心房颤动中的左心耳闭合或药物治疗。
Catheter-based closure of the left atrial appendage is an alternative to oral anticoagulation for stroke prevention in patients with atrial fibrillation. The effectiveness of this strategy, as compare...
心房颤动中的左心耳闭合或药物治疗。
Catheter-based closure of the left atrial appendage is an alternative to oral anticoagulation for stroke prevention in patients with atrial fibrillation. The effectiveness of this strategy, as compare...
Cerebrovascular and Bleeding Outcomes of Warfarin versus Direct Oral Anticoagulants Therapy for Atrial Fibrillation: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
OBJECTIVES: To compare the effects on cerebral health in atrial fibrillation patients receiving either warfarin or direct oral anticoagulants (DOACs). Atrial fibrillation is linked to a higher likelih...
Extra Vascular-Implantable Cardiodefibrillators: The Best of Both Worlds.
Though their inventor's vision was at first met with intense skepticism, implantable cardioverter-defibrillators have gone through many iterations to become the standard treatment for ventricular tach...
Pulsed Frequency Ablation: The Game Changer for Atrial Fibrillation.
In the search for more effective ways to treat atrial fibrillation and other cardiac arrhythmias, Pulsed Field Ablation has emerged as a way to achieve better outcomes for more patients in a shorter t...
SafeBeat Rx-Moving ECG AI Beyond Diagnostics to Recommending Treatment.
Drug-induced QT prolongation is the leading cause of FDA nonapproval and a key safety concern for many medications, including cardiac drugs, antibiotics, psychotropic drugs, and oncology treatments. C...
Management of Arrhythmias During Pregnancy in Africa.
Cardiac arrhythmias represent a significant clinical concern that have been always addressed. Moreover, Pregnancy introduces profound hormonal, autonomic, and hemodynamic changes that add more risk to...
多视角深度学习改善了超声心动图对主要心脏病的检测。
Medical imaging often captures multiple two-dimensional views of three-dimensional anatomic structures, but most artificial intelligence (AI) models analyze two-dimensional data. Here we show that int...
Prognostic value of systemic immune-inflammation index in patients with non-valvular atrial fibrillation: SII score in patients using DOACs.
BACKGROUND: The systemic immune-inflammation index (SII) is a simple parameter that has been used to predict adverse outcomes in different clinical settings. The prognostic value of SII, an innovative...
使用动态心电事件监测仪评估妊娠期心悸
心悸是妊娠期常见的主诉，但动态心脏监测在该人群中的临床意义和诊断价值尚不清楚。本单中心回顾性研究纳入了111名因心悸被转诊至产科心脏病学诊所的妊娠患者，分析了人口统计学和临床特征、超声心动图发现及动态心电事件监测仪数据。主要终点为心律失常检出率，次要终点包括医疗管理变化及母婴结局。在111名患者中，61名（55%）接受了动态心脏监测，其中28名（46%）检出了心律失常。症状与心律异常的相关性在13...
基于人工智能的心电图图像自动解读：ECG-GPT的开发和多国验证
心电图（ECG）是最常用的诊断工具之一，但其准确解读需要专业的医学知识。本研究开发了ECG-GPT，一种基于人工智能的心电图图像自动解读系统，并进行了多国验证。该系统利用深度学习技术，能够直接从心电图图像中提取诊断信息，识别多种心脏异常。研究使用了来自多个国家和医疗中心的心电图数据进行训练和验证，涵盖了多种心律失常、心肌缺血、传导阻滞等心血管疾病的表现。验证结果显示，ECG-GPT在多项心电图诊断...
[Factors associated with the progression of mild cognitive impairment in patients with atrial fibrillation].
OBJECTIVE: To identify factors associated with the progression of vascular moderate cognitive impairment (MCI) over 36 months, based on analyses of clinical, demographic, neuropsychological, laborator...
Diagnosis and management of very rare primary arrhythmia syndromes in children and adults: a Clinical Consensus Statement of the European Heart Rhythm Association of the ESC and the Association of Cardiovascular Nursing & Allied Professions of the ESC, endorsed by the Association for European Paediatric and Congenital Cardiology.
Very rare and ultra-rare primary inherited arrhythmia syndromes (IAS) represent a heterogeneous group of disorders associated with a significant risk of sudden cardiac death, often manifesting from fo...
The metabolic-inflammatory axis in chronic heart failure: integrating the NLR and TyG index for recent-onset atrial fibrillation prediction via machine learning and mediation analysis.
INTRODUCTION: Recent-onset atrial fibrillation (AF) is a common complication of chronic heart failure (CHF), potentially involving both inflammatory and metabolic dysregulation. This study aimed to de...
Red Cell Distribution Width Predicts Mortality in Critically Ill Patients with COPD and Atrial Fibrillation: A Retrospective Cohort Study.
BACKGROUND: Critically ill patients with COPD and atrial fibrillation (AF) face a substantially poor prognosis. Given the established prognostic value of red cell distribution width (RDW) in each cond...
Single vs. dual antiplatelet therapy before DOAC initiation in acute ischemic stroke with atrial fibrillation: a retrospective cohort study.
BACKGROUND: The optimal antiplatelet bridging strategy before initiating direct oral anticoagulants (DOACs) in patients with acute ischemic stroke (AIS) and non-valvular atrial fibrillation (NVAF) rem...
Intraventricular Left Anterior Descending Artery in a Patient with Ventricular Tachycardia - Innocent Bystander with Significant Procedural Implications.
INTRODUCTION: An intra-right ventricular course of the left anterior descending (LAD) artery is a rare coronary anomaly with uncertain clinical and procedural significance. We describe the use of mult...
Factors Associated With Time in Therapeutic Range Among Thai Patients with Non-valvular Atrial Fibrillation Taking Warfarin: Development of AHfHDP Score.
BackgroundIn Thai patients with non-valvular atrial fibrillation (NVAF), anticoagulation quality with warfarin remains suboptimal. Existing prediction tools for poor international normalized ratio (IN...
Associations Between Socioeconomic Disadvantage and Rurality With New Diagnoses of Atrial Fibrillation.
BACKGROUND: Atrial fibrillation (AF) is common and causes significant morbidity and mortality. However, U.S. data on socioeconomic status, rurality, and new diagnoses of AF (NDAF) have been limited an...
Ventricular repolarization abnormalities in acute ischemic stroke.
INTRODUCTION: We evaluated the prevalence and clinical impact of ST-segment depression and/or T-wave inversion (ST-T changes) assessed on a standard electrocardiogram (ECG) among patients with an acut...
[Atrioventricular block after percutaneous closure of an ostium secundum-type atrial septal defect with Nit-Occlud devices].
INTRODUCTION: Percutaneous treatment is currently the method of choice for ostium secundum atrial septal defects (OS-ASD) treatment. However, this procedure may be associated with an increased inciden...