28 research outputs found
Mechanical conflicts at the tricuspid level. A rare cause of both atrial and ventricular lead damage
No full textCorrelations between arrhythmogenic substrate and noninvasive risk stratification in ischemic heart disease patients modifications by radiofrequency ablation
No full textCardiac arrhythmias and conduction disorders after breast cancer treatment including radiotherapy: a study based on the French nationwide health database
No full textInternational audienceIntroduction: We plan to evaluate whether breast cancer (BC) treatment, including radiotherapy, is associated with an increased risk of cardiac arrhythmias and conduction disorders (ACD) characterized by implantation of pacemaker or defibrillator or hospitalization for rhythm disorders.Methods: Our study is based on the Echantillon Généraliste de Bénéficiaires (EGB), the 1/97 random sample of the French nationwide health database. We identify patients treated for BC between 2008 and 2012 and cases of ACD arising post BC until 2017. The ACD incidence rates according to BC treatment (Surgery±Chemotherapy±Radiotherapy) will be estimated and compared to the national incidence rates estimated from the EGB population.Results: Within an initial cohort of approximately 260 000 women in the EGB, nearly 3000 patients treated for BC. We should detect ~5000 incident cases of ACD in the EGB cohort. The observation of at least 85 incident cases of ACD in the BC subgroup instead of 60 (RR=1.4) will have a statistical power of 80%.Conclusion: The study is ongoing. It will allow quantifying the excess risk of ACD suspected for BC treatment, in particular mediastinal radiotherapy
Same-day discharge strategy in a heart rhythm management clinic: The patient-reported experience
No full textInternational audienceBackground: Same-day discharge (SDD) has been adopted for interventional cardiology procedures, however, data on patient experience are scarce.Aims: To investigate patient-reported experience after various SDD electrophysiology procedures. Methods: Consecutive patients undergoing electrophysiology procedures, who fulfilled pre-defined eligibility criteria for SDD, completed the questionnaire before discharge. Procedures suitable for SDD included non/minimally-invasive (e.g. electric cardioversions, tilt tests) and invasive procedures (e.g. cardiac device replacements, catheter ablations). The questionnaire assessed patient experience before and during the procedure, satisfaction with the provided information and understanding of the discharge instructions.Results: The questionnaire was completed by 501 patients (57.5% men). Invasive procedures accounted for 56.7% of SDD procedures. Most patients (88.9%) described SDD as a good or quite good experience, while 95.3% would not hesitate to undergo a second SDD procedure if necessary. A direct interview with a healthcare team member was the preferred method of obtaining information. At discharge, a considerable number of patients were unsure about the provided instructions, including those related to anticoagulation. Patient-reported satisfaction did not differ between invasive and non/minimallyinvasive procedures (P = 0.06). However, after an invasive procedure, patients had a better understanding of discharge instructions (59.5% vs 41.9%; P < 0.001). Most patients who underwent a procedure under general anaesthesia reported a good or quite good experience (87.7% vs 84.2% of sedation patients; P = 0.16).Conclusion: SDD was generally a positive experience for patients undergoing invasive or non/minimallyinvasive procedures. However, discharge instructions and patient understanding require improvement
Unexpected ventricular fibrillation triggered by pulsed field ablation for atrial fibrillation
No full textContemporary stroke prevention strategies in 11 096 European patients with atrial fibrillation: a report from the EURObservational Research Programme on Atrial Fibrillation (EORP-AF) Long-Term General Registry
No full textInternational audienc
Coagulation and heparin requirements during ablation in patients under oral anticoagulant drugs
No full textSame-day discharge strategy in a heart rhythm management clinic - what about patients' reported experience?
No full textInternational audienceBackground and aims Same-day discharge (SDD) has been adopted for many interventional cardiology procedures, however data on patients’ experience are scarce. The aim of this study was to investigate patient-reported experience of a SDD strategy following electrophysiology procedures (EP) in a Heart Rhythm Management Department. Methods Consecutive patients undergoing EP procedures in our centre, who fulfilled pre-defined eligibility criteria for SDD, were asked to complete the study questionnaire, right before hospital discharge. Procedures suitable for SDD ranged from non-invasive (electric cardioversion, tilt test) to invasive ones (EP studies, device replacement, rhythm recorders implantation, ablation of supraventricular tachycardias including atrial fibrillation). The questionnaire aimed to assess patients’ experience before and during the procedure, their satisfaction with the quality of the provided information and their comprehension of the given instructions regarding the post-discharge period and their medication. Results The study questionnaire was completed by 501 patients. The majority of participants described SDD as a good or a quite good experience (n=440, 87,8%), while 94,6% of them (n=474) would not hesitate to undergo a second SDD procedure, if necessary. A direct interview with a healthcare team member was viewed as the preferred method of obtaining information on the procedure. At discharge, 1 out of 10 patients were still unsure of the instructions given by the healthcare team, including their anticoagulation treatment. Patient reported satisfaction rates did not differ between invasive and non-invasive procedures. However, after an invasive procedure, patients seemed to significantly have a better understanding of post-discharge instructions. Conclusion Patients reported a high level of satisfaction with SDD EP procedures. However, significant efforts need to be made in order to ensure their understanding of post-discharge instructions.Figure : Patients' reported experienc
Hemodynamical consequences and tolerance of sustained ventricular tachycardia.
No full textAimsFactors underlying clinical tolerance and hemodynamic consequences of monomorphic sustained ventricular tachycardia (VT) need to be clarified.MethodsIntra-arterial pressures (IAP) during VT were collected in patients admitted for VT ablation and correlated to clinical, ECG and baseline echocardiographical parameters.Results114 VTs from 58 patients were included (median 67 years old, 81% ischemic heart disease, median left ventricular ejection fraction 30%). 61 VTs were untolerated needing immediate termination (54%). VT tolerance was tightly linked to the evolution of IAPs. Faster VT rates (pConclusionThis study helps to explain the large variability in clinical tolerance during VT, which is clearly related to IAP. VT tolerance may be linked to resynchronization therapy, VT rate, baseline QRS duration and location of myocardial infarction
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No full textAimsFactors underlying clinical tolerance and hemodynamic consequences of monomorphic sustained ventricular tachycardia (VT) need to be clarified.MethodsIntra-arterial pressures (IAP) during VT were collected in patients admitted for VT ablation and correlated to clinical, ECG and baseline echocardiographical parameters.Results114 VTs from 58 patients were included (median 67 years old, 81% ischemic heart disease, median left ventricular ejection fraction 30%). 61 VTs were untolerated needing immediate termination (54%). VT tolerance was tightly linked to the evolution of IAPs. Faster VT rates (pConclusionThis study helps to explain the large variability in clinical tolerance during VT, which is clearly related to IAP. VT tolerance may be linked to resynchronization therapy, VT rate, baseline QRS duration and location of myocardial infarction.</div
