dx.doi.org/10.1016/j.jvc.2018.02.002DOI Listing
June 2018
14 Reads

[Safety and efficacy of transcatheter aortic valve replacement through transcarotid approach for patients with severe aortic valve stenosis].

Zhonghua Xin Xue Guan Bing Za Zhi 2018 Mar;46(3):198-202

Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China.

To investigate the safety and efficacy of transcatheter aortic valve replacement(TAVR) through transcarotid approach for patients with severe aortic valve stenosis. The clinical data of 9 symptomatic severe aortic valve stenosis patients who had high or prohibitive risk for surgery and not suitable for TAVR through femoral artery access,and thus received TAVR through transcarotid approach in our hospital from November 2015 to February 2017 were retrospectively analyzed.The patients were followed up to observe the safety and efficacy of the procedure. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0253-3758.2018.03.006DOI Listing
March 2018
3 Reads

Sutureless aortic valve replacement with concomitant valvular surgery.

J Thorac Cardiovasc Surg 2018 Jun 21;155(6):2414-2422. Epub 2018 Feb 21.

Department of Cardiovascular Surgery, Heart Center, Cebeci Hospitals, Ankara University School of Medicine, Ankara, Turkey.

Objectives: Sutureless aortic valve replacement (SU-AVR) is an alternative technique to standard aortic valve replacement. We evaluated our experience with the Perceval SU-AVR with concomitant mitral valve surgery, with or without tricuspid valve surgery, and aimed to discuss the technical considerations.

Methods: From January 2013 through June 2016, 30 patients with concomitant severe mitral valve disease, with or without tricuspid valve disease, underwent SU-AVR with the Perceval prosthesis in a single center. Read More

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http://dx.doi.org/10.1016/j.jtcvs.2017.12.154DOI Listing
June 2018
17 Reads
4.170 Impact Factor

Beer, hyponatraemia and cardiac conduction defects.

BMJ Case Rep 2018 Mar 14;2018. Epub 2018 Mar 14.

Department of Medicine, Mater Dei Hospital, Msida, Malta.

The authors report a case of a 68-year-old man who was diagnosed with an irreversible second-degree atrioventricular (AV) Mobitz II 2:1 block temporally associated with profound hyponatraemia. The cause of the hyponatraemia was beer potomania. The co-occurrence of reversible first, second and third-degree heart blocks and hyponatraemia has been described in a few published case reports. Read More

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http://dx.doi.org/10.1136/bcr-2018-224260DOI Listing
March 2018
21 Reads

Maternal steroid therapy for fetuses with second-degree immune-mediated congenital atrioventricular block: a systematic review and meta-analysis.

Acta Obstet Gynecol Scand 2018 Jul 18;97(7):787-794. Epub 2018 Apr 18.

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA, USA.

Introduction: The aim of this study was to explore the effect of maternal fluorinated steroid therapy on fetuses affected by second-degree immune-mediated congenital atrioventricular block.

Material And Methods: Studies reporting the outcome of fetuses with second-degree immune-mediated congenital atrioventricular block diagnosed on prenatal ultrasound and treated with fluorinated steroids compared with those not treated were included. The primary outcome was the overall progression of congenital atrioventricular block to either continuous or intermittent third-degree congenital atrioventricular block at birth. Read More

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http://dx.doi.org/10.1111/aogs.13338DOI Listing
July 2018
30 Reads
1.990 Impact Factor

Case presentation: implantation of cardiac resynchronization therapy pacemaker via the coronary sinus in a patient with triple valve replacement.

BMC Cardiovasc Disord 2018 02 21;18(1):37. Epub 2018 Feb 21.

Department of Cardiology, Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, 109 Xueyuan Road, Wenzhou, Zhejiang, 325000, China.

Background: In patients with triple valve replacement developing third-degree atrioventricular block (AVB), the most appropriate approach for permanent pacemaker implantation remains questionable.

Case Presentation: In this case presentation, we first described the approach of implantation of the cardiac resynchronization therapy pacemaker (CRT-P) via one bipolar pacing lead in middle cardiac vein (MCV) and one quadripolar pacing lead in anterior interventricular vein (AIV) in a patient developing complete AVB, who had been previously diagnosed with rheumatic valvular heart disease with triple valve replaced. After the CRT-P implantation, the two pacing leads in coronary sinus (CS) provided a dual-site ventricular pacing from the anterior septum and posterior septum, which resulted in a narrow QRS complex and an increased ventricular synchrony. Read More

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https://bmccardiovascdisord.biomedcentral.com/articles/10.11
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http://dx.doi.org/10.1186/s12872-018-0775-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5822565PMC
February 2018
19 Reads

Ventriculoatrial synchrony induced heart failure.

Acta Clin Belg 2018 Dec 21;73(6):439-443. Epub 2018 Feb 21.

a Faculty of Medicine , University of Novi Sad , Novi Sad , Serbia.

Objective And Importance: Endless loop tachycardia or pacemaker-mediated tachycardia, and atrioventricular desynchronization arrhythmia or repetitive non-reentrant ventriculoatrial synchrony (RNRVAS) are two forms of reverse impulse conduction - ventriculoatrial (VA) synchrony. Although VA synchrony can theoretically cause aggravation of heart failure, clinical cases describing severe consequential heart failure are lacking.

Clinical Presentation And Intervention: We describe a case of a 60-year-old patient who underwent primary percutaneous coronary intervention and mitral valve surgery. Read More

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http://dx.doi.org/10.1080/17843286.2018.1443002DOI Listing
December 2018
27 Reads

Complete Atrioventricular Heart Block From an Epilepsy Treatment.

Pediatr Neurol 2018 03 28;80:90-91. Epub 2017 Nov 28.

Department of Neurology, Indiana University School of Medicine, Indianapolis, Indiana.

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http://dx.doi.org/10.1016/j.pediatrneurol.2017.11.014DOI Listing
March 2018
6 Reads

Lyme carditis with isolated left bundle branch block and myocarditis successfully treated with oral doxycycline.

IDCases 2018 16;11:48-50. Epub 2017 Dec 16.

Infectious Disease Division Winthrop-University Hospital Mineola, New York, United States.

Lyme disease may present with a variety of cardiac manifestations ranging from first degree to third degree heart block. Cardiac involvement with Lyme disease may be asymptomatic, or symptomatic. Atrioventrical conduction abnormalities are the most common manifestation of Lyme carditis. Read More

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http://dx.doi.org/10.1016/j.idcr.2017.12.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5760251PMC
December 2017
20 Reads

Transvenous pacemaker placement: left lateral decubitus position and wireless digital radiography.

Am J Emerg Med 2018 Mar 1;36(3):467-469. Epub 2017 Dec 1.

Duke University School of Medicine, United States. Electronic address:

A patient presented with symptomatic third degree atrioventricular block requiring emergency transvenous pacemaker placement. During the procedure, wireless digital radiographs tracked the position of the pacemaker electrode, which repeatedly missed the target right ventricle. The patient was then rolled to left lateral decubitus position and the electrode was advanced into the right ventricle, achieving electrical capture, hemodynamic stability, and symptom resolution. Read More

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http://dx.doi.org/10.1016/j.ajem.2017.11.057DOI Listing
March 2018
4 Reads