Early recurrence of atrial arrhythmias(ERAA) after ablation is common and strongly predicts late recurrences and ablation failure. However, since arrhythmia may eventually resolve in up to half of patients with ERAA, ...Early recurrence of atrial arrhythmias(ERAA) after ablation is common and strongly predicts late recurrences and ablation failure. However, since arrhythmia may eventually resolve in up to half of patients with ERAA, guidelines do not recommend immediate reintervention for ERAA episodes occurring during a 3-mo postablation blanking period. Certain clinical demographic, electrophysiologic, procedural, and ERAA-related characteristics may predict a higher likelihood of longterm ablation failure. In this review, we aim to discuss potential mechanisms of ERAA, and to summarize the clinical significance, prognostic implications, and treatment options for ERAA.展开更多
This paper reviews current recommendations on the appropriate evaluation and management of cardiac arrhythmias in the pregnant patient.Most arrhythmias during pregnancy are benign and require no intervention.When requ...This paper reviews current recommendations on the appropriate evaluation and management of cardiac arrhythmias in the pregnant patient.Most arrhythmias during pregnancy are benign and require no intervention.When required,the decision to treat should be based on symptom severity and the associated risk to mother and fetus posed by potentially recurring arrhythmia episodes throughout the pregnancy.Any treatment strategy in this patient population has inherent risk to both mother and unborn child.Before the initiation of any intervention,documentation of a clinical arrhythmia and correlation with clinical symptoms should be obtained.There is no role for empiric therapy.展开更多
In this issue of the Journal of Geriatric Cardiology, Gao et al.,1 in a report of increased ostial pulmonary vein diameter by multislice CT angiography reported a statistically significant enlargement of the pulmo... In this issue of the Journal of Geriatric Cardiology, Gao et al.,1 in a report of increased ostial pulmonary vein diameter by multislice CT angiography reported a statistically significant enlargement of the pulmonary veins in patients with congestive heart failure (CHF). This finding alone should not be of any surprise as anatomic remodeling and general dilation of the cardiac chambers are well described in patients with CHF.……展开更多
文摘Early recurrence of atrial arrhythmias(ERAA) after ablation is common and strongly predicts late recurrences and ablation failure. However, since arrhythmia may eventually resolve in up to half of patients with ERAA, guidelines do not recommend immediate reintervention for ERAA episodes occurring during a 3-mo postablation blanking period. Certain clinical demographic, electrophysiologic, procedural, and ERAA-related characteristics may predict a higher likelihood of longterm ablation failure. In this review, we aim to discuss potential mechanisms of ERAA, and to summarize the clinical significance, prognostic implications, and treatment options for ERAA.
文摘This paper reviews current recommendations on the appropriate evaluation and management of cardiac arrhythmias in the pregnant patient.Most arrhythmias during pregnancy are benign and require no intervention.When required,the decision to treat should be based on symptom severity and the associated risk to mother and fetus posed by potentially recurring arrhythmia episodes throughout the pregnancy.Any treatment strategy in this patient population has inherent risk to both mother and unborn child.Before the initiation of any intervention,documentation of a clinical arrhythmia and correlation with clinical symptoms should be obtained.There is no role for empiric therapy.
文摘 In this issue of the Journal of Geriatric Cardiology, Gao et al.,1 in a report of increased ostial pulmonary vein diameter by multislice CT angiography reported a statistically significant enlargement of the pulmonary veins in patients with congestive heart failure (CHF). This finding alone should not be of any surprise as anatomic remodeling and general dilation of the cardiac chambers are well described in patients with CHF.……
