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Lakkireddy DR, Wilber DJ, Mittal S, Tschopp D, Ellis CR, Rasekh A, Hounshell T, Evonich R, Chandhok S, Berger RD, Horton R, Hoskins MH, Calkins H, Yakubov SJ, Simons P, Saville BR, Lee RJ. Pulmonary Vein Isolation With or Without Left Atrial Appendage Ligation in Atrial Fibrillation: The aMAZE Randomized Clinical Trial. JAMA 2024; 331:1099-1108. [PMID: 38563835 PMCID: PMC10988350 DOI: 10.1001/jama.2024.3026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Accepted: 02/21/2024] [Indexed: 04/04/2024]
Abstract
Importance Left atrial appendage elimination may improve catheter ablation outcomes for atrial fibrillation. Objective To assess the safety and effectiveness of percutaneous left atrial appendage ligation adjunctive to catheter pulmonary vein isolation for nonparoxysmal atrial fibrillation. Design, Setting, and Participants This multicenter, prospective, open-label, randomized clinical trial evaluated the safety and effectiveness of percutaneous left atrial appendage ligation adjunctive to planned pulmonary vein isolation for nonparoxysmal atrial fibrillation present for less than 3 years. Eligible patients were randomized in a 2:1 ratio to undergo left atrial appendage ligation and pulmonary vein isolation or pulmonary vein isolation alone. Use of a 2:1 randomization ratio was intended to provide more device experience and safety data. Patients were enrolled from October 2015 to December 2019 at 53 US sites, with the final follow-up visit on April 21, 2021. Interventions Left atrial appendage ligation plus pulmonary vein isolation compared with pulmonary vein isolation alone. Main Outcomes and Measures A bayesian adaptive analysis was used for primary end points. Primary effectiveness was freedom from documented atrial arrythmias of greater than 30 seconds duration 12 months after undergoing pulmonary vein isolation. Rhythm was assessed by Holter monitoring at 6 and 12 months after pulmonary vein isolation, symptomatic event monitoring, or any electrocardiographic tracing obtained through 12 months after pulmonary vein isolation. Primary safety was a composite of predefined serious adverse events compared with a prespecified 10% performance goal 30 days after the procedure. Left atrial appendage closure was evaluated through 12 months after pulmonary vein isolation. Results Overall, 404 patients were randomized to undergo left atrial appendage ligation plus pulmonary vein isolation and 206 were randomized to undergo pulmonary vein isolation alone. Primary effectiveness was 64.3% with left atrial appendage ligation and pulmonary vein isolation and 59.9% with pulmonary vein isolation only (difference, 4.3% [bayesian 95% credible interval, -4.2% to 13.2%]; posterior superiority probability, 0.835), which did not meet the statistical criterion to establish superiority (0.977). Primary safety was met, with a 30-day serious adverse event rate of 3.4% (bayesian 95% credible interval, 2.0% to 5.0%; posterior probability, 1.0) which was less than the prespecified threshold of 10%. At 12 months after pulmonary vein isolation, complete left atrial appendage closure (0 mm residual communication) was observed in 84% of patients and less than or equal to 5 mm residual communication was observed in 99% of patients. Conclusions and Relevance Percutaneous left atrial appendage ligation adjunctive to pulmonary vein isolation did not meet prespecified efficacy criteria for freedom from atrial arrhythmias at 12 months compared with pulmonary vein isolation alone for patients with nonparoxysmal atrial fibrillation, but met prespecified safety criteria and demonstrated high rates of closure at 12 months. Trial Registration ClinicalTrials.gov Identifier: NCT02513797.
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Affiliation(s)
| | - David J Wilber
- Loyola University Chicago Stritch School of Medicine, Maywood, Illinois
| | | | | | | | | | | | | | - Sheetal Chandhok
- Bryn Mawr Medical Specialists Association, Bryn Mawr, Pennsylvania
| | | | | | | | | | | | | | | | - Randall J Lee
- AtriCure, Inc, Mason, Ohio
- University of California, San Francisco
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2
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Batko J, Rusinek J, Słomka A, Litwinowicz R, Burysz M, Bartuś M, Lakkireddy DR, Lee RJ, Natorska J, Ząbczyk M, Kapelak B, Bartuś K. Postoperative Coagulation Changes in Patients after Epicardial Left Atrial Appendage Occlusion Varies Based on the Left Atrial Appendage Size. Diseases 2023; 12:8. [PMID: 38248359 PMCID: PMC10814509 DOI: 10.3390/diseases12010008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Revised: 12/23/2023] [Accepted: 12/27/2023] [Indexed: 01/23/2024] Open
Abstract
Left atrial appendage occlusion affects systemic coagulation parameters, leading to additional patient-related benefits. The aim of this study was to investigate the differences in coagulation factor changes 6 months after epicardial left atrial appendage occlusion in patients with different LAA morphometries. This is the first study to analyze these relationships in detail. A prospective study of 22 consecutive patients was performed. Plasminogen, fibrinogen, tPA concentration, PAI-1, TAFI and computed tomography angiograms were performed. Patients were divided into subgroups based on left atrial appendage body and orifice diameter enlargement. The results of blood tests at baseline and six-month follow-up were compared. In a population with normal LAA body size and normal orifice diameter size, a significant decrease in analyzed clotting factors was observed between baseline and follow-up for all parameters except plasminogen. A significant decrease between baseline and follow-up was observed with enlarged LAA body size in all parameters except TAFI, in which it was insignificant and plasminogen, in which a significant increase was observed. Occlusion of the left atrial appendage is beneficial for systemic coagulation. Patients with a small LAA may benefit more from LAA closure in terms of stabilizing their coagulation factors associated with potential thromboembolic events in the future.
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Affiliation(s)
- Jakub Batko
- CAROL—Cardiothoracic Anatomy Research Operative Lab, Department of Cardiovascular Surgery and Transplantology, Institute of Cardiology, Jagiellonian University Medical College, 31-008 Krakow, Poland
- Thoracic Research Centre, Collegium Medicum Nicolaus Copernicus University, Innovative Medical Forum, 85-094 Bydgoszcz, Poland;
| | - Jakub Rusinek
- CAROL—Cardiothoracic Anatomy Research Operative Lab, Department of Cardiovascular Surgery and Transplantology, Institute of Cardiology, Jagiellonian University Medical College, 31-008 Krakow, Poland
| | - Artur Słomka
- Thoracic Research Centre, Collegium Medicum Nicolaus Copernicus University, Innovative Medical Forum, 85-094 Bydgoszcz, Poland;
- Department of Pathophysiology, Nicolaus Copernicus University in Toruń, Ludwik Rydygier Collegium Medicum in Bydgoszcz, 85-094 Bydgoszcz, Poland
| | - Radosław Litwinowicz
- CAROL—Cardiothoracic Anatomy Research Operative Lab, Department of Cardiovascular Surgery and Transplantology, Institute of Cardiology, Jagiellonian University Medical College, 31-008 Krakow, Poland
- Department of Cardiac Surgery, Regional Specialist Hospital, 86-300 Grudziądz, Poland
| | - Marian Burysz
- Department of Cardiac Surgery, Regional Specialist Hospital, 86-300 Grudziądz, Poland
| | - Magdalena Bartuś
- Department of Pharmacology, Jagiellonian University Medical College, 31-008 Krakow, Poland
| | - Dhanunjaya R. Lakkireddy
- The Kansas City Heart Rhythm Institution and Research Foundation, HCA MIDWEST HEALTH, Second Floor, 5100 W 110th St, Overland Park, KS 66211, USA
| | - Randall J. Lee
- Department of Medicine and Cardiovascular Research Institute, University of California, San Francisco, CA 94158, USA
| | - Joanna Natorska
- Institute of Cardiology, Jagiellonian University Medical College, 31-008 Krakow, Poland; (J.N.); (M.Z.)
| | - Michał Ząbczyk
- Institute of Cardiology, Jagiellonian University Medical College, 31-008 Krakow, Poland; (J.N.); (M.Z.)
| | - Bogusław Kapelak
- Department of Cardiovascular Surgery and Transplantology, Institute of Cardiology, Jagiellonian University Medical College, 31-008 Krakow, Poland
| | - Krzysztof Bartuś
- Department of Cardiovascular Surgery and Transplantology, Institute of Cardiology, Jagiellonian University Medical College, 31-008 Krakow, Poland
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3
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Della Rocca DG, Magnocavallo M, Van Niekerk CJ, Gilhofer T, Ha G, D'Ambrosio G, Mohanty S, Gianni C, Galvin J, Vetta G, Lavalle C, Di Biase L, Sorgente A, Chierchia GB, de Asmundis C, Urbanek L, Schmidt B, Geller JC, Lakkireddy DR, Mansour M, Saw J, Horton RP, Gibson D, Natale A. Prognostic value of chronic kidney disease in patients undergoing left atrial appendage occlusion. Europace 2023; 25:euad315. [PMID: 37889200 PMCID: PMC10653166 DOI: 10.1093/europace/euad315] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Accepted: 09/29/2023] [Indexed: 10/28/2023] Open
Abstract
AIMS Atrial fibrillation (AF) and chronic kidney disease (CKD) often coexist and share an increased risk of thrombo-embolism (TE). CKD concomitantly predisposes towards a pro-haemorrhagic state. Our aim was to evaluate the prognostic value of CKD in patients undergoing percutaneous left atrial appendage occlusion (LAAO). METHODS AND RESULTS A total of 2124 consecutive AF patients undergoing LAAO were categorized into CKD stage 1+2 (n = 1089), CKD stage 3 (n = 796), CKD stage 4 (n = 170), and CKD stage 5 (n = 69) based on the estimated glomerular filtration rate at baseline. The primary endpoint included cardiovascular (CV) mortality, TE, and major bleeding. The expected annual TE and major bleeding risks were estimated based on the CHA2DS2-VASc and HAS-BLED scores. A non-significant higher incidence of major peri-procedural adverse events (1.7 vs. 2.3 vs. 4.1 vs. 4.3) was observed with worsening CKD (P = 0.14). The mean follow-up period was 13 ± 7 months (2226 patient-years). In comparison to CKD stage 1+2 as a reference, the incidence of the primary endpoint was significantly higher in CKD stage 3 (log-rank P-value = 0.04), CKD stage 4 (log-rank P-value = 0.01), and CKD stage 5 (log-rank P-value = 0.001). Left atrial appendage occlusion led to a TE risk reduction (RR) of 72, 66, 62, and 41% in each group. The relative RR of major bleeding was 58, 44, 51, and 52%, respectively. CONCLUSION Patients with moderate-to-severe CKD had a higher incidence of the primary composite endpoint. The relative RR in the incidence of TE and major bleeding was consistent across CKD groups.
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Affiliation(s)
- Domenico G Della Rocca
- Texas Cardiac Arrhythmia Institute, St.David's Medical Center, 3000 North I-35, Suite 720, Austin, TX 78705, USA
- Heart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Av. du Laerbeek 101, 1090 Jette, Brussels, Belgium
| | - Michele Magnocavallo
- Texas Cardiac Arrhythmia Institute, St.David's Medical Center, 3000 North I-35, Suite 720, Austin, TX 78705, USA
- Arrhythmology Unit, Ospedale Fatebenefratelli Isola Tiberina-Gemelli Isola, Rome, Italy
| | | | - Thomas Gilhofer
- Division of Cardiology, Vancouver General Hospital, Vancouver, British Columbia, Canada
| | - Grace Ha
- Cardiac Arrhythmia Service and Heart Center, Massachusetts General Hospital, Boston, MA, USA
| | - Gabriele D'Ambrosio
- Arrhythmia Section, Division of Cardiology, Zentralklinik Bad Berka, Bad Berka, Germany
| | - Sanghamitra Mohanty
- Texas Cardiac Arrhythmia Institute, St.David's Medical Center, 3000 North I-35, Suite 720, Austin, TX 78705, USA
| | - Carola Gianni
- Texas Cardiac Arrhythmia Institute, St.David's Medical Center, 3000 North I-35, Suite 720, Austin, TX 78705, USA
| | - Jennifer Galvin
- Cardiac Arrhythmia Service and Heart Center, Massachusetts General Hospital, Boston, MA, USA
| | - Giampaolo Vetta
- Heart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Av. du Laerbeek 101, 1090 Jette, Brussels, Belgium
| | - Carlo Lavalle
- Department of Clinical, Internal, Anesthesiologist and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, 00161 Rome, Italy
| | - Luigi Di Biase
- Texas Cardiac Arrhythmia Institute, St.David's Medical Center, 3000 North I-35, Suite 720, Austin, TX 78705, USA
- Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA
| | - Antonio Sorgente
- Heart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Av. du Laerbeek 101, 1090 Jette, Brussels, Belgium
| | - Gian-Battista Chierchia
- Heart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Av. du Laerbeek 101, 1090 Jette, Brussels, Belgium
| | - Carlo de Asmundis
- Heart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Av. du Laerbeek 101, 1090 Jette, Brussels, Belgium
| | - Lukas Urbanek
- Academy for Arrhythmias (FAFA), Abteilung für Kardiologie, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Cardioangiologisches Centrum Bethanien, Frankfurt, Germany
| | - Boris Schmidt
- Academy for Arrhythmias (FAFA), Abteilung für Kardiologie, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Cardioangiologisches Centrum Bethanien, Frankfurt, Germany
| | - J Christoph Geller
- Arrhythmia Section, Division of Cardiology, Zentralklinik Bad Berka, Bad Berka, Germany
- Otto-von-Guericke University School of Medicine, Pziger Str. 44, 39120 Magdeburg, Germany
| | | | - Moussa Mansour
- Cardiac Arrhythmia Service and Heart Center, Massachusetts General Hospital, Boston, MA, USA
| | - Jacqueline Saw
- Division of Cardiology, Vancouver General Hospital, Vancouver, British Columbia, Canada
| | - Rodney P Horton
- Texas Cardiac Arrhythmia Institute, St.David's Medical Center, 3000 North I-35, Suite 720, Austin, TX 78705, USA
| | - Douglas Gibson
- Interventional Electrophysiology, Scripps Clinic, 9898 Genesee Ave, La Jolla, CA 92037, USA
| | - Andrea Natale
- Texas Cardiac Arrhythmia Institute, St.David's Medical Center, 3000 North I-35, Suite 720, Austin, TX 78705, USA
- Interventional Electrophysiology, Scripps Clinic, 9898 Genesee Ave, La Jolla, CA 92037, USA
- Department of Cardiology, MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA
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4
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Saksena S, Slee A, Natale A, Lakkireddy DR, Shah D, Di Biase L, Lewalter T, Nagarakanti R, Santangeli P. Atrial Fibrillation can adversely impact Heart Failure with Preserved Ejection Fraction by its association with Heart Failure Progression and Mortality: A Post-Hoc Propensity Score-Matched Analysis of the TOPCAT Americas Trial. Europace 2023; 25:euad095. [PMID: 37078691 PMCID: PMC10228603 DOI: 10.1093/europace/euad095] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Accepted: 03/27/2023] [Indexed: 04/21/2023] Open
Abstract
AIMS Prevalent atrial fibrillation (AF) is associated with excess cardiovascular (CV) death (D) and hospitalizations (H) in heart failure (HF) with preserved ejection fraction (pEF). We evaluated if it had an independent role in excess CVD in HFpEF and studied its impact on cause-specific mortality and HF morbidity. METHODS AND RESULTS We used propensity score-matched (PSM) cohorts from the TOPCAT Americas trial to account for confounding by other co-morbidities. Two prevalent AF presentations at study entry were compared: (i) subjects with Any AF event by history or on electrocardiogram (ECG) with PSM subjects without an AF event and (ii) subjects in AF on ECG with PSM subjects in sinus rhythm. We analyzed cause-specific modes of death and HF morbidity during a mean follow-up period of 2.9 years. A total of 584 subjects with Any AF event and 418 subjects in AF on ECG were matched. Any AF was associated with increased CVH [hazard ratio (HR) 1.33, 95% confidence interval (CI) 1.11-1.61, P = 0.003], HFH (HR 1.44, 95% CI 1.12-1.86, P = 0.004), pump failure death (PFD) (HR 1.95, 95% CI 1.05-3.62, P = 0.035), and HF progression from New York Heart Association (NYHA) classes I/II to III/IV (HR 1.30, 95% CI 1.04-1.62, P = 0.02). Atrial fibrillation on ECG was associated with increased risk of CVD (HR 1.46, 95% CI 1.02-2.09, P = 0.039), PFD (HR 2.21, 95% CI 1.11-4.40, P = 0.024), and CVH and HFH (HR 1.37, 95% CI 1.09-1.72, P = 0.006 and HR 1.65, 95% CI 1.22-2.23, P = 0.001, respectively). Atrial fibrillation was not associated with risk of sudden death. Both Any AF and AF on ECG cohorts were associated with PFD in NYHA class III/IV HF. CONCLUSION Prevalent AF can be an independent risk factor for adverse CV outcomes by its selective association with worsening HF, HFH, and PFD in HFpEF. Prevalent AF was not associated with excess sudden death risk in HFpEF. Atrial fibrillation was also associated with HF progression in early symptomatic HFpEF and PFD in advanced HFpEF. TRIAL REGISTRATION TOPCAT trial is registered at www.clinicaltrials.gov:identifier NCT00094302.
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Affiliation(s)
- Sanjeev Saksena
- Electrophysiology Research Foundation, 161 Washington Valley Road, Suite 201, Warren, NJ 07059, USA
- Department of Medicine, Rutgers’ Robert Wood Johnson Medical School, 125 Paterson Street, New Brunswick, NJ 08901, USA
| | - April Slee
- Electrophysiology Research Foundation, 161 Washington Valley Road, Suite 201, Warren, NJ 07059, USA
| | - Andrea Natale
- Texas Cardiac Arrhythmia Institute, St. David's Hospital and Department of Medicine, Univerisity of Texas at Austin, 919E 32nd Street, Austin, TX 78705, USA
| | - Dhanunjaya R Lakkireddy
- Kansas City Heart Rhythm Institute, Overland Hospital, 5110 W 110st, Overland Park, Kansas City 66211, USA
| | - Dipen Shah
- Department of Cardiology, University Hospital, Rue Michet-Servet 1, 1206 Geneve, Switzerland
| | - Luigi Di Biase
- Department of Cardiology, Montefiore Medical Center, 111 East 201 Street, Bronx, NY 10467, USA
| | - Thorsten Lewalter
- Department of Medicine, Osypka Herzzentrum, Am Isarkanal 36, 81379 Munich, Germany
| | - Rangadham Nagarakanti
- Electrophysiology Research Foundation, 161 Washington Valley Road, Suite 201, Warren, NJ 07059, USA
- Department of Medicine, Rutgers’ Robert Wood Johnson Medical School, 125 Paterson Street, New Brunswick, NJ 08901, USA
| | - Pasquale Santangeli
- Department of Medicine, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA
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5
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Morin DP, Cheung JW, Chung MK, Garg J, Krahn AD, Lakkireddy DR, Miller L, Rajagopalan B, Shanker AJ, Smith AM, Liu CF. Impact of reductions in Medicare reimbursement for cardiac ablation in the United States: Heart Rhythm Society's follow-up survey. Heart Rhythm 2023; 20:656-657. [PMID: 36990926 PMCID: PMC11057966 DOI: 10.1016/j.hrthm.2023.03.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Accepted: 03/16/2023] [Indexed: 03/31/2023]
Affiliation(s)
| | - Jim W Cheung
- Weill Cornell Medical Center, New York, New York
| | | | - Jalaj Garg
- Loma Linda University, Loma Linda, California
| | - Andrew D Krahn
- University of British Columbia, Vancouver, British Columbia, Canada
| | | | - Lisa Miller
- Heart Rhythm Society, Washington, District of Columbia
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Lakkireddy DR, Segar DS, Sood A, Wu M, Rao A, Sohail MR, Pokorney SD, Blomström-Lundqvist C, Piccini JP, Granger CB. Early Lead Extraction for Infected Implanted Cardiac Electronic Devices: JACC Review Topic of the Week. J Am Coll Cardiol 2023; 81:1283-1295. [PMID: 36990548 DOI: 10.1016/j.jacc.2023.01.038] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Revised: 01/04/2023] [Accepted: 01/18/2023] [Indexed: 03/31/2023]
Abstract
Infection remains a serious complication associated with the cardiac implantable electronic devices (CIEDs), leading to substantial clinical and economic burden globally. This review assesses the burden of cardiac implantable electronic device infection (CIED-I), evidence for treatment recommendations, barriers to early diagnosis and appropriate therapy, and potential solutions. Multiple clinical practice guidelines recommended complete system and lead removal for CIED-I when appropriate. CIED extraction for infection has been consistently reported with high success, low complication, and very low mortality rates. Complete and early extraction was associated with significantly better clinical and economic outcome compared with no or late extraction. However, significant gaps in knowledge and poor recommendation compliance have been reported. Barriers to optimal management may include diagnostic delay, knowledge gaps, and limited access to expertise. A multipronged approach, including education of all stakeholders, a CIED-I alert system, and improving access to experts, could help bring paradigm shift in the treatment of this serious condition.
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Affiliation(s)
| | - Douglas S Segar
- Ascension Heart Center of Indiana, Indianapolis, Indiana, USA
| | - Ami Sood
- Philips Image Guided Therapy Corporation, Colorado Springs, Colorado, USA
| | | | - Archana Rao
- Department of Cardiology, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom
| | - M Rizwan Sohail
- Section of Infectious Diseases, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA
| | - Sean D Pokorney
- Duke University Medical Center and Duke Clinical Research Institute, Duke University, Durham, North Carolina, USA
| | - Carina Blomström-Lundqvist
- Department of Cardiology, School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; Department of Medical Science, Uppsala University, Uppsala, Sweden
| | - Jonathan P Piccini
- Duke University Medical Center and Duke Clinical Research Institute, Duke University, Durham, North Carolina, USA
| | - Christopher B Granger
- Duke University Medical Center and Duke Clinical Research Institute, Duke University, Durham, North Carolina, USA
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Fontana GP, Egloff SA, Kar Kar S, Lakkireddy DR, Huneycutt D, Misch A, Williamson WK, Sands K, Manoukian SV. TRENDS IN LONG-TERM CARDIOVASCULAR-RELATED HOSPITAL ADMISSIONS AFTER COVID-19 HOSPITALIZATION. J Am Coll Cardiol 2023. [PMCID: PMC9982880 DOI: 10.1016/s0735-1097(23)02839-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
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8
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Bawa D, Ahmed A, Akash M, Kabra R, Gopinathannair R, Lakkireddy DR, Darden D. UTILIZING INFODEMOGRAPHICAL DATA FOR PLANNING STRATEGIES TO PREVENT SUDDEN CARDIAC DEATH AMONG ATHLETES AND GENERAL POPULATION. J Am Coll Cardiol 2023. [DOI: 10.1016/s0735-1097(23)02680-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
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9
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Bawa D, Ahmed A, Garg J, Shah KB, Darden D, Kabra R, Pothineni NVK, Gopinathannair R, Lakkireddy DR. IS CT SURGERY BACK UP NECESSARY FOR LEFT ATRIAL APPENDAGE OCCLUSION PROCEDURE? J Am Coll Cardiol 2023. [DOI: 10.1016/s0735-1097(23)00493-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
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10
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Bawa D, Ahmed A, Akash M, Darden D, Kabra R, Gopinathannair R, Lakkireddy DR. IMPACT OF CARDIOVASCULAR PROVIDER ACCESS ON CARDIOVASCULAR MORTALITY IN THE UNITED STATES. J Am Coll Cardiol 2023. [DOI: 10.1016/s0735-1097(23)02296-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
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11
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Zhang X, Zou F, Li W, Lin A, Marazzato J, Nagraj S, Seo J, Varrias D, Wang YC, Rocca DGD, Santangeli P, Lakkireddy DR, Natale A, Di Biase L. OUTCOMES OF CATHETER ABLATION OF ATRIAL TACHYARRHYTHMIA GUIDED EXCLUSIVELY BY ACTIVATION MAPPING. J Am Coll Cardiol 2023. [DOI: 10.1016/s0735-1097(23)00688-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
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12
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Ahmed A, Bawa D, Singh V, Kabra R, Pothineni NVK, Darden D, Koerber S, Gopinathannair R, Lakkireddy DR. LEGIONELLA MYOCARDITIS MASQUERADING AS DUAL CHAMBER CARDIAC ARRHYTHMIA. J Am Coll Cardiol 2023. [DOI: 10.1016/s0735-1097(23)03257-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
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13
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Ahmed A, Bawa D, Darden D, Pothineni NVK, Garg J, Kabra R, Gopinathannair R, Koch ZW, Al-Ahmad A, Natale A, Lakkireddy DR. ROLE OF HIGH FREQUENCY ALGORITHM OF PURE EP FOR LOW AMPLITUDE SIGNAL DETECTION DURING CARDIAC ABLATION. J Am Coll Cardiol 2023. [DOI: 10.1016/s0735-1097(23)00628-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
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14
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Bawa D, Ahmed A, Kabra R, Darden D, Bansal S, Gopinathannair R, Lakkireddy DR. DATA DELUGE FROM REMOTE MONITORING OF CARDIAC IMPLANTABLE ELECTRONIC DEVICES AND THE IMPORTANCE OF CLINICAL STRATIFICATION- A RETROSPECTIVE MULTICENTER STUDY. J Am Coll Cardiol 2023. [DOI: 10.1016/s0735-1097(23)02590-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
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Ahmed A, Bawa D, Kabra R, Garg J, Pothineni NVK, Darden D, Gopinathannair R, Natale A, Lakkireddy DR. EFFICACY OF VENOUS CLOSURE METHODS AFTER ELECTROPHYSIOLOGICAL PROCEDURES. J Am Coll Cardiol 2023. [DOI: 10.1016/s0735-1097(23)00591-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
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16
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Thomas KL, Garg J, Velagapudi P, Gopinathannair R, Chung MK, Kusumoto F, Ajijola O, Jackson LR, Turagam MK, Joglar JA, Sogade FO, Fontaine JM, Krahn AD, Russo AM, Albert C, Lakkireddy DR. Racial and ethnic disparities in arrhythmia care: A call for action. Heart Rhythm 2022; 19:1577-1593. [PMID: 35842408 PMCID: PMC10124949 DOI: 10.1016/j.hrthm.2022.06.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Accepted: 06/01/2022] [Indexed: 11/27/2022]
Affiliation(s)
- Kevin L Thomas
- Division of Cardiac Electrophysiology, Duke University School of Medicine, Durham, North Carolina
| | - Jalaj Garg
- Cardiac Arrhythmia Service, Loma Linda University Hospital, Loma Linda, California
| | - Poonam Velagapudi
- Division of Cardiology, University of Nebraska Medical Center, Omaha, Nebraska
| | | | - Mina K Chung
- Cardiac Pacing and Electrophysiology, Heart, Vascular & Thoracic Institute, Cleveland Clinic, Cleveland, Ohio
| | - Fred Kusumoto
- Heart Rhythm Services, Mayo Clinic, Jacksonville, Florida
| | - Olujimi Ajijola
- Ronald Reagan University of California Los Angeles Cardiac Arrhythmia Center, Los Angeles, California
| | - Larry R Jackson
- Division of Cardiac Electrophysiology, Duke University School of Medicine, Durham, North Carolina
| | - Mohit K Turagam
- Helmsley Electrophysiology Center, Icahn School of Medicine at Mount Sinai, New York, New York
| | - Jose A Joglar
- Division of Cardiology, Clinical Cardiac Electrophysiology, UT Southwestern Medical Center, Dallas, Texas
| | - Felix O Sogade
- Clinical Cardiac Electrophysiology, Georgia Arrhythmia Consultants, Macon, Georgia
| | - John M Fontaine
- Clinical Cardiac Electrophysiology Service, University of Pittsburgh Medical Center Williamsport, Williamsport, Pennsylvania
| | - Andrew D Krahn
- Center for Cardiovascular Innovation, Heart Rhythm Services, Division of Cardiology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
| | - Andrea M Russo
- Cooper Medical School of Rowan University, Division of Cardiovascular Disease, Cooper University Hospital, Camden, New Jersey
| | - Christine Albert
- Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California
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17
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Gupta R, Mahajan S, Behnoush AH, Mahmoudi E, Malik AH, Goel A, Bandyopadhyay D, Vyas AV, Patel NC, Chatterjee S, Lakkireddy DR, Bhatt DL. Short- and Long-Term Clinical Outcomes Following Permanent Pacemaker Insertion Post-TAVR: A Systematic Review and Meta-Analysis. JACC Cardiovasc Interv 2022; 15:1690-1692. [PMID: 35981849 DOI: 10.1016/j.jcin.2022.06.028] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Revised: 06/17/2022] [Accepted: 06/21/2022] [Indexed: 11/29/2022]
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18
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Magnocavallo M, Della Rocca DG, Schiavone M, Mariani MV, Vetta G, Gianni C, Mohanty S, Bassiouny MA, Lavalle C, FORLEO G, Burkhardt JD, Al-Ahmad A, Gallinghouse GJ, Horton RP, Lakkireddy DR, Di Biase L, Natale A. PO-684-02 LOWER RATE OF MAJOR BLEEDING IN HIGH-RISK PATIENTS UNDERGOING LEFT ATRIAL APPENDAGE OCCLUSION: A PROPENSITY MATCHED COMPARISON WITH DIRECT ORAL ANTICOAGULATION. Heart Rhythm 2022. [DOI: 10.1016/j.hrthm.2022.03.535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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19
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Ahmed A, Krishna Chand Pothineni NV, Charate R, romeya A, Lakkireddy DR, Gopinathannair R. PO-640-04 LONG TERM IMAGING AND CLINICAL OUTCOMES OF SURGICAL LEFT ATRIAL APPENDAGE OCCLUSION WITH ATRIAL CLIP. Heart Rhythm 2022. [DOI: 10.1016/j.hrthm.2022.03.139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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20
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Romero J, Rodriguez-Taveras J, Dave K, Rodriguez D, Alviz I, Gabr M, Purkayastha S, Matias J, Gamero M, Lorente-Ros M, Cerna LE, Krishnan S, Varrias D, Gahona CT, Ahmed A, Charate R, Lakkireddy DR, Natale A, Mohanty S, Della Rocca DG, Di Biase L. PO-716-04 EFFECTS ON LEFT ATRIUM FUNCTION OF DIFFERENT SETS OF CATHETER ABLATION FOR NON-PAROXYSMAL ATRIAL FIBRILLATION. Heart Rhythm 2022. [DOI: 10.1016/j.hrthm.2022.03.1172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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21
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Ahmed A, Charate R, Park PH, Tummala RV, romeya A, Van Meeteren J, Vasamreddy CR, Koerber S, Gopinathannair R, Lakkireddy DR, Krishna Chand Pothineni NV. PO-636-03 ELECTROPHYSIOLOGICAL FINDINGS DURING ENDOCARDIAL LEFT ATRIAL MAPPING FOLLOWING SURGICAL EPICARDIAL AF ABLATION. Heart Rhythm 2022. [DOI: 10.1016/j.hrthm.2022.03.943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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22
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Gopinathannair R, Lakkireddy DR, Manyam H, Badie N, Qu F, Ryu K, Afzal MR. PO-678-05 IMPROVING THE SPECIFICITY OF ATRIAL FIBRILLATION AND TACHYCARDIA DETECTION IN AN INSERTABLE CARDIAC MONITOR. Heart Rhythm 2022. [DOI: 10.1016/j.hrthm.2022.03.480] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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23
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Prasitlumkum N, Kewcharoen J, Bhardwaj R, Mandapati R, Lakkireddy DR, Garg J. PO-665-01 THE BLIP SIDES OF ADVISOR HD GRID MAPPING CATHETER - MAUDE DATABASE ANALYSIS. Heart Rhythm 2022. [DOI: 10.1016/j.hrthm.2022.03.360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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24
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Romero J, Diaz JC, Purkayastha S, Marin J, Aristizabal JM, Rodriguez D, Alviz I, Duque M, Gabr M, Gamero M, Matias J, Lorente-Ros M, Cerna LE, Lakkireddy DR, Charate R, Della Rocca DG, Mohanty S, Natale A, Di Biase L. PO-701-04 OUTCOMES OF LEFT ATRIAL APPENDAGE CLOSURE IN PATIENTS WITH ATRIAL FIBRILLATION AND END-STAGE RENAL DISEASE ON DIALYSIS. Heart Rhythm 2022. [DOI: 10.1016/j.hrthm.2022.03.1040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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25
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Della Rocca DG, Magnocavallo M, van Niekerk CJ, Gilhofer T, Ha G, D'Ambrosio G, Galvin J, Urbanek L, Schmidt B, Gianni C, Al-Ahmad A, Mohanty S, Romero J, Geller JC, Lakkireddy DR, Di Biase L, Price M, Mansour M, Saw J, Horton RP, Gibson DN, Natale A. PO-699-04 PERI-PROCEDURAL COMPLICATIONS AND LONG-TERM OUTCOMES IN ATRIAL FIBRILLATION PATIENTS STRATIFIED FOR CHRONIC KIDNEY DISEASE SEVERITY UNDERGOING LEFT ATRIAL APPENDAGE OCCLUSION: RESULTS FROM AN INTERNATIONAL, MULTICENTER REGISTRY. Heart Rhythm 2022. [DOI: 10.1016/j.hrthm.2022.03.1022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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26
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Manyam H, Afzal MR, Gopinathannair R, Qu F, Ryu P, Lakkireddy DR. PO-633-08 EVALUATION OF A NOVEL PREMATURE VENTRICULAR CONTRACTION DETECTION ALGORITHM IN AN INSERTABLE CARDIAC MONITOR. Heart Rhythm 2022. [DOI: 10.1016/j.hrthm.2022.03.924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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27
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Ahmed A, Charate R, Park PH, Tummala RV, romeya A, Van Meeteren J, Gopinathannair R, Lakkireddy DR, Krishna Chand Pothineni NV. PO-636-01 DURABILITY OF PULMONARY VEIN AND POSTERIOR WALL ISOLATION FOLLOWING HYBRID CONVERGENT ABLATION FOR LONG STANDING PERSISTENT ATRIAL FIBRILLATION. Heart Rhythm 2022. [DOI: 10.1016/j.hrthm.2022.03.941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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28
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Shah KB, Kewcharoen J, Turagam MK, Bhardwaj R, Contractor T, Mandapati R, Lakkireddy DR, Garg J. PO-695-07 ADVERSE EVENTS ASSOCIATED WITH ORION BASKET ARRAY MAPPING CATHETER - MAUDE DATABASE ANALYSIS. Heart Rhythm 2022. [DOI: 10.1016/j.hrthm.2022.03.989] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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29
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Ellis CR, Price M, Nielsen-Kudsk JE, Thaler D, Gupta N, Koulogiannis K, Lakkireddy DR. CE-538-03 INCIDENCE, PREDICTORS, AND CLINICAL OUTCOMES OF PERI-DEVICE LEAK IN SUBJECTS UNDERGOING TRANSCATHETER LEFT ATRIAL APPENDAGE CLOSURE IN THE AMULET IDE TRIAL. Heart Rhythm 2022. [DOI: 10.1016/j.hrthm.2022.03.612] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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30
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Contractor T, Bhardwaj R, Shah K, Kewcharoen J, Mandapati R, Lakkireddy DR, Garg J. PO-682-01 OUTCOME OF CATHETER ABLATION FOR VENTRICULAR TACHYCARDIA IN POST-MYOCARDITIS PATIENTS. Heart Rhythm 2022. [DOI: 10.1016/j.hrthm.2022.03.516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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31
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Shah KB, Turagam MK, Bhardwaj R, Contractor T, Mandapati R, Lakkireddy DR, Garg J. PO-684-08 SHORT-TERM OUTCOMES OF LEFT ATRIAL APPENDAGE OCCLUSION WITH AMULET VS WATCHMAN-FLX DEVICE. Heart Rhythm 2022. [DOI: 10.1016/j.hrthm.2022.03.541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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32
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Charate R, Ahmed A, Garg J, Krishna Chand Pothineni NV, Della Rocca DG, Di Biase L, Horton RP, Kar S, Reddy VY, Swarup V, Holmes DR, Doshi SK, Natale A, Lakkireddy DR. PO-625-03 MULTIMODALITY EVALUATION OF LEFT ATRIAL APPENDAGE LEAKS ARISING AFTER INCOMPLETE LEFT ATRIAL APPENDAGE CLOSURE. Heart Rhythm 2022. [DOI: 10.1016/j.hrthm.2022.03.082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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33
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Bhardwaj R, Turagam MK, Shah KB, Contractor T, Mandapati R, Lakkireddy DR, Garg J. PO-654-03 POSTERIOR PERICARDIOTOMY TO PREVENT POST-OPERATIVE ATRIAL FIBRILLATION AFTER CARDIAC SURGERY. Heart Rhythm 2022. [DOI: 10.1016/j.hrthm.2022.03.264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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34
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Charate R, Ahmed A, Krishna Chand Pothineni NV, Garg J, Della Rocca DG, Zhang X, Zou F, Lin AN, Di Biase L, Gopinathannair R, Al-Ahmad A, Natale A, Lakkireddy DR. PO-694-07 COMPARISON OF INTRACARDIAC ECHOCARDIOGRAPHY VERSUS CONVENTIONAL 3-DIMENSIONAL ELECTROANATOMIC MAPPING GUIDED TYPICAL CAVOTRICUSPID ISTHMUS ATRIAL FLUTTER ABLATIONS: INSIGHTS FROM THE ICE FLUTTER STUDY. Heart Rhythm 2022. [DOI: 10.1016/j.hrthm.2022.03.980] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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35
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Akella K, Trivedi RS, Gopinathannair R, Lakkireddy DR. PO-701-05 ASSOCIATION OF ILLICIT DRUG POISONING WITH DYSRHYTHMIA - A PROPENSITY WEIGHTED ANALYSIS OF THE NATIONAL INPATIENT SAMPLE. Heart Rhythm 2022. [DOI: 10.1016/j.hrthm.2022.03.1041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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36
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Kewcharoen J, Shah K, Bhardwaj R, Contractor T, Turagam M, Mandapati R, Lakkireddy DR, Garg J. LEFT ATRIAL APPENDAGE OCCLUSION IN PATIENTS WITH LEFT VENTRICULAR ASSIST DEVICE. J Am Coll Cardiol 2022. [DOI: 10.1016/s0735-1097(22)01195-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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37
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Charate RA, Ahmed A, Lakkireddy DR, Garg J, Romeya A, Park PHS, Tummala RV, Koerber S, Vasamreddy CR, Shah AP, Shivamurthy P, Atkins D, Bommana S, Biase LD, Al-Ahmad A, Natale A, Gopinathannair R, DeAsmundis C, LaMeier M, Vanmeeteren J, Awasthi Y, Ken F. IST HYBRID ABLATION IMPACT ON QUALITY OF LIFE, ANXIETY, AND DEPRESSION. J Am Coll Cardiol 2022. [DOI: 10.1016/s0735-1097(22)01197-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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38
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Ahmed A, Charate RA, Garg J, Pothineni NVK, Sharma S, Turagam M, Murtaza G, Gopinathannair R, Lakkireddy DR. EARLY EPICARDIAL ACCESS FOR VENTRICULAR TACHYCARDIA ABLATION IN PATIENTS WITH NON ISCHEMIC CARDIOMYOPATHY: A MULTI CENTER ANALYSIS. J Am Coll Cardiol 2022. [DOI: 10.1016/s0735-1097(22)01005-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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39
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Ahmed A, Charate RA, Garg J, Pothineni NVK, Turagam M, Sharma S, Biase LD, Horton RP, Al-Ahmad A, Swarup V, Shah AP, Mohanty S, Cheng J, Natale A, Chen M, Yoo D, Gopinathannair R, Lakkireddy DR. A NOVEL ANATOMICAL CHARACTERIZATION OF CAVOTRICUSPID ISTHMUS USING INTRACARDIAC ECHO IN PATIENTS UNDERGOING ATRIAL FLUTTER ABLATION: THE LETR CLASSIFICATION. J Am Coll Cardiol 2022. [DOI: 10.1016/s0735-1097(22)01201-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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40
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Shah K, Williamson BD, Kutinsky IB, Bhardwaj R, Contractor T, Mandapati R, Lakkireddy DR, Garg J. CONDUCTION SYSTEM PACING IN PATIENTS WITH PROSTHETIC HEART VALVES. J Am Coll Cardiol 2022. [DOI: 10.1016/s0735-1097(22)01058-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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41
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Tamirisa KP, Elkayam U, Briller JE, Mason PK, Pillarisetti J, Merchant FM, Patel H, Lakkireddy DR, Russo AM, Volgman AS, Vaseghi M. Arrhythmias in Pregnancy. JACC Clin Electrophysiol 2022; 8:120-135. [PMID: 35057977 DOI: 10.1016/j.jacep.2021.10.004] [Citation(s) in RCA: 21] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Revised: 10/06/2021] [Accepted: 10/13/2021] [Indexed: 12/18/2022]
Abstract
Increasing maternal mortality and incidence of arrhythmias in pregnancy have been noted over the past 2 decades in the United States. Pregnancy is associated with a greater risk of arrhythmias, and patients with a history of arrhythmias are at significant risk of arrhythmia recurrence during pregnancy. The incidence of atrial fibrillation in pregnancy is rising. This review discusses the management of tachyarrhythmias and bradyarrhythmias in pregnancy, including management of cardiac arrest. Management of fetal arrhythmias are also reviewed. For patients without structural heart disease, β-blocker therapy, especially propranolol and metoprolol, and antiarrhythmic drugs, such as flecainide and sotalol, can be safely used to treat tachyarrhythmias. As a last resort, catheter ablation with minimal fluoroscopy can be performed. Device implantation can be safely performed with minimal fluoroscopy and under echocardiographic or ultrasound guidance in patients with clear indications for devices during pregnancy. Because of rising maternal mortality in the United States, which is partly driven by increasing maternal age and comorbidities, a multidisciplinary and/or integrative approach to arrhythmia management from the prepartum to the postpartum period is needed.
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Affiliation(s)
| | - Uri Elkayam
- Keck School of Medicine, University of Southern California, California; Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, California, USA
| | - Joan E Briller
- Division of Cardiology, University of Illinois, Chicago, Illinois, USA
| | - Pamela K Mason
- Division of Cardiology/Electrophysiology, University of Virginia, Charlottesville, Virginia
| | | | - Faisal M Merchant
- Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia, USA
| | - Hena Patel
- University of Chicago, Chicago, Illinois, USA
| | | | | | | | - Marmar Vaseghi
- UCLA Cardiac Arrhythmia Center, University of California, Los Angeles, California, USA.
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42
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Saksena S, Nagarakanti R, Slee AE, Lakkireddy DR, Shah DC, Biase LD, Lewalter TW, Santangeli P, Natale A. B-PO04-186 ATRIAL FIBRILLATION IS ASSOCIATED WITH WORSENING OF HEART FAILURE (HF) AND CARDIOVASCULAR HOSPITALIZATIONS (CVH) IN HF WITH PRESERVED EJECTION FRACTION (HFPEF) IN MINORITIES AND SPECIFIC CO-MORBIDITIES. Heart Rhythm 2021. [DOI: 10.1016/j.hrthm.2021.06.878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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43
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Shah S, Shah KB, Turagam MK, Bhardwaj R, Contractor T, Mandapati R, Natale A, Lakkireddy DR, Garg J. B-PO02-068 OUTCOMES OF SUBCUTANEOUS IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR IN DIALYSIS PATIENTS. Heart Rhythm 2021. [DOI: 10.1016/j.hrthm.2021.06.324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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44
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Garg J, Bharat Shah K, Shah S, Turagam MK, Natale A, Lakkireddy DR. B-PO04-142 LEFT ATRIAL APPENDAGE OCCLUSION WITH NEW WATCHMAN-FLX DEVICE. Heart Rhythm 2021. [DOI: 10.1016/j.hrthm.2021.06.836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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45
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Piccini JP, Stanelle E, Hylek EM, Johnson LC, Kanwar R, Lakkireddy DR, Mittal S, Peacock J, Russo AM, Soderlund D, Hills MT, Turakhia MP, Passman RS. B-PO02-079 PERFORMANCE OF ATRIAL FIBRILLATION BURDEN PATTERNS DETECTED VIA INSERTABLE CARDIAC MONITOR FOR STROKE RISK STRATIFICATION. Heart Rhythm 2021. [DOI: 10.1016/j.hrthm.2021.06.334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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46
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Cheema MS, Haloot J, Laughlin M, Panday MM, Badin A, Lakkireddy DR, Pillarisetti J. B-PO02-144 GENDER DIFFERENCES IN DOFETILIDE INITIATION: IS LOWER BETTER? Heart Rhythm 2021. [DOI: 10.1016/j.hrthm.2021.06.397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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47
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Romero J, Lakkireddy DR, Alviz I, Diaz JC, Briceno DF, Jaiswal A, Velasco A, Valencia CR, Polanco D, Daniel Rodriguez, Gabr M, Karpenos J, Trivedi CG, Mohanty S, Della Rocca DG, Natale A, Di Biase L. B-PO04-141 LEFT ATRIAL APPENDAGE OCCLUSION VERSUS ORAL ANTICOAGULATION AS PRIMARY STRATEGIES TO PREVENT LAA THROMBUS AND STROKE FOLLOWING LEFT ATRIAL APPENDAGE ELECTRICAL ISOLATION: APROPENSITY SCORE-MATCHED ANALYSIS. Heart Rhythm 2021. [DOI: 10.1016/j.hrthm.2021.06.835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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48
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Di Biase L, Lakkireddy DR, Alviz I, Briceno DF, Jaiswal AK, Polanco D, Diaz JC, Gabr M, Rodriguez D, Newman S, Valencia JKCR, Trivedi CG, Mohanty S, Della Rocca DG, Natale A, Romero J. B-PO03-049 TUMESCENT LOCAL ANESTHESIA AS AN ALTERNATIVE TO GENERAL ANESTHESIA DURING SUBCUTANEOUS IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR IMPLANTATION: POST-PROCEDURAL PAIN CONTROL OUTCOMES. Heart Rhythm 2021. [DOI: 10.1016/j.hrthm.2021.06.524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Garg J, Bharat Shah K, Turagam MK, Bhardwaj R, Contractor T, Mandapati R, Natale A, Lakkireddy DR. B-PO02-171 IMPLANTABLE CARDIOVERTER DEFIBRILLATOR IN PATIENTS WITH SPONTANEOUS CORONARY ARTERY DISSECTION PRESENTING WITH CARDIAC ARREST. Heart Rhythm 2021. [DOI: 10.1016/j.hrthm.2021.06.424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Di Biase L, Lakkireddy DR, Alviz I, Briceno DF, Jaiswal A, Polanco D, Diaz JC, Rodriguez D, Gabr M, Velasco A, Trivedi CG, Mohanty S, Della Rocca DG, Natale A, Romero J. B-PO04-093 FOCAL IMPULSE AND ROTOR MODULATION GUIDED ABLATION VERSUS PULMONARY VEIN ISOLATION FOR ATRIAL FIBRILLATION: A META-ANALYSIS OF HEAD-TO-HEAD COMPARATIVE STUDIES. Heart Rhythm 2021. [DOI: 10.1016/j.hrthm.2021.06.788] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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