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900
[Coronary artery bypass grafting in patients undergoing chronic hemodialysis: importance of wound healing and hypoproteinemia].
Outcome of coronary artery bypass grafting (CABG) in patients undergoing chronic hemodialysis was studied.</AbstractText>Between January 1996 and August 2004, 49 consecutive hemodialysis patients [38 males and 11 females, mean age 60.0 years (range 47-74 years)] underwent CABG using cardiopulmonary bypass. Duration of ...
901
Prognostic relevance of atrial fibrillation in patients with chronic heart failure on long-term treatment with beta-blockers: results from COMET.
Atrial fibrillation is common in patients with chronic heart failure (CHF). We analysed the risk associated with atrial fibrillation in a large cohort of patients with chronic heart failure all treated with a beta-blocker.</AbstractText>In COMET, 3029 patients with CHF were randomized to carvedilol or metoprolol tartra...
902
Public access defibrillation: suppression of 16.7 Hz interference generated by the power supply of the railway systems.
A specific problem using the public access defibrillators (PADs) arises at the railway stations. Some countries as Germany, Austria, Switzerland, Norway and Sweden are using AC railroad net power-supply system with rated 16.7 Hz frequency modulated from 15.69 Hz to 17.36 Hz. The power supply frequency contaminates the ...
903
PR and OTc interval prolongation on the electrocardiogram after binge drinking in healthy individuals.
Acute, excessive alcohol intake has been associated with an increased cardiovascular mortality in otherwise healthy individuals. It predisposes to accelerated atherosclerosis resulting in acute coronary events but also arrhythmias have been described, such as atrial fibrillation and life-threatening re-entrant ventricu...
904
[Retrospective assessment of influence of pre-and intra-operative risk factors on early and late surgical results in patients with coronary heart disease and severly impaired left ventricle function who underwent coronary artery bypass grafting].
Aim of the study was to evaluate retrospectively recent and late results of coronary artery bypass grafting (CABG) in patients with ischaemic heart disease and severe left ventricular dysfunction. 146 patients (125 men, 21 women) aged 58.4 +/- 8.4 years, with angina (Canadian Cardiac Society--CCS class &gt; or = 1), he...
905
Pneumatosis intestinalis and hepatic portal venous gas after CPR.
Pneumatosis intestinalis and hepatic portal venous gas are usually associated with severe intra-abdominal pathologies. As diagnostic technologies advanced, a number of variant etiologies have been identified. We report 2 cases in which pneumatosis intestinalis and hepatic portal venous gas developed after prolonged car...
906
The duration of ventricular fibrillation required to produce pulseless electrical activity.
The duration of untreated (no cardiopulmonary resuscitation) ventricular fibrillation (VF) needed to produce postdefibrillation pulseless electrical activity (PEA) was determined in 9 anesthetized swine ranging in weight from 20 to 30 kg. VF was induced electrically by a right ventricular catheter electrode, while arte...
907
Antiarrhythmic properties of a prior oral loading of amiodarone in in vivo canine coronary ligation/reperfusion-induced arrhythmia model: comparison with other class III antiarrhythmic drugs.
Amiodarone, which is generally classified as class III antiarrhythmic drug in the Vaughan Williams classification, is widely used for the treatments of refractory arrhythmias. However, we previously reported that intravenous infusion of amiodarone (6.67 mg/kg per hour) did not suppress arrhythmias induced by coronary l...
908
Effect of stress induced by electrical stimulation of the hypothalamus on the electrical stability of the heart in rabbits.
The influence of stress on cardiac electrical stability (CES) and chaotic dynamics of the electrical activity of the heart was studied in acute and chronic experiments in rabbits. Stress was caused by 2-3 h daily immobilization of the animals with electrical stimulation of emotiogenic centers of the hypothalamus throug...
909
Delayed adaptation of ventricular repolarization after sudden changes in heart rate due to conversion of atrial fibrillation. A potential risk factor for proarrhythmia?
Onset and termination of atrial fibrillation are often associated with abrupt changes in heart rate. Presence and time-course of delayed adaptation of the QT/QTc interval are unknown, but a temporary "mismatch" between rate and the QT interval may enhance the risk of proarrhythmia.</AbstractText>In a prospective two-pa...
910
Cardiopulmonary resuscitation with vasopressin in a dog.
That endogenous vasopressin levels in successfully resuscitated human patients were significantly higher than in patients who died pointed to the possible benefit of administering vasopressin during cardiopulmonary resuscitation (CPR). Several CPR studies in pigs showed that vasopressin improved blood flow to vital org...
911
[Inflammatory, lipid, and metabolic profile in acute ischemic syndrome: correlation with hospital and posthospital events].
To associate the markers lipid profile, inflammatory profile (high-sensitivity C-reactive protein HSCRP and fibrinogen), and metabolic profile (glucose determination) with hospital and posthospital events in patients with acute ischemic syndrome (AIS) and to describe the predictors of mortality in this population.</Abs...
912
Value of left ventricular filling parameters to predict mortality and functional class in patients with heart disease from the community.
Surprisingly few studies described the value of Doppler parameters in patients from the community.</AbstractText>The aim was to determine the prevalence of prolonged IVRT (&gt;0.105s) or a prolonged EDT (&gt;0.280s) with a reduced E/A (&lt;0.5) in heart patients from the community without valvular, systolic or rhythmic...
913
Initial, continuous and intermittent bolus cardioplegia administration: efficacy of potassium-chloride and magnesium-sulfate as minimal additives for minimally-diluted blood cardioplegia.
The most effective delivery of blood cardioplegia (BCP) remains controversial, and a combination of initial continuous and intermittent bolus BCP seems to compensate each demerit. However, a large amount of crystalloid solution is infused into the myocardium in this method, which may nullify the advantages of BCP. We e...
914
Anterolateral right thoracotomy for mitral valve procedure after previous coronary artery bypass grafting with functioning internal mammary artery grafts.
Mitral valve procedure after previous coronary artery bypass grafting (CABG) with functioning internal mammary artery (IMA) grafts has high risk. Especially, internal mammary artery grafts injury may be fatal. The anterolateral right thoracotomy affords easy access to the right atrium with minimal dissection, and minim...
915
Relation of elevated C-reactive protein and interleukin-6 levels to left atrial size and duration of episodes in patients with atrial fibrillation.
Previous studies have demonstrated inflammation to be a risk factor in patients with atrial fibrillation (AF). In this prospective study of 90 patients with persistent and permanent AF and 46 controls, we found increased C-reactive protein (CRP) and interleukin-6 levels in patients with AF compared with controls (p &lt...
916
Comparison between dobutamine and levosimendan for management of postresuscitation myocardial dysfunction.
To investigate the effects of levosimendan, a nonadrenergic inotropic calcium sensitizer, in comparison with adrenergic dobutamine for the management of postresuscitation myocardial dysfunction following resuscitation from prolonged cardiac arrest.</AbstractText>Randomized prospective animal study.</AbstractText>Animal...
917
Management following resuscitation from cardiac arrest: recommendations from the 2003 Rocky Mountain Critical Care Conference.
To propose a strategy for the management of patients admitted to critical care units after resuscitation from cardiac arrest.</AbstractText>Prior to the conference relevant studies were identified via literature searches and brief reviews circulated on the following topics: glucose and blood pressure management; therap...
918
In-hospital complications of acute myocardial infarction in hypertensive subjects.
Recent studies have shown a worse in-hospital outcome in hypertensive than in normotensive patients with acute myocardial infarction (AMI), which has been attributed to more frequent complications. The aim of this study was to investigate clinical patterns, risk factors, and in-hospital complications in hypertensive an...
919
QT dispersion and early arrhythmic risk in acute myocardial infarction.
This study sought to find out QT dispersion in healthy individuals and patients of acute myocardial infarction and to find correlation, if any, between QT dispersion and the incidence of ventricular arrhythmias in acute myocardial infarction.</AbstractText>QT dispersion was calculated from a 12-lead electrocardiogram i...
920
Sudden cardiac death in a child affected by Prader-Willi syndrome.
A case of sudden cardiac death in a 3-year-old young male affected by Prader-Willi syndrome, clinically diagnosed and confirmed by means of DNA methylation, is presented. The infant suddenly collapsed at home and was taken apparently unconsciousness by his mother to the emergency clinic where he was pronounced dead. A ...
921
Implantable cardioverter defibrillator storm: nursing care issues for patients and families.
Implantable cardioverter defibrillators (ICDs) are being used for primary and secondary prevention of life-threatening cardiac arrhythmias, and evidence suggests that increased use is likely in the future. ICD storm, the delivery of two or more shocks within 24 hours, occurs in 10% to 20% of patients who have ICDs and ...
922
Atrial fibrillation: profit from cardiac pacing?
The impact of cardiac pacing on the prevention of atrial fibrillation is under scientific investigation. Several prospective randomised clinical trials have reported that atrial-based "physiologic" AAI(R)- or DDD(R)-pacing is associated with a lower incidence of paroxysmal and permanent atrial fibrillation than single-...
923
Common variants in myocardial ion channel genes modify the QT interval in the general population: results from the KORA study.
Altered myocardial repolarization is one of the important substrates of ventricular tachycardia and fibrillation. The influence of rare gene variants on repolarization is evident in familial long QT syndrome. To investigate the influence of common gene variants on the QT interval we performed a linkage disequilibrium b...
924
Quantitative determinants of the outcome of asymptomatic mitral regurgitation.
The clinical outcome of asymptomatic mitral regurgitation is poorly defined, and the treatment is uncertain. We studied the effect on the outcome of quantifying mitral regurgitation according to recent guidelines.</AbstractText>We prospectively enrolled 456 patients (mean [+/-SD] age, 63+/-14 years; 63 percent men; eje...
925
Commotio cordis--a report of three cases.
Commotio cordis is a recognised cause of sudden death in which an apparently minor blow to the chest causes ventricular fibrillation and cardiac arrest. It is best known for causing death during games of youth baseball in the United States, but individual cases have been recorded as a result of a wide range of activiti...
926
Implantable dual-chamber defibrillator for the selective treatment of spontaneous atrial and ventricular arrhythmias: arrhythmia incidence and device performance.
Atrial tachyarrhythmias are a common co-morbidity in patients with an ICD indication. Recently introduced ICD's are equipped to independently detect and treat atrial and ventricular tachyarrhythmias. The purpose of this prospective study was to evaluate the incidence and termination of spontaneous atrial and ventricula...
927
Diagnostic approach to palpitations.
Palpitations-sensations of a rapid or irregular heartbeat-are most often caused by cardiac arrhythmias or anxiety. Most patients with arrhythmias do not complain of palpitations. However, any arrhythmia, including sinus tachycardia, atrial fibrillation, premature ventricular contractions, or ventricular tachycardia, ca...
928
[A study in cases of Brugada-type electrocardiogram and its management proposals in health examination].
In 1992, Brugada et al. reported a characteristic electrocardiogram (ECG) pattern and ST-segment elevation in leads V1 to V3 associated with sudden death in patients without demonstrable structural heart disease. That disease is now called Brugada Syndrome. The diagnostic criteria for the Brugada Syndrome have still no...
929
Extra-pleural pneumonectomy for malignant pleural mesothelioma: the risks of induction chemotherapy, right-sided procedures and prolonged operations.
With the increasing incidence of malignant pleural mesothelioma and renewed interest in radical surgery as a therapeutic option, we have examined our experience of extra-pleural pneumonectomy, to document the incidence and management of its peri-operative complications.</AbstractText>This analysis was conducted using p...
930
Cardiac troponins in renal insufficiency and other non-ischemic cardiac conditions.
The emergence of cardiac troponins has been an interesting step in the diagnosis of ACS. It has clearly helped us to better triage patients toward a more aggressive posture in performing early cardiac catheterization, and in some cases, early use of adjunctive Gp IIb/IIIa antagonists and percutaneous or surgical myocar...
931
Long-term performance of prostheses in mitral valve replacement.
The long-term performance of prostheses in mitral valve replacement (MVR) is now available with representatives of current generation prostheses to 15 years. Mechanical prostheses have been implanted for 33 years and bioprostheses for 22 years. The predominant complication of mechanical prostheses is hemorrhage from an...
932
A review of the pharmacokinetics, electrophysiology and clinical efficacy of dronedarone.
The results of major clinical trials and advances in pharmacologic and nonpharmacologic therapies are continuing to alter treatment approaches for both atrial and ventricular arrhythmias. Originally developed as an antianginal medication, amiodarone serves as the most effective antiarrhythmic drug in the treatment of b...
933
Better outcome after pediatric defibrillation dosage than adult dosage in a swine model of pediatric ventricular fibrillation.
This study was designed to compare outcome after adult defibrillation dosing versus pediatric dosing in a piglet model of prolonged prehospital ventricular fibrillation (VF).</AbstractText>Weight-based 2 to 4 J/kg monophasic defibrillation dosing is recommended for children in VF, but impractical for automated external...
934
Angiotensin II receptor blockade reduces new-onset atrial fibrillation and subsequent stroke compared to atenolol: the Losartan Intervention For End Point Reduction in Hypertension (LIFE) study.
This study was designed to evaluate whether different antihypertensive treatment regimens with similar blood pressure reduction have different effects on new-onset atrial fibrillation (AF).</AbstractText>It is unknown whether angiotensin II receptor blockade is better than beta-blockade in preventing new-onset AF.</Abs...
935
Cardiovascular morbidity and mortality in hypertensive patients with a history of atrial fibrillation: The Losartan Intervention For End Point Reduction in Hypertension (LIFE) study.
We assessed the impact of antihypertensive treatment in hypertensive patients with electrocardiographic (ECG) left ventricular (LV) hypertrophy and a history of atrial fibrillation (AF).</AbstractText>Optimal treatment of hypertensive patients with AF to reduce the risk of cardiovascular morbidity and mortality remains...
936
P-wave signal-averaged electrocardiogram for predicting atrial arrhythmia after cardiac surgery.
Atrial arrhythmias (AF) are usually benign, but occur frequently after cardiac surgery. P-wave signal-averaged electrocardiogram has been used to characterize atrial conduction delay as a marker of risk of AF during sinus rhythm.</AbstractText>Ninety-five patients undergoing either primary isolated coronary artery bypa...
937
Myocardial ischaemic preconditioning in the pig has no effect on the ventricular fibrillation and defibrillation thresholds.
The effects of myocardial ischaemia preconditioning in pigs on the vulnerability to ventricular fibrillation during subsequent ischaemic events are controversial. This study examined the time course of changes in ventricular fibrillation (VFT) and defibrillation (DFT) thresholds during transient myocardial ischaemia af...
938
Effects of incomplete chest wall decompression during cardiopulmonary resuscitation on coronary and cerebral perfusion pressures in a porcine model of cardiac arrest.
Recent data suggest that generation of negative intrathoracic pressure during the decompression phase of CPR improves hemodynamics, organ perfusion and survival.</AbstractText>Incomplete chest wall recoil during the decompression phase of standard CPR increases intrathoracic pressure and right atrial pressure, impedes ...
939
The three-phase model of cardiac arrest as applied to ventricular fibrillation in a large, urban emergency medical services system.
Cardiac arrest is responsible for significant morbidity and mortality, with consistently poor outcomes despite the rapid availability of prehospital personnel for defibrillation attempts in patients with ventricular fibrillation (VF). Recent evidence suggests a period of cardiopulmonary resuscitation (CPR) prior to def...
940
Post-shock chest compression delays with automated external defibrillator use.
In a swine model of out-of-hospital ventricular fibrillation (VF) cardiac arrest, we established that automated external defibrillator (AED) defibrillation could worsen outcome from prolonged VF compared with manual defibrillation. Worse outcomes were due to substantial interruptions and delays in chest compressions fo...
941
The Department of Health National Defibrillator Programme: analysis of downloads from 250 deployments of public access defibrillators.
From April 2000 to November 2002, the Department of Health (England) placed 681 automated external defibrillators (AEDs) in 110 public places for use by volunteer lay first responders. An audit has been undertaken of the first 250 deployments, of which 182 were for confirmed cardiac arrest. Of these, 177 were witnessed...
942
An alternative approach to advancing resuscitation science.
Stagnant survival rates in out-of-hospital cardiac arrest remain a great impetus for advancing resuscitation science. International resuscitation guidelines, with all their advantages for standardizing resuscitation therapeutic protocols, can be difficult to change. A formalized evidence-based process has been adopted ...
943
Clinical applications of B-type natriuretic peptide levels in the care of cardiovascular patients.
B-type natriuretic peptide (BNP), is a cardiac neurohormone, and is released as prepro BNP and then enzymatically cleaved to the N-terminal-proBNP and BNP upon ventricular myocyte stretch. Blood measurements of BNP have been used to identify patients with heart failure (HF). The BNP assay is currently used in diagnosis...
944
First report of supraventricular tachycardia after intravenous pulse methylprednisolone therapy, with a brief review of the literature.
The occurrence of supraventricular tachycardia after high-dose intravenous methylprednisolone pulse therapy (HIVMPT) in a patient with active rheumatoid arthritis is described for the first time. This case report further expands the range of arrhythmias that can occur with HIVMPT. Other arrhythmias previously reported ...
945
[Patients history following artificial aortic valve and pacemaker implantation].
The follow-up of 22 patients (out of 31 patients after artificial aortic valve and pacemaker implantation between 1982 and 2001) have been evaluated. There were 15 men aged 30-76 (x=55) and 7 women aged 43-69 (x=59). Aortic valve replacement (AVR) was subsequently followed by pacemaker implantation (PI) after approxima...
946
[Atrial fibrillation in a long-term follow-up after mitral valve replacement].
The aim of the study was to analyse cardiac rhythm after mitral valve replacement and to define pre-operative predictive factors for persistence of atrial fibrillation.</AbstractText>The study group consisted of 76 consecutive pts (54 F, 22 M), mean age 54.8 +/- 8.2 (38-71) years in whom mitral valve replacement was pe...
947
[Long-term results of valvular condition and clinical state in patients operated with the Senning method].
8 patients suffering transposition of the great arteries (d-TGA) aged from 8-17 years (mean 12.6 years) after Senning procedure performed were analyzed. Right atrium and right ventricle enlargement was detected in all patients. Small jet tricuspid valve regurgitation was confirmed in 5 patients, significant tricuspid v...
948
[Clinical experience with aortic connector system].
From April to December 2002, 40 patients underwent coronary artery bypass grafting (CABG) using the St. Jude Medical (Minneapolis) Symmetry bypass system (aortic connector system: ACS). 59 proximal anastomoses (51 saphenous vein grafts, 8 radial artery grafts) were performed with the ACS. One saphenous vein graft occlu...
949
Magnetic resonance imaging during untreated ventricular fibrillation reveals prompt right ventricular overdistention without left ventricular volume loss.
Most out-of-hospital ventricular fibrillation (VF) is prolonged (&gt;5 minutes), and defibrillation from prolonged VF typically results in asystole or pulseless electrical activity. Recent visual epicardial observations in an open-chest, open-pericardium model of swine VF indicate that blood flows from the high-pressur...
950
Pathomorphological peculiarities of coronary artery ectasias and their role in the pathogenesis of sudden cardiac death.
Polypositional postmortem contrast coronarography and pathomorphological analysis were used to study 400 cases of atherosclerotic, postinfarction, arrhythmogenic, and hypertensive heart. High incidence of sudden cardiac death was established in patients with coronary artery ectasia in atherosclerotic heart. In most cas...
951
Recovery of N100 component of auditory event-related potentials and EEG after cardiac arrest during propofol sedation.
We report on the EEG monitoring of a patient who suffered an episode of postoperative ventricular fibrillation (VF) following coronary artery bypass grafting (CABG). VF initially caused a considerable suppression and slowing of the EEG. The recovery of cerebral function was evaluated by recording both EEG and auditory ...
952
Relation of initial resting ventricular rate to the ability to achieve and maintain normal sinus rhythm in patients with atrial fibrillation.
Rate-control and rhythm-control strategies in the management of atrial fibrillation (AF) have been shown to have similar effects on morbidity and mortality. Data are lacking as to whether specific electrocardiographic features of AF affect the ability to achieve rate or rhythm control. This study evaluated the relation...
953
Drug-induced block of cardiac HERG potassium channels and development of torsade de pointes arrhythmias: the case of antipsychotics.
The prolongation of the cardiac repolarization process, a result of the blocking of the Human Ether-ago-go Related Gene potassium channel, is an undesired accessory property shared by many pharmacological classes of non-cardiovascular drugs. Often the delayed cardiac repolarization process can be identified by a prolon...
954
Dispersion of cardiac action potential duration and the initiation of re-entry: a computational study.
The initiation of re-entrant cardiac arrhythmias is associated with increased dispersion of repolarisation, but the details are difficult to investigate either experimentally or clinically. We used a computational model of cardiac tissue to study systematically the association between action potential duration (APD) di...
955
Dissociation of membrane potential and intracellular calcium during ventricular fibrillation.
Membrane potential and intracellular calcium during VF.</AbstractText>The cardiac action potential (AP) and the intracellular Ca transient (CaT) are closely associated under normal physiological conditions, but not during ventricular fibrillation (VF). The purpose of this study was to determine whether this dissociatio...
956
Numerical simulation of paced electrogram fractionation: relating clinical observations to changes in fibrosis and action potential duration.
Simulating paced electrogram fractionation.</AbstractText>Paced electrogram fractionation analysis (PEFA) may identify a re-entrant substrate in patients at risk of ventricular fibrillation (VF) by detecting prolonged, fractionated ventricular electrograms ("fractionation") in response to premature extrastimuli. Numeri...
957
Electrophysiological and histopathological characteristics of progressive atrioventricular block accompanied by familial dilated cardiomyopathy caused by a novel mutation of lamin A/C gene.
Conduction defect caused by lamin A/C gene mutation.</AbstractText>Mutations of lamin A/C gene (LMNA) cause dilated cardiomyopathy (DCM) with atrioventricular (AV) conduction defect, although the electrophysiological and histological profiles are not fully understood.</AbstractText>We analyzed a large Japanese family (...
958
Azimilide, a novel oral class III antiarrhythmic for both supraventricular and ventricular arrhythmias.
Azimilide is an investigational Class III antiarrhythmic that has been developed for treating both supraventricular and ventricular tachyarrhythmias. Similar to other Class III antiarrhythmics, azimilide prolongs myocardial repolarization in a dose-dependent manner by increasing the action potential duration, QT interv...
959
[Biphasic shock waveform for cardioversion of atrial fibrillation in the emergency room].
Transthoracic electrical cardioversion, traditionally monophasic shock waveform, has been a mainstay of the therapy for atrial fibrillation (AF) since its introduction into clinical practice. Recent studies have demonstrated that biphasic shock is more efficient than monophasic shock waveforms for terminating both vent...
960
[Marijuana smoking and paroxysmal atrial fibrillation].
Cannabis is the most widely used illegal drug in Israel, and unlike most of the other illegal drugs, it is common among segments of the population with higher demographic characteristics.</AbstractText>A healthy 20 year old male patient, with two previous admissions with atrial fibrillation, was admitted to the emergen...
961
Prevalence of and risk factors for atrial fibrillation in Korean adults older than 40 years.
Atrial fibrillation (AF) is a common arrhythmia that is a potent independent risk factor for stroke. The incidence of AF increase with age and most affected people have underlying cardiac disease. This study aimed to describe the prevalence of and risk factors for AF in Korean. In this study, 14,540 adults (male 6,573/...
962
New parameters for left ventricular function in atrial fibrillation: based on the relationship between RR interval and performance.
This study was designed to obtain new parameters representing left ventricular (LV) function independent of irregular RR intervals in atrial fibrillation (AF). AF patients were divided into Normal (n=9) and LV Dysfunction (n=9) groups. The relations between LV outflow peak ejection velocity (Vpe) and preceding (RR-1) o...
963
Difference in survival after out-of-hospital cardiac arrest between the two largest cities in Sweden: a matter of time?
Dramatic differences in survival after out-of-hospital cardiac arrests (OHCA) reported from different geographical locations require analysis. We therefore compared patients with OHCA in the two largest cities in Sweden with regard to various factors at resuscitation and outcome.</AbstractText>All patients suffering an...
964
Relationship of QT interval duration with carotid intima media thickness in a clinically healthy population undergoing cardiovascular risk screening.
To investigate the relationship between cardiac repolarization (QT interval duration) and intima media thickness (IMT) of the carotid arteries as surrogate measures of subclinical atherosclerosis.</AbstractText>Prospective study with consecutive subjects enrolled in the SAPHIR program (Salzburg Atherosclerosis Preventi...
965
Cold injuries.
Exposure to cold can produce a variety of injuries that occur as a result of man's inability to adapt to cold. These injuries can be divided into localized injury to a body part, systemic hypothermia, or a combination of both. Body temperature may fall as a result of heat loss by radiation, evaporation, conduction, and...
966
[Pharmacological treatment of atrial fibrillation].
Although anticoagulant treatment of atrial fibrillation is now well codified, the medical treatment of the fibrillation remains controversial. Two types of medication can be proposed: drugs to slow the rhythm (digitalis, betablockers and calcium inhibitors) and anti-arrhythmic mainly Class I or Class III drugs. Some do...
967
[The choice of pacing sites: should we change our practice?].
For the past 45 years the sites used for elective pacing have been the apex of the right ventricle and the right atrium. Although the initial objective of pacing was the "simple" correction of a conduction disorder, a more recent evolution has been to achieve a favourable haemodynamic effect, considering left ventricul...
968
[The best of cardiac pacing in 2004].
The year 2004 saw the publication of the results of the COMPANION and PAVE studies concerning cardiac pacing. The former underlined, if it was still necessary, the direct relationship between pacing and rhythmology in terms of sudden death due to rhythm disturbances in cardiac failure. COMPANION attempted to discover w...
969
[The best of arrhythmia in 2004].
As for the preceding years, important studies regarding several remaining clinical issues for electrophysiologists have been reported in 2004. Large randomized studies have underlined the need for an EP study in asymptomatic patients with overt ventricular preexcitation. In addition to a short antegrade refractory peri...
970
Conscious sedation during endoscopic retrograde colangiopancreatography: implementation of SIED-SIAARTI-ANOTE guidelines in Belluno Hospital.
In this study we describe the results of adoption of local guidelines for conscious sedation (CS) during endoscopic-retrograde-cholangiopancreatography (ERCP) in Belluno Hospital. Local guidelines were created referring to SIED-SIAARTI-ANOTE guidelines for CS in gastrointestinal endoscopy.</AbstractText>Between January...
971
Rate vs rhythm control in patients with atrial fibrillation: a meta-analysis.
The 2 fundamental approaches to the management of atrial fibrillation (AF) are reestablishing and maintaining sinus rhythm (rhythm control) and controlling ventricular rate with atrioventricular node blocking agents (rate control). We performed a meta-analysis of randomized controlled trials comparing these strategies ...
972
Spatiotemporal blind source separation approach to atrial activity estimation in atrial tachyarrhythmias.
The analysis and characterization of atrial tachyarrhythmias requires, in a previous step, the extraction of the atrial activity (AA) free from ventricular activity and other artefacts. This contribution adopts the blind source separation (BSS) approach to AA estimation from multilead electrocardiograms (ECGs). Previou...
973
[Sudden death due to electrical causes in individuals without demonstrable structural cardiac disease. Experience in Cuba].
Sudden cardiac death due to electrical causes in individuals with no evidence of structural heart disease is an important clinical and public health problem, and it is not yet solved. The objectives of this study were: to characterize patients reanimated from a sudden death event of electrical cause; to know the mediat...
974
[Pulmonary artery catheterization in 9071 cardiac surgery patients: a review of complications].
The safety of pulmonary artery catheterization has been questioned. We report our experience on the incidence of complications in a large series of patients requiring cardiac operations by evaluating the learning curve of the operators.</AbstractText>Since 1988 at our Institution a pulmonary artery catheter (PAC) regis...
975
Cariporide enables hemodynamically more effective chest compression by leftward shift of its flow-depth relationship.
When given during closed-chest resuscitation, cariporide (4-isopropyl-methylsulfonylbenzoyl-guanidine methanesulfonate; a selective inhibitor of the Na(+)/H(+) exchanger isoform-1) enables generation of viable perfusion pressures with less depth of compression. We hypothesized that this effect results from greater bloo...
976
Antiarrhythmic effect of carvedilol after acute myocardial infarction: results of the Carvedilol Post-Infarct Survival Control in Left Ventricular Dysfunction (CAPRICORN) trial.
Whether beta-blockers reduce atrial arrhythmias and, when added to an angiotensin-converting enzyme (ACE) inhibitor, ventricular arrhythmia is unknown.</AbstractText>Ventricular and atrial arrhythmias are common after acute myocardial infarction (AMI) and are associated with a poor prognosis. Angiotensin-converting enz...
977
Programmed ventricular stimulation in patients with idiopathic dilated cardiomyopathy and syncope receiving implantable cardioverter-defibrillators: a case series and a systematic review of the literature.
The role of programmed ventricular stimulation (PVS) in patients with idiopathic dilated cardiomyopathy (DCM) and syncope receiving implantable cardioverter-defibrillators (ICD) remains controversial.</AbstractText>Between 1994 and July 2002, 20 patients with DCM and syncope underwent PVS and ICD implantation at the On...
978
Antithrombotic strategies in patients with an indication for long-term anticoagulation undergoing coronary artery stenting: safety and efficacy data from a single center.
Dual antiplatelet therapy is the antithrombotic treatment generally recommended after percutaneous coronary intervention with stent implantation (PCI-S). However, the optimal antithrombotic treatment after PCI-S in case of a concomitant indication for anticoagulation (AC) is unknown. The aim of our study was to determi...
979
Overdrive pacing of early ischemic ventricular tachycardia: evidence for both reentry and triggered activity.
Entrainment can be a useful method to identify reentry as a mechanism of ventricular tachycardia (VT). In this study, we evaluated the effect of gradually decreasing cycle lengths of overdrive pacing for stable VT induced in a canine model 1-3 h after coronary occlusion. Intact dogs underwent anterior descending corona...
980
Prediction of successful cardioversion and maintenance of sinus rhythm in patients with lone atrial fibrillation.
We aimed to prospectively investigate the predictive value of echocardiographic parameters for the prediction of successful cardioversion and long-term sinus rhythm (SR) maintenance in patients who have experienced a lone episode of atrial fibrillation (AF).</AbstractText>Clinical and echocardiographic data, including ...
981
Implantable cardioverter-defibrillators, induced anxiety, and quality of life.
Since its approval in 1985, the implantable cardioverter-defibrillator (ICD) has supplanted antiarrhythmic drugs as the standard of care for patients with potentially lethal ventricular arrhythmias. The increased popularity of ICDs stems primarily from their safety and tolerability compared with commonly used medicatio...
982
[Indications for automatic implantable defibrillators in patients with the Brugada syndrome].
Brugada syndrome is a primary electrical cardiac disease characterized by an ST segment elevation in V1-V2 leads on surface ECG and an increased risk of polymorphic ventricular tachyarrhythmia (ventricular tachycardia and/or ventricular fibrillation). The objective of the treatment is to prevent sudden death and it the...
983
[Cardiac resynchronisation therapy: what kind of equipment to use?].
Cardiac resynchronization therapy is indicated in advanced heart failure refractory to optimal drug treatment patients with left ventricular systolic dysfunction and QRS &gt;120 milliseconds. The choice of the device has to consider several parameters: Do we have to implant a CRT pacemaker or a intracardiac cardioverte...
984
[Successful defibrillation by disconnection of superior vena cava electrode for high defibrillation threshold: a case report].
A 72-year-old man with dilated cardiomyopathy and sustained ventricular tachycardia was treated with amiodarone. He visited another hospital because of loss of consciousness. Electrocardiography showed 2: 1 atrioventricular block. Ambulatory electrocardiography showed total heart beats were 59,700 per day. He was refer...
985
[Long-term preventive effect and safety of amiodarone in patients with paroxysmal atrial fibrillation refractory to class I antiarrhythmic agents: analysis based on patient profiles].
The factors controlling the preventive effect of long-term amiodarone therapy were evaluated in patients with paroxysmal atrial fibrillation. The 55 patients (37 men and 18 women, mean age 68 +/- 9 years) with paroxysmal atrial fibrillation refractory to more than two types of Class I antiarrhythmic agents received ami...
986
[Stroke and other thromboembolic complications of atrial fibrillation. Part VI. Choice of optimal approach and drugs for prevention of stroke].
In part VI of a series of papers on epidemiology and drug prevention of stroke and other thromboembolic complications of atrial fibrillation the authors analyze data of randomized trials comparing various approaches to the treatment of atrial fibrillation: cardioversion with subsequent use of antiarrhythmic drugs for m...
987
[The role of atrial pressure in spontaneous initiation of atrial fibrillation in the dog.].
Atrial fibrillation (AF) frequently occurred under conditions associated with atrial dilatation (stretch) or vagal hyperactivity. To study possible role of atrial stretch in spontaneous initiation of vagal AF we compared changes of right atrial pressure (RAP) and activation patterns during AF beginning. In anesthetized...
988
Preventing alternans-induced spiral wave breakup in cardiac tissue: an ion-channel-based approach.
The detailed processes involved in spiral wave breakup, believed to be one major mechanism by which tachycardia evolves into fibrillation, are still poorly understood. This has rendered difficult the proper design of an efficient and practical control stimulus protocol to eliminate such events. In order to gain new ins...
989
Effect of statin therapy on risk of ventricular arrhythmia among patients with coronary artery disease and an implantable cardioverter-defibrillator.
Hydroxymethylglutaryl coenzyme-A reductase inhibitors, or statins, have been shown to decrease mortality rates in patients who have coronary artery disease. It has been postulated that part of the mortality benefit conferred by statins is due to a decrease in ventricular arrhythmias. We assessed the effect of statin th...
990
Cardiovascular abnormalities in hyperthyroidism: a prospective Doppler echocardiographic study.
We investigated the prevalence and clinical importance of cardiovascular abnormalities in patients with hyperthyroidism.</AbstractText>All consecutive patients diagnosed with hyperthyroidism during a period of 24 months were included in the study. Medical history, complete physical examination results, electrocardiogra...
991
Endoventriculoplasty using autologous endocardium for anterior left ventricular aneurysms.
There is currently consensus that endoventriculoplasty is the treatment of choice for an anterior left ventricular aneurysm. We describe here a new technique of endoventriculoplasty using autologous endocardium for left ventricular anterior aneurysm.</AbstractText>From 1990 until 2003, 49 patients underwent endoventric...
992
Surgical treatment of atrial fibrillation; a systematic review.
In this review the efficacies of the alternative sources of energy (radiofrequency-microwave and cryo ablation; group I) and the classical 'cut and sew' Cox-Maze III (group II), which claims a 97-99% sinus rhythm (SR) success rate, were evaluated in the surgical treatment of atrial fibrillation (AF). A computerized sea...
993
Defibrillation and biphasic shocks: Implications for perianesthesia nursing.
Cardiac arrests, the majority of which are due to ventricular fibrillation (VF), are a significant threat to survival. The definitive therapy for cardiac arrests due to VF is rapid, early defibrillation. There have been several advances made to modern defibrillators to electively or emergently terminate lethal and nonl...
994
Electrophysiological evaluation of asymptomatic ventricular pre-excitation in children and adolescents.
Diagnostic assessment and treatment have been described in detail in symptomatic WPW syndrome, but little information exists about significance and prognosis of an incidentally found ventricular pre-excitation (VPE) in asymptomatic children. The aim of the study was to evaluate, retrospectively, the role of electrophys...
995
A new dual-chamber pacing mode to minimize ventricular pacing.
Despite the low long-term incidence of high-degree atrioventricular (AV) block and the known negative effects of ventricular pacing, programming of the AAI mode in patients with sinus node dysfunction (SND) remains exceptional. A new pacing mode was, therefore, designed to combine the advantages of AAI with the safety ...
996
Characteristics of bifocal pacing: right ventricular apex versus outflow tract. An interim analysis.
Bifocal RIGHT ventricular stimulation (BRIGHT) is an ongoing, randomized, single-blind, crossover study of atrial synchronized bi-right ventricular (RV) pacing in patients in New York Heart Association heart failure functional class III, a left ventricular ejection fraction &lt;35%, left bundle branch block and QRS com...
997
Cardiac safety of neuromuscular incapacitating defensive devices.
Neuromuscular incapacitation (NMI) devices discharge a pulsed dose of electrical energy to cause muscle contraction and pain. Field data suggest electrical NMI devices present an extremely low risk of injury. One risk of delivering electricity to a human is the induction of ventricular fibrillation (VF). We hypothesize...
998
Value of pre-hospital discharge defibrillation testing in recipients of implanted cardioverter defibrillators.
Opinions vary regarding the need to perform defibrillation testing prior to hospital discharge in recipients of state-of-the-art cardioverter defibrillators (ICDs). Our protocol is to perform predischarge ICD testing 1 day after implant. This report includes 682 consecutive implants. Adverse observations at testing wer...
999
Changes in autonomic nervous activity after catheter ablation of atrial tachycardia arising from the atrioventricular annulus.
Radiofrequency (RF) catheter ablation of supraventricular tachycardias causes local parasympathetic denervation. This study used heart rate variability (HRV) to evaluate the effects of ablation of atrial tachycardia (AT) arising from the atrioventricular annulus (AVAT) on autonomic function. Ten patients with AVAT were...